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OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 401k Plan overview

Plan NameOZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN
Plan identification number 502

OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

OZINGA BROS., INC. has sponsored the creation of one or more 401k plans.

Company Name:OZINGA BROS., INC.
Employer identification number (EIN):362332999
NAIC Classification:327300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01
5022023-01-01NANCY A HANNAFIN
5022022-01-01
5022022-01-01NANCY A HANNAFIN
5022021-01-01
5022021-01-01NANCY A HANNAFIN
5022020-01-01
5022019-01-01
5022018-01-01NANCY A HANNAFIN NANCY A HANNAFIN2019-06-19
5022017-01-01NANCY A HANNAFIN NANCY A HANNAFIN2018-10-03
5022016-01-01NANCY A HANNAFIN NANCY A HANNAFIN2017-10-04
5022015-01-01NANCY A HANNAFIN NANCY A HANNAFIN2016-09-26
5022014-01-01NANCY A HANNAFIN NANCY A HANNAFIN2015-10-05
5022013-01-01DONALD L VAN DYK DONALD L VAN DYK2014-07-10
5022012-01-01DONALD L VAN DYK DONALD L VAN DYK2013-07-16
5022011-01-01DONALD L VAN DYK DONALD L VAN DYK2012-10-03
5022010-01-01DONALD L VAN DYK DONALD L VAN DYK2011-09-30
5022009-01-01DONALD L VAN DYK DONALD L VAN DYK2010-09-30

Form 5500 Responses for OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN

2023: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: OZINGA BROS., INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY BENEFITS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number937877
Policy instance 2
Insurance contract or identification number937877
Number of Individuals Covered820
Insurance policy start date2023-07-01
Insurance policy end date2024-01-01
Total amount of commissions paid to insurance brokerUSD $14,229
Total amount of fees paid to insurance companyUSD $3,557
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $142,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number921123
Policy instance 1
Insurance contract or identification number921123
Number of Individuals Covered782
Insurance policy start date2023-01-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $10,464
Total amount of fees paid to insurance companyUSD $5,362
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $171,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number921123
Policy instance 1
Insurance contract or identification number921123
Number of Individuals Covered736
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $46,883
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $472,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number921123
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60236
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60236
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60236
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60236
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number607379
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number605655
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number405418
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number405418
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000405418
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL144446
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL144446
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL144446
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL144446
Policy instance 1

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