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GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 401k Plan overview

Plan NameGROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A.
Plan identification number 506

GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TAKASAGO INTERNATIONAL CORP. (USA) has sponsored the creation of one or more 401k plans.

Company Name:TAKASAGO INTERNATIONAL CORP. (USA)
Employer identification number (EIN):132606972
NAIC Classification:325900
NAIC Description:Other Chemical Product and Preparation Manufacturing

Additional information about TAKASAGO INTERNATIONAL CORP. (USA)

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1968-04-01
Company Identification Number: 221664
Legal Registered Office Address: ATTN GENERAL COUNSEL
4 VOLVO DRIVE
ROCKLEIGH
United States of America (USA)
07647

More information about TAKASAGO INTERNATIONAL CORP. (USA)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062019-04-01LISETTE MASUR2020-07-09
5062018-04-01LISETTE MASUR2019-11-21
5062017-04-01LISETTE MASUR LISETTE MASUR2018-10-30
5062016-04-01LISETTE MASUR LISETTE MASUR2017-10-30
5062015-04-01LISETTE MASUR LISETTE MASUR2016-10-23
5062014-04-01LISETTE MASUR LISETTE MASUR2015-10-07
5062013-04-01LISETTE MASUR LISETTE MASUR2014-10-02
5062012-04-01LISETTE MASUR LISETTE MASUR2013-10-16
5062011-04-01LISETTE MASUR LISETTE MASUR2012-10-17
5062009-04-01LISETTE MASUR

Plan Statistics for GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A.

401k plan membership statisitcs for GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A.

Measure Date Value
2019: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2019 401k membership
Total participants, beginning-of-year2019-04-01436
Total number of active participants reported on line 7a of the Form 55002019-04-010
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-010
Number of employers contributing to the scheme2019-04-010
2018: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2018 401k membership
Total participants, beginning-of-year2018-04-01432
Total number of active participants reported on line 7a of the Form 55002018-04-01436
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-01436
Number of employers contributing to the scheme2018-04-010
2017: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2017 401k membership
Total participants, beginning-of-year2017-04-01413
Total number of active participants reported on line 7a of the Form 55002017-04-01432
Total of all active and inactive participants2017-04-01432
2016: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2016 401k membership
Total participants, beginning-of-year2016-04-01421
Total number of active participants reported on line 7a of the Form 55002016-04-01374
Total of all active and inactive participants2016-04-01374
2015: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2015 401k membership
Total participants, beginning-of-year2015-04-01424
Total number of active participants reported on line 7a of the Form 55002015-04-01421
Total of all active and inactive participants2015-04-01421
2014: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2014 401k membership
Total participants, beginning-of-year2014-04-01425
Total number of active participants reported on line 7a of the Form 55002014-04-01424
Total of all active and inactive participants2014-04-01424
2013: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2013 401k membership
Total participants, beginning-of-year2013-04-01415
Total number of active participants reported on line 7a of the Form 55002013-04-01425
Total of all active and inactive participants2013-04-01425
2012: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2012 401k membership
Total participants, beginning-of-year2012-04-01409
Total number of active participants reported on line 7a of the Form 55002012-04-01415
Total of all active and inactive participants2012-04-01415
2011: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2011 401k membership
Total participants, beginning-of-year2011-04-01391
Total number of active participants reported on line 7a of the Form 55002011-04-01409
Total of all active and inactive participants2011-04-01409
2009: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2009 401k membership
Total participants, beginning-of-year2009-04-01365
Total number of active participants reported on line 7a of the Form 55002009-04-01375
Total of all active and inactive participants2009-04-01375
Total participants2009-04-010

Form 5500 Responses for GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A.

2019: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01This submission is the final filingYes
2019-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2009: GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR THE EMPLOYEES OF TAKASAGO INTERNATIONAL CORPORATION U.S.A. 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACIZ
Policy instance 1
Insurance contract or identification numberG000ACIZ
Number of Individuals Covered436
Insurance policy start date2019-04-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,235
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $14,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,235
Amount paid for insurance broker fees0
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberGMDA0ACIZ
Policy instance 1
Insurance contract or identification numberGMDA0ACIZ
Number of Individuals Covered432
Insurance policy start date2018-10-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $1,183
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,483
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,183
Amount paid for insurance broker fees0
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberT66BA-P-51679
Policy instance 1
Insurance contract or identification numberT66BA-P-51679
Number of Individuals Covered432
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $2,974
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $19,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,974
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameLADMAR ASSOCIATES LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberT66BA-P-51679
Policy instance 1
Insurance contract or identification numberT66BA-P-51679
Number of Individuals Covered421
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $2,895
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $19,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,895
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameLADMAR ASSOCIATES LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberT66BA-P-51679
Policy instance 1
Insurance contract or identification numberT66BA-P-51679
Number of Individuals Covered424
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $2,823
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $18,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,823
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameLADMAR ASSOCIATES LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberT66BA-P-51679
Policy instance 1
Insurance contract or identification numberT66BA-P-51679
Number of Individuals Covered425
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $1,303
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $8,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,303
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameLADMAR ASSOCIATES LTD
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberT66BA-P-51679
Policy instance 1
Insurance contract or identification numberT66BA-P-51679
Number of Individuals Covered415
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $2,559
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,559
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameLADMAR ASSOCIATES LTD
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberT66BA-P-51679
Policy instance 1
Insurance contract or identification numberT66BA-P-51679
Number of Individuals Covered409
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $2,545
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $16,966
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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