401k Plan data: TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN plan

TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN
Plan identification number	502

TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

TF INTER-HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: TF INTER-HOLDINGS, INC.

Employer identification number (EIN): 351975301

NAIC Classification: 424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2020-10-01 CHANDLER NAFF 2022-07-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2020-10-01	CHANDLER NAFF	2022-07-13

Plan Statistics for TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2020: TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 198
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 180
Total of all active and inactive participants 2020-10-01 180
Total participants 2020-10-01 180

Measure	Date	Value
2020: TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	198
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	180
Total of all active and inactive participants	2020-10-01	180
Total participants	2020-10-01	180

Form 5500 Responses for TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN

2020: TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )

Policy contract number

417006411353

Policy instance

Insurance contract or identification number	417006411353
Number of Individuals Covered	167
Insurance policy start date	2019-10-01
Insurance policy end date	2020-10-01
Welfare Benefit Premiums Paid to Carrier	USD $276,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

701959

Policy instance

Insurance contract or identification number	701959
Number of Individuals Covered	180
Insurance policy start date	2020-01-01
Insurance policy end date	2021-01-01
Total amount of commissions paid to insurance broker	USD $14,825
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $78,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,825
Insurance broker organization code?	3

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

701960

Policy instance

Insurance contract or identification number	701960
Number of Individuals Covered	160
Insurance policy start date	2020-01-01
Insurance policy end date	2021-01-01
Total amount of commissions paid to insurance broker	USD $8,248
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $76,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,248
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30023094

Policy instance

Insurance contract or identification number	30023094
Number of Individuals Covered	167
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,205
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $23,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,205
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417011411353

Policy instance

Insurance contract or identification number	417011411353
Number of Individuals Covered	167
Insurance policy start date	2019-10-01
Insurance policy end date	2020-10-01
Total amount of commissions paid to insurance broker	USD $1,762
Other welfare benefits provided	TRANSPLANT
Welfare Benefit Premiums Paid to Carrier	USD $17,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,762
Insurance broker organization code?	3

Potentially related plans

TF INTER-HOLDINGS, INC. EMPLOYEE BENEFIT PLAN [EIN = 351121774]

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Company Name:	TF INTER-HOLDINGS, INC.
Employer identification number (EIN):	351975301
NAIC Classification:	424400