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HEALTH CARE MEDICAL BENEFITS PLAN 401k Plan overview

Plan NameHEALTH CARE MEDICAL BENEFITS PLAN
Plan identification number 501

HEALTH CARE MEDICAL BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HEALTH CARE CAPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:HEALTH CARE CAPITAL, INC.
Employer identification number (EIN):581815587
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about HEALTH CARE CAPITAL, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1989-09-05
Company Identification Number: 0008140206
Legal Registered Office Address: 2 RAVINIA DR STE 1350

ATLANTA
United States of America (USA)
30346

More information about HEALTH CARE CAPITAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH CARE MEDICAL BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012020-07-01
5012018-07-01
5012017-07-01STEVE SODEL
5012016-07-01STEVE SODEL
5012015-07-01STEVE SODEL
5012014-07-01STEVE SODEL
5012013-07-01STEVE SODEL
5012012-07-01STEVE SODEL
5012011-07-01STEVE SODEL
5012010-07-01STEVE SODEL
5012009-07-01STEVE SODEL

Plan Statistics for HEALTH CARE MEDICAL BENEFITS PLAN

401k plan membership statisitcs for HEALTH CARE MEDICAL BENEFITS PLAN

Measure Date Value
2022: HEALTH CARE MEDICAL BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0163
Total number of active participants reported on line 7a of the Form 55002022-07-0158
Total of all active and inactive participants2022-07-0158
Total participants2022-07-0158
2021: HEALTH CARE MEDICAL BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0175
Total number of active participants reported on line 7a of the Form 55002021-07-0163
Total of all active and inactive participants2021-07-0163
Total participants2021-07-0163
2020: HEALTH CARE MEDICAL BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0183
Total number of active participants reported on line 7a of the Form 55002020-07-0175
Total of all active and inactive participants2020-07-0175
Total participants2020-07-0175
2018: HEALTH CARE MEDICAL BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-0195
Total number of active participants reported on line 7a of the Form 55002018-07-01103
Total of all active and inactive participants2018-07-01103
Total participants2018-07-01103
2017: HEALTH CARE MEDICAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0195
Total number of active participants reported on line 7a of the Form 55002017-07-0195
Total of all active and inactive participants2017-07-0195
Total participants2017-07-0195
2016: HEALTH CARE MEDICAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0197
Total number of active participants reported on line 7a of the Form 55002016-07-01104
Total of all active and inactive participants2016-07-01104
Total participants2016-07-01104
2015: HEALTH CARE MEDICAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0196
Total number of active participants reported on line 7a of the Form 55002015-07-0197
Total of all active and inactive participants2015-07-0197
Total participants2015-07-010
2014: HEALTH CARE MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0193
Total number of active participants reported on line 7a of the Form 55002014-07-0196
Total of all active and inactive participants2014-07-0196
Total participants2014-07-010
2013: HEALTH CARE MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0182
Total number of active participants reported on line 7a of the Form 55002013-07-0193
Total of all active and inactive participants2013-07-0193
Total participants2013-07-010
2012: HEALTH CARE MEDICAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0172
Total number of active participants reported on line 7a of the Form 55002012-07-0182
Total of all active and inactive participants2012-07-0182
Total participants2012-07-010
2011: HEALTH CARE MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0162
Total number of active participants reported on line 7a of the Form 55002011-07-0172
Total of all active and inactive participants2011-07-0172
Total participants2011-07-0172
2010: HEALTH CARE MEDICAL BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-0159
Total number of active participants reported on line 7a of the Form 55002010-07-0162
Total of all active and inactive participants2010-07-0162
Total participants2010-07-0162
2009: HEALTH CARE MEDICAL BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-0169
Total number of active participants reported on line 7a of the Form 55002009-07-0159
Total of all active and inactive participants2009-07-0159
Total participants2009-07-0159

Financial Data on HEALTH CARE MEDICAL BENEFITS PLAN

Measure Date Value
2023 : HEALTH CARE MEDICAL BENEFITS PLAN 2023 401k financial data
Total plan liabilities at beginning of year2023-06-30$1,002,172
Total income from all sources2023-06-30$982,418
Expenses. Total of all expenses incurred2023-06-30$208,553
Benefits paid (including direct rollovers)2023-06-30$81,878
Total plan assets at end of year2023-06-30$0
Total plan assets at beginning of year2023-06-30$228,307
Total contributions received or receivable from participants2023-06-30$60,250
Expenses. Other expenses not covered elsewhere2023-06-30$114,441
Net income (gross income less expenses)2023-06-30$773,865
Net plan assets at end of year (total assets less liabilities)2023-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$-773,865
Total contributions received or receivable from employer(s)2023-06-30$922,168
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$12,234
2022 : HEALTH CARE MEDICAL BENEFITS PLAN 2022 401k financial data
Total plan liabilities at end of year2022-06-30$1,002,172
Total plan liabilities at beginning of year2022-06-30$840,972
Total income from all sources2022-06-30$730,406
Expenses. Total of all expenses incurred2022-06-30$832,394
Benefits paid (including direct rollovers)2022-06-30$544,526
Total plan assets at end of year2022-06-30$228,307
Total plan assets at beginning of year2022-06-30$169,095
Total contributions received or receivable from participants2022-06-30$169,394
Expenses. Other expenses not covered elsewhere2022-06-30$256,543
Net income (gross income less expenses)2022-06-30$-101,988
Net plan assets at end of year (total assets less liabilities)2022-06-30$-773,865
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$-671,877
Total contributions received or receivable from employer(s)2022-06-30$561,012
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$31,325
2021 : HEALTH CARE MEDICAL BENEFITS PLAN 2021 401k financial data
Total plan liabilities at end of year2021-06-30$840,972
Total plan liabilities at beginning of year2021-06-30$790,972
Total income from all sources2021-06-30$516,589
Expenses. Total of all expenses incurred2021-06-30$972,871
Benefits paid (including direct rollovers)2021-06-30$642,516
Total plan assets at end of year2021-06-30$169,095
Total plan assets at beginning of year2021-06-30$575,377
Total contributions received or receivable from participants2021-06-30$187,800
Expenses. Other expenses not covered elsewhere2021-06-30$293,568
Net income (gross income less expenses)2021-06-30$-456,282
Net plan assets at end of year (total assets less liabilities)2021-06-30$-671,877
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$-215,595
Total contributions received or receivable from employer(s)2021-06-30$328,789
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$36,787
2019 : HEALTH CARE MEDICAL BENEFITS PLAN 2019 401k financial data
Total plan liabilities at end of year2019-06-30$638,559
Total plan liabilities at beginning of year2019-06-30$409,664
Total income from all sources2019-06-30$1,080,788
Expenses. Total of all expenses incurred2019-06-30$1,271,262
Benefits paid (including direct rollovers)2019-06-30$957,817
Total plan assets at end of year2019-06-30$404,664
Total plan assets at beginning of year2019-06-30$366,243
Total contributions received or receivable from participants2019-06-30$254,300
Expenses. Other expenses not covered elsewhere2019-06-30$295,119
Net income (gross income less expenses)2019-06-30$-190,474
Net plan assets at end of year (total assets less liabilities)2019-06-30$-233,895
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$-43,421
Total contributions received or receivable from employer(s)2019-06-30$826,488
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$18,326
2018 : HEALTH CARE MEDICAL BENEFITS PLAN 2018 401k financial data
Total plan liabilities at end of year2018-06-30$409,664
Total plan liabilities at beginning of year2018-06-30$291,970
Total income from all sources2018-06-30$1,066,513
Expenses. Total of all expenses incurred2018-06-30$1,206,206
Benefits paid (including direct rollovers)2018-06-30$902,665
Total plan assets at end of year2018-06-30$366,243
Total plan assets at beginning of year2018-06-30$388,242
Total contributions received or receivable from participants2018-06-30$272,281
Expenses. Other expenses not covered elsewhere2018-06-30$271,367
Net income (gross income less expenses)2018-06-30$-139,693
Net plan assets at end of year (total assets less liabilities)2018-06-30$-43,421
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$96,272
Total contributions received or receivable from employer(s)2018-06-30$794,232
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$32,174
2017 : HEALTH CARE MEDICAL BENEFITS PLAN 2017 401k financial data
Total plan liabilities at end of year2017-06-30$291,970
Total income from all sources2017-06-30$1,068,003
Expenses. Total of all expenses incurred2017-06-30$1,256,913
Benefits paid (including direct rollovers)2017-06-30$947,952
Total plan assets at end of year2017-06-30$388,242
Total plan assets at beginning of year2017-06-30$285,182
Total contributions received or receivable from participants2017-06-30$223,596
Expenses. Other expenses not covered elsewhere2017-06-30$238,307
Net income (gross income less expenses)2017-06-30$-188,910
Net plan assets at end of year (total assets less liabilities)2017-06-30$96,272
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$285,182
Total contributions received or receivable from employer(s)2017-06-30$844,407
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$70,654
2016 : HEALTH CARE MEDICAL BENEFITS PLAN 2016 401k financial data
Total plan liabilities at beginning of year2016-06-30$734
Total income from all sources2016-06-30$949,717
Expenses. Total of all expenses incurred2016-06-30$1,072,858
Benefits paid (including direct rollovers)2016-06-30$780,341
Total plan assets at end of year2016-06-30$285,182
Total plan assets at beginning of year2016-06-30$409,057
Total contributions received or receivable from participants2016-06-30$153,000
Expenses. Other expenses not covered elsewhere2016-06-30$225,660
Net income (gross income less expenses)2016-06-30$-123,141
Net plan assets at end of year (total assets less liabilities)2016-06-30$285,182
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$408,323
Total contributions received or receivable from employer(s)2016-06-30$796,717
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$66,857
2015 : HEALTH CARE MEDICAL BENEFITS PLAN 2015 401k financial data
Total plan liabilities at end of year2015-06-30$734
Total plan liabilities at beginning of year2015-06-30$1,013
Total income from all sources2015-06-30$771,734
Expenses. Total of all expenses incurred2015-06-30$914,710
Benefits paid (including direct rollovers)2015-06-30$638,824
Total plan assets at end of year2015-06-30$409,057
Total plan assets at beginning of year2015-06-30$552,312
Total contributions received or receivable from participants2015-06-30$148,343
Expenses. Other expenses not covered elsewhere2015-06-30$213,303
Net income (gross income less expenses)2015-06-30$-142,976
Net plan assets at end of year (total assets less liabilities)2015-06-30$408,323
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$551,299
Total contributions received or receivable from employer(s)2015-06-30$623,391
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$62,583
2014 : HEALTH CARE MEDICAL BENEFITS PLAN 2014 401k financial data
Total plan liabilities at end of year2014-06-30$1,013
Total plan liabilities at beginning of year2014-06-30$1,013
Total income from all sources2014-06-30$795,033
Expenses. Total of all expenses incurred2014-06-30$657,883
Benefits paid (including direct rollovers)2014-06-30$427,038
Total plan assets at end of year2014-06-30$552,312
Total plan assets at beginning of year2014-06-30$415,162
Total contributions received or receivable from participants2014-06-30$136,733
Expenses. Other expenses not covered elsewhere2014-06-30$171,335
Net income (gross income less expenses)2014-06-30$137,150
Net plan assets at end of year (total assets less liabilities)2014-06-30$551,299
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$414,149
Total contributions received or receivable from employer(s)2014-06-30$658,300
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$59,510
2013 : HEALTH CARE MEDICAL BENEFITS PLAN 2013 401k financial data
Total plan liabilities at end of year2013-06-30$1,013
Total plan liabilities at beginning of year2013-06-30$1,013
Total income from all sources2013-06-30$695,693
Expenses. Total of all expenses incurred2013-06-30$571,199
Benefits paid (including direct rollovers)2013-06-30$355,479
Total plan assets at end of year2013-06-30$415,162
Total plan assets at beginning of year2013-06-30$290,668
Total contributions received or receivable from participants2013-06-30$112,056
Expenses. Other expenses not covered elsewhere2013-06-30$166,412
Net income (gross income less expenses)2013-06-30$124,494
Net plan assets at end of year (total assets less liabilities)2013-06-30$414,149
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$289,655
Total contributions received or receivable from employer(s)2013-06-30$583,637
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$49,308
2012 : HEALTH CARE MEDICAL BENEFITS PLAN 2012 401k financial data
Total plan liabilities at end of year2012-06-30$1,013
Total plan liabilities at beginning of year2012-06-30$1,013
Total income from all sources2012-06-30$544,139
Expenses. Total of all expenses incurred2012-06-30$606,882
Benefits paid (including direct rollovers)2012-06-30$569,674
Total plan assets at end of year2012-06-30$290,668
Total plan assets at beginning of year2012-06-30$353,411
Total contributions received or receivable from participants2012-06-30$85,939
Expenses. Other expenses not covered elsewhere2012-06-30$37,208
Contributions received from other sources (not participants or employers)2012-06-30$1,716
Net income (gross income less expenses)2012-06-30$-62,743
Net plan assets at end of year (total assets less liabilities)2012-06-30$289,655
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$352,398
Total contributions received or receivable from employer(s)2012-06-30$456,484
2011 : HEALTH CARE MEDICAL BENEFITS PLAN 2011 401k financial data
Total plan liabilities at end of year2011-06-30$1,013
Total plan liabilities at beginning of year2011-06-30$1,013
Total income from all sources2011-06-30$495,085
Expenses. Total of all expenses incurred2011-06-30$446,832
Benefits paid (including direct rollovers)2011-06-30$414,063
Total plan assets at end of year2011-06-30$353,411
Total plan assets at beginning of year2011-06-30$305,158
Total contributions received or receivable from participants2011-06-30$78,770
Expenses. Other expenses not covered elsewhere2011-06-30$32,769
Net income (gross income less expenses)2011-06-30$48,253
Net plan assets at end of year (total assets less liabilities)2011-06-30$352,398
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$304,145
Total contributions received or receivable from employer(s)2011-06-30$416,315

Form 5500 Responses for HEALTH CARE MEDICAL BENEFITS PLAN

2022: HEALTH CARE MEDICAL BENEFITS PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01This submission is the final filingYes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: HEALTH CARE MEDICAL BENEFITS PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: HEALTH CARE MEDICAL BENEFITS PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2018: HEALTH CARE MEDICAL BENEFITS PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: HEALTH CARE MEDICAL BENEFITS PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: HEALTH CARE MEDICAL BENEFITS PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: HEALTH CARE MEDICAL BENEFITS PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: HEALTH CARE MEDICAL BENEFITS PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: HEALTH CARE MEDICAL BENEFITS PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: HEALTH CARE MEDICAL BENEFITS PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: HEALTH CARE MEDICAL BENEFITS PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: HEALTH CARE MEDICAL BENEFITS PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: HEALTH CARE MEDICAL BENEFITS PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31221
Policy instance 1
Insurance contract or identification numberHCL31221
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12,756
Total amount of fees paid to insurance companyUSD $15,059
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $127,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15059
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $12,756
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31221
Policy instance 1
Insurance contract or identification numberHCL31221
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $23,982
Total amount of fees paid to insurance companyUSD $43,207
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $240,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees43207
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $23,982
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31221
Policy instance 1
Insurance contract or identification numberHCL31221
Number of Individuals Covered75
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $27,344
Total amount of fees paid to insurance companyUSD $49,886
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $306,965
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees49886
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $27,344
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31221
Policy instance 1
Insurance contract or identification numberHCL31221
Number of Individuals Covered103
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $30,511
Total amount of fees paid to insurance companyUSD $53,980
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $254,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees53980
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $30,511
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31221
Policy instance 1
Insurance contract or identification numberHCL31221
Number of Individuals Covered95
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $26,444
Total amount of fees paid to insurance companyUSD $55,998
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $220,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31221
Policy instance 1
Insurance contract or identification numberHCL31221
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $21,444
Total amount of fees paid to insurance companyUSD $59,150
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $198,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees59150
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $21,444
Insurance broker nameSETH L. KNIGHT
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31221
Policy instance 1
Insurance contract or identification numberHCL31221
Number of Individuals Covered96
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $19,669
Total amount of fees paid to insurance companyUSD $59,413
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $180,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees59413
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $19,669
Insurance broker nameSETH L. KNIGHT
INTERNATIONAL INSURANCE AGENCY (National Association of Insurance Commissioners NAIC id number: 86355 )
Policy contract numberIIS2179
Policy instance 1
Insurance contract or identification numberIIS2179
Number of Individuals Covered93
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $16,080
Total amount of fees paid to insurance companyUSD $52,554
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $147,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees52554
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $16,080
Insurance broker nameSETH L. KNIGHT
INTERNATIONAL INSURANCE AGENCY (National Association of Insurance Commissioners NAIC id number: 86355 )
Policy contract numberIIS2179
Policy instance 1
Insurance contract or identification numberIIS2179
Number of Individuals Covered82
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $147,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Insurance broker nameSETH L. KNIGHT
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberERLL00100574003
Policy instance 1
Insurance contract or identification numberERLL00100574003
Number of Individuals Covered72
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of fees paid to insurance companyUSD $2,495
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $98,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BERKLEY HEALTH AND LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 52413 )
Policy contract numberERLV00100486002
Policy instance 1
Insurance contract or identification numberERLV00100486002
Number of Individuals Covered62
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $2,968
Total amount of fees paid to insurance companyUSD $32,769
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUN LIFE, DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $102,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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