401k Plan data: WAYNE INDUSTRIES, INC. HEALTH & WELFARE plan

WAYNE INDUSTRIES, INC. HEALTH & WELFARE 401k Plan overview

Plan Name	WAYNE INDUSTRIES, INC. HEALTH & WELFARE
Plan identification number	501

WAYNE INDUSTRIES, INC. HEALTH & WELFARE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

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

Company Name: WAYNE INDUSTRIES, INC.

Employer identification number (EIN): 561271068

NAIC Classification: 337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WAYNE INDUSTRIES, INC. HEALTH & WELFARE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 WILLIAM D. CONNOR 2024-07-29
501 2022-01-01
501 2022-01-01 WILLIAM D. CONNOR
501 2021-01-01
501 2021-01-01 WILLIAM D. CONNOR
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 WILLIAM D. CONNOR
501 2016-01-01 WILLIAM D. CONNOR
501 2015-01-01 WILLIAM D. CONNOR
501 2014-01-01 WILLIAM D. CONNOR
501 2013-01-01 WILLIAM D. CONNOR
501 2012-01-01 WILLIAM D. CONNOR
501 2011-01-01 WILLIAM D. CONNOR
501 2009-01-01 WILLIAM D. CONNOR WILLIAM D. CONNOR 2010-07-22

Form 5500 Responses for WAYNE INDUSTRIES, INC. HEALTH & WELFARE

2023: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )

Policy contract number

007575

Policy instance

Insurance contract or identification number	007575
Number of Individuals Covered	106
Total amount of commissions paid to insurance broker	USD $5,954
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0008528647

Policy instance

Insurance contract or identification number	0008528647
Number of Individuals Covered	25
Insurance policy start date	2023-02-01
Insurance policy end date	2024-02-01
Total amount of commissions paid to insurance broker	USD $85
Life Insurance Welfare Benefit	Yes

PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 )

Policy contract number

N052

Policy instance

Insurance contract or identification number	N052
Number of Individuals Covered	78
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $25,002
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

Insurance contract or identification number	00426935
Number of Individuals Covered	88
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,233
Dental Insurance Welfare Benefit	Yes

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0177345

Policy instance

Insurance contract or identification number	R0177345
Number of Individuals Covered	47
Insurance policy start date	2023-02-01
Insurance policy end date	2024-02-01
Total amount of commissions paid to insurance broker	USD $317
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

Insurance contract or identification number	00426935
Number of Individuals Covered	91
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,213
Dental Insurance Welfare Benefit	Yes

PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 )

Policy contract number

N052

Policy instance

Insurance contract or identification number	N052
Number of Individuals Covered	81
Insurance policy start date	2022-07-01
Insurance policy end date	2023-06-30
Total amount of commissions paid to insurance broker	USD $25,893
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0008528647

Policy instance

Insurance contract or identification number	0008528647
Number of Individuals Covered	30
Insurance policy start date	2022-02-01
Insurance policy end date	2023-02-01
Total amount of commissions paid to insurance broker	USD $44
Life Insurance Welfare Benefit	Yes

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )

Policy contract number

007575

Policy instance

Insurance contract or identification number	007575
Number of Individuals Covered	105
Total amount of commissions paid to insurance broker	USD $6,002
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	SUPPLEMENTAL INSURANCE

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0177345

Policy instance

Insurance contract or identification number	R0177345
Number of Individuals Covered	52
Insurance policy start date	2022-02-01
Insurance policy end date	2023-02-01
Total amount of commissions paid to insurance broker	USD $360
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )

Policy contract number

007575

Policy instance

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0008528647

Policy instance

PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 )

Policy contract number

N052

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0177345

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

097475

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0177345

Policy instance

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0008528647

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 )

Policy contract number

N052

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000B5QT

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000B5QT

Policy instance

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )

Policy contract number

007575

Policy instance

PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 )

Policy contract number

N052

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000B5QT

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

097475

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

097475

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0177345

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000B5QT

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0177345

Policy instance

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0008528647

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000B5QT

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000B5QT

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

097475

Policy instance

PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 )

Policy contract number

N052

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

635937

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0177345

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

097475

Policy instance

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0008528647

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 )

Policy contract number

N052

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000B5QT

Policy instance

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000B5QT

Policy instance

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00611565

Policy instance

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F014107

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0177345

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

635937

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010161833

Policy instance

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0008528647

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010161833

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00611565

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

635937

Policy instance

BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )

Policy contract number

062626

Policy instance

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010161833

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )

Policy contract number

062626

Policy instance

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

097475

Policy instance

BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )

Policy contract number

062626

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0008528647

Policy instance

BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )

Policy contract number

062626

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00426935

Policy instance

Potentially related plans

WAYNE INDUSTRIES, INC. 401(K) PROFIT SHARING PLAN [EIN = 382854158]

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Company Name:	WAYNE INDUSTRIES, INC.
Employer identification number (EIN):	561271068
NAIC Classification:	337000

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	WILLIAM D. CONNOR	2024-07-29
501	2022-01-01
501	2022-01-01	WILLIAM D. CONNOR
501	2021-01-01
501	2021-01-01	WILLIAM D. CONNOR
501	2020-01-01
501	2019-01-01
501	2018-01-01
501	2017-01-01	WILLIAM D. CONNOR
501	2016-01-01	WILLIAM D. CONNOR
501	2015-01-01	WILLIAM D. CONNOR
501	2014-01-01	WILLIAM D. CONNOR
501	2013-01-01	WILLIAM D. CONNOR
501	2012-01-01	WILLIAM D. CONNOR
501	2011-01-01	WILLIAM D. CONNOR
501	2009-01-01	WILLIAM D. CONNOR		WILLIAM D. CONNOR	2010-07-22