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UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 401k Plan overview

Plan NameUNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN
Plan identification number 502

UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

UNITED FOUNDRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:UNITED FOUNDRIES, INC.
Employer identification number (EIN):273617031
NAIC Classification:333510

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-04-01ROBERT A. DOUGLAS2023-09-22 ROBERT A. DOUGLAS2023-09-22
5022021-04-01DAVID W. WADE2022-09-20 DAVID W. WADE2022-09-20
5022020-04-01DAVID W. WADE2021-09-17 DAVID W. WADE2021-09-17
5022019-04-01DAVID W. WADE2020-09-21 DAVID W. WADE2020-09-21
5022018-04-01DAVID W. WADE2019-09-23 DAVID W. WADE2019-09-23
5022017-04-01
5022016-04-01
5022015-04-01
5022014-04-01
5022014-04-01TIMOTHY SPANG
5022013-04-01MARK REMILLARD
5022012-04-01MARK REMILLARD
5022011-04-01MARK REMILLARD

Plan Statistics for UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN

401k plan membership statisitcs for UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN

Measure Date Value
2022: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01337
Total number of active participants reported on line 7a of the Form 55002022-04-01112
Number of retired or separated participants receiving benefits2022-04-01218
Total of all active and inactive participants2022-04-01330
2021: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01389
Total number of active participants reported on line 7a of the Form 55002021-04-01117
Number of retired or separated participants receiving benefits2021-04-01220
Total of all active and inactive participants2021-04-01337
2020: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01421
Total number of active participants reported on line 7a of the Form 55002020-04-01123
Number of retired or separated participants receiving benefits2020-04-01266
Total of all active and inactive participants2020-04-01389
2019: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01431
Total number of active participants reported on line 7a of the Form 55002019-04-01124
Number of retired or separated participants receiving benefits2019-04-01297
Total of all active and inactive participants2019-04-01421
2018: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01448
Total number of active participants reported on line 7a of the Form 55002018-04-01113
Number of retired or separated participants receiving benefits2018-04-01318
Total of all active and inactive participants2018-04-01431
2017: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01476
Total number of active participants reported on line 7a of the Form 55002017-04-01100
Number of retired or separated participants receiving benefits2017-04-01348
Total of all active and inactive participants2017-04-01448
2016: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01477
Total number of active participants reported on line 7a of the Form 55002016-04-01103
Number of retired or separated participants receiving benefits2016-04-01373
Total of all active and inactive participants2016-04-01476
Total participants2016-04-01476
2015: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01534
Total number of active participants reported on line 7a of the Form 55002015-04-01125
Number of retired or separated participants receiving benefits2015-04-01386
Total of all active and inactive participants2015-04-01511
2014: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01560
Total number of active participants reported on line 7a of the Form 55002014-04-01129
Number of retired or separated participants receiving benefits2014-04-01405
Total of all active and inactive participants2014-04-01534
Number of other retired or separated participants entitled to future benefits2014-04-010
2013: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01566
Total number of active participants reported on line 7a of the Form 55002013-04-01134
Number of retired or separated participants receiving benefits2013-04-01426
Total of all active and inactive participants2013-04-01560
Total participants2013-04-01560
2012: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01609
Total number of active participants reported on line 7a of the Form 55002012-04-01133
Number of retired or separated participants receiving benefits2012-04-01433
Total of all active and inactive participants2012-04-01566
Total participants2012-04-01566
2011: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01646
Total number of active participants reported on line 7a of the Form 55002011-04-01135
Number of retired or separated participants receiving benefits2011-04-01474
Total of all active and inactive participants2011-04-01609
Total participants2011-04-01609

Form 5500 Responses for UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN

2022: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 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: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedYes
2014-04-01This submission is the final filingYes
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: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: UNITED ENGINEERING AND FOUNDRY CO. LIFE AND DISABILITY PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD117445
Policy instance 2
Insurance contract or identification numberLTD117445
Number of Individuals Covered77
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $1,052
Total amount of fees paid to insurance companyUSD $116
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered327
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $9,501
Total amount of fees paid to insurance companyUSD $1,732
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $115,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD117445
Policy instance 2
Insurance contract or identification numberLTD117445
Number of Individuals Covered78
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $1,152
Total amount of fees paid to insurance companyUSD $227
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,152
Amount paid for insurance broker fees227
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered337
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $10,432
Total amount of fees paid to insurance companyUSD $3,674
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $115,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,432
Amount paid for insurance broker fees3674
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD117445
Policy instance 2
Insurance contract or identification numberLTD117445
Number of Individuals Covered79
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $1,153
Total amount of fees paid to insurance companyUSD $113
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,153
Amount paid for insurance broker fees113
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered389
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $10,732
Total amount of fees paid to insurance companyUSD $2,008
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $119,239
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,732
Amount paid for insurance broker fees2008
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD117445
Policy instance 2
Insurance contract or identification numberLTD117445
Number of Individuals Covered79
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,113
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,421
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,113
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered424
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $11,807
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $131,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,807
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD117445
Policy instance 2
Insurance contract or identification numberLTD117445
Number of Individuals Covered79
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $1,181
Total amount of fees paid to insurance companyUSD $123
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,181
Amount paid for insurance broker fees123
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered431
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $12,285
Total amount of fees paid to insurance companyUSD $1,858
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $136,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,285
Amount paid for insurance broker fees1858
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD117445
Policy instance 2
Insurance contract or identification numberLTD117445
Number of Individuals Covered80
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $1,306
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,306
Insurance broker organization code?3
Insurance broker nameHENDERSON BROTHERS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered477
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $11,397
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $126,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,397
Insurance broker organization code?3
Insurance broker nameHENDERSON BROTHERS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD117445
Policy instance 2
Insurance contract or identification numberLTD117445
Number of Individuals Covered95
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $1,662
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,081
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,662
Insurance broker organization code?3
Insurance broker nameHENDERSON BROTHERS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered534
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $13,419
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $149,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,419
Insurance broker organization code?3
Insurance broker nameHENDERSON BROTHERS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered539
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $14,275
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $158,607
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
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision 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 $14,275
Insurance broker organization code?3
Insurance broker nameHENDERSON BROTHERS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered574
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $14,543
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $161,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,543
Insurance broker organization code?3
Insurance broker nameHENDERSON BROTHERS INC.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered566
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $15,325
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $170,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,819
Insurance broker organization code?3
Insurance broker nameHENDERSON BROTHERS INC.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL138237
Policy instance 1
Insurance contract or identification numberGL138237
Number of Individuals Covered613
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $12,299
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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