401k Plan data: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN plan

C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 401k Plan overview

Plan Name	C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN
Plan identification number	504

C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

C.R. LAINE FURNITURE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: C.R. LAINE FURNITURE COMPANY

Employer identification number (EIN): 560709058

NAIC Classification: 337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2023-02-01 MARTA TRUITT 2024-07-23 WARREN FRYE 2024-07-23
504 2022-02-01 MARTA TRUITT 2023-07-31 WARREN FRYE 2023-07-31
504 2021-02-01 MARTA TRUITT 2022-07-13 WARREN FRYE 2022-07-13
504 2020-02-01 MARTA TRUITT 2021-06-24 WARREN FRYE 2021-06-24
504 2019-02-01 MARTA TRUITT 2020-04-30 WARREN FRYE 2020-04-30
504 2018-02-01
504 2017-02-01
504 2016-02-01
504 2015-02-01
504 2014-02-01
504 2013-02-01
504 2012-02-01 LORI WHISNANT
504 2011-02-01 GREG CARPENTER
504 2009-02-01 GREG CARPENTER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2023-02-01	MARTA TRUITT	2024-07-23	WARREN FRYE	2024-07-23
504	2022-02-01	MARTA TRUITT	2023-07-31	WARREN FRYE	2023-07-31
504	2021-02-01	MARTA TRUITT	2022-07-13	WARREN FRYE	2022-07-13
504	2020-02-01	MARTA TRUITT	2021-06-24	WARREN FRYE	2021-06-24
504	2019-02-01	MARTA TRUITT	2020-04-30	WARREN FRYE	2020-04-30
504	2018-02-01
504	2017-02-01
504	2016-02-01
504	2015-02-01
504	2014-02-01
504	2013-02-01
504	2012-02-01	LORI WHISNANT
504	2011-02-01	GREG CARPENTER
504	2009-02-01	GREG CARPENTER

Form 5500 Responses for C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN

2023: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2023 form 5500 responses
2023-02-01	Type of plan entity	Single employer plan
2023-02-01	Plan funding arrangement – Insurance	Yes
2023-02-01	Plan benefit arrangement – Insurance	Yes
2022: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2022 form 5500 responses
2022-02-01	Type of plan entity	Single employer plan
2022-02-01	Plan funding arrangement – Insurance	Yes
2022-02-01	Plan benefit arrangement – Insurance	Yes
2021: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2021 form 5500 responses
2021-02-01	Type of plan entity	Single employer plan
2021-02-01	Plan funding arrangement – Insurance	Yes
2021-02-01	Plan benefit arrangement – Insurance	Yes
2020: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2020 form 5500 responses
2020-02-01	Type of plan entity	Single employer plan
2020-02-01	Plan funding arrangement – Insurance	Yes
2020-02-01	Plan benefit arrangement – Insurance	Yes
2019: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2019 form 5500 responses
2019-02-01	Type of plan entity	Single employer plan
2019-02-01	Plan funding arrangement – Insurance	Yes
2019-02-01	Plan benefit arrangement – Insurance	Yes
2018: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2018 form 5500 responses
2018-02-01	Type of plan entity	Single employer plan
2018-02-01	Plan funding arrangement – Insurance	Yes
2018-02-01	Plan benefit arrangement – Insurance	Yes
2017: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2017 form 5500 responses
2017-02-01	Type of plan entity	Single employer plan
2017-02-01	Plan funding arrangement – Insurance	Yes
2017-02-01	Plan benefit arrangement – Insurance	Yes
2016: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2016 form 5500 responses
2016-02-01	Type of plan entity	Single employer plan
2016-02-01	Plan funding arrangement – Insurance	Yes
2016-02-01	Plan benefit arrangement – Insurance	Yes
2015: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2015 form 5500 responses
2015-02-01	Type of plan entity	Single employer plan
2015-02-01	Plan funding arrangement – Insurance	Yes
2015-02-01	Plan benefit arrangement – Insurance	Yes
2014: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2014 form 5500 responses
2014-02-01	Type of plan entity	Single employer plan
2014-02-01	Plan funding arrangement – Insurance	Yes
2014-02-01	Plan benefit arrangement – Insurance	Yes
2013: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2013 form 5500 responses
2013-02-01	Type of plan entity	Single employer plan
2013-02-01	Plan funding arrangement – Insurance	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes
2012: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2012 form 5500 responses
2012-02-01	Type of plan entity	Single employer plan
2012-02-01	Plan funding arrangement – Insurance	Yes
2012-02-01	Plan benefit arrangement – Insurance	Yes
2011: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2011 form 5500 responses
2011-02-01	Type of plan entity	Single employer plan
2011-02-01	Plan funding arrangement – Insurance	Yes
2011-02-01	Plan benefit arrangement – Insurance	Yes
2009: C.R. LAINE FURNITURE COMPANY, INC. DISABILITY AND LIFE INSURANCE PLAN 2009 form 5500 responses
2009-02-01	Type of plan entity	Single employer plan
2009-02-01	This submission is the final filing	No
2009-02-01	Plan funding arrangement – Insurance	Yes
2009-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

Insurance contract or identification number	090607
Number of Individuals Covered	187
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $18,752
Total amount of fees paid to insurance company	USD $3,621
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 $167,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

Insurance contract or identification number	090607
Number of Individuals Covered	188
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $17,919
Total amount of fees paid to insurance company	USD $3,434
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 $159,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E7785488

Policy instance

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E7785488

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

090607

Policy instance

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

Policy contract number

90551

Policy instance

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Company Name:	C.R. LAINE FURNITURE COMPANY
Employer identification number (EIN):	560709058
NAIC Classification:	337000