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KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 401k Plan overview

Plan NameKENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL)
Plan identification number 503

KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 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)

401k Sponsoring company profile

KENDRION (SHELBY) INC. has sponsored the creation of one or more 401k plans.

Company Name:KENDRION (SHELBY) INC.
Employer identification number (EIN):208284552
NAIC Classification:336300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-04-01
5032021-04-01
5032020-04-01
5032019-04-01
5032018-04-01
5032017-04-01PAULA VINCENT PAULA VINCENT2018-08-13
5032016-04-01PAULA VINCENT PAULA VINCENT2017-10-31
5032015-04-01PAULA VINCENT PAULA VINCENT2016-10-03
5032014-04-01STEPHANIE OLIVER STEPHANIE OLIVER2015-09-25
5032013-01-01STEPHANIE OLIVER STEPHANIE OLIVER2014-07-25
5032012-01-01STEPHANIE OLIVER STEPHANIE OLIVER2013-07-30
5032011-01-01STEPHANIE OLIVER STEPHANIE OLIVER2012-10-15

Plan Statistics for KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL)

401k plan membership statisitcs for KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL)

Measure Date Value
2022: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2022 401k membership
Total participants, beginning-of-year2022-04-01251
Total number of active participants reported on line 7a of the Form 55002022-04-01224
Total of all active and inactive participants2022-04-01224
2021: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2021 401k membership
Total participants, beginning-of-year2021-04-01272
Total number of active participants reported on line 7a of the Form 55002021-04-01251
Total of all active and inactive participants2021-04-01251
2020: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2020 401k membership
Total participants, beginning-of-year2020-04-01292
Total number of active participants reported on line 7a of the Form 55002020-04-01272
Total of all active and inactive participants2020-04-01272
2019: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2019 401k membership
Total participants, beginning-of-year2019-04-01302
Total number of active participants reported on line 7a of the Form 55002019-04-01292
Total of all active and inactive participants2019-04-01292
2018: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2018 401k membership
Total participants, beginning-of-year2018-04-01344
Total number of active participants reported on line 7a of the Form 55002018-04-01302
Total of all active and inactive participants2018-04-01302
2017: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2017 401k membership
Total participants, beginning-of-year2017-04-01342
Total number of active participants reported on line 7a of the Form 55002017-04-01344
Total of all active and inactive participants2017-04-01344
2016: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2016 401k membership
Total participants, beginning-of-year2016-04-01210
Total number of active participants reported on line 7a of the Form 55002016-04-01342
Total of all active and inactive participants2016-04-01342
2015: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2015 401k membership
Total participants, beginning-of-year2015-04-01236
Total number of active participants reported on line 7a of the Form 55002015-04-01230
Total of all active and inactive participants2015-04-01230
2014: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2014 401k membership
Total participants, beginning-of-year2014-04-01234
Total number of active participants reported on line 7a of the Form 55002014-04-01236
Total of all active and inactive participants2014-04-01236
2013: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2013 401k membership
Total participants, beginning-of-year2013-01-01218
Total number of active participants reported on line 7a of the Form 55002013-01-01234
Total of all active and inactive participants2013-01-01234
2012: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2012 401k membership
Total participants, beginning-of-year2012-01-01211
Total number of active participants reported on line 7a of the Form 55002012-01-01218
Total of all active and inactive participants2012-01-01218
2011: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2011 401k membership
Total participants, beginning-of-year2011-01-01131
Total number of active participants reported on line 7a of the Form 55002011-01-01211
Total of all active and inactive participants2011-01-01211

Form 5500 Responses for KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL)

2022: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: KENDRION (SHELBY), INC. (LIFE, AD&D, DISABILITY & DENTAL) 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14161359-1001
Policy instance 1
Insurance contract or identification number14161359-1001
Number of Individuals Covered224
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $60,131
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,602,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,131
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14161359-1001
Policy instance 1
Insurance contract or identification number14161359-1001
Number of Individuals Covered251
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $43,282
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,548,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,282
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number14161359-1001
Policy instance 1
Insurance contract or identification number14161359-1001
Number of Individuals Covered272
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $60,960
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,654,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,960
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number911074
Policy instance 1
Insurance contract or identification number911074
Number of Individuals Covered292
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,209,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number911074
Policy instance 1
Insurance contract or identification number911074
Number of Individuals Covered302
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,609,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number911074
Policy instance 1
Insurance contract or identification number911074
Number of Individuals Covered344
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,704,726
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 number00466349
Policy instance 1
Insurance contract or identification number00466349
Number of Individuals Covered230
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $18,809
Total amount of fees paid to insurance companyUSD $8,910
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 $252,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,809
Amount paid for insurance broker fees8910
Insurance broker organization code?3
Insurance broker nameDIGITAL INSURANCE INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000NF312
Policy instance 1
Insurance contract or identification number000NF312
Number of Individuals Covered236
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $17,118
Total amount of fees paid to insurance companyUSD $8,689
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 $220,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,404
Amount paid for insurance broker fees8689
Insurance broker organization code?3
Insurance broker nameDIGITAL INSURANCE INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000NF312
Policy instance 1
Insurance contract or identification number000NF312
Number of Individuals Covered234
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $16,685
Total amount of fees paid to insurance companyUSD $3,990
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 $218,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,685
Amount paid for insurance broker fees3990
Insurance broker organization code?3
Insurance broker nameDIGITAL INSURANCE INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number06463
Policy instance 1
Insurance contract or identification number06463
Number of Individuals Covered218
Insurance policy start date2012-01-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $8,122
Total amount of fees paid to insurance companyUSD $4,861
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $105,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,826
Insurance broker organization code?3
Amount paid for insurance broker fees4174
Insurance broker nameAXA ASSISTANCE, USA
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberNF312
Policy instance 2
Insurance contract or identification numberNF312
Number of Individuals Covered218
Insurance policy start date2012-08-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,017
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 $84,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,017
Insurance broker nameTURNKEY BENEFITS INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number06463
Policy instance 1
Insurance contract or identification number06463
Number of Individuals Covered211
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $11,701
Total amount of fees paid to insurance companyUSD $7,519
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $156,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number06463
Policy instance 1
Insurance contract or identification number06463
Insurance policy start date2010-04-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,761
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $95,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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