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THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN 401k Plan overview

Plan NameTHERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN
Plan identification number 504

THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

THERMO KING MIDWEST, INC. has sponsored the creation of one or more 401k plans.

Company Name:THERMO KING MIDWEST, INC.
Employer identification number (EIN):351007407
NAIC Classification:811310
NAIC Description:Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-07-01JULIE HARNIST2023-10-04
5042021-07-01JULIE HARNIST2023-01-26

Plan Statistics for THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN

401k plan membership statisitcs for THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN

Measure Date Value
2022: THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01133
Total number of active participants reported on line 7a of the Form 55002022-07-01151
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01151
Number of employers contributing to the scheme2022-07-010
2021: THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01151
Total number of active participants reported on line 7a of the Form 55002021-07-01133
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01133
Number of employers contributing to the scheme2021-07-010

Form 5500 Responses for THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN

2022: THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: THERMO KING MEDWEST DENTAL, VISION AND ANCILLARY PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01First time form 5500 has been submittedYes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1142224
Policy instance 1
Insurance contract or identification number1142224
Number of Individuals Covered299
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $15,215
Total amount of fees paid to insurance companyUSD $2,518
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $163,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,215
Amount paid for insurance broker fees2518
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1142224
Policy instance 1
Insurance contract or identification number1142224
Number of Individuals Covered268
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $12,221
Total amount of fees paid to insurance companyUSD $3,000
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $110,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,221
Amount paid for insurance broker fees3000
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3

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