Logo

DEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameDEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN
Plan identification number 501

DEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

DEARBORN MID-WEST COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:DEARBORN MID-WEST COMPANY, LLC
Employer identification number (EIN):472254578
NAIC Classification:238900

Additional information about DEARBORN MID-WEST COMPANY, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2015-01-30
Company Identification Number: 0802147210
Legal Registered Office Address: 20334 SUPERIOR RD

TAYLOR
United States of America (USA)
48180

More information about DEARBORN MID-WEST COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-03-01KELLY SCHAFER

Plan Statistics for DEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for DEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN

Measure Date Value
2015: DEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01147
Total number of active participants reported on line 7a of the Form 55002015-03-01136
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01136

Form 5500 Responses for DEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN

2015: DEARBORN MID-WEST COMPANY, LLC EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01First time form 5500 has been submittedYes
2015-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number3171
Policy instance 1
Insurance contract or identification number3171
Number of Individuals Covered160
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,078
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,078
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number1000170
Policy instance 2
Insurance contract or identification number1000170
Number of Individuals Covered30
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,781
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 number875851G
Policy instance 3
Insurance contract or identification number875851G
Number of Individuals Covered251
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,230
Total amount of fees paid to insurance companyUSD $3,816
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $55,950
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,230
Amount paid for insurance broker fees3816
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number665104
Policy instance 4
Insurance contract or identification number665104
Number of Individuals Covered17
Insurance policy start date2015-03-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $3,515
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,515
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 )
Policy contract number10002562
Policy instance 5
Insurance contract or identification number10002562
Number of Individuals Covered83
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $21,946
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $447,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,946
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S1