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DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 401k Plan overview

Plan NameDORNER MFG CORP. LIFE & AD&D INSURANCE PLAN
Plan identification number 507

DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN Benefits

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

401k Sponsoring company profile

DORNER MANUFACTURING CORP. has sponsored the creation of one or more 401k plans.

Company Name:DORNER MANUFACTURING CORP.
Employer identification number (EIN):391052080
NAIC Classification:333200

Additional information about DORNER MANUFACTURING CORP.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1998-07-08
Company Identification Number: 0012194306
Legal Registered Office Address: 205 CROSSPOINT PKWY

GETZVILLE
United States of America (USA)
14068

More information about DORNER MANUFACTURING CORP.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072021-10-01
5072020-10-01
5072019-10-01
5072018-10-01
5072017-10-01
5072016-10-01JIM BARWICK
5072015-10-01JIM BARWICK
5072014-10-01JIM BARWICK
5072013-10-01JIM BARWICK
5072012-10-01JIM BARWICK
5072011-10-01KRISTIN VOGT
5072009-10-01MARGRET WISKOWSKI

Plan Statistics for DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN

401k plan membership statisitcs for DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN

Measure Date Value
2021: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01289
Total number of active participants reported on line 7a of the Form 55002021-10-010
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-010
2020: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01239
Total number of active participants reported on line 7a of the Form 55002020-10-01282
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01282
2019: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01243
Total number of active participants reported on line 7a of the Form 55002019-10-01239
Total of all active and inactive participants2019-10-01239
Total participants2019-10-01239
2018: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01255
Total number of active participants reported on line 7a of the Form 55002018-10-01243
Total of all active and inactive participants2018-10-01243
Total participants2018-10-01243
2017: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01236
Total number of active participants reported on line 7a of the Form 55002017-10-01255
Total of all active and inactive participants2017-10-01255
2016: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01215
Total number of active participants reported on line 7a of the Form 55002016-10-01236
Number of retired or separated participants receiving benefits2016-10-010
Total of all active and inactive participants2016-10-01236
2015: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01192
Total number of active participants reported on line 7a of the Form 55002015-10-01213
Total of all active and inactive participants2015-10-01213
2014: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01169
Total number of active participants reported on line 7a of the Form 55002014-10-01192
Total of all active and inactive participants2014-10-01192
2013: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01141
Total number of active participants reported on line 7a of the Form 55002013-10-01169
Total of all active and inactive participants2013-10-01169
2012: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01142
Total number of active participants reported on line 7a of the Form 55002012-10-01139
Total of all active and inactive participants2012-10-01139
2011: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01141
Total number of active participants reported on line 7a of the Form 55002011-10-01142
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01142
Total participants2011-10-01142
2009: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01143
Total number of active participants reported on line 7a of the Form 55002009-10-01142
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01142

Form 5500 Responses for DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN

2021: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingYes
2021-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: DORNER MFG CORP. LIFE & AD&D INSURANCE PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number158742
Policy instance 1
Insurance contract or identification number158742
Number of Individuals Covered280
Insurance policy start date2021-10-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $1,652
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,652
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number158742
Policy instance 1
Insurance contract or identification number158742
Number of Individuals Covered282
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $3,986
Total amount of fees paid to insurance companyUSD $2,557
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Commission paid to Insurance BrokerUSD $3,986
Amount paid for insurance broker fees2387
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number158742
Policy instance 1
Insurance contract or identification number158742
Number of Individuals Covered239
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $3,276
Total amount of fees paid to insurance companyUSD $2,617
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,276
Amount paid for insurance broker fees2453
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number158742
Policy instance 1
Insurance contract or identification number158742
Number of Individuals Covered255
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $3,527
Total amount of fees paid to insurance companyUSD $2,175
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $3,392
Amount paid for insurance broker fees1793
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number158742
Policy instance 1
Insurance contract or identification number158742
Number of Individuals Covered213
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $1,679
Total amount of fees paid to insurance companyUSD $2,039
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,679
Amount paid for insurance broker fees2039
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION
Insurance broker organization code?3
Insurance broker nameM3 INSURANCE SOLUTIONS, INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number158742
Policy instance 1
Insurance contract or identification number158742
Number of Individuals Covered189
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $6,094
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,008
Amount paid for insurance broker fees3086
Additional information about fees paid to insurance brokerCONTINGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameM3 INSURANCE SOLUTIONS, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0281G
Policy instance 1
Insurance contract or identification numberGLUG0281G
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $4,555
Total amount of fees paid to insurance companyUSD $1,465
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $30,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,555
Amount paid for insurance broker fees1465
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameM3 INSURANCE SOLUTIONS, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0281G
Policy instance 1
Insurance contract or identification numberGLUG0281G
Number of Individuals Covered139
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $3,966
Total amount of fees paid to insurance companyUSD $1,272
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $26,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,966
Amount paid for insurance broker fees1272
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameTHE HAYS BENEFITS GROUP OF WI
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000281G
Policy instance 1
Insurance contract or identification numberG000281G
Number of Individuals Covered142
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $4,006
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $26,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000281G
Policy instance 1
Insurance contract or identification numberG000281G
Number of Individuals Covered139
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $4,964
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $25,811
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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