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NATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN 401k Plan overview

Plan NameNATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN
Plan identification number 505

NATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

NATIONAL DOOR & TRIM, INC. has sponsored the creation of one or more 401k plans.

Company Name:NATIONAL DOOR & TRIM, INC.
Employer identification number (EIN):311269925
NAIC Classification:321900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052021-01-01THOMAS TURNWALD2022-07-18

Plan Statistics for NATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN

401k plan membership statisitcs for NATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN

Measure Date Value
2021: NATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01100
Total number of active participants reported on line 7a of the Form 55002021-01-0169
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0169
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for NATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN

2021: NATIONAL DOOR & TRIM, INC. HEALTH AND WEFLARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberW43047
Policy instance 1
Insurance contract or identification numberW43047
Number of Individuals Covered126
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $26,968
Total amount of fees paid to insurance companyUSD $2,021
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $672,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,968
Amount paid for insurance broker fees1775
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30088140
Policy instance 2
Insurance contract or identification number30088140
Number of Individuals Covered55
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $825
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $791
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166973
Policy instance 3
Insurance contract or identification number166973
Number of Individuals Covered46
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,442
Total amount of fees paid to insurance companyUSD $1,166
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $36,501
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,442
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION

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