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WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 401k Plan overview

Plan NameWEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS
Plan identification number 501

WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

HILLSDALE FABRICATORS has sponsored the creation of one or more 401k plans.

Company Name:HILLSDALE FABRICATORS
Employer identification number (EIN):430624621
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-06-01
5012015-06-01
5012014-06-01
5012013-06-01
5012012-06-01R. DENAY DAVIS
5012012-03-01R. DENAY DAVIS
5012011-03-01R. DENAY DAVIS
5012010-03-01R. DENAY DAVIS
5012009-03-01R. DENAY DAVIS
5012008-03-01
5012007-03-01R. DENAY DAVIS
5012006-03-01R. DENAY DAVIS

Plan Statistics for WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS

401k plan membership statisitcs for WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS

Measure Date Value
2016: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2016 401k membership
Total participants, beginning-of-year2016-06-01131
Total number of active participants reported on line 7a of the Form 55002016-06-0169
Total of all active and inactive participants2016-06-0169
2015: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2015 401k membership
Total participants, beginning-of-year2015-06-01144
Total number of active participants reported on line 7a of the Form 55002015-06-01131
Total of all active and inactive participants2015-06-01131
2014: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2014 401k membership
Total participants, beginning-of-year2014-06-01139
Total number of active participants reported on line 7a of the Form 55002014-06-01144
Total of all active and inactive participants2014-06-01144
2013: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2013 401k membership
Total participants, beginning-of-year2013-06-01171
Total number of active participants reported on line 7a of the Form 55002013-06-01139
Total of all active and inactive participants2013-06-01139
2012: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2012 401k membership
Total participants, beginning-of-year2012-06-01179
Total number of active participants reported on line 7a of the Form 55002012-06-01171
Total of all active and inactive participants2012-06-01171
Total participants, beginning-of-year2012-03-01165
Total number of active participants reported on line 7a of the Form 55002012-03-01179
Total of all active and inactive participants2012-03-01179
2011: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2011 401k membership
Total participants, beginning-of-year2011-03-01173
Total number of active participants reported on line 7a of the Form 55002011-03-01165
Total of all active and inactive participants2011-03-01165
2010: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2010 401k membership
Total participants, beginning-of-year2010-03-01134
Total number of active participants reported on line 7a of the Form 55002010-03-01173
Total of all active and inactive participants2010-03-01173
2009: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2009 401k membership
Total participants, beginning-of-year2009-03-01123
Total number of active participants reported on line 7a of the Form 55002009-03-01134
Total of all active and inactive participants2009-03-01134
2007: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2007 401k membership
Total participants, beginning-of-year2007-03-01110
Total number of active participants reported on line 7a of the Form 55002007-03-01122
Total of all active and inactive participants2007-03-01122
2006: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2006 401k membership
Total participants, beginning-of-year2006-03-0177
Total number of active participants reported on line 7a of the Form 55002006-03-01110
Total of all active and inactive participants2006-03-01110

Form 5500 Responses for WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS

2016: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-03-01Type of plan entitySingle employer plan
2012-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – InsuranceYes
2010: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – InsuranceYes
2009: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01This submission is the final filingNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – InsuranceYes
2008: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2008 form 5500 responses
2008-03-01Type of plan entitySingle employer plan
2008-03-01Submission has been amendedNo
2008-03-01This submission is the final filingNo
2008-03-01This return/report is a short plan year return/report (less than 12 months)No
2008-03-01Plan is a collectively bargained planNo
2007: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2007 form 5500 responses
2007-03-01Type of plan entitySingle employer plan
2007-03-01This submission is the final filingNo
2007-03-01Plan funding arrangement – InsuranceYes
2007-03-01Plan benefit arrangement – InsuranceYes
2006: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF HILLSDALE FABRICATORS 2006 form 5500 responses
2006-03-01Type of plan entitySingle employer plan
2006-03-01First time form 5500 has been submittedYes
2006-03-01This submission is the final filingNo
2006-03-01Plan funding arrangement – InsuranceYes
2006-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD3-840-444077-
Policy instance 1
Insurance contract or identification numberGD3-840-444077-
Number of Individuals Covered131
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD3-840-444077-
Policy instance 1
Insurance contract or identification numberGD3-840-444077-
Number of Individuals Covered144
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $0
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
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGD3-840-444077-
Policy instance 1
Insurance contract or identification numberGD3-840-444077-
Number of Individuals Covered139
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $0
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
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,589
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05983995
Policy instance 1
Insurance contract or identification numberKM05983995
Number of Individuals Covered171
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $1,388
Total amount of fees paid to insurance companyUSD $581
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,388
Additional information about fees paid to insurance brokerBASE COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees529
Insurance broker nameMERCER HEALTH & BENEFITS LLC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05983995
Policy instance 1
Insurance contract or identification numberKM05983995
Number of Individuals Covered179
Insurance policy start date2012-03-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $335
Total amount of fees paid to insurance companyUSD $712
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010079124
Policy instance 1
Insurance contract or identification number000010079124
Number of Individuals Covered170
Insurance policy start date2011-03-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $909
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
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $7,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05983995
Policy instance 2
Insurance contract or identification numberKM05983995
Number of Individuals Covered165
Insurance policy start date2011-06-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $1,700
Total amount of fees paid to insurance companyUSD $251
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,195
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010079124
Policy instance 1
Insurance contract or identification number000010079124
Number of Individuals Covered173
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $1,598
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
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $25,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,598
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH AND BENEFITS LLC

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