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VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 401k Plan overview

Plan NameVOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN
Plan identification number 541

VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

WELLS LAMONT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:WELLS LAMONT CORPORATION
Employer identification number (EIN):364264748
NAIC Classification:315990
NAIC Description:Apparel Accessories and Other Apparel Manufacturing

Additional information about WELLS LAMONT CORPORATION

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0285346

More information about WELLS LAMONT CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5412017-01-01THERESA CHIP
5412016-01-01THERESA CHIP THERESA CHIP2017-07-07
5412016-01-01 THERESA CHIP2017-07-07
5412015-01-01 THERESA CHIP2016-07-13
5412014-01-01THERESA CHIP THERESA CHIP2015-07-15
5412012-01-01THERESA CHIP THERESA CHIP2013-07-25
5412011-01-01THERESA CHIP THERESA CHIP2012-07-24
5412009-01-01THERESA CHIP THERESA CHIP2010-08-02

Plan Statistics for VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN

401k plan membership statisitcs for VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN

Measure Date Value
2017: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0137
Total number of active participants reported on line 7a of the Form 55002017-01-0140
Total of all active and inactive participants2017-01-0140
2016: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0134
Total number of active participants reported on line 7a of the Form 55002016-01-0137
Total of all active and inactive participants2016-01-0137
2015: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0136
Total number of active participants reported on line 7a of the Form 55002015-01-0134
Total of all active and inactive participants2015-01-0134
2014: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0136
Total number of active participants reported on line 7a of the Form 55002014-01-0136
Total of all active and inactive participants2014-01-0136
2012: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0138
Total number of active participants reported on line 7a of the Form 55002012-01-0133
Total of all active and inactive participants2012-01-0133
2011: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0135
Total number of active participants reported on line 7a of the Form 55002011-01-0138
Total of all active and inactive participants2011-01-0138
2009: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0143
Total number of active participants reported on line 7a of the Form 55002009-01-0133
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0133

Financial Data on VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN

Measure Date Value
2016 : VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2016 401k financial data
Total income from all sources2016-12-31$4,280
Expenses. Total of all expenses incurred2016-12-31$0
Value of fidelity bond covering the plan2016-12-31$2,000,000
Total contributions received or receivable from participants2016-12-31$4,280
Net income (gross income less expenses)2016-12-31$4,280
Net plan assets at end of year (total assets less liabilities)2016-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$0
2015 : VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2015 401k financial data
Total income from all sources2015-12-31$4,220
Expenses. Total of all expenses incurred2015-12-31$0
Value of fidelity bond covering the plan2015-12-31$2,000,000
Total contributions received or receivable from participants2015-12-31$4,220
Net income (gross income less expenses)2015-12-31$4,220
Net plan assets at end of year (total assets less liabilities)2015-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
2014 : VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2014 401k financial data
Total income from all sources2014-12-31$4,076
Expenses. Total of all expenses incurred2014-12-31$0
Value of fidelity bond covering the plan2014-12-31$2,000,000
Total contributions received or receivable from participants2014-12-31$4,076
Net income (gross income less expenses)2014-12-31$4,076
Net plan assets at end of year (total assets less liabilities)2014-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$0
2013 : VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2013 401k financial data
Total income from all sources2013-12-31$4,076
Expenses. Total of all expenses incurred2013-12-31$0
Total plan assets at beginning of year2013-12-31$0
Value of fidelity bond covering the plan2013-12-31$2,000,000
Total contributions received or receivable from participants2013-12-31$4,076
Net income (gross income less expenses)2013-12-31$4,076
Net plan assets at end of year (total assets less liabilities)2013-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$0
2012 : VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2012 401k financial data
Total income from all sources2012-12-31$4,018
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at beginning of year2012-12-31$0
Value of fidelity bond covering the plan2012-12-31$2,000,000
Total contributions received or receivable from participants2012-12-31$4,018
Net income (gross income less expenses)2012-12-31$4,018
Net plan assets at end of year (total assets less liabilities)2012-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$0
2011 : VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2011 401k financial data
Total income from all sources2011-12-31$4,481
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at beginning of year2011-12-31$0
Value of fidelity bond covering the plan2011-12-31$2,000,000
Total contributions received or receivable from participants2011-12-31$4,481
Net income (gross income less expenses)2011-12-31$4,481
Net plan assets at end of year (total assets less liabilities)2011-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$0
2010 : VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2010 401k financial data
Total income from all sources2010-12-31$4,141
Expenses. Total of all expenses incurred2010-12-31$0
Value of fidelity bond covering the plan2010-12-31$2,000,000
Total contributions received or receivable from participants2010-12-31$4,141
Net income (gross income less expenses)2010-12-31$4,141
Net plan assets at end of year (total assets less liabilities)2010-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0

Form 5500 Responses for VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN

2017: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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
2015: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2012: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: VOLUNTARY ACCIDENTAL DEATH & DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 )
Policy contract number83025909
Policy instance 1
Insurance contract or identification number83025909
Number of Individuals Covered40
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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