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INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameINERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN
Plan identification number 504

INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

PLASTIC OMNIUM has sponsored the creation of one or more 401k plans.

Company Name:PLASTIC OMNIUM
Employer identification number (EIN):522249857
NAIC Classification:336300

Additional information about PLASTIC OMNIUM

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3246104

More information about PLASTIC OMNIUM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042023-01-01MEGAN BRIGGSON2024-07-16
5042022-01-01MEGAN BRIGGSON2023-08-09
5042021-01-01MEGAN BRIGGSON2022-07-11
5042020-01-01MEGAN BRIGGSON2021-07-08
5042019-01-01MEGAN BRIGGSON2020-07-06

Plan Statistics for INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN

401k plan membership statisitcs for INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN

Measure Date Value
2023: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-012,107
Total number of active participants reported on line 7a of the Form 55002023-01-012,035
Number of retired or separated participants receiving benefits2023-01-015
Number of other retired or separated participants entitled to future benefits2023-01-012
Total of all active and inactive participants2023-01-012,042
Number of employers contributing to the scheme2023-01-010
2022: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,112
Total number of active participants reported on line 7a of the Form 55002022-01-011,919
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0129
Total of all active and inactive participants2022-01-011,948
Number of employers contributing to the scheme2022-01-010
2021: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,102
Total number of active participants reported on line 7a of the Form 55002021-01-011,961
Number of retired or separated participants receiving benefits2021-01-015
Number of other retired or separated participants entitled to future benefits2021-01-018
Total of all active and inactive participants2021-01-011,974
Number of employers contributing to the scheme2021-01-010
2020: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,096
Total number of active participants reported on line 7a of the Form 55002020-01-012,016
Number of retired or separated participants receiving benefits2020-01-0186
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,102
Number of employers contributing to the scheme2020-01-010
2019: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,023
Total number of active participants reported on line 7a of the Form 55002019-01-012,096
Number of retired or separated participants receiving benefits2019-01-0112
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,108
Number of employers contributing to the scheme2019-01-010

Form 5500 Responses for INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN

2023: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: INERGY AUTOMOTIVE SYSTEMS USA, LLC DBA PLASTIC OMNIUM-AUTO INERGY DIVISION HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU0553663
Policy instance 3
Insurance contract or identification numberGTU0553663
Number of Individuals Covered1027
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number29009
Policy instance 2
Insurance contract or identification number29009
Number of Individuals Covered2035
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $59,881
Total amount of fees paid to insurance companyUSD $9,108
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $728,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number571320
Policy instance 1
Insurance contract or identification number571320
Number of Individuals Covered197
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $3,990
Total amount of fees paid to insurance companyUSD $922
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $36,630
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU0553663
Policy instance 3
Insurance contract or identification numberGTU0553663
Number of Individuals Covered1027
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number29009
Policy instance 2
Insurance contract or identification number29009
Number of Individuals Covered1919
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $59,758
Total amount of fees paid to insurance companyUSD $9,245
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $793,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,758
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number571320
Policy instance 1
Insurance contract or identification number571320
Number of Individuals Covered173
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,472
Total amount of fees paid to insurance companyUSD $1,187
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $39,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,472
Amount paid for insurance broker fees107
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION, SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU0553663
Policy instance 3
Insurance contract or identification numberGTU0553663
Number of Individuals Covered1027
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,093
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $13,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,093
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number29009
Policy instance 2
Insurance contract or identification number29009
Number of Individuals Covered1961
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $60,476
Total amount of fees paid to insurance companyUSD $9,437
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $804,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,476
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number571320
Policy instance 1
Insurance contract or identification number571320
Number of Individuals Covered158
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,359
Total amount of fees paid to insurance companyUSD $477
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $38,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,359
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA-34930
Policy instance 3
Insurance contract or identification numberBTA-34930
Number of Individuals Covered1054
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,127
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $7,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,127
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number29009
Policy instance 2
Insurance contract or identification number29009
Number of Individuals Covered2016
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $66,401
Total amount of fees paid to insurance companyUSD $10,219
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $747,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,401
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number571320
Policy instance 1
Insurance contract or identification number571320
Number of Individuals Covered166
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,526
Total amount of fees paid to insurance companyUSD $549
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $22,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,526
Amount paid for insurance broker fees41
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberBTA-34930
Policy instance 3
Insurance contract or identification numberBTA-34930
Number of Individuals Covered2096
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,127
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $7,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $1,127
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number29009
Policy instance 2
Insurance contract or identification number29009
Number of Individuals Covered2096
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $65,594
Total amount of fees paid to insurance companyUSD $10,035
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $873,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65,594
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number571320
Policy instance 1
Insurance contract or identification number571320
Number of Individuals Covered70
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,392
Total amount of fees paid to insurance companyUSD $189
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $13,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,392
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION

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