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

Plan NameSHORT TERM DISABILITY/AD&D/LIFE
Plan identification number 501

SHORT TERM DISABILITY/AD&D/LIFE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

DOLIME MINERALS COMPANY DBA AMERICAN CONSTRUCTION & ENGINEERING has sponsored the creation of one or more 401k plans.

Company Name:DOLIME MINERALS COMPANY DBA AMERICAN CONSTRUCTION & ENGINEERING
Employer identification number (EIN):592413698
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-10-01

Plan Statistics for SHORT TERM DISABILITY/AD&D/LIFE

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

Measure Date Value
2018: SHORT TERM DISABILITY/AD&D/LIFE 2018 401k membership
Total participants, beginning-of-year2018-10-0186
Total number of active participants reported on line 7a of the Form 55002018-10-01120
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01120

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

2018: SHORT TERM DISABILITY/AD&D/LIFE 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01First time form 5500 has been submittedYes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number246191
Policy instance 1
Insurance contract or identification number246191
Number of Individuals Covered120
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $2,992
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $33,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,992
Insurance broker organization code?3

Potentially related plans

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