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KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 401k Plan overview

Plan NameKNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT
Plan identification number 502

KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

KNOWLTON TECHNOLOGIES, LLC has sponsored the creation of one or more 401k plans.

Company Name:KNOWLTON TECHNOLOGIES, LLC
Employer identification number (EIN):261472700
NAIC Classification:322100

Additional information about KNOWLTON TECHNOLOGIES, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5549636

More information about KNOWLTON TECHNOLOGIES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022014-01-01CLINT GILLETT
5022014-01-01CLINT GILLETT JAMES GANTER2015-07-30
5022013-01-01CLINT GILLETT FREDERICK G. RUDMANN2014-07-30
5022012-01-01CLINT GILLETT FREDERICK G. RUDMANN2013-07-18
5022011-01-01CLINT GILLETT FREDERICK G. RUDMANN2013-07-18

Plan Statistics for KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT

401k plan membership statisitcs for KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT

Measure Date Value
2014: KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year2014-01-01120
Total number of active participants reported on line 7a of the Form 55002014-01-01120
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01120
2013: KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year2013-01-01125
Total number of active participants reported on line 7a of the Form 55002013-01-01120
Total of all active and inactive participants2013-01-01120
2012: KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year2012-01-01130
Total number of active participants reported on line 7a of the Form 55002012-01-01125
Total of all active and inactive participants2012-01-01125
2011: KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year2011-01-0196
Total number of active participants reported on line 7a of the Form 55002011-01-01130
Total of all active and inactive participants2011-01-01130

Form 5500 Responses for KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT

2014: KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: KNOWLTON TECHNOLOGIES HEALTH REIMBURSEMENT ARRANGEMENT 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0122382
Policy instance 1
Insurance contract or identification number0122382
Number of Individuals Covered120
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $32,081
Total amount of fees paid to insurance companyUSD $140,069
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $32,081
Amount paid for insurance broker fees99828
Additional information about fees paid to insurance brokerADMINISTRATION SERVICES AND OTHER FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT SERVICES GROUP, INC.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0122382
Policy instance 1
Insurance contract or identification number0122382
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $22,789
Total amount of fees paid to insurance companyUSD $130,767
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,789
Amount paid for insurance broker fees87676
Additional information about fees paid to insurance brokerADMINISTRATION SERVICES AND OTHER FEESADMINISTRATION
Insurance broker organization code?3
Insurance broker nameBENEFIT SERVICES GROUP, INC.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0122382
Policy instance 1
Insurance contract or identification number0122382
Number of Individuals Covered125
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $16,247
Total amount of fees paid to insurance companyUSD $99,817
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,247
Amount paid for insurance broker fees62505
Additional information about fees paid to insurance brokerADMINISTRATION SERVICES AND OTHER FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT SERVICES GROUP, INC.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0122382
Policy instance 1
Insurance contract or identification number0122382
Number of Individuals Covered130
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $12,407
Total amount of fees paid to insurance companyUSD $81,185
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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