401k Plan data: ARDL FLEXIBLE BENEFIT PLAN plan

ARDL FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan Name	ARDL FLEXIBLE BENEFIT PLAN
Plan identification number	515

ARDL FLEXIBLE BENEFIT PLAN Benefits

401k Plan Type	Welfare 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

ARDL has sponsored the creation of one or more 401k plans.

Company Name: ARDL

Employer identification number (EIN): 341027097

NAIC Classification: 541380
NAIC Description: Testing Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARDL FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
515 2024-01-01 TIM SAMPLES
515 2022-01-01
515 2022-01-01 TIM SAMPLES
515 2021-01-01
515 2021-01-01 TIM SAMPLES

Form 5500 Responses for ARDL FLEXIBLE BENEFIT PLAN

2022: ARDL FLEXIBLE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Mulitple employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: ARDL FLEXIBLE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Mulitple employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

OMUT2

Policy instance

Insurance contract or identification number	OMUT2
Number of Individuals Covered	8
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $699
Are there contracts with allocated funds for individual policies?	1
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E3482643

Policy instance

Insurance contract or identification number	E3482643
Number of Individuals Covered	10
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,671
Total amount of fees paid to insurance company	USD $161
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E3482635

Policy instance

Insurance contract or identification number	E3482635
Number of Individuals Covered	41
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $8,593
Total amount of fees paid to insurance company	USD $894
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $41,849
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 number

00421689

Policy instance

Insurance contract or identification number	00421689
Number of Individuals Covered	126
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $8,670
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $102,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUMMACARE (National Association of Insurance Commissioners NAIC id number: 95202 )

Policy contract number

G04586

Policy instance

Insurance contract or identification number	G04586
Number of Individuals Covered	133
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $100,668
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,438,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

OMUT2

Policy instance

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E3482643

Policy instance

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E3482635

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00421689

Policy instance

SUMMACARE (National Association of Insurance Commissioners NAIC id number: 95202 )

Policy contract number

G04586

Policy instance

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Company Name:	ARDL
Employer identification number (EIN):	341027097
NAIC Classification:	541380
NAIC Description:	Testing Laboratories

Plan id#	Filing Submission Date	Name of Administrator
515	2024-01-01	TIM SAMPLES
515	2022-01-01
515	2022-01-01	TIM SAMPLES
515	2021-01-01
515	2021-01-01	TIM SAMPLES