401k Plan data: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN plan

METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN
Plan identification number	501

METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

METALWORKING LUBRICANTS COMPANY has sponsored the creation of one or more 401k plans.

Company Name: METALWORKING LUBRICANTS COMPANY

Employer identification number (EIN): 382206882

NAIC Classification: 339900

Additional information about METALWORKING LUBRICANTS COMPANY

Jurisdiction of Incorporation: Michigan Secretary of State

Incorporation Date: 0000-00-00

Company Identification Number: 073269

Legal Registered Office Address: 25 SILVERDOME INDUSTRIAL PARK PONTIAC

United States of America (USA)
48057

More information about METALWORKING LUBRICANTS COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-07-01
501 2020-07-01
501 2019-07-01
501 2018-07-01
501 2017-07-01
501 2016-07-01 KIM ONNIE
501 2015-07-01 KIM ONNIE
501 2014-07-01 KIM ONNIE
501 2013-07-01 KIM ONNIE
501 2012-07-01 KIM ONNIE
501 2011-07-01 KIM ONNIE
501 2010-07-01 KEITH JOHNSON
501 2009-07-01 KEITH JOHNSON 2011-04-07
501 2009-07-01 KEITH JOHNSON

Plan Statistics for METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN

401k plan membership statisitcs for METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN

Measure Date Value
2021: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 79
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 79
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 79
2020: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 95
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 79
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 79
2019: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 79
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 95
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 95
2018: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 78
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 79
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 79
2017: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 78
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 78
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 78
2016: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 78
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 78
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 78
2015: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 57
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 78
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 78
2014: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 61
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 57
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 57
2013: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 75
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 61
Total of all active and inactive participants 2013-07-01 61
2012: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 75
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 75
Total of all active and inactive participants 2012-07-01 75
2011: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 75
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 75
Total of all active and inactive participants 2011-07-01 75
2010: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 210
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 75
Total of all active and inactive participants 2010-07-01 75
2009: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 210
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 210
Total of all active and inactive participants 2009-07-01 210

Measure	Date	Value
2021: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	79
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	79
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	79
2020: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	95
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	79
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	79
2019: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	79
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	95
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	95
2018: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	78
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	79
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	79
2017: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	78
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	78
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	78
2016: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	78
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	78
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	78
2015: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	57
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	78
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	78
2014: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	61
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	57
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	57
2013: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	75
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	61
Total of all active and inactive participants	2013-07-01	61
2012: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	75
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	75
Total of all active and inactive participants	2012-07-01	75
2011: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	75
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	75
Total of all active and inactive participants	2011-07-01	75
2010: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	210
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	75
Total of all active and inactive participants	2010-07-01	75
2009: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	210
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	210
Total of all active and inactive participants	2009-07-01	210

Form 5500 Responses for METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN

2021: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: METALWORKING LUBRICANTS COMPANY EMPLOYEE WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	Yes
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5050001

Policy instance

Insurance contract or identification number	5050001
Number of Individuals Covered	161
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $5,252
Total amount of fees paid to insurance company	USD $2,676
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	OTHER (SPECIFY)- STD
Welfare Benefit Premiums Paid to Carrier	USD $53,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,252
Additional information about fees paid to insurance broker	AGENT OR BROKER FEE
Insurance broker organization code?	3
Amount paid for insurance broker fees	2676

PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 )

Policy contract number

796739

Policy instance

Insurance contract or identification number	796739
Number of Individuals Covered	110
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $19,945
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $498,630
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,945
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

783865

Policy instance

Insurance contract or identification number	783865
Number of Individuals Covered	130
Insurance policy start date	2021-01-01
Insurance policy end date	2021-11-30
Total amount of commissions paid to insurance broker	USD $54,238
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $929,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53,770
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG 0B7VB

Policy instance

Insurance contract or identification number	GUG 0B7VB
Number of Individuals Covered	79
Insurance policy start date	2020-10-01
Insurance policy end date	2021-10-01
Total amount of commissions paid to insurance broker	USD $1,649
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $16,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $927
Additional information about fees paid to insurance broker	AGENT OR BROKER RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B7VB

Policy instance

Insurance contract or identification number	GLUG0B7VB
Number of Individuals Covered	79
Insurance policy start date	2020-10-01
Insurance policy end date	2021-10-01
Total amount of commissions paid to insurance broker	USD $827
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $8,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $466
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUDS0B7VB

Policy instance

Insurance contract or identification number	GUDS0B7VB
Insurance policy start date	2020-10-01
Insurance policy end date	2021-10-01
Total amount of commissions paid to insurance broker	USD $464
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $464
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUPR0B7VB

Policy instance

Insurance contract or identification number	GUPR0B7VB
Number of Individuals Covered	43
Insurance policy start date	2020-10-01
Insurance policy end date	2021-10-01
Total amount of commissions paid to insurance broker	USD $1,295
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $717
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )

Policy contract number

Z4B-001

Policy instance

Insurance contract or identification number	Z4B-001
Number of Individuals Covered	137
Insurance policy start date	2021-03-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $824
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,238
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $824
Additional information about fees paid to insurance broker	CONSULTING FEES
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5050001

Policy instance

Insurance contract or identification number	5050001
Number of Individuals Covered	145
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $4,516
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $31,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,920
Additional information about fees paid to insurance broker	AGENT OR BROKER FEE
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

783865

Policy instance

Insurance contract or identification number	783865
Number of Individuals Covered	170
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $58,320
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,142,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $57,219
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG 0B7VB

Policy instance

Insurance contract or identification number	GUG 0B7VB
Number of Individuals Covered	92
Insurance policy start date	2019-10-01
Insurance policy end date	2020-10-01
Total amount of commissions paid to insurance broker	USD $1,518
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,518
Additional information about fees paid to insurance broker	AGENT OR BROKER RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B7VB

Policy instance

Insurance contract or identification number	GLUG0B7VB
Number of Individuals Covered	92
Insurance policy start date	2019-10-01
Insurance policy end date	2020-10-01
Total amount of commissions paid to insurance broker	USD $843
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $8,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $843
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUDS0B7VB

Policy instance

Insurance contract or identification number	GUDS0B7VB
Number of Individuals Covered	88
Insurance policy start date	2019-10-01
Insurance policy end date	2020-10-01
Total amount of commissions paid to insurance broker	USD $2,607
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $54,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,607
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUPR0B7VB

Policy instance

Insurance contract or identification number	GUPR0B7VB
Number of Individuals Covered	47
Insurance policy start date	2019-10-01
Insurance policy end date	2020-10-01
Total amount of commissions paid to insurance broker	USD $1,201
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,009
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,201
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUPR0B7VB

Policy instance

Insurance contract or identification number	GUPR0B7VB
Number of Individuals Covered	44
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $1,143
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,143
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUDS0B7VB

Policy instance

Insurance contract or identification number	GUDS0B7VB
Number of Individuals Covered	76
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $2,550
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $51,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,550
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B7VB

Policy instance

Insurance contract or identification number	GLUG0B7VB
Number of Individuals Covered	79
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $644
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $6,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $644
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

783865

Policy instance

Insurance contract or identification number	783865
Number of Individuals Covered	149
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $53,771
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $870,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $52,500
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG 0B7VB

Policy instance

Insurance contract or identification number	GUG 0B7VB
Number of Individuals Covered	79
Insurance policy start date	2018-10-01
Insurance policy end date	2019-03-31
Total amount of commissions paid to insurance broker	USD $1,403
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,403
Additional information about fees paid to insurance broker	AGENT OR BROKER RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUPR0B7VB

Policy instance

Insurance contract or identification number	GUPR0B7VB
Number of Individuals Covered	44
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $1,063
Total amount of fees paid to insurance company	USD $53
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $10,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUDS0B7VB

Policy instance

Insurance contract or identification number	GUDS0B7VB
Number of Individuals Covered	73
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $2,312
Total amount of fees paid to insurance company	USD $117
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $42,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B7VB

Policy instance

Insurance contract or identification number	GLUG0B7VB
Number of Individuals Covered	76
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $571
Total amount of fees paid to insurance company	USD $30
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $5,710
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG 0B7VB

Policy instance

Insurance contract or identification number	GUG 0B7VB
Number of Individuals Covered	76
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $1,228
Total amount of fees paid to insurance company	USD $64
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

489989

Policy instance

Insurance contract or identification number	489989
Number of Individuals Covered	144
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $54,939
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $682,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05731877

Policy instance

Insurance contract or identification number	KM05731877
Number of Individuals Covered	271
Insurance policy start date	2016-01-01
Insurance policy end date	2016-12-31
Total amount of commissions paid to insurance broker	USD $6,328
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $78,238
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,328
Insurance broker organization code?	3
Insurance broker name	JOSEPH AIELLO & ASSOCIATES

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

489989

Policy instance

Insurance contract or identification number	489989
Number of Individuals Covered	150
Insurance policy start date	2016-01-01
Insurance policy end date	2016-12-31
Total amount of commissions paid to insurance broker	USD $54,843
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $766,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $54,843
Insurance broker organization code?	3
Insurance broker name	INSURANCE CONSULTING ASSOCIATES LLC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

489989

Policy instance

Insurance contract or identification number	489989
Number of Individuals Covered	166
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $58,249
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $889,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $58,249
Insurance broker organization code?	3
Insurance broker name	INSURANCE CONSULTING ASSOCIATES LLC

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05731877

Policy instance

Insurance contract or identification number	KM05731877
Number of Individuals Covered	199
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $7,095
Total amount of fees paid to insurance company	USD $1,102
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $88,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,095
Amount paid for insurance broker fees	1102
Insurance broker organization code?	3
Insurance broker name	JOSEPH AIELLO & ASSOCIATES

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05731877

Policy instance

Insurance contract or identification number	KM05731877
Number of Individuals Covered	348
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $6,506
Total amount of fees paid to insurance company	USD $711
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $86,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,498
Amount paid for insurance broker fees	665
Insurance broker organization code?	3
Insurance broker name	AFFILIATED AGENCIES LLC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

489989

Policy instance

Insurance contract or identification number	489989
Number of Individuals Covered	183
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $61,223
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,145,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $60,712
Insurance broker organization code?	3
Insurance broker name	JOSEPH AIELLO & ASSOCIATES INC

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

01854

Policy instance

Insurance contract or identification number	01854
Number of Individuals Covered	94
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $3,273
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $27,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,066
Insurance broker organization code?	3
Insurance broker name	JOSEPH AIELLO & ASSOCIATES

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05731877

Policy instance

Insurance contract or identification number	KM05731877
Number of Individuals Covered	364
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $3,750
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $69,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,750
Insurance broker organization code?	3
Insurance broker name	AFFILIATED AGENCIES LLC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

489989

Policy instance

Insurance contract or identification number	489989
Number of Individuals Covered	190
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $58,352
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,107,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,497
Insurance broker organization code?	3
Insurance broker name	JOSEPH AIELLO & ASSOCIATES INC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

489989

Policy instance

Insurance contract or identification number	489989
Number of Individuals Covered	209
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $47,716
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $954,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05731877

Policy instance

Insurance contract or identification number	KM05731877
Number of Individuals Covered	369
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $3,769
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD D
Welfare Benefit Premiums Paid to Carrier	USD $67,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

01854

Policy instance

Insurance contract or identification number	01854
Number of Individuals Covered	90
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $3,271
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $27,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05731877

Policy instance

Insurance contract or identification number	KM05731877
Number of Individuals Covered	327
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $175
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD D
Welfare Benefit Premiums Paid to Carrier	USD $51,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

01854

Policy instance

Insurance contract or identification number	01854
Number of Individuals Covered	86
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $2,636
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $21,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

489989

Policy instance

Insurance contract or identification number	489989
Number of Individuals Covered	178
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $36,772
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $735,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	METALWORKING LUBRICANTS COMPANY
Employer identification number (EIN):	382206882
NAIC Classification:	339900

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	0000-00-00
Company Identification Number:	073269
Legal Registered Office Address:	25 SILVERDOME INDUSTRIAL PARK PONTIAC United States of America (USA) 48057