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CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 401k Plan overview

Plan NameCALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D
Plan identification number 505

CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D Benefits

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

401k Sponsoring company profile

CALDWELL MANUFACTURING COMPANY, N.A., LLC has sponsored the creation of one or more 401k plans.

Company Name:CALDWELL MANUFACTURING COMPANY, N.A., LLC
Employer identification number (EIN):800517021
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052016-01-01ROBERT LELIO
5052016-01-01
5052015-01-01ROBERT LELIO
5052014-01-01ROBERT LELIO
5052013-01-01ROBERT LELIO
5052012-01-01ROBERT LELIO

Plan Statistics for CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D

401k plan membership statisitcs for CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D

Measure Date Value
2016: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2016 401k membership
Total participants, beginning-of-year2016-01-01219
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Total participants2016-01-010
2015: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2015 401k membership
Total participants, beginning-of-year2015-01-01230
Total number of active participants reported on line 7a of the Form 55002015-01-01230
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01230
Total participants2015-01-01230
2014: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2014 401k membership
Total participants, beginning-of-year2014-01-01205
Total number of active participants reported on line 7a of the Form 55002014-01-01205
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01205
Total participants2014-01-01205
2013: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2013 401k membership
Total participants, beginning-of-year2013-01-01156
Total number of active participants reported on line 7a of the Form 55002013-01-01196
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01196
Total participants2013-01-01196
2012: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2012 401k membership
Total participants, beginning-of-year2012-01-01134
Total number of active participants reported on line 7a of the Form 55002012-01-01179
Total of all active and inactive participants2012-01-01179
Total participants2012-01-01179

Form 5500 Responses for CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D

2016: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: CALDWELL MANUFACTURING COMPANY, N.A., LLC TRAVEL ACCIDENT PLAN AD&D 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA120958
Policy instance 1
Insurance contract or identification numberBTA120958
Number of Individuals Covered230
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $280
Other welfare benefits providedTRAVEL AD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $280
Insurance broker organization code?3
Insurance broker nameM&T INSURANCE AGENCY, INC.
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA120958
Policy instance 1
Insurance contract or identification numberBTA120958
Number of Individuals Covered205
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $278
Other welfare benefits providedTRAVEL AD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $278
Insurance broker organization code?3
Insurance broker nameM&T INSURANCE AGENCY, INC.
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA120958
Policy instance 1
Insurance contract or identification numberBTA120958
Number of Individuals Covered184
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $245
Other welfare benefits providedTRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $1,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $245
Insurance broker organization code?3
Insurance broker nameM&T INSURANCE AGENCY, INC.
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA120958
Policy instance 1
Insurance contract or identification numberBTA120958
Number of Individuals Covered116
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $217
Other welfare benefits providedTRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $2,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $217
Insurance broker organization code?3
Insurance broker nameM&T INSURANCE

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