401k Plan data: HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 plan

HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 401k Plan overview

Plan Name	HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501
Plan identification number	501

HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

HANKOOK TIRE MANUFACTURING TENNESSEE has sponsored the creation of one or more 401k plans.

Company Name: HANKOOK TIRE MANUFACTURING TENNESSEE

Employer identification number (EIN): 383926239

NAIC Classification: 326200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-08-01
501 2017-08-01

Plan Statistics for HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501

401k plan membership statisitcs for HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501

Measure Date Value
2018: HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 2018 401k membership
Total participants, beginning-of-year 2018-08-01 761
Total number of active participants reported on line 7a of the Form 5500 2018-08-01 852
Total of all active and inactive participants 2018-08-01 852
Total participants 2018-08-01 852
2017: HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 2017 401k membership
Total participants, beginning-of-year 2017-08-01 573
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 761
Total of all active and inactive participants 2017-08-01 761
Total participants 2017-08-01 761

Measure	Date	Value
2018: HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 2018 401k membership
Total participants, beginning-of-year	2018-08-01	761
Total number of active participants reported on line 7a of the Form 5500	2018-08-01	852
Total of all active and inactive participants	2018-08-01	852
Total participants	2018-08-01	852
2017: HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 2017 401k membership
Total participants, beginning-of-year	2017-08-01	573
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	761
Total of all active and inactive participants	2017-08-01	761
Total participants	2017-08-01	761

Form 5500 Responses for HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501

2018: HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 2018 form 5500 responses
2018-08-01	Type of plan entity	Single employer plan
2018-08-01	Plan funding arrangement – Insurance	Yes
2018-08-01	Plan benefit arrangement – Insurance	Yes
2017: HANKOOK TIRE MANUFACTURING TENNESSEE WELFARE BENEFIT PLAN 501 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	First time form 5500 has been submitted	Yes
2017-08-01	Submission has been amended	No
2017-08-01	This submission is the final filing	No
2017-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-08-01	Plan is a collectively bargained plan	No
2017-08-01	Plan funding arrangement – Insurance	Yes
2017-08-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

0616591

Policy instance

Insurance contract or identification number	0616591
Number of Individuals Covered	852
Insurance policy start date	2018-08-01
Insurance policy end date	2019-07-31
Total amount of commissions paid to insurance broker	USD $49,770
Total amount of fees paid to insurance company	USD $212,568
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,374,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $49,770
Amount paid for insurance broker fees	206170
Additional information about fees paid to insurance broker	BENEFIT ADVISOR PAYMENTS
Insurance broker organization code?	3

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

0616591

Policy instance

Insurance contract or identification number	0616591
Number of Individuals Covered	765
Insurance policy start date	2017-08-01
Insurance policy end date	2018-07-31
Total amount of commissions paid to insurance broker	USD $52,309
Total amount of fees paid to insurance company	USD $6,588
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $530,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	HANKOOK TIRE MANUFACTURING TENNESSEE
Employer identification number (EIN):	383926239
NAIC Classification:	326200