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AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 401k Plan overview

Plan NameAMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN
Plan identification number 501

AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover
  • 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

AMERICAN GILSONITE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN GILSONITE COMPANY
Employer identification number (EIN):731331788
NAIC Classification:212390
NAIC Description: Other Nonmetallic Mineral Mining and Quarrying

Additional information about AMERICAN GILSONITE COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 398522

More information about AMERICAN GILSONITE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-05-01STEVE GRANDA
5012014-05-01DOUG MAUGHAN
5012013-05-01DOUG MAUGHAN
5012012-05-01DOUG MAUGHAN
5012011-05-01DOUG MAUGHAN
5012009-05-01DOUG MAUGHAN

Plan Statistics for AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN

401k plan membership statisitcs for AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN

Measure Date Value
2015: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01138
Total number of active participants reported on line 7a of the Form 55002015-05-0188
Number of retired or separated participants receiving benefits2015-05-016
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0194
2014: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01152
Total number of active participants reported on line 7a of the Form 55002014-05-01136
Number of retired or separated participants receiving benefits2014-05-012
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-01138
2013: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01158
Total number of active participants reported on line 7a of the Form 55002013-05-01143
Number of retired or separated participants receiving benefits2013-05-019
Total of all active and inactive participants2013-05-01152
2012: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01142
Total number of active participants reported on line 7a of the Form 55002012-05-01158
Number of retired or separated participants receiving benefits2012-05-013
Total of all active and inactive participants2012-05-01161
2011: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01102
Total number of active participants reported on line 7a of the Form 55002011-05-01142
Total of all active and inactive participants2011-05-01142
2009: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01114
Total number of active participants reported on line 7a of the Form 55002009-05-0182
Total of all active and inactive participants2009-05-0182

Form 5500 Responses for AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN

2015: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2009: AMERICAN GILSONITE COMPANY HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5463076
Policy instance 2
Insurance contract or identification number5463076
Number of Individuals Covered167
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $18,607
Total amount of fees paid to insurance companyUSD $4,291
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $193,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,607
Amount paid for insurance broker fees4291
Additional information about fees paid to insurance brokerNON MONETARY COMPENSATION PRODUCER BONUS PROGRAM
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number10002425
Policy instance 1
Insurance contract or identification number10002425
Number of Individuals Covered305
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $73,057
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,656,514
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,057
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5463076
Policy instance 2
Insurance contract or identification number5463076
Number of Individuals Covered94
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $1,766
Total amount of fees paid to insurance companyUSD $31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,766
Amount paid for insurance broker fees31
Additional information about fees paid to insurance brokerNON MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5463076
Policy instance 3
Insurance contract or identification number5463076
Number of Individuals Covered242
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $17,427
Total amount of fees paid to insurance companyUSD $2,908
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $269,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,427
Amount paid for insurance broker fees2908
Additional information about fees paid to insurance brokerNON MONETARY COMPENSATION PRODUCER BONUS PROGRAM
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number10002425
Policy instance 1
Insurance contract or identification number10002425
Number of Individuals Covered373
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $96,155
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,378,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $96,155
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5463076
Policy instance 2
Insurance contract or identification number5463076
Number of Individuals Covered99
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $1,877
Total amount of fees paid to insurance companyUSD $262
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,797
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,877
Amount paid for insurance broker fees262
Additional information about fees paid to insurance brokerPRODUCER BONUS PROGRAM NON MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5463076
Policy instance 3
Insurance contract or identification number5463076
Number of Individuals Covered143
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $17,998
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $281,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,998
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number10002425
Policy instance 1
Insurance contract or identification number10002425
Number of Individuals Covered441
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $102,802
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,249,681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,802
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5463076 & 66877
Policy instance 3
Insurance contract or identification number5463076 & 66877
Number of Individuals Covered158
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $18,313
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $269,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,313
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5463076
Policy instance 2
Insurance contract or identification number5463076
Number of Individuals Covered100
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $2,284
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,284
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number10002425
Policy instance 1
Insurance contract or identification number10002425
Number of Individuals Covered431
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $95,528
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,250,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $95,528
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
REGENCE BLUECROSS BLUESHIELD OF UTAH (National Association of Insurance Commissioners NAIC id number: 54550 )
Policy contract number10002425
Policy instance 1
Insurance contract or identification number10002425
Number of Individuals Covered449
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $130,109
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,949,751
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 66877
Policy instance 2
Insurance contract or identification numberG 66877
Number of Individuals Covered102
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $13,563
Total amount of fees paid to insurance companyUSD $5,953
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $123,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12263142
Policy instance 3
Insurance contract or identification number12263142
Number of Individuals Covered109
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $1,357
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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