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D'ADDARIO & CO, INC. (MEDICAL INSURANCE) 401k Plan overview

Plan NameD'ADDARIO & CO, INC. (MEDICAL INSURANCE)
Plan identification number 509

D'ADDARIO & CO, INC. (MEDICAL INSURANCE) Benefits

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

401k Sponsoring company profile

D'ADDARIO & COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:D'ADDARIO & COMPANY, INC.
Employer identification number (EIN):112288999
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan D'ADDARIO & CO, INC. (MEDICAL INSURANCE)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092015-01-01RAY IRIZARRY JOHN BURKE JR2016-10-17

Plan Statistics for D'ADDARIO & CO, INC. (MEDICAL INSURANCE)

401k plan membership statisitcs for D'ADDARIO & CO, INC. (MEDICAL INSURANCE)

Measure Date Value
2015: D'ADDARIO & CO, INC. (MEDICAL INSURANCE) 2015 401k membership
Total participants, beginning-of-year2015-01-010
Total number of active participants reported on line 7a of the Form 55002015-01-010
Total of all active and inactive participants2015-01-010

Form 5500 Responses for D'ADDARIO & CO, INC. (MEDICAL INSURANCE)

2015: D'ADDARIO & CO, INC. (MEDICAL INSURANCE) 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01This submission is the final filingYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16498
Policy instance 1
Insurance contract or identification numberHCL16498
Number of Individuals Covered524
Insurance policy start date2015-01-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $30,178
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $241,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,178
Additional information about fees paid to insurance brokerINSURANCE AGENT / BROKER
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16498
Policy instance 2
Insurance contract or identification numberHCL16498
Number of Individuals Covered538
Insurance policy start date2015-05-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $69,957
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $542,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,957
Additional information about fees paid to insurance brokerINSURANCE AGENT / BROKER
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC

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