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LIFE AND AD&D 401k Plan overview

Plan NameLIFE AND AD&D
Plan identification number 502

LIFE AND AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

SURTECO NORTH AMERICA INC - OMNOVA has sponsored the creation of one or more 401k plans.

Company Name:SURTECO NORTH AMERICA INC - OMNOVA
Employer identification number (EIN):465019366
NAIC Classification:326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE AND AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-03-01GUNDRUN PECHTOLD2024-10-11

Plan Statistics for LIFE AND AD&D

401k plan membership statisitcs for LIFE AND AD&D

Measure Date Value
2023: LIFE AND AD&D 2023 401k membership
Total participants, beginning-of-year2023-03-01100
Total number of active participants reported on line 7a of the Form 55002023-03-01434
Number of retired or separated participants receiving benefits2023-03-010
Number of other retired or separated participants entitled to future benefits2023-03-010
Total of all active and inactive participants2023-03-01434
Number of employers contributing to the scheme2023-03-010

Form 5500 Responses for LIFE AND AD&D

2023: LIFE AND AD&D 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01First time form 5500 has been submittedYes
2023-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number171290
Policy instance 1
Insurance contract or identification number171290
Number of Individuals Covered434
Insurance policy start date2023-03-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $23,700
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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