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LIFE/AD&D LONG TERM DISABILITY 401k Plan overview

Plan NameLIFE/AD&D LONG TERM DISABILITY
Plan identification number 501

LIFE/AD&D LONG TERM DISABILITY Benefits

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

401k Sponsoring company profile

ARANDELL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:ARANDELL CORPORATION
Employer identification number (EIN):853986525
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE/AD&D LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-04-01KIMBERLY KOZLIK2023-01-17
5012020-04-01BRIAN ULRICH2022-01-18

Plan Statistics for LIFE/AD&D LONG TERM DISABILITY

401k plan membership statisitcs for LIFE/AD&D LONG TERM DISABILITY

Measure Date Value
2021: LIFE/AD&D LONG TERM DISABILITY 2021 401k membership
Total participants, beginning-of-year2021-04-01480
Total number of active participants reported on line 7a of the Form 55002021-04-01448
Number of retired or separated participants receiving benefits2021-04-015
Total of all active and inactive participants2021-04-01453
2020: LIFE/AD&D LONG TERM DISABILITY 2020 401k membership
Total participants, beginning-of-year2020-04-01598
Total number of active participants reported on line 7a of the Form 55002020-04-01479
Number of retired or separated participants receiving benefits2020-04-011
Total of all active and inactive participants2020-04-01480

Form 5500 Responses for LIFE/AD&D LONG TERM DISABILITY

2021: LIFE/AD&D LONG TERM DISABILITY 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: LIFE/AD&D LONG TERM DISABILITY 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10216134
Policy instance 1
Insurance contract or identification number10216134
Number of Individuals Covered131
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10216133
Policy instance 2
Insurance contract or identification number10216133
Number of Individuals Covered448
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $34,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10216135
Policy instance 3
Insurance contract or identification number10216135
Number of Individuals Covered317
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400235347
Policy instance 4
Insurance contract or identification number000400235347
Number of Individuals Covered86
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOLUNTARY LIFE AND VOLUNTARY AD&D
Welfare Benefit Premiums Paid to CarrierUSD $37,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10216134
Policy instance 1
Insurance contract or identification number10216134
Number of Individuals Covered125
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10216133
Policy instance 2
Insurance contract or identification number10216133
Number of Individuals Covered479
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $35,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10216135
Policy instance 3
Insurance contract or identification number10216135
Number of Individuals Covered354
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $129,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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