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DYNABRADE, INC. - HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameDYNABRADE, INC. - HEALTH AND WELFARE PLAN
Plan identification number 504

DYNABRADE, INC. - HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

DYNABRADE, INC. has sponsored the creation of one or more 401k plans.

Company Name:DYNABRADE, INC.
Employer identification number (EIN):160950182
NAIC Classification:332210

Additional information about DYNABRADE, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date: 2006-09-01
Company Identification Number: 4207874
Legal Registered Office Address: Corporation Trust Center
1209 Orange St
Wilmington
United States of America (USA)
19801

More information about DYNABRADE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DYNABRADE, INC. - HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-06-01MICHAEL BUFFAMONTI2023-12-18
5042021-06-01
5042020-06-01
5042019-06-01
5042018-06-01
5042017-06-01MICHAEL C. BUFFAMONTI MICHAEL C. BUFFAMONTI2018-12-07
5042016-06-01MICHAEL C. BUFFAMONTI MICHAEL C. BUFFAMONTI2017-12-18

Plan Statistics for DYNABRADE, INC. - HEALTH AND WELFARE PLAN

401k plan membership statisitcs for DYNABRADE, INC. - HEALTH AND WELFARE PLAN

Measure Date Value
2022: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01191
Total number of active participants reported on line 7a of the Form 55002022-06-01255
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01255
Number of employers contributing to the scheme2022-06-010
2021: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01159
Total number of active participants reported on line 7a of the Form 55002021-06-01191
Total of all active and inactive participants2021-06-01191
2020: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01180
Total number of active participants reported on line 7a of the Form 55002020-06-01159
Total of all active and inactive participants2020-06-01159
2019: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01180
Total number of active participants reported on line 7a of the Form 55002019-06-01180
Total of all active and inactive participants2019-06-01180
2018: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-01190
Total number of active participants reported on line 7a of the Form 55002018-06-01180
Total of all active and inactive participants2018-06-01180
2017: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-01182
Total number of active participants reported on line 7a of the Form 55002017-06-01190
Total of all active and inactive participants2017-06-01190
2016: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01175
Total number of active participants reported on line 7a of the Form 55002016-06-01182
Total of all active and inactive participants2016-06-01182

Form 5500 Responses for DYNABRADE, INC. - HEALTH AND WELFARE PLAN

2022: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2020: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2018: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes
2017: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – InsuranceYes
2016: DYNABRADE, INC. - HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01First time form 5500 has been submittedYes
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 )
Policy contract number48408
Policy instance 2
Insurance contract or identification number48408
Number of Individuals Covered112
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedMEDICAL POS,WELLNESS PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,407,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number36457
Policy instance 1
Insurance contract or identification number36457
Number of Individuals Covered255
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $18,895
Total amount of fees paid to insurance companyUSD $6,583
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $262,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $18,895
Amount paid for insurance broker fees6583
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30068197
Policy instance 3
Insurance contract or identification number30068197
Number of Individuals Covered105
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $1,806
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $935
Insurance broker organization code?3
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 )
Policy contract number48408
Policy instance 1
Insurance contract or identification number48408
Number of Individuals Covered133
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $40,000
Welfare Benefit Premiums Paid to CarrierUSD $1,658,758
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees40000
Additional information about fees paid to insurance brokerDIRECT CONSULTING FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1066243
Policy instance 2
Insurance contract or identification number1066243
Number of Individuals Covered422
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $25,944
Total amount of fees paid to insurance companyUSD $5,435
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $260,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,991
Insurance broker organization code?3
Amount paid for insurance broker fees5435
Additional information about fees paid to insurance brokerSERVICE FEE AND BONUS
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 )
Policy contract number48408
Policy instance 1
Insurance contract or identification number48408
Number of Individuals Covered118
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $40,000
Welfare Benefit Premiums Paid to CarrierUSD $1,608,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees40000
Additional information about fees paid to insurance brokerDIRECT CONSULTING FEE
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30068197
Policy instance 3
Insurance contract or identification number30068197
Number of Individuals Covered96
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $1,724
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $947
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1066243
Policy instance 2
Insurance contract or identification number1066243
Number of Individuals Covered380
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $24,380
Total amount of fees paid to insurance companyUSD $5,594
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $239,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,005
Insurance broker organization code?3
Amount paid for insurance broker fees5594
Additional information about fees paid to insurance brokerSERVICE FEE AND BONUS
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1066243
Policy instance 2
Insurance contract or identification number1066243
Number of Individuals Covered421
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $25,227
Total amount of fees paid to insurance companyUSD $5,147
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $252,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,430
Insurance broker organization code?3
Amount paid for insurance broker fees5147
Additional information about fees paid to insurance brokerSERVICE FEE AND BONUS
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 )
Policy contract number48408
Policy instance 1
Insurance contract or identification number48408
Number of Individuals Covered132
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $40,000
Welfare Benefit Premiums Paid to CarrierUSD $1,650,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees40000
Additional information about fees paid to insurance brokerDIRECT CONSULTING FEE
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30068197
Policy instance 3
Insurance contract or identification number30068197
Number of Individuals Covered101
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $1,776
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $967
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30068197
Policy instance 3
Insurance contract or identification number30068197
Number of Individuals Covered93
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $1,734
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $948
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1066243
Policy instance 2
Insurance contract or identification number1066243
Number of Individuals Covered430
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $25,178
Total amount of fees paid to insurance companyUSD $4,731
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $269,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,347
Insurance broker organization code?3
Amount paid for insurance broker fees4731
Additional information about fees paid to insurance brokerSERVICE FEE
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 )
Policy contract number48408
Policy instance 1
Insurance contract or identification number48408
Number of Individuals Covered279
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $40,000
Welfare Benefit Premiums Paid to CarrierUSD $1,679,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees40000
Additional information about fees paid to insurance brokerDIRECT CONSULTING FEE
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30068197
Policy instance 3
Insurance contract or identification number30068197
Number of Individuals Covered87
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $1,490
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $827
Insurance broker organization code?3
Insurance broker nameCENTERSTONE INSURANCE AND FINANCIAL
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1066243
Policy instance 2
Insurance contract or identification number1066243
Number of Individuals Covered446
Insurance policy start date2017-07-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $24,483
Total amount of fees paid to insurance companyUSD $4,595
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $253,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,886
Insurance broker organization code?3
Amount paid for insurance broker fees4595
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker nameCENTERSTONE INSURANCE AND FINANCIAL
INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 )
Policy contract number48408
Policy instance 1
Insurance contract or identification number48408
Number of Individuals Covered300
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $40,000
Welfare Benefit Premiums Paid to CarrierUSD $1,588,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees40000
Additional information about fees paid to insurance brokerDIRECT CONSULTING FEE
Insurance broker organization code?3
Insurance broker nameTHE BERT CO DBA NORTHWEST INSURANCE

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