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CLYSAR, LLC LIFE AND DISABILITY PLAN 401k Plan overview

Plan NameCLYSAR, LLC LIFE AND DISABILITY PLAN
Plan identification number 505

CLYSAR, LLC LIFE AND DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

CLYSAR, LLC has sponsored the creation of one or more 401k plans.

Company Name:CLYSAR, LLC
Employer identification number (EIN):010727296
NAIC Classification:326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLYSAR, LLC LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052017-01-01KELLY PENNING
5052016-01-01

Plan Statistics for CLYSAR, LLC LIFE AND DISABILITY PLAN

401k plan membership statisitcs for CLYSAR, LLC LIFE AND DISABILITY PLAN

Measure Date Value
2017: CLYSAR, LLC LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01302
Total number of active participants reported on line 7a of the Form 55002017-01-01318
Total of all active and inactive participants2017-01-01318
2016: CLYSAR, LLC LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01302
Total of all active and inactive participants2016-01-010
Total participants2016-01-010

Form 5500 Responses for CLYSAR, LLC LIFE AND DISABILITY PLAN

2017: CLYSAR, LLC LIFE AND DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: CLYSAR, LLC LIFE AND DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number873645G
Policy instance 1
Insurance contract or identification number873645G
Number of Individuals Covered318
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,429
Total amount of fees paid to insurance companyUSD $1,899
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $222,347
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,201
Amount paid for insurance broker fees1899
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
Insurance broker nameHOLMES MURPHY & ASSOC INC

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