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THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 401k Plan overview

Plan NameTHEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN
Plan identification number 504

THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN Benefits

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

401k Sponsoring company profile

THEISEN SUPPLY, INC has sponsored the creation of one or more 401k plans.

Company Name:THEISEN SUPPLY, INC
Employer identification number (EIN):421286174
NAIC Classification:452300

Additional information about THEISEN SUPPLY, INC

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1987-01-01
Company Identification Number: 112730
Legal Registered Office Address: 1000 MAIN STREET

DUBUQUE
United States of America (USA)
52001

More information about THEISEN SUPPLY, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01DAN POSTER2023-06-21
5042021-01-01DAN POSTER2022-06-23
5042020-01-01RICK MCLOUTH2021-08-02
5042019-01-01LEO A THEISEN 2020-07-10
5042018-01-01LEO A THEISEN2019-10-14
5042017-01-01
5042016-01-01
5042015-01-01
5042014-01-01
5042013-01-01
5042012-01-01LEO A THEISEN
5042011-01-01LEO A THEISEN
5042010-01-01LEO A THEISEN
5042009-01-01LEO A. THEISEN

Plan Statistics for THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN

401k plan membership statisitcs for THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN

Measure Date Value
2022: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01396
Total number of active participants reported on line 7a of the Form 55002022-01-01347
Number of retired or separated participants receiving benefits2022-01-010
Total of all active and inactive participants2022-01-01347
2021: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01311
Total number of active participants reported on line 7a of the Form 55002021-01-01290
Number of retired or separated participants receiving benefits2021-01-010
Total of all active and inactive participants2021-01-01290
2020: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01313
Total number of active participants reported on line 7a of the Form 55002020-01-01236
Number of retired or separated participants receiving benefits2020-01-010
Total of all active and inactive participants2020-01-01236
2019: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01291
Total number of active participants reported on line 7a of the Form 55002019-01-01284
Number of retired or separated participants receiving benefits2019-01-010
Total of all active and inactive participants2019-01-01284
2018: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01290
Total number of active participants reported on line 7a of the Form 55002018-01-01271
Number of retired or separated participants receiving benefits2018-01-010
Total of all active and inactive participants2018-01-01271
2017: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01189
Total number of active participants reported on line 7a of the Form 55002017-01-01207
Number of retired or separated participants receiving benefits2017-01-010
Total of all active and inactive participants2017-01-01207
2016: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01156
Total number of active participants reported on line 7a of the Form 55002016-01-01188
Number of retired or separated participants receiving benefits2016-01-010
Total of all active and inactive participants2016-01-01188
2015: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01138
Total number of active participants reported on line 7a of the Form 55002015-01-01156
Number of retired or separated participants receiving benefits2015-01-010
Total of all active and inactive participants2015-01-01156
2014: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01140
Total number of active participants reported on line 7a of the Form 55002014-01-01138
Total of all active and inactive participants2014-01-01138
2013: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01132
Total number of active participants reported on line 7a of the Form 55002013-01-01140
Total of all active and inactive participants2013-01-01140
2012: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01132
Total number of active participants reported on line 7a of the Form 55002012-01-01132
Total of all active and inactive participants2012-01-01132
2011: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01128
Total number of active participants reported on line 7a of the Form 55002011-01-01132
Total of all active and inactive participants2011-01-01132
2010: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01120
Total number of active participants reported on line 7a of the Form 55002010-01-01128
Total of all active and inactive participants2010-01-01128
2009: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01105
Total number of active participants reported on line 7a of the Form 55002009-01-01120
Total of all active and inactive participants2009-01-01120

Form 5500 Responses for THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN

2022: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: THEISEN SUPPLY, INC EMPLOYEE GROUP TERM LIFE INSURANCE & AD&D PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05948420
Policy instance 1
Insurance contract or identification numberKM05948420
Number of Individuals Covered429
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,865
Total amount of fees paid to insurance companyUSD $1,086
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $76,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,865
Amount paid for insurance broker fees1086
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05948420
Policy instance 1
Insurance contract or identification numberKM05948420
Number of Individuals Covered394
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,348
Total amount of fees paid to insurance companyUSD $105
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $83,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,348
Amount paid for insurance broker fees105
Additional information about fees paid to insurance brokerSALES & PERSISTENCY BONUS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05948420
Policy instance 1
Insurance contract or identification numberKM05948420
Number of Individuals Covered393
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,724
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $57,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,724
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5948420
Policy instance 1
Insurance contract or identification number5948420
Number of Individuals Covered372
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,639
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $62,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,639
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05948420
Policy instance 2
Insurance contract or identification numberKM05948420
Number of Individuals Covered327
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,920
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $54,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,920
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number850933G
Policy instance 1
Insurance contract or identification number850933G
Number of Individuals Covered189
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $1,138
Total amount of fees paid to insurance companyUSD $191
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,138
Amount paid for insurance broker fees191
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number850933G
Policy instance 1
Insurance contract or identification number850933G
Number of Individuals Covered188
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $1,419
Total amount of fees paid to insurance companyUSD $219
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $13,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,419
Amount paid for insurance broker fees219
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
Insurance broker nameCOTTINGHAM & BUTLER INS SERVICES

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