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OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 401k Plan overview

Plan NameOWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN
Plan identification number 501

OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

OWEN INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:OWEN INDUSTRIES, INC.
Employer identification number (EIN):470618875
NAIC Classification:331110
NAIC Description:Iron and Steel Mills and Ferroalloy Manufacturing

Additional information about OWEN INDUSTRIES, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1992-12-09
Company Identification Number: 162465
Legal Registered Office Address: 501 AVENUE H

CARTER LAKE
United States of America (USA)
51510

More information about OWEN INDUSTRIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-07-01
5012018-07-01
5012017-07-01
5012016-07-01DARREN BENNETT DARREN BENNETT2018-03-28
5012015-07-01EDWARD KORBEL EDWARD KORBEL2017-04-07
5012014-07-01BRAD JOHNSON BRAD JOHNSON2016-04-12
5012013-07-01BRAD JOHNSON BRAD JOHNSON2015-01-26
5012012-07-01BRAD JOHNSON BRAD JOHNSON2014-02-10
5012011-07-01BRAD JOHNSON BRAD JOHNSON2013-02-14
5012009-07-01BRAD JOHNSON BRAD JOHNSON2010-12-07
5012009-07-01BRAD JOHNSON BRAD JOHNSON2010-12-07
5012009-07-01BRAD JOHNSON BRAD JOHNSON2010-12-07

Plan Statistics for OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN

401k plan membership statisitcs for OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN

Measure Date Value
2019: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01329
Total number of active participants reported on line 7a of the Form 55002019-07-01356
Total of all active and inactive participants2019-07-01356
2018: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01307
Total number of active participants reported on line 7a of the Form 55002018-07-01329
Total of all active and inactive participants2018-07-01329
2017: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01305
Total number of active participants reported on line 7a of the Form 55002017-07-01307
Total of all active and inactive participants2017-07-01307
2016: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01307
Total number of active participants reported on line 7a of the Form 55002016-07-01305
Total of all active and inactive participants2016-07-01305
2015: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01301
Total number of active participants reported on line 7a of the Form 55002015-07-01307
Total of all active and inactive participants2015-07-01307
2014: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01297
Total number of active participants reported on line 7a of the Form 55002014-07-01301
Total of all active and inactive participants2014-07-01301
2013: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01294
Total number of active participants reported on line 7a of the Form 55002013-07-01295
Number of retired or separated participants receiving benefits2013-07-012
Total of all active and inactive participants2013-07-01297
2012: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01284
Total number of active participants reported on line 7a of the Form 55002012-07-01292
Number of retired or separated participants receiving benefits2012-07-012
Total of all active and inactive participants2012-07-01294
2011: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01265
Total number of active participants reported on line 7a of the Form 55002011-07-01282
Number of retired or separated participants receiving benefits2011-07-012
Total of all active and inactive participants2011-07-01284
2009: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01277
Total number of active participants reported on line 7a of the Form 55002009-07-01267
Number of retired or separated participants receiving benefits2009-07-012
Total of all active and inactive participants2009-07-01269

Financial Data on OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN

Measure Date Value
2020 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$459,224
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$399,059
Total income from all sources (including contributions)2020-06-30$4,700,514
Total of all expenses incurred2020-06-30$4,678,159
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$4,410,199
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$3,932,825
Value of total assets at end of year2020-06-30$527,587
Value of total assets at beginning of year2020-06-30$445,067
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$267,960
Total interest from all sources2020-06-30$140
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$1,368,715
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$22,500
Other income not declared elsewhere2020-06-30$767,549
Administrative expenses (other) incurred2020-06-30$1,217
Total non interest bearing cash at end of year2020-06-30$415,722
Total non interest bearing cash at beginning of year2020-06-30$355,842
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$22,355
Value of net assets at end of year (total assets less liabilities)2020-06-30$68,363
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$46,008
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$89,365
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$89,225
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$89,225
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$140
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$727,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$2,564,110
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$3,682,554
Contract administrator fees2020-06-30$266,743
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Liabilities. Value of benefit claims payable at end of year2020-06-30$459,224
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$399,059
Did the plan have assets held for investment2020-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2020-06-30470813847
2019 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$399,059
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$306,390
Total income from all sources (including contributions)2019-06-30$4,205,467
Total of all expenses incurred2019-06-30$4,689,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$4,368,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$3,669,264
Value of total assets at end of year2019-06-30$445,067
Value of total assets at beginning of year2019-06-30$836,772
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$321,616
Total interest from all sources2019-06-30$233
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$1,361,654
Other income not declared elsewhere2019-06-30$535,970
Administrative expenses (other) incurred2019-06-30$2,050
Total non interest bearing cash at end of year2019-06-30$355,842
Total non interest bearing cash at beginning of year2019-06-30$232,841
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-484,374
Value of net assets at end of year (total assets less liabilities)2019-06-30$46,008
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$530,382
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$89,225
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$228,993
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$228,993
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$233
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$812,153
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$2,307,610
Employer contributions (assets) at beginning of year2019-06-30$374,938
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$3,556,072
Contract administrator fees2019-06-30$319,566
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Liabilities. Value of benefit claims payable at end of year2019-06-30$399,059
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$306,390
Did the plan have assets held for investment2019-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2019-06-30470813847
2018 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$306,390
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$210,772
Total income from all sources (including contributions)2018-06-30$3,298,753
Total of all expenses incurred2018-06-30$3,555,913
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$3,277,554
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$3,088,644
Value of total assets at end of year2018-06-30$836,772
Value of total assets at beginning of year2018-06-30$998,314
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$278,359
Total interest from all sources2018-06-30$229
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$1,153,965
Participant contributions at beginning of year2018-06-30$92,590
Other income not declared elsewhere2018-06-30$209,880
Administrative expenses (other) incurred2018-06-30$1,652
Total non interest bearing cash at end of year2018-06-30$232,841
Total non interest bearing cash at beginning of year2018-06-30$526,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-257,160
Value of net assets at end of year (total assets less liabilities)2018-06-30$530,382
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$787,542
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$228,993
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$228,764
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$228,764
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$229
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$596,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$1,934,679
Employer contributions (assets) at end of year2018-06-30$374,938
Employer contributions (assets) at beginning of year2018-06-30$150,459
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$2,681,225
Contract administrator fees2018-06-30$276,707
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Liabilities. Value of benefit claims payable at end of year2018-06-30$306,390
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$210,772
Did the plan have assets held for investment2018-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2018-06-30470813847
2017 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$210,772
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$341,741
Total income from all sources (including contributions)2017-06-30$3,399,081
Total of all expenses incurred2017-06-30$3,371,915
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$3,076,907
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$2,935,978
Value of total assets at end of year2017-06-30$998,314
Value of total assets at beginning of year2017-06-30$1,102,117
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$295,008
Total interest from all sources2017-06-30$264
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$6,500
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$1,272,225
Participant contributions at end of year2017-06-30$92,590
Participant contributions at beginning of year2017-06-30$31,283
Other income not declared elsewhere2017-06-30$462,839
Administrative expenses (other) incurred2017-06-30$2,563
Total non interest bearing cash at end of year2017-06-30$526,501
Total non interest bearing cash at beginning of year2017-06-30$621,960
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$27,166
Value of net assets at end of year (total assets less liabilities)2017-06-30$787,542
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$760,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$228,764
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$308,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$308,500
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$264
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$488,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$1,663,753
Employer contributions (assets) at end of year2017-06-30$150,459
Employer contributions (assets) at beginning of year2017-06-30$140,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$2,588,453
Contract administrator fees2017-06-30$285,945
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Liabilities. Value of benefit claims payable at end of year2017-06-30$210,772
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$341,741
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2017-06-30470813847
2016 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$341,741
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$287,384
Total income from all sources (including contributions)2016-06-30$3,152,888
Total of all expenses incurred2016-06-30$3,284,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$2,959,597
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$2,779,429
Value of total assets at end of year2016-06-30$1,102,117
Value of total assets at beginning of year2016-06-30$1,179,374
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$324,905
Total interest from all sources2016-06-30$309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$6,500
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$1,116,693
Participant contributions at end of year2016-06-30$31,283
Participant contributions at beginning of year2016-06-30$105,175
Other income not declared elsewhere2016-06-30$373,150
Administrative expenses (other) incurred2016-06-30$2,261
Total non interest bearing cash at end of year2016-06-30$621,960
Total non interest bearing cash at beginning of year2016-06-30$617,775
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-131,614
Value of net assets at end of year (total assets less liabilities)2016-06-30$760,376
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$891,990
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$308,500
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$308,191
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$308,191
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$309
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$485,310
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$1,662,736
Employer contributions (assets) at end of year2016-06-30$140,374
Employer contributions (assets) at beginning of year2016-06-30$148,233
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$2,474,287
Contract administrator fees2016-06-30$316,144
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Liabilities. Value of benefit claims payable at end of year2016-06-30$341,741
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$287,384
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30BLACKMAN & ASSOCIATES, PC
Accountancy firm EIN2016-06-30470813847
2015 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$287,384
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$324,320
Total income from all sources (including contributions)2015-06-30$2,914,508
Total of all expenses incurred2015-06-30$2,738,354
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$2,479,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$2,730,532
Value of total assets at end of year2015-06-30$1,179,374
Value of total assets at beginning of year2015-06-30$1,040,156
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$259,048
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$5,800
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$1,087,024
Participant contributions at end of year2015-06-30$105,175
Participant contributions at beginning of year2015-06-30$86,235
Other income not declared elsewhere2015-06-30$183,976
Administrative expenses (other) incurred2015-06-30$3,677
Total non interest bearing cash at end of year2015-06-30$617,775
Total non interest bearing cash at beginning of year2015-06-30$499,063
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$176,154
Value of net assets at end of year (total assets less liabilities)2015-06-30$891,990
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$715,836
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$308,191
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$307,883
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$307,883
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$444,053
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$1,643,508
Employer contributions (assets) at end of year2015-06-30$148,233
Employer contributions (assets) at beginning of year2015-06-30$146,975
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$2,035,253
Contract administrator fees2015-06-30$249,571
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Liabilities. Value of benefit claims payable at end of year2015-06-30$287,384
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$324,320
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2015-06-30470813847
2014 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$324,320
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$269,903
Total income from all sources (including contributions)2014-06-30$2,940,872
Total of all expenses incurred2014-06-30$2,834,832
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$2,572,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$2,767,872
Value of total assets at end of year2014-06-30$1,040,156
Value of total assets at beginning of year2014-06-30$879,699
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$262,239
Total interest from all sources2014-06-30$308
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$5,800
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$1,111,396
Participant contributions at end of year2014-06-30$86,235
Participant contributions at beginning of year2014-06-30$51,387
Other income not declared elsewhere2014-06-30$172,692
Administrative expenses (other) incurred2014-06-30$2,758
Total non interest bearing cash at end of year2014-06-30$499,063
Total non interest bearing cash at beginning of year2014-06-30$389,012
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$106,040
Value of net assets at end of year (total assets less liabilities)2014-06-30$715,836
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$609,796
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$307,883
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$307,575
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$307,575
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$308
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$368,688
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$1,656,476
Employer contributions (assets) at end of year2014-06-30$146,975
Employer contributions (assets) at beginning of year2014-06-30$131,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$2,203,905
Contract administrator fees2014-06-30$253,681
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Liabilities. Value of benefit claims payable at end of year2014-06-30$324,320
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$269,903
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2014-06-30470813847
2013 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$269,903
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$257,257
Total income from all sources (including contributions)2013-06-30$2,603,591
Total of all expenses incurred2013-06-30$2,370,942
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$2,150,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$2,568,996
Value of total assets at end of year2013-06-30$879,699
Value of total assets at beginning of year2013-06-30$634,404
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$220,893
Total interest from all sources2013-06-30$400
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$5,750
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$1,060,813
Participant contributions at end of year2013-06-30$51,387
Participant contributions at beginning of year2013-06-30$54,689
Other income not declared elsewhere2013-06-30$34,195
Administrative expenses (other) incurred2013-06-30$1,925
Total non interest bearing cash at end of year2013-06-30$389,012
Total non interest bearing cash at beginning of year2013-06-30$154,769
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$232,649
Value of net assets at end of year (total assets less liabilities)2013-06-30$609,796
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$377,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$307,575
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$307,175
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$307,175
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$400
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$310,984
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$1,508,183
Employer contributions (assets) at end of year2013-06-30$131,725
Employer contributions (assets) at beginning of year2013-06-30$117,771
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$1,839,065
Contract administrator fees2013-06-30$213,218
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Liabilities. Value of benefit claims payable at end of year2013-06-30$269,903
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$257,257
Did the plan have assets held for investment2013-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2013-06-30470813847
2012 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$257,257
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$234,074
Total income from all sources (including contributions)2012-06-30$2,256,069
Total of all expenses incurred2012-06-30$2,660,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$2,453,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$1,957,229
Value of total assets at end of year2012-06-30$634,404
Value of total assets at beginning of year2012-06-30$1,015,682
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$207,342
Total interest from all sources2012-06-30$1,254
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$5,750
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$653,726
Participant contributions at end of year2012-06-30$54,689
Participant contributions at beginning of year2012-06-30$42,799
Other income not declared elsewhere2012-06-30$297,586
Administrative expenses (other) incurred2012-06-30$1,720
Total non interest bearing cash at end of year2012-06-30$154,769
Total non interest bearing cash at beginning of year2012-06-30$304,252
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-404,461
Value of net assets at end of year (total assets less liabilities)2012-06-30$377,147
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$781,608
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$307,175
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$555,921
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$555,921
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$1,254
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$284,892
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$1,303,503
Employer contributions (assets) at end of year2012-06-30$117,771
Employer contributions (assets) at beginning of year2012-06-30$112,710
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$2,168,296
Contract administrator fees2012-06-30$199,872
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Liabilities. Value of benefit claims payable at end of year2012-06-30$257,257
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$234,074
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2012-06-30470813847
2011 : OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$234,074
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$251,407
Total income from all sources (including contributions)2011-06-30$2,035,094
Total of all expenses incurred2011-06-30$1,760,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$1,570,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,964,106
Value of total assets at end of year2011-06-30$1,015,682
Value of total assets at beginning of year2011-06-30$757,971
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$189,373
Total interest from all sources2011-06-30$2,435
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$5,250
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$761,687
Participant contributions at end of year2011-06-30$42,799
Participant contributions at beginning of year2011-06-30$36,987
Other income not declared elsewhere2011-06-30$68,553
Administrative expenses (other) incurred2011-06-30$1,559
Total non interest bearing cash at end of year2011-06-30$304,252
Total non interest bearing cash at beginning of year2011-06-30$223,439
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$275,044
Value of net assets at end of year (total assets less liabilities)2011-06-30$781,608
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$506,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$555,921
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$403,486
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$403,486
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$2,435
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$254,813
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$1,202,419
Employer contributions (assets) at end of year2011-06-30$112,710
Employer contributions (assets) at beginning of year2011-06-30$94,059
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$1,315,864
Contract administrator fees2011-06-30$182,564
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Liabilities. Value of benefit claims payable at end of year2011-06-30$234,074
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$251,407
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2011-06-30470813847

Form 5500 Responses for OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN

2019: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: OWEN INDUSTRIES, INC. EMPLOYEE HEALTH CARE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35445
Policy instance 6
Insurance contract or identification numberHCL35445
Number of Individuals Covered289
Insurance policy start date2020-01-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $12,015
Welfare Benefit Premiums Paid to CarrierUSD $240,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12015
Insurance broker organization code?3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01568-19
Policy instance 5
Insurance contract or identification numberLGS01568-19
Number of Individuals Covered317
Insurance policy start date2019-07-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,106
Welfare Benefit Premiums Paid to CarrierUSD $262,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13106
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30070622
Policy instance 4
Insurance contract or identification number30070622
Number of Individuals Covered189
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $1,293
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,293
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWTN
Policy instance 3
Insurance contract or identification numberG000AWTN
Number of Individuals Covered294
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $5,220
Total amount of fees paid to insurance companyUSD $4,745
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,220
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Amount paid for insurance broker fees4745
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWTN
Policy instance 2
Insurance contract or identification numberG000AWTN
Number of Individuals Covered414
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $3,891
Total amount of fees paid to insurance companyUSD $2,926
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $64,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,891
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Amount paid for insurance broker fees2926
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWTN
Policy instance 1
Insurance contract or identification numberG000AWTN
Number of Individuals Covered356
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $4,994
Total amount of fees paid to insurance companyUSD $2,092
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,994
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Amount paid for insurance broker fees2092
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWTN
Policy instance 1
Insurance contract or identification numberG000AWTN
Number of Individuals Covered329
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $4,338
Total amount of fees paid to insurance companyUSD $1,904
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,375
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,338
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Amount paid for insurance broker fees1904
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWTN
Policy instance 2
Insurance contract or identification numberG000AWTN
Number of Individuals Covered411
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,843
Total amount of fees paid to insurance companyUSD $2,680
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $64,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,843
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Amount paid for insurance broker fees2680
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWTN
Policy instance 3
Insurance contract or identification numberG000AWTN
Number of Individuals Covered313
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $5,384
Total amount of fees paid to insurance companyUSD $4,433
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,384
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Amount paid for insurance broker fees4433
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30070622
Policy instance 4
Insurance contract or identification number30070622
Number of Individuals Covered200
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $1,282
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,282
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01568-18
Policy instance 5
Insurance contract or identification numberLGS01568-18
Number of Individuals Covered310
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $26,491
Welfare Benefit Premiums Paid to CarrierUSD $529,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees26491
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30070622
Policy instance 5
Insurance contract or identification number30070622
Number of Individuals Covered109
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $810
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,699
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )
Policy contract number4043460010 SSLS
Policy instance 4
Insurance contract or identification number4043460010 SSLS
Number of Individuals Covered258
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $174,267
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 numberG000AWTN
Policy instance 3
Insurance contract or identification numberG000AWTN
Number of Individuals Covered291
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $5,236
Total amount of fees paid to insurance companyUSD $3,908
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $93,131
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 numberG000AWTN
Policy instance 2
Insurance contract or identification numberG000AWTN
Number of Individuals Covered376
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $3,388
Total amount of fees paid to insurance companyUSD $2,439
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,470
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 numberG000AWTN
Policy instance 1
Insurance contract or identification numberG000AWTN
Number of Individuals Covered307
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,086
Total amount of fees paid to insurance companyUSD $1,753
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,858
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 numberG000AWTN
Policy instance 1
Insurance contract or identification numberG000AWTN
Number of Individuals Covered307
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $3,907
Total amount of fees paid to insurance companyUSD $767
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,907
Amount paid for insurance broker fees767
Insurance broker organization code?3
Insurance broker nameSILVERSTONE GROUP, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AWTN
Policy instance 2
Insurance contract or identification numberG000AWTN
Number of Individuals Covered368
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $3,252
Total amount of fees paid to insurance companyUSD $994
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $54,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,252
Amount paid for insurance broker fees994
Insurance broker organization code?3
Insurance broker nameSILVERSTONE GROUP, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 1
Insurance contract or identification number869466G
Number of Individuals Covered289
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $7,050
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,050
Insurance broker organization code?3
Insurance broker nameSILVERSTONE GROUP, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 2
Insurance contract or identification number869466G
Number of Individuals Covered301
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $58,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 1
Insurance contract or identification number869466G
Number of Individuals Covered295
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $6,014
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,014
Insurance broker organization code?3
Insurance broker nameSILVERSTONE GROUP, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 2
Insurance contract or identification number869466G
Number of Individuals Covered296
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $58,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 2
Insurance contract or identification number869466G
Number of Individuals Covered271
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $50,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number703148
Policy instance 3
Insurance contract or identification number703148
Number of Individuals Covered222
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $123,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 1
Insurance contract or identification number869466G
Number of Individuals Covered292
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $5,921
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,921
Insurance broker organization code?3
Insurance broker nameSILVERSTONE GROUP, INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 1
Insurance contract or identification number869466G
Number of Individuals Covered270
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $6,293
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 2
Insurance contract or identification number869466G
Number of Individuals Covered282
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $51,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number703148
Policy instance 3
Insurance contract or identification number703148
Number of Individuals Covered222
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $233,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 1
Insurance contract or identification number869466G
Number of Individuals Covered258
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $8,677
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869466G
Policy instance 2
Insurance contract or identification number869466G
Number of Individuals Covered265
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $47,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number703148
Policy instance 3
Insurance contract or identification number703148
Number of Individuals Covered222
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $207,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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