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DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN 401k Plan overview

Plan NameDECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN
Plan identification number 501

DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

DECORATING AND COATING APPLICATIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:DECORATING AND COATING APPLICATIONS, LLC
Employer identification number (EIN):582386139
NAIC Classification:238300

Additional information about DECORATING AND COATING APPLICATIONS, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2010-04-08
Company Identification Number: L10000037876
Legal Registered Office Address: 1201 HAYS STREET

TALLAHASSEE

32301

More information about DECORATING AND COATING APPLICATIONS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-08-01
5012016-08-01KEVIN PORTER
5012015-08-01KEVIN PORTER

Plan Statistics for DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN

401k plan membership statisitcs for DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN

Measure Date Value
2017: DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01103
Total number of active participants reported on line 7a of the Form 55002017-08-0197
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-0197
Number of employers contributing to the scheme2017-08-010
2016: DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-0184
Total number of active participants reported on line 7a of the Form 55002016-08-01103
Total of all active and inactive participants2016-08-01103
2015: DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01105
Total number of active participants reported on line 7a of the Form 55002015-08-0184
Total of all active and inactive participants2015-08-0184

Form 5500 Responses for DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN

2017: DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: DECORATING AND COATING APPLICATIONS, LLC WELFARE PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01First time form 5500 has been submittedYes
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number613920
Policy instance 1
Insurance contract or identification number613920
Number of Individuals Covered124
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $5,961
Total amount of fees paid to insurance companyUSD $36,636
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $809,815
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM606704
Policy instance 2
Insurance contract or identification numberSGM606704
Number of Individuals Covered92
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $1,078
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM606704
Policy instance 1
Insurance contract or identification numberSGM606704
Number of Individuals Covered72
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $710
Total amount of fees paid to insurance companyUSD $198
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $710
Amount paid for insurance broker fees198
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameNORTHWESTERN BENEFIT CORP OF GA
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSDK604747
Policy instance 2
Insurance contract or identification numberSDK604747
Number of Individuals Covered72
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $177
Total amount of fees paid to insurance companyUSD $50
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $177
Amount paid for insurance broker fees50
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameNORTHWESTERN BENEFIT CORP OF GA
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00613920
Policy instance 3
Insurance contract or identification number00613920
Number of Individuals Covered84
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $4,204
Total amount of fees paid to insurance companyUSD $26,585
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $573,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,204
Amount paid for insurance broker fees26585
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
Insurance broker nameNORTHWESTERN BENEFIT CORP OF GA

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