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ETS-LINDGREN SHORT-TERM DISABILITY PLAN 401k Plan overview

Plan NameETS-LINDGREN SHORT-TERM DISABILITY PLAN
Plan identification number 505

ETS-LINDGREN SHORT-TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ETS-LINDGREN INC. has sponsored the creation of one or more 401k plans.

Company Name:ETS-LINDGREN INC.
Employer identification number (EIN):363050396
NAIC Classification:238300

Additional information about ETS-LINDGREN INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2007-05-21
Company Identification Number: 0800818408
Legal Registered Office Address: 1301 ARROW POINT DR C/O JIM SHAFFER

CEDAR PARK
United States of America (USA)
78613

More information about ETS-LINDGREN INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ETS-LINDGREN SHORT-TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052021-12-01ASHLYN CARROLL2023-05-26
5052020-12-01RAY LAMARCHE2022-05-12
5052019-12-01OLIVIA CAREY2021-01-29
5052018-12-01OLIVIA CAREY2020-05-05
5052017-12-01OLIVIA CAREY2019-08-22
5052016-12-01
5052015-12-01DENNIS A. WARNER
5052014-12-01PETER PICHETTE
5052014-11-01MELANI IVESTER

Plan Statistics for ETS-LINDGREN SHORT-TERM DISABILITY PLAN

401k plan membership statisitcs for ETS-LINDGREN SHORT-TERM DISABILITY PLAN

Measure Date Value
2021: ETS-LINDGREN SHORT-TERM DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01139
Total number of active participants reported on line 7a of the Form 55002021-12-01123
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 participants2021-12-01123
Number of employers contributing to the scheme2021-12-010
2020: ETS-LINDGREN SHORT-TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01126
Total number of active participants reported on line 7a of the Form 55002020-12-01125
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 participants2020-12-01125
Number of employers contributing to the scheme2020-12-010
2019: ETS-LINDGREN SHORT-TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01121
Total number of active participants reported on line 7a of the Form 55002019-12-01126
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 participants2019-12-01126
Number of employers contributing to the scheme2019-12-010
2018: ETS-LINDGREN SHORT-TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01132
Total number of active participants reported on line 7a of the Form 55002018-12-01121
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 participants2018-12-01121
Number of employers contributing to the scheme2018-12-010
2017: ETS-LINDGREN SHORT-TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01126
Total number of active participants reported on line 7a of the Form 55002017-12-01135
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 participants2017-12-01135
Number of employers contributing to the scheme2017-12-010
2016: ETS-LINDGREN SHORT-TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01134
Total number of active participants reported on line 7a of the Form 55002016-12-01126
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 participants2016-12-01126
2015: ETS-LINDGREN SHORT-TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01138
Total number of active participants reported on line 7a of the Form 55002015-12-01134
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 participants2015-12-01134
2014: ETS-LINDGREN SHORT-TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01138
Total number of active participants reported on line 7a of the Form 55002014-12-0180
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-0180
Total participants, beginning-of-year2014-11-01445
Total number of active participants reported on line 7a of the Form 55002014-11-01138
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01138

Form 5500 Responses for ETS-LINDGREN SHORT-TERM DISABILITY PLAN

2021: ETS-LINDGREN SHORT-TERM DISABILITY 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: ETS-LINDGREN SHORT-TERM DISABILITY 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: ETS-LINDGREN SHORT-TERM DISABILITY 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: ETS-LINDGREN SHORT-TERM DISABILITY 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: ETS-LINDGREN SHORT-TERM DISABILITY 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: ETS-LINDGREN SHORT-TERM DISABILITY 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: ETS-LINDGREN SHORT-TERM DISABILITY 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: ETS-LINDGREN SHORT-TERM DISABILITY 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
2014-11-01Type of plan entitySingle employer plan
2014-11-01First time form 5500 has been submittedYes
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPS327362
Policy instance 1
Insurance contract or identification numberVPS327362
Number of Individuals Covered139
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,224
Total amount of fees paid to insurance companyUSD $775
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,224
Amount paid for insurance broker fees775
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPS327362
Policy instance 1
Insurance contract or identification numberVPS327362
Number of Individuals Covered125
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,427
Total amount of fees paid to insurance companyUSD $731
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,427
Amount paid for insurance broker fees731
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPS327362
Policy instance 1
Insurance contract or identification numberVPS327362
Number of Individuals Covered126
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,249
Total amount of fees paid to insurance companyUSD $632
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,249
Amount paid for insurance broker fees632
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPS327362
Policy instance 1
Insurance contract or identification numberVPS327362
Number of Individuals Covered131
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,809
Total amount of fees paid to insurance companyUSD $618
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,809
Amount paid for insurance broker fees618
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPS327362
Policy instance 1
Insurance contract or identification numberVPS327362
Number of Individuals Covered135
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,747
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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