401k Plan data: KLINGER COMPANIES, INC. & AFFILIATED COMPANIES EMPLOYEE BENEFIT PLAN plan

KLINGER COMPANIES, INC. & AFFILIATED COMPANIES EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	KLINGER COMPANIES, INC. & AFFILIATED COMPANIES EMPLOYEE BENEFIT PLAN
Plan identification number	501

KLINGER COMPANIES, INC. & AFFILIATED COMPANIES EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

KLINGER COMPANIES, L.L.C. has sponsored the creation of one or more 401k plans.

Company Name: KLINGER COMPANIES, L.L.C.

Employer identification number (EIN): 882871538

NAIC Classification: 236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KLINGER COMPANIES, INC. & AFFILIATED COMPANIES EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 JODI MILLER 2024-08-30 JODI MILLER 2024-08-30
501 2022-01-01 JODI MILLER 2023-07-17 JODI MILLER 2023-07-17
501 2022-01-01 JODI MILLER 2024-02-06 JODI MILLER 2024-02-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	JODI MILLER	2024-08-30	JODI MILLER	2024-08-30
501	2022-01-01	JODI MILLER	2023-07-17	JODI MILLER	2023-07-17
501	2022-01-01	JODI MILLER	2024-02-06	JODI MILLER	2024-02-06

Form 5500 Responses for KLINGER COMPANIES, INC. & AFFILIATED COMPANIES EMPLOYEE BENEFIT PLAN

2023: KLINGER COMPANIES, INC. & AFFILIATED COMPANIES EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan is a collectively bargained plan	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: KLINGER COMPANIES, INC. & AFFILIATED COMPANIES EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

Policy instance

Number of Individuals Covered	388
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,238
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $19,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

00576532

Policy instance

Insurance contract or identification number	00576532
Number of Individuals Covered	269
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,571
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $79,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

40223

Policy instance

Insurance contract or identification number	40223
Number of Individuals Covered	250
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $164,050
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 number

472602

Policy instance

Insurance contract or identification number	472602
Number of Individuals Covered	536
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $54,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-013582-000

Policy instance

Insurance contract or identification number	16-013582-000
Number of Individuals Covered	252
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $9,705
Welfare Benefit Premiums Paid to Carrier	USD $478,439
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

Policy instance

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

Policy contract number

00576532

Policy instance

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )

Policy contract number

40223

Policy instance

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

Policy contract number

472602

Policy instance

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

417003413296

Policy instance

Potentially related plans

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Company Name:	KLINGER COMPANIES, L.L.C.
Employer identification number (EIN):	882871538
NAIC Classification:	236200