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ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 401k Plan overview

Plan NameASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS
Plan identification number 501

ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA has sponsored the creation of one or more 401k plans.

Company Name:ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA
Employer identification number (EIN):450229993
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-05-01RUSSELL L. HANSON2024-09-16 RUSSELL L. HANSON2024-09-16
5012022-05-01RUSSELL HANSEN2023-08-31 RUSSELL HANSEN2023-08-31
5012021-05-01RUSSELL HANSON2022-09-30 RUSSELL HANSON2022-09-30
5012020-05-01RUSSELL HANSON2021-12-14 RUSSELL HANSON2021-12-14
5012019-05-01RUSSELL HANSON2020-12-29 RUSSELL HANSON2020-12-29
5012018-05-01RUSSELL HANSON2019-11-25 RUSSELL HANSON2019-11-25
5012017-05-01
5012016-05-01
5012015-05-01
5012014-05-01RUSSELL HANSON RUSSELL HANSON2015-11-23
5012013-05-01RUSSELL HANSON RUSSELL HANSON2014-11-26
5012012-05-01RUSSELL HANSON RUSSELL HANSON2013-11-20
5012011-05-01RUSSELL HANSON RUSSELL HANSON2012-11-26
5012009-05-01RUSSELL HANSON RUSSELL HANSON2010-11-23

Plan Statistics for ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS

401k plan membership statisitcs for ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS

Measure Date Value
2023: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2023 401k membership
Total participants, beginning-of-year2023-05-0148
Total number of active participants reported on line 7a of the Form 55002023-05-0128
Total of all active and inactive participants2023-05-0128
2022: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2022 401k membership
Total participants, beginning-of-year2022-05-0178
Total number of active participants reported on line 7a of the Form 55002022-05-0148
Total of all active and inactive participants2022-05-0148
2021: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2021 401k membership
Total participants, beginning-of-year2021-05-0187
Total number of active participants reported on line 7a of the Form 55002021-05-0178
Total of all active and inactive participants2021-05-0178
2020: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2020 401k membership
Total participants, beginning-of-year2020-05-0191
Total number of active participants reported on line 7a of the Form 55002020-05-0187
Total of all active and inactive participants2020-05-0187
2019: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2019 401k membership
Total participants, beginning-of-year2019-05-01100
Total number of active participants reported on line 7a of the Form 55002019-05-0191
Total of all active and inactive participants2019-05-0191
2018: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2018 401k membership
Total participants, beginning-of-year2018-05-01108
Total number of active participants reported on line 7a of the Form 55002018-05-01100
Total of all active and inactive participants2018-05-01100
2017: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2017 401k membership
Total participants, beginning-of-year2017-05-01105
Total number of active participants reported on line 7a of the Form 55002017-05-01108
Total of all active and inactive participants2017-05-01108
2016: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2016 401k membership
Total participants, beginning-of-year2016-05-01109
Total number of active participants reported on line 7a of the Form 55002016-05-01105
Total of all active and inactive participants2016-05-01105
2015: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2015 401k membership
Total participants, beginning-of-year2015-05-01131
Total number of active participants reported on line 7a of the Form 55002015-05-01109
Total of all active and inactive participants2015-05-01109
2014: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2014 401k membership
Total participants, beginning-of-year2014-05-01137
Total number of active participants reported on line 7a of the Form 55002014-05-01131
Total of all active and inactive participants2014-05-01131
2013: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2013 401k membership
Total participants, beginning-of-year2013-05-01143
Total number of active participants reported on line 7a of the Form 55002013-05-01137
Total of all active and inactive participants2013-05-01137
2012: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2012 401k membership
Total participants, beginning-of-year2012-05-01151
Total number of active participants reported on line 7a of the Form 55002012-05-01143
Total of all active and inactive participants2012-05-01143
2011: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2011 401k membership
Total participants, beginning-of-year2011-05-01170
Total number of active participants reported on line 7a of the Form 55002011-05-01151
Total of all active and inactive participants2011-05-01151
2009: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2009 401k membership
Total participants, beginning-of-year2009-05-01188
Total number of active participants reported on line 7a of the Form 55002009-05-01173
Total of all active and inactive participants2009-05-01173

Form 5500 Responses for ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS

2023: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2023 form 5500 responses
2023-05-01Type of plan entityMulitple employer plan
2023-05-01Plan funding arrangement – InsuranceYes
2023-05-01Plan benefit arrangement – InsuranceYes
2022: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2022 form 5500 responses
2022-05-01Type of plan entityMulitple employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2021 form 5500 responses
2021-05-01Type of plan entityMulitple employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2020 form 5500 responses
2020-05-01Type of plan entityMulitple employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2019 form 5500 responses
2019-05-01Type of plan entityMulitple employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2018 form 5500 responses
2018-05-01Type of plan entityMulitple employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2017 form 5500 responses
2017-05-01Type of plan entityMulitple employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2016 form 5500 responses
2016-05-01Type of plan entityMulitple employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2015 form 5500 responses
2015-05-01Type of plan entityMulitple employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2014 form 5500 responses
2014-05-01Type of plan entityMulitple employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2013 form 5500 responses
2013-05-01Type of plan entityMulitple employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2012 form 5500 responses
2012-05-01Type of plan entityMulitple employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2011 form 5500 responses
2011-05-01Type of plan entityMulitple employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2009: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2009 form 5500 responses
2009-05-01Type of plan entityMulitple employer plan
2009-05-01This submission is the final filingNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101
Policy instance 2
Insurance contract or identification number2101
Number of Individuals Covered10
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $469
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-02-60
Policy instance 1
Insurance contract or identification number6400-02-60
Number of Individuals Covered18
Insurance policy start date2022-07-01
Insurance policy end date2023-07-01
Total amount of commissions paid to insurance brokerUSD $187
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101
Policy instance 2
Insurance contract or identification number2101
Number of Individuals Covered10
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,344
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-02-60
Policy instance 1
Insurance contract or identification number6400-02-60
Number of Individuals Covered36
Insurance policy start date2021-07-01
Insurance policy end date2022-07-01
Total amount of commissions paid to insurance brokerUSD $210
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $210
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101
Policy instance 2
Insurance contract or identification number2101
Number of Individuals Covered35
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-02-60
Policy instance 1
Insurance contract or identification number6400-02-60
Number of Individuals Covered43
Insurance policy start date2020-07-01
Insurance policy end date2021-07-01
Total amount of commissions paid to insurance brokerUSD $291
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $291
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-02-60
Policy instance 1
Insurance contract or identification number6400-02-60
Number of Individuals Covered52
Insurance policy start date2019-07-01
Insurance policy end date2020-07-01
Total amount of commissions paid to insurance brokerUSD $490
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $490
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101
Policy instance 2
Insurance contract or identification number2101
Number of Individuals Covered40
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,408
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101
Policy instance 2
Insurance contract or identification number2101
Number of Individuals Covered39
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-02-60
Policy instance 1
Insurance contract or identification number6400-02-60
Number of Individuals Covered61
Insurance policy start date2018-07-01
Insurance policy end date2019-07-01
Total amount of commissions paid to insurance brokerUSD $589
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,295
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $589
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101
Policy instance 2
Insurance contract or identification number2101
Number of Individuals Covered39
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-02-60
Policy instance 1
Insurance contract or identification number6400-02-60
Number of Individuals Covered65
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $631
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $631
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101
Policy instance 2
Insurance contract or identification number2101
Number of Individuals Covered40
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-02-60
Policy instance 1
Insurance contract or identification number6400-02-60
Number of Individuals Covered64
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $537
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $537
Insurance broker organization code?3
Insurance broker nameBAIN AGENCY, INC.
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-0260
Policy instance 1
Insurance contract or identification number6400-0260
Number of Individuals Covered65
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $530
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $530
Insurance broker organization code?3
Insurance broker nameBAIN AGENCY, INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101-G
Policy instance 2
Insurance contract or identification number2101-G
Number of Individuals Covered44
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-0260
Policy instance 1
Insurance contract or identification number6400-0260
Number of Individuals Covered77
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $516
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $516
Insurance broker organization code?3
Insurance broker nameBAIN AGENCY, INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101-G
Policy instance 2
Insurance contract or identification number2101-G
Number of Individuals Covered54
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101-G
Policy instance 2
Insurance contract or identification number2101-G
Number of Individuals Covered59
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-0260
Policy instance 1
Insurance contract or identification number6400-0260
Number of Individuals Covered78
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $676
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $676
Insurance broker organization code?3
Insurance broker nameBAIN AGENCY, INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101-G
Policy instance 2
Insurance contract or identification number2101-G
Number of Individuals Covered69
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-0260
Policy instance 1
Insurance contract or identification number6400-0260
Number of Individuals Covered74
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $633
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $633
Insurance broker organization code?3
Insurance broker nameBAIN AGENCY, INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101-G
Policy instance 2
Insurance contract or identification number2101-G
Number of Individuals Covered77
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-0260
Policy instance 1
Insurance contract or identification number6400-0260
Number of Individuals Covered74
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $512
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number6400-0260
Policy instance 1
Insurance contract or identification number6400-0260
Number of Individuals Covered77
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $628
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number2101-G
Policy instance 2
Insurance contract or identification number2101-G
Number of Individuals Covered93
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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