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DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 401k Plan overview

Plan NameDUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN
Plan identification number 504

DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)
  • 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.

401k Sponsoring company profile

DUBUQUE STAMPING & MANUFACTURING, INC has sponsored the creation of one or more 401k plans.

Company Name:DUBUQUE STAMPING & MANUFACTURING, INC
Employer identification number (EIN):421224543
NAIC Classification:332110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042015-10-01
5042014-10-01
5042013-10-01
5042012-10-01DAROLD VICKERMAN
5042011-10-01DAROLD VICKERMAN
5042010-10-01DAROLD VICKERMAN
5042009-10-01DAROLD VICKERMAN

Plan Statistics for DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN

401k plan membership statisitcs for DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN

Measure Date Value
2015: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01106
Total number of active participants reported on line 7a of the Form 55002015-10-0174
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-0174
2014: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01108
Total number of active participants reported on line 7a of the Form 55002014-10-01106
Total of all active and inactive participants2014-10-01106
2013: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01130
Total number of active participants reported on line 7a of the Form 55002013-10-01108
Total of all active and inactive participants2013-10-01108
2012: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01134
Total number of active participants reported on line 7a of the Form 55002012-10-01130
Total of all active and inactive participants2012-10-01130
2011: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01127
Total number of active participants reported on line 7a of the Form 55002011-10-01134
Total of all active and inactive participants2011-10-01134
2010: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01120
Total number of active participants reported on line 7a of the Form 55002010-10-01127
Total of all active and inactive participants2010-10-01127
2009: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-0189
Total number of active participants reported on line 7a of the Form 55002009-10-01120
Total of all active and inactive participants2009-10-01120

Form 5500 Responses for DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN

2015: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: DUBUQUE STAMPING & MANUFACTURING, INC GROUP TERM LIFE INSURANCE PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01This submission is the final filingNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010183076
Policy instance 1
Insurance contract or identification number000010183076
Number of Individuals Covered88
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,819
Total amount of fees paid to insurance companyUSD $128
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $14,095
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,819
Insurance broker organization code?3
Amount paid for insurance broker fees128
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameLAMAIR MULOCK CONDON CO
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010183076
Policy instance 1
Insurance contract or identification number000010183076
Number of Individuals Covered106
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,106
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,426
Insurance broker organization code?3
Insurance broker nameLAMAIR MULOCK CONDON CO
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 4025765
Policy instance 1
Insurance contract or identification numberG# 4025765
Number of Individuals Covered108
Insurance policy start date2013-03-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,042
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,042
Insurance broker organization code?3
Insurance broker nameFRIEDMAN FINANCIAL SERVICES INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 4025765
Policy instance 1
Insurance contract or identification numberG# 4025765
Number of Individuals Covered130
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $6,690
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $54,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,690
Insurance broker organization code?3
Insurance broker nameFRIEDMAN FINANCIAL SERVICES INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 4025765
Policy instance 1
Insurance contract or identification numberG# 4025765
Number of Individuals Covered123
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $6,589
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $53,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG# 4025765
Policy instance 1
Insurance contract or identification numberG# 4025765
Number of Individuals Covered120
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $7,009
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $55,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,009
Insurance broker organization code?3
Insurance broker nameFRIEDMAN FINANCIAL SERVICES INC

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