401k Plan data: KOPPER GLO MINING LIFE AND DISABILITY PLAN plan

KOPPER GLO MINING LIFE AND DISABILITY PLAN 401k Plan overview

Plan Name	KOPPER GLO MINING LIFE AND DISABILITY PLAN
Plan identification number	505

KOPPER GLO MINING LIFE AND DISABILITY 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
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.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

KOPPER GLO MINING, LLC has sponsored the creation of one or more 401k plans.

Company Name: KOPPER GLO MINING, LLC

Employer identification number (EIN): 900447761

NAIC Classification: 212110
NAIC Description: Coal Mining

Additional information about KOPPER GLO MINING, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4658762

More information about KOPPER GLO MINING, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KOPPER GLO MINING LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2020-03-01
505 2019-03-01
505 2017-03-01 JASON PRATER
505 2016-03-01 JASON PRATER
505 2015-03-01 JASON PRATER

Plan Statistics for KOPPER GLO MINING LIFE AND DISABILITY PLAN

401k plan membership statisitcs for KOPPER GLO MINING LIFE AND DISABILITY PLAN

Measure Date Value
2020: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-03-01 368
Total number of active participants reported on line 7a of the Form 5500 2020-03-01 156
Number of retired or separated participants receiving benefits 2020-03-01 0
Total of all active and inactive participants 2020-03-01 156
2019: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-03-01 129
Total number of active participants reported on line 7a of the Form 5500 2019-03-01 498
Number of retired or separated participants receiving benefits 2019-03-01 0
Total of all active and inactive participants 2019-03-01 498
2017: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-03-01 105
Total number of active participants reported on line 7a of the Form 5500 2017-03-01 80
Total of all active and inactive participants 2017-03-01 80
2016: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-03-01 130
Total number of active participants reported on line 7a of the Form 5500 2016-03-01 103
Number of retired or separated participants receiving benefits 2016-03-01 0
Total of all active and inactive participants 2016-03-01 103
2015: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-03-01 164
Total number of active participants reported on line 7a of the Form 5500 2015-03-01 130
Total of all active and inactive participants 2015-03-01 130

Measure	Date	Value
2020: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-03-01	368
Total number of active participants reported on line 7a of the Form 5500	2020-03-01	156
Number of retired or separated participants receiving benefits	2020-03-01	0
Total of all active and inactive participants	2020-03-01	156
2019: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-03-01	129
Total number of active participants reported on line 7a of the Form 5500	2019-03-01	498
Number of retired or separated participants receiving benefits	2019-03-01	0
Total of all active and inactive participants	2019-03-01	498
2017: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-03-01	105
Total number of active participants reported on line 7a of the Form 5500	2017-03-01	80
Total of all active and inactive participants	2017-03-01	80
2016: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-03-01	130
Total number of active participants reported on line 7a of the Form 5500	2016-03-01	103
Number of retired or separated participants receiving benefits	2016-03-01	0
Total of all active and inactive participants	2016-03-01	103
2015: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-03-01	164
Total number of active participants reported on line 7a of the Form 5500	2015-03-01	130
Total of all active and inactive participants	2015-03-01	130

Form 5500 Responses for KOPPER GLO MINING LIFE AND DISABILITY PLAN

2020: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2020 form 5500 responses
2020-03-01	Type of plan entity	Single employer plan
2020-03-01	Submission has been amended	No
2020-03-01	This submission is the final filing	No
2020-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-03-01	Plan is a collectively bargained plan	No
2020-03-01	Plan funding arrangement – Insurance	Yes
2020-03-01	Plan benefit arrangement – Insurance	Yes
2019: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2019 form 5500 responses
2019-03-01	Type of plan entity	Single employer plan
2019-03-01	Submission has been amended	No
2019-03-01	This submission is the final filing	No
2019-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-03-01	Plan is a collectively bargained plan	No
2019-03-01	Plan funding arrangement – Insurance	Yes
2019-03-01	Plan benefit arrangement – Insurance	Yes
2017: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2017 form 5500 responses
2017-03-01	Type of plan entity	Single employer plan
2017-03-01	Submission has been amended	No
2017-03-01	This submission is the final filing	No
2017-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-03-01	Plan is a collectively bargained plan	No
2017-03-01	Plan funding arrangement – Insurance	Yes
2017-03-01	Plan benefit arrangement – Insurance	Yes
2016: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2016 form 5500 responses
2016-03-01	Type of plan entity	Single employer plan
2016-03-01	Submission has been amended	No
2016-03-01	This submission is the final filing	No
2016-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-03-01	Plan is a collectively bargained plan	No
2016-03-01	Plan funding arrangement – Insurance	Yes
2016-03-01	Plan benefit arrangement – Insurance	Yes
2015: KOPPER GLO MINING LIFE AND DISABILITY PLAN 2015 form 5500 responses
2015-03-01	Type of plan entity	Single employer plan
2015-03-01	First time form 5500 has been submitted	Yes
2015-03-01	Submission has been amended	No
2015-03-01	This submission is the final filing	No
2015-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-03-01	Plan is a collectively bargained plan	No
2015-03-01	Plan funding arrangement – Insurance	Yes
2015-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05983177

Policy instance

Insurance contract or identification number	TM05983177
Number of Individuals Covered	156
Insurance policy start date	2020-03-01
Insurance policy end date	2021-02-28
Total amount of commissions paid to insurance broker	USD $18,221
Total amount of fees paid to insurance company	USD $1,629
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $96,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,221
Amount paid for insurance broker fees	21
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

606382

Policy instance

Insurance contract or identification number	606382
Number of Individuals Covered	151
Insurance policy start date	2020-03-01
Insurance policy end date	2021-02-28
Total amount of commissions paid to insurance broker	USD $26,368
Total amount of fees paid to insurance company	USD $1,573
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $170,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,368
Amount paid for insurance broker fees	1573
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05983177

Policy instance

Insurance contract or identification number	TM05983177
Number of Individuals Covered	1301
Insurance policy start date	2019-03-01
Insurance policy end date	2020-02-29
Total amount of commissions paid to insurance broker	USD $10,240
Total amount of fees paid to insurance company	USD $995
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $86,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,240
Amount paid for insurance broker fees	54
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

606382

Policy instance

Insurance contract or identification number	606382
Number of Individuals Covered	451
Insurance policy start date	2019-03-01
Insurance policy end date	2020-02-29
Total amount of commissions paid to insurance broker	USD $20,686
Total amount of fees paid to insurance company	USD $1,034
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $140,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,686
Amount paid for insurance broker fees	1034
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05983177

Policy instance

Insurance contract or identification number	TM05983177
Number of Individuals Covered	169
Insurance policy start date	2017-03-01
Insurance policy end date	2018-02-28
Total amount of commissions paid to insurance broker	USD $6,210
Total amount of fees paid to insurance company	USD $94
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $35,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,210
Amount paid for insurance broker fees	94
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL MIDWEST LIMITED

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

606382

Policy instance

Insurance contract or identification number	606382
Number of Individuals Covered	63
Insurance policy start date	2017-03-01
Insurance policy end date	2018-02-28
Total amount of commissions paid to insurance broker	USD $9,014
Total amount of fees paid to insurance company	USD $951
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $60,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,014
Amount paid for insurance broker fees	951
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL MIDWEST LIMITED

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Company Name:	KOPPER GLO MINING, LLC
Employer identification number (EIN):	900447761
NAIC Classification:	212110
NAIC Description:	Coal Mining

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4658762