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NOVELART MANUFACTURING BENEFITS PLAN 401k Plan overview

Plan NameNOVELART MANUFACTURING BENEFITS PLAN
Plan identification number 502

NOVELART MANUFACTURING BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

NOVELART MANUFACTURING has sponsored the creation of one or more 401k plans.

Company Name:NOVELART MANUFACTURING
Employer identification number (EIN):310412370
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NOVELART MANUFACTURING BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-12-01BRIEANNA MATHEWS2023-03-10
5022020-12-01BRIEANNA MATHEWS2022-09-12
5022019-12-01BRIEANNA MATHEWS2021-09-07
5022018-12-01BRIEANNA MATHEWS2020-03-19
5022017-12-01BRIEANNA MATHEWS2019-06-18
5022016-12-01
5022015-12-01MIKE FIELDS
5022014-12-01MARVIN SCHWARTZ
5022013-12-01MARVIN SCHWARTZ MARVIN SCHWARTZ2015-04-20
5022012-12-01MARVIN SCHWARTZ
5022011-12-01MARVIN SCHWARTZ
5022010-12-01MARVIN H. SCHWARTZ

Plan Statistics for NOVELART MANUFACTURING BENEFITS PLAN

401k plan membership statisitcs for NOVELART MANUFACTURING BENEFITS PLAN

Measure Date Value
2021: NOVELART MANUFACTURING BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01119
Total number of active participants reported on line 7a of the Form 55002021-12-01109
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01109
Number of employers contributing to the scheme2021-12-010
2020: NOVELART MANUFACTURING BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01112
Total number of active participants reported on line 7a of the Form 55002020-12-01119
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01119
Number of employers contributing to the scheme2020-12-010
2019: NOVELART MANUFACTURING BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01142
Total number of active participants reported on line 7a of the Form 55002019-12-01112
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01112
Number of employers contributing to the scheme2019-12-010
2018: NOVELART MANUFACTURING BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01134
Total number of active participants reported on line 7a of the Form 55002018-12-01142
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01142
Number of employers contributing to the scheme2018-12-010
2017: NOVELART MANUFACTURING BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01134
Total number of active participants reported on line 7a of the Form 55002017-12-01134
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01134
Number of employers contributing to the scheme2017-12-010
2016: NOVELART MANUFACTURING BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01102
Total number of active participants reported on line 7a of the Form 55002016-12-01134
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01134
2015: NOVELART MANUFACTURING BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01143
Total number of active participants reported on line 7a of the Form 55002015-12-01131
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01131
2014: NOVELART MANUFACTURING BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01140
Total number of active participants reported on line 7a of the Form 55002014-12-01143
Total of all active and inactive participants2014-12-01143
2013: NOVELART MANUFACTURING BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01141
Total number of active participants reported on line 7a of the Form 55002013-12-01140
Total of all active and inactive participants2013-12-01140
2012: NOVELART MANUFACTURING BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01124
Total number of active participants reported on line 7a of the Form 55002012-12-01141
Total of all active and inactive participants2012-12-01141
2011: NOVELART MANUFACTURING BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01118
Total number of active participants reported on line 7a of the Form 55002011-12-01124
Total of all active and inactive participants2011-12-01124
2010: NOVELART MANUFACTURING BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-010
Total number of active participants reported on line 7a of the Form 55002010-12-01118
Total of all active and inactive participants2010-12-01118

Form 5500 Responses for NOVELART MANUFACTURING BENEFITS PLAN

2021: NOVELART MANUFACTURING BENEFITS PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: NOVELART MANUFACTURING BENEFITS PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: NOVELART MANUFACTURING BENEFITS PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: NOVELART MANUFACTURING BENEFITS PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: NOVELART MANUFACTURING BENEFITS PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: NOVELART MANUFACTURING BENEFITS PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: NOVELART MANUFACTURING BENEFITS PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: NOVELART MANUFACTURING BENEFITS PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: NOVELART MANUFACTURING BENEFITS PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: NOVELART MANUFACTURING BENEFITS PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: NOVELART MANUFACTURING BENEFITS PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planNo
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: NOVELART MANUFACTURING BENEFITS PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01First time form 5500 has been submittedYes
2010-12-01Submission has been amendedNo
2010-12-01This submission is the final filingNo
2010-12-01This return/report is a short plan year return/report (less than 12 months)No
2010-12-01Plan is a collectively bargained planNo
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HUMANA (National Association of Insurance Commissioners NAIC id number: 95348 )
Policy contract number688760
Policy instance 2
Insurance contract or identification number688760
Number of Individuals Covered75
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $37,228
Total amount of fees paid to insurance companyUSD $1,586
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $678,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,228
Amount paid for insurance broker fees1586
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number688760
Policy instance 1
Insurance contract or identification number688760
Number of Individuals Covered109
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $3,310
Total amount of fees paid to insurance companyUSD $154
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $35,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,951
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
HUMANA (National Association of Insurance Commissioners NAIC id number: 95348 )
Policy contract number688760
Policy instance 2
Insurance contract or identification number688760
Number of Individuals Covered80
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $38,075
Total amount of fees paid to insurance companyUSD $2,643
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $825,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,075
Amount paid for insurance broker fees2643
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number688760
Policy instance 1
Insurance contract or identification number688760
Number of Individuals Covered119
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $3,431
Total amount of fees paid to insurance companyUSD $502
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $44,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,698
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
HUMANA (National Association of Insurance Commissioners NAIC id number: 95348 )
Policy contract number688760
Policy instance 2
Insurance contract or identification number688760
Number of Individuals Covered80
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $39,360
Total amount of fees paid to insurance companyUSD $3,199
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $788,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number688760
Policy instance 1
Insurance contract or identification number688760
Number of Individuals Covered129
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $3,019
Total amount of fees paid to insurance companyUSD $418
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $45,363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number688760
Policy instance 1
Insurance contract or identification number688760
Number of Individuals Covered85
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $2,795
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,514
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,795
Amount paid for insurance broker fees0
Insurance broker organization code?3
HUMANA (National Association of Insurance Commissioners NAIC id number: 95348 )
Policy contract number688760
Policy instance 4
Insurance contract or identification number688760
Number of Individuals Covered85
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $37,117
Total amount of fees paid to insurance companyUSD $2,667
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $741,961
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,117
Amount paid for insurance broker fees2667
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00005831
Policy instance 3
Insurance contract or identification numberAL00005831
Number of Individuals Covered142
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $800
Total amount of fees paid to insurance companyUSD $237
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $800
Amount paid for insurance broker fees237
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10085091001
Policy instance 2
Insurance contract or identification number10085091001
Number of Individuals Covered91
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $741
Total amount of fees paid to insurance companyUSD $0
Vision 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 $741
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00005831
Policy instance 3
Insurance contract or identification numberAL00005831
Number of Individuals Covered137
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $717
Total amount of fees paid to insurance companyUSD $245
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $8,416
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number688760
Policy instance 1
Insurance contract or identification number688760
Number of Individuals Covered76
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,644
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10085091001
Policy instance 2
Insurance contract or identification number10085091001
Number of Individuals Covered85
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $530
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA (National Association of Insurance Commissioners NAIC id number: 95348 )
Policy contract number688760
Policy instance 4
Insurance contract or identification number688760
Number of Individuals Covered78
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $35,379
Total amount of fees paid to insurance companyUSD $1,758
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $707,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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