ATLAS METAL INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC.
401k plan membership statisitcs for GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC.
| Measure | Date | Value |
|---|
| 2022: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-09-01 | 55 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-09-01 | 52 |
| Total of all active and inactive participants | 2022-09-01 | 52 |
| Total participants | 2022-09-01 | 52 |
| 2021: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-09-01 | 55 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 55 |
| Total of all active and inactive participants | 2021-09-01 | 55 |
| Total participants | 2021-09-01 | 55 |
| 2020: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-09-01 | 64 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 55 |
| Total of all active and inactive participants | 2020-09-01 | 55 |
| Total participants | 2020-09-01 | 55 |
| 2019: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-09-01 | 67 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 64 |
| Total of all active and inactive participants | 2019-09-01 | 64 |
| Total participants | 2019-09-01 | 64 |
| 2018: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-09-01 | 69 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 67 |
| Total of all active and inactive participants | 2018-09-01 | 67 |
| Total participants | 2018-09-01 | 67 |
| 2017: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-09-01 | 72 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 69 |
| Total of all active and inactive participants | 2017-09-01 | 69 |
| Total participants | 2017-09-01 | 69 |
| 2016: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-09-01 | 72 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 72 |
| Total of all active and inactive participants | 2016-09-01 | 72 |
| Total participants | 2016-09-01 | 72 |
| 2015: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 72 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 72 |
| Total of all active and inactive participants | 2015-09-01 | 72 |
| Total participants | 2015-09-01 | 72 |
| 2014: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 76 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 72 |
| Total of all active and inactive participants | 2014-09-01 | 72 |
| Total participants | 2014-09-01 | 72 |
| 2013: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 75 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 76 |
| Total of all active and inactive participants | 2013-09-01 | 76 |
| Total participants | 2013-09-01 | 76 |
| 2012: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-09-01 | 76 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 75 |
| Number of retired or separated participants receiving benefits | 2012-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-09-01 | 0 |
| Total of all active and inactive participants | 2012-09-01 | 75 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-09-01 | 0 |
| Total participants | 2012-09-01 | 75 |
| Number of participants with account balances | 2012-09-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-09-01 | 0 |
| Number of employers contributing to the scheme | 2012-09-01 | 0 |
| 2011: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-09-01 | 83 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 76 |
| Number of retired or separated participants receiving benefits | 2011-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-09-01 | 0 |
| Total of all active and inactive participants | 2011-09-01 | 76 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-09-01 | 0 |
| Total participants | 2011-09-01 | 76 |
| Number of participants with account balances | 2011-09-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-09-01 | 0 |
| 2010: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-09-01 | 83 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-09-01 | 83 |
| Number of retired or separated participants receiving benefits | 2010-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-09-01 | 0 |
| Total of all active and inactive participants | 2010-09-01 | 83 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-09-01 | 0 |
| Total participants | 2010-09-01 | 83 |
| Number of participants with account balances | 2010-09-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-09-01 | 0 |
| 2009: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-09-01 | 83 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 83 |
| Number of retired or separated participants receiving benefits | 2009-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-09-01 | 0 |
| Total of all active and inactive participants | 2009-09-01 | 83 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-09-01 | 0 |
| Total participants | 2009-09-01 | 83 |
| Number of participants with account balances | 2009-09-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-09-01 | 0 |
| Measure | Date | Value |
|---|
| 2023 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2023 401k financial data |
|---|
| Total plan liabilities at end of year | 2023-08-31 | $0 |
| Total plan liabilities at beginning of year | 2023-08-31 | $0 |
| Total income from all sources | 2023-08-31 | $838,731 |
| Expenses. Total of all expenses incurred | 2023-08-31 | $838,731 |
| Benefits paid (including direct rollovers) | 2023-08-31 | $838,731 |
| Total plan assets at end of year | 2023-08-31 | $0 |
| Total plan assets at beginning of year | 2023-08-31 | $0 |
| Total contributions received or receivable from participants | 2023-08-31 | $117,622 |
| Net income (gross income less expenses) | 2023-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2023-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2023-08-31 | $721,109 |
| 2022 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-08-31 | $0 |
| Total plan liabilities at beginning of year | 2022-08-31 | $0 |
| Total income from all sources | 2022-08-31 | $873,626 |
| Expenses. Total of all expenses incurred | 2022-08-31 | $873,626 |
| Benefits paid (including direct rollovers) | 2022-08-31 | $873,626 |
| Total plan assets at end of year | 2022-08-31 | $0 |
| Total plan assets at beginning of year | 2022-08-31 | $0 |
| Total contributions received or receivable from participants | 2022-08-31 | $125,265 |
| Net income (gross income less expenses) | 2022-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2022-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2022-08-31 | $748,361 |
| 2021 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2021 401k financial data |
|---|
| Total plan liabilities at end of year | 2021-08-31 | $0 |
| Total plan liabilities at beginning of year | 2021-08-31 | $0 |
| Total income from all sources | 2021-08-31 | $944,853 |
| Expenses. Total of all expenses incurred | 2021-08-31 | $944,853 |
| Benefits paid (including direct rollovers) | 2021-08-31 | $944,853 |
| Total plan assets at end of year | 2021-08-31 | $0 |
| Total plan assets at beginning of year | 2021-08-31 | $0 |
| Total contributions received or receivable from participants | 2021-08-31 | $137,037 |
| Net income (gross income less expenses) | 2021-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2021-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2021-08-31 | $807,816 |
| 2020 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-08-31 | $0 |
| Total plan liabilities at beginning of year | 2020-08-31 | $0 |
| Total income from all sources | 2020-08-31 | $1,070,797 |
| Expenses. Total of all expenses incurred | 2020-08-31 | $1,070,797 |
| Benefits paid (including direct rollovers) | 2020-08-31 | $1,070,797 |
| Total plan assets at end of year | 2020-08-31 | $0 |
| Total plan assets at beginning of year | 2020-08-31 | $0 |
| Total contributions received or receivable from participants | 2020-08-31 | $157,721 |
| Net income (gross income less expenses) | 2020-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2020-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2020-08-31 | $913,076 |
| 2019 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2019 401k financial data |
|---|
| Total income from all sources | 2019-08-31 | $1,063,320 |
| Expenses. Total of all expenses incurred | 2019-08-31 | $1,063,320 |
| Benefits paid (including direct rollovers) | 2019-08-31 | $1,063,320 |
| Total contributions received or receivable from participants | 2019-08-31 | $146,222 |
| Net income (gross income less expenses) | 2019-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2019-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2019-08-31 | $917,098 |
| 2018 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2018 401k financial data |
|---|
| Total income from all sources | 2018-08-31 | $1,102,603 |
| Expenses. Total of all expenses incurred | 2018-08-31 | $1,102,603 |
| Benefits paid (including direct rollovers) | 2018-08-31 | $1,102,603 |
| Total contributions received or receivable from participants | 2018-08-31 | $155,880 |
| Net income (gross income less expenses) | 2018-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2018-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2018-08-31 | $946,723 |
| 2017 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2017 401k financial data |
|---|
| Total income from all sources | 2017-08-31 | $974,806 |
| Expenses. Total of all expenses incurred | 2017-08-31 | $974,806 |
| Benefits paid (including direct rollovers) | 2017-08-31 | $974,806 |
| Total contributions received or receivable from participants | 2017-08-31 | $139,934 |
| Net income (gross income less expenses) | 2017-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2017-08-31 | $834,872 |
| 2016 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2016 401k financial data |
|---|
| Total income from all sources | 2016-08-31 | $989,931 |
| Expenses. Total of all expenses incurred | 2016-08-31 | $989,931 |
| Benefits paid (including direct rollovers) | 2016-08-31 | $989,931 |
| Total contributions received or receivable from participants | 2016-08-31 | $166,823 |
| Net income (gross income less expenses) | 2016-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2016-08-31 | $823,108 |
| 2015 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2015 401k financial data |
|---|
| Total income from all sources | 2015-08-31 | $932,520 |
| Expenses. Total of all expenses incurred | 2015-08-31 | $932,520 |
| Benefits paid (including direct rollovers) | 2015-08-31 | $932,520 |
| Total contributions received or receivable from participants | 2015-08-31 | $144,141 |
| Net income (gross income less expenses) | 2015-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2015-08-31 | $788,379 |
| 2014 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2014 401k financial data |
|---|
| Total income from all sources | 2014-08-31 | $815,521 |
| Expenses. Total of all expenses incurred | 2014-08-31 | $815,521 |
| Benefits paid (including direct rollovers) | 2014-08-31 | $815,521 |
| Total contributions received or receivable from participants | 2014-08-31 | $127,462 |
| Net income (gross income less expenses) | 2014-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2014-08-31 | $688,059 |
| 2013 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2013 401k financial data |
|---|
| Total income from all sources | 2013-08-31 | $761,096 |
| Expenses. Total of all expenses incurred | 2013-08-31 | $761,096 |
| Benefits paid (including direct rollovers) | 2013-08-31 | $761,096 |
| Total contributions received or receivable from participants | 2013-08-31 | $122,211 |
| Net income (gross income less expenses) | 2013-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2013-08-31 | $638,885 |
| 2012 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2012 401k financial data |
|---|
| Total income from all sources | 2012-08-31 | $729,153 |
| Total contributions received or receivable from participants | 2012-08-31 | $118,258 |
| Net income (gross income less expenses) | 2012-08-31 | $729,153 |
| Total contributions received or receivable from employer(s) | 2012-08-31 | $610,895 |
| 2011 : GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2011 401k financial data |
|---|
| Total income from all sources | 2011-08-31 | $756,032 |
| Total contributions received or receivable from participants | 2011-08-31 | $124,804 |
| Net income (gross income less expenses) | 2011-08-31 | $756,032 |
| Total contributions received or receivable from employer(s) | 2011-08-31 | $631,228 |
| 2022: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2022 form 5500 responses |
|---|
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | Submission has been amended | No |
| 2022-09-01 | This submission is the final filing | No |
| 2022-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-09-01 | Plan is a collectively bargained plan | No |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2021 form 5500 responses |
|---|
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | Submission has been amended | No |
| 2021-09-01 | This submission is the final filing | No |
| 2021-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-09-01 | Plan is a collectively bargained plan | No |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2020 form 5500 responses |
|---|
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Submission has been amended | No |
| 2020-09-01 | This submission is the final filing | No |
| 2020-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-09-01 | Plan is a collectively bargained plan | No |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2019 form 5500 responses |
|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | Submission has been amended | No |
| 2019-09-01 | This submission is the final filing | No |
| 2019-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-09-01 | Plan is a collectively bargained plan | No |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2018 form 5500 responses |
|---|
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Submission has been amended | No |
| 2018-09-01 | This submission is the final filing | No |
| 2018-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-09-01 | Plan is a collectively bargained plan | No |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2017 form 5500 responses |
|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Submission has been amended | No |
| 2017-09-01 | This submission is the final filing | No |
| 2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-09-01 | Plan is a collectively bargained plan | No |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2016 form 5500 responses |
|---|
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Submission has been amended | No |
| 2016-09-01 | This submission is the final filing | No |
| 2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-09-01 | Plan is a collectively bargained plan | No |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Submission has been amended | No |
| 2015-09-01 | This submission is the final filing | No |
| 2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-09-01 | Plan is a collectively bargained plan | No |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | Submission has been amended | No |
| 2014-09-01 | This submission is the final filing | No |
| 2014-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-09-01 | Plan is a collectively bargained plan | No |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | Single employer plan |
| 2013-09-01 | Submission has been amended | No |
| 2013-09-01 | This submission is the final filing | No |
| 2013-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-09-01 | Plan is a collectively bargained plan | No |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2012 form 5500 responses |
|---|
| 2012-09-01 | Type of plan entity | Single employer plan |
| 2012-09-01 | Submission has been amended | No |
| 2012-09-01 | This submission is the final filing | No |
| 2012-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-09-01 | Plan is a collectively bargained plan | No |
| 2012-09-01 | Plan funding arrangement – Insurance | Yes |
| 2012-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2011 form 5500 responses |
|---|
| 2011-09-01 | Type of plan entity | Single employer plan |
| 2011-09-01 | Submission has been amended | No |
| 2011-09-01 | This submission is the final filing | No |
| 2011-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-09-01 | Plan is a collectively bargained plan | No |
| 2011-09-01 | Plan funding arrangement – Insurance | Yes |
| 2011-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2010 form 5500 responses |
|---|
| 2010-09-01 | Type of plan entity | Single employer plan |
| 2010-09-01 | Submission has been amended | No |
| 2010-09-01 | This submission is the final filing | No |
| 2010-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-09-01 | Plan is a collectively bargained plan | No |
| 2010-09-01 | Plan funding arrangement – Insurance | Yes |
| 2010-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP LIFE & HEALTH INSURANCE PLAN FOR EMPLOYEES FOR ATLAS METAL INDUSTRIES, INC. 2009 form 5500 responses |
|---|
| 2009-09-01 | Type of plan entity | Single employer plan |
| 2009-09-01 | Submission has been amended | No |
| 2009-09-01 | This submission is the final filing | No |
| 2009-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-09-01 | Plan is a collectively bargained plan | No |
| 2009-09-01 | Plan funding arrangement – Insurance | Yes |
| 2009-09-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0742715 |
| Policy instance | 2 |
| Insurance contract or identification number | 0742715 | | Number of Individuals Covered | 52 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2023-08-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $813,116 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00942587 |
| Policy instance | 1 |
| Insurance contract or identification number | 00942587 | | Number of Individuals Covered | 227 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2023-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $62,007 | | Commission paid to Insurance Broker | USD $2,920 | | Amount paid for insurance broker fees | 2305 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00942587 |
| Policy instance | 1 |
| Insurance contract or identification number | 00942587 | | Number of Individuals Covered | 240 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $49,005 | | Commission paid to Insurance Broker | USD $2,351 | | Amount paid for insurance broker fees | 548 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0742715 |
| Policy instance | 2 |
| Insurance contract or identification number | 0742715 | | Number of Individuals Covered | 55 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $849,001 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD3-88001048001 |
| Policy instance | 1 |
| Insurance contract or identification number | GD3-88001048001 | | Number of Individuals Covered | 75 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $445 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $8,822 | | Commission paid to Insurance Broker | USD $445 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD3-88001048001 |
| Policy instance | 1 |
| Insurance contract or identification number | GD3-88001048001 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $915 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,227 | | Commission paid to Insurance Broker | USD $915 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD3-88001048001 |
| Policy instance | 1 |
| Insurance contract or identification number | GD3-88001048001 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $848 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,239 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $848 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD3-88001048001 |
| Policy instance | 1 |
| Insurance contract or identification number | GD3-88001048001 | | Number of Individuals Covered | 82 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $615 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $6,145 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GS388001048001 |
| Policy instance | 3 |
| Insurance contract or identification number | GS388001048001 | | Number of Individuals Covered | 145 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $1,993 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | NEW YORK STATUTORY | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $19,945 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GS3880010480PL |
| Policy instance | 2 |
| Insurance contract or identification number | GS3880010480PL | | Number of Individuals Covered | 145 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | NEW YORK PAID FAMILY LEAVE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,628 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GS388001048001 |
| Policy instance | 1 |
| Insurance contract or identification number | GS388001048001 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $2,421 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | NEW YORK STATUTORY | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $23,077 | | Commission paid to Insurance Broker | USD $2,421 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD388001048001 |
| Policy instance | 2 |
| Insurance contract or identification number | GD388001048001 | | Number of Individuals Covered | 84 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $700 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $6,359 | | Commission paid to Insurance Broker | USD $700 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GS388001048001 |
| Policy instance | 2 |
| Insurance contract or identification number | GS388001048001 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $2,149 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | NY DISABILITY STAT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,149 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES, INC. |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD388001048001 |
| Policy instance | 1 |
| Insurance contract or identification number | GD388001048001 | | Number of Individuals Covered | 84 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $668 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $668 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD3-880-010480 |
| Policy instance | 1 |
| Insurance contract or identification number | GD3-880-010480 | | Number of Individuals Covered | 87 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $2,212 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $2,212 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GS3-880-010480 |
| Policy instance | 2 |
| Insurance contract or identification number | GS3-880-010480 | | Number of Individuals Covered | 148 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $1,249 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | NY DISABILITY STAT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $1,249 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES, INC. |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GS3-880-010480 |
| Policy instance | 1 |
| Insurance contract or identification number | GS3-880-010480 | | Number of Individuals Covered | 148 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $2,405 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | NY DISABILITY STAT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $2,405 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGER BENEFIT SERVICES, INC. |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD3-880-010480 |
| Policy instance | 2 |
| Insurance contract or identification number | GD3-880-010480 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $765 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $765 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGER BENEFIT SERVICES, INC. |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD388001048001 |
| Policy instance | 1 |
| Insurance contract or identification number | GD388001048001 | | Number of Individuals Covered | 92 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2012-08-31 | | Total amount of commissions paid to insurance broker | USD $885 | | Temporary Disability Insurance Welfare Benefit | Yes |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 540141 |
| Policy instance | 2 |
| Insurance contract or identification number | 540141 | | Number of Individuals Covered | 112 | | Insurance policy start date | 2010-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $42,012 | | Health Insurance Welfare Benefit | Yes |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GD388001048001 |
| Policy instance | 1 |
| Insurance contract or identification number | GD388001048001 | | Number of Individuals Covered | 101 | | Insurance policy start date | 2010-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $857 | | Temporary Disability Insurance Welfare Benefit | Yes |
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