401k Plan data: NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN plan

NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN
Plan identification number	501

NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

NATIONAL HOLDING COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: NATIONAL HOLDING COMPANY, INC.

Employer identification number (EIN): 452206766

NAIC Classification: 484120
NAIC Description: General Freight Trucking, Long-Distance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 GERRY MUNDT 2023-07-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	GERRY MUNDT	2023-07-10

Plan Statistics for NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN

Measure Date Value
2022: NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 144
Number of retired or separated participants receiving benefits 2022-01-01 4
Number of other retired or separated participants entitled to future benefits 2022-01-01 2
Total of all active and inactive participants 2022-01-01 150
Number of employers contributing to the scheme 2022-01-01 0

Measure	Date	Value
2022: NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	144
Number of retired or separated participants receiving benefits	2022-01-01	4
Number of other retired or separated participants entitled to future benefits	2022-01-01	2
Total of all active and inactive participants	2022-01-01	150
Number of employers contributing to the scheme	2022-01-01	0

Form 5500 Responses for NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN

2022: NATIONAL HOLDING COMPANY INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

753364

Policy instance

Insurance contract or identification number	753364
Number of Individuals Covered	179
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $58,099
Total amount of fees paid to insurance company	USD $2,400
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,486,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $58,099
Amount paid for insurance broker fees	2400
Additional information about fees paid to insurance broker	SPECIAL PROGRAMS
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1086429

Policy instance

Insurance contract or identification number	1086429
Number of Individuals Covered	226
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $9,651
Total amount of fees paid to insurance company	USD $4,289
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $97,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,651
Amount paid for insurance broker fees	3100
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F012656

Policy instance

Insurance contract or identification number	F012656
Number of Individuals Covered	144
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $15,421
Total amount of fees paid to insurance company	USD $2,748
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $77,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,421
Amount paid for insurance broker fees	2748
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

137681

Policy instance

Insurance contract or identification number	137681
Number of Individuals Covered	11
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,138
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $7,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,138
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	NATIONAL HOLDING COMPANY, INC.
Employer identification number (EIN):	452206766
NAIC Classification:	484120
NAIC Description:	General Freight Trucking, Long-Distance