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ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 401k Plan overview

Plan NameASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION
Plan identification number 502

ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION Benefits

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

401k Sponsoring company profile

ASHTABULA RUBBER COMPANY has sponsored the creation of one or more 401k plans.

Company Name:ASHTABULA RUBBER COMPANY
Employer identification number (EIN):340646833
NAIC Classification:326200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-01-01ROBERT FRISCIC2021-06-10
5022019-01-01ROBERT FRISCIC2020-05-13
5022017-01-01
5022016-01-01
5022013-08-01BOB FRISCIC BOB FRISCIC2015-01-13

Plan Statistics for ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION

401k plan membership statisitcs for ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION

Measure Date Value
2020: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2020 401k membership
Total participants, beginning-of-year2020-01-01187
Total number of active participants reported on line 7a of the Form 55002020-01-01159
Total of all active and inactive participants2020-01-01159
2019: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2019 401k membership
Total participants, beginning-of-year2019-01-01194
Total number of active participants reported on line 7a of the Form 55002019-01-01187
Total of all active and inactive participants2019-01-01187
2017: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2017 401k membership
Total participants, beginning-of-year2017-01-01126
Total number of active participants reported on line 7a of the Form 55002017-01-01208
Total of all active and inactive participants2017-01-01208
2016: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2016 401k membership
Total participants, beginning-of-year2016-01-01119
Total number of active participants reported on line 7a of the Form 55002016-01-01126
Total of all active and inactive participants2016-01-01126
2013: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2013 401k membership
Total participants, beginning-of-year2013-08-01116
Total number of active participants reported on line 7a of the Form 55002013-08-01114
Total of all active and inactive participants2013-08-01114
Total participants2013-08-01114

Form 5500 Responses for ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION

2020: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2017: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2013: ASHTABULA RUBBER CO AD&D, LIFE, OPTIONAL LIFE, STD, VISION 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planNo
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0BRJX
Policy instance 6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 0BRJX
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BRJX
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0BRJX
Policy instance 3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0106606HNO
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396315
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396315
Policy instance 4
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0106606HNO
Policy instance 3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0106606HNO
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396315
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract number106606
Policy instance 3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00172840
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00396315
Policy instance 1

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