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SHORT TERM DISABILITY 401k Plan overview

Plan NameSHORT TERM DISABILITY
Plan identification number 513

SHORT TERM DISABILITY Benefits

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

401k Sponsoring company profile

NORTH ALABAMA FABRICATING COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORTH ALABAMA FABRICATING COMPANY, INC.
Employer identification number (EIN):630517713
NAIC Classification:332300

Additional information about NORTH ALABAMA FABRICATING COMPANY, INC.

Jurisdiction of Incorporation: Alabama Secretary of State
Incorporation Date: 1967-04-19
Company Identification Number: 013-702
Legal Registered Office Address: 4632 RICHARD ARRINGTON BLVD BIRMINGHAM,


United States of America (USA)
35212

More information about NORTH ALABAMA FABRICATING COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHORT TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5132022-03-01

Plan Statistics for SHORT TERM DISABILITY

401k plan membership statisitcs for SHORT TERM DISABILITY

Measure Date Value
2022: SHORT TERM DISABILITY 2022 401k membership
Total participants, beginning-of-year2022-03-01172
Total number of active participants reported on line 7a of the Form 55002022-03-01184
Total of all active and inactive participants2022-03-01184
Total participants2022-03-01184

Form 5500 Responses for SHORT TERM DISABILITY

2022: SHORT TERM DISABILITY 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01First time form 5500 has been submittedYes
2022-03-01Submission has been amendedYes
2022-03-01This submission is the final filingNo
2022-03-01This return/report is a short plan year return/report (less than 12 months)No
2022-03-01Plan is a collectively bargained planNo
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG0AP2F
Policy instance 1
Insurance contract or identification numberGUG0AP2F
Number of Individuals Covered184
Insurance policy start date2022-03-01
Insurance policy end date2023-03-01
Total amount of commissions paid to insurance brokerUSD $4,493
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $44,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,493
Insurance broker organization code?3

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