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LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 401k Plan overview

Plan NameLENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC.
Plan identification number 503

LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

LENOIR MIRROR COMPANY has sponsored the creation of one or more 401k plans.

Company Name:LENOIR MIRROR COMPANY
Employer identification number (EIN):560296980
NAIC Classification:339900

Additional information about LENOIR MIRROR COMPANY

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0087059

More information about LENOIR MIRROR COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-12-01
5032020-12-01
5032019-12-01
5032018-12-01
5032017-12-01
5032016-12-01JOYCE H. BUMGARNER JOYCE H. BUMGARNER2018-06-22
5032015-12-01JOYCE H. BUMGARNER JOYCE H. BUMGARNER2017-06-26
5032014-12-01JOYCE H. BUMGARNER JOYCE H. BUMGARNER2016-06-14
5032013-12-01JOYCE H. BUMGARNER JOYCE H. BUMGARNER2015-08-05
5032012-12-01JOYCE BUMGARNER JOYCE BUMGARNER2014-07-25

Plan Statistics for LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC.

401k plan membership statisitcs for LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC.

Measure Date Value
2021: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2021 401k membership
Total participants, beginning-of-year2021-12-0160
Total number of active participants reported on line 7a of the Form 55002021-12-0173
Total of all active and inactive participants2021-12-0173
2020: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2020 401k membership
Total participants, beginning-of-year2020-12-0164
Total number of active participants reported on line 7a of the Form 55002020-12-0160
Total of all active and inactive participants2020-12-0160
2019: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2019 401k membership
Total participants, beginning-of-year2019-12-0170
Total number of active participants reported on line 7a of the Form 55002019-12-0164
Total of all active and inactive participants2019-12-0164
2018: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2018 401k membership
Total participants, beginning-of-year2018-12-0172
Total number of active participants reported on line 7a of the Form 55002018-12-0170
Total of all active and inactive participants2018-12-0170
2017: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2017 401k membership
Total participants, beginning-of-year2017-12-0177
Total number of active participants reported on line 7a of the Form 55002017-12-0172
Total of all active and inactive participants2017-12-0172
2016: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2016 401k membership
Total participants, beginning-of-year2016-12-0186
Total number of active participants reported on line 7a of the Form 55002016-12-0177
Total of all active and inactive participants2016-12-0177
2015: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2015 401k membership
Total participants, beginning-of-year2015-12-0194
Total number of active participants reported on line 7a of the Form 55002015-12-0186
Total of all active and inactive participants2015-12-0186
2014: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2014 401k membership
Total participants, beginning-of-year2014-12-0179
Total number of active participants reported on line 7a of the Form 55002014-12-0194
Total of all active and inactive participants2014-12-0194
2013: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2013 401k membership
Total participants, beginning-of-year2013-12-0177
Total number of active participants reported on line 7a of the Form 55002013-12-0179
Total of all active and inactive participants2013-12-0179
2012: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2012 401k membership
Total participants, beginning-of-year2012-12-0182
Total number of active participants reported on line 7a of the Form 55002012-12-0177
Total of all active and inactive participants2012-12-0177

Form 5500 Responses for LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC.

2021: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 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: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 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: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 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: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 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: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 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: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 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: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: LENOIR MIRROR COMPANY GROUP INSURANCE PLAN - UNITEDHEALTCARE PLAN OF THE RIVER VALLEY, INC. 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number06W5993
Policy instance 1
Insurance contract or identification number06W5993
Number of Individuals Covered73
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $26,878
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,878
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number06W5993
Policy instance 1
Insurance contract or identification number06W5993
Number of Individuals Covered60
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $25,947
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,947
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number06W5993
Policy instance 1
Insurance contract or identification number06W5993
Number of Individuals Covered64
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $24,089
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,089
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number06W5993
Policy instance 1
Insurance contract or identification number06W5993
Number of Individuals Covered70
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $29,223
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,043
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number06W5993
Policy instance 1
Insurance contract or identification number06W5993
Number of Individuals Covered72
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $24,102
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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