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GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 401k Plan overview

Plan NameGROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC.
Plan identification number 501

GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. Benefits

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

401k Sponsoring company profile

A.C. LEGG PACKING CO., INC. has sponsored the creation of one or more 401k plans.

Company Name:A.C. LEGG PACKING CO., INC.
Employer identification number (EIN):630123120
NAIC Classification:311900
NAIC Description: Other Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-02-01DENNIS HULSEY2024-07-17
5012022-02-01DENNIS HULSEY2023-08-08
5012021-02-01DENNIS HULSEY2022-08-02
5012020-02-01DENNIS HULSEY2021-08-09
5012019-02-01DENNIS HULSEY2020-06-08
5012018-02-01DENNIS HULSEY2019-08-15
5012017-02-01
5012016-02-01
5012015-02-01
5012014-02-01JAMES PURVIS
5012013-02-01JAMES PURVIS
5012012-02-01
5012011-02-01
5012010-02-01
5012009-02-01
5012008-02-01
5012007-02-01
5012006-02-01
5012005-02-01
5012004-02-01
5012003-02-01
5012002-02-01
5012001-02-01
5012000-02-01

Plan Statistics for GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC.

401k plan membership statisitcs for GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC.

Measure Date Value
2023: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2023 401k membership
Total participants, beginning-of-year2023-02-01104
Total number of active participants reported on line 7a of the Form 55002023-02-0190
Number of retired or separated participants receiving benefits2023-02-010
Number of other retired or separated participants entitled to future benefits2023-02-0134
Total of all active and inactive participants2023-02-01124
Number of employers contributing to the scheme2023-02-010
2022: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2022 401k membership
Total participants, beginning-of-year2022-02-01127
Total number of active participants reported on line 7a of the Form 55002022-02-01120
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-016
Total of all active and inactive participants2022-02-01126
Number of employers contributing to the scheme2022-02-010
2021: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2021 401k membership
Total participants, beginning-of-year2021-02-01120
Total number of active participants reported on line 7a of the Form 55002021-02-01125
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01125
Number of employers contributing to the scheme2021-02-010
2020: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2020 401k membership
Total participants, beginning-of-year2020-02-01124
Total number of active participants reported on line 7a of the Form 55002020-02-01120
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01120
Number of employers contributing to the scheme2020-02-010
2019: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2019 401k membership
Total participants, beginning-of-year2019-02-01111
Total number of active participants reported on line 7a of the Form 55002019-02-01122
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01122
Number of employers contributing to the scheme2019-02-010
2018: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2018 401k membership
Total participants, beginning-of-year2018-02-01101
Total number of active participants reported on line 7a of the Form 55002018-02-01106
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-01106
Number of employers contributing to the scheme2018-02-010
2017: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2017 401k membership
Total participants, beginning-of-year2017-02-01109
Total number of active participants reported on line 7a of the Form 55002017-02-01101
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01101
2016: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2016 401k membership
Total participants, beginning-of-year2016-02-01114
Total number of active participants reported on line 7a of the Form 55002016-02-01115
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01115
2015: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2015 401k membership
Total participants, beginning-of-year2015-02-01110
Total number of active participants reported on line 7a of the Form 55002015-02-01114
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01114
2014: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2014 401k membership
Total participants, beginning-of-year2014-02-01114
Total number of active participants reported on line 7a of the Form 55002014-02-01110
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01110
2013: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2013 401k membership
Total participants, beginning-of-year2013-02-01109
Total number of active participants reported on line 7a of the Form 55002013-02-01114
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-01114
2012: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2012 401k membership
Total participants, beginning-of-year2012-02-01112
Total number of active participants reported on line 7a of the Form 55002012-02-01109
Number of retired or separated participants receiving benefits2012-02-010
Number of other retired or separated participants entitled to future benefits2012-02-010
Total of all active and inactive participants2012-02-01109
2011: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2011 401k membership
Total participants, beginning-of-year2011-02-01112
Total number of active participants reported on line 7a of the Form 55002011-02-01112
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-010
Total of all active and inactive participants2011-02-01112
2010: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2010 401k membership
Total participants, beginning-of-year2010-02-01119
Total number of active participants reported on line 7a of the Form 55002010-02-01112
Number of retired or separated participants receiving benefits2010-02-010
Number of other retired or separated participants entitled to future benefits2010-02-010
Total of all active and inactive participants2010-02-01112
2009: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2009 401k membership
Total participants, beginning-of-year2009-02-01115
Total number of active participants reported on line 7a of the Form 55002009-02-01119
Number of retired or separated participants receiving benefits2009-02-010
Number of other retired or separated participants entitled to future benefits2009-02-010
Total of all active and inactive participants2009-02-01119
2008: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2008 401k membership
Total participants, beginning-of-year2008-02-01111
Total number of active participants reported on line 7a of the Form 55002008-02-01115
Number of retired or separated participants receiving benefits2008-02-010
Number of other retired or separated participants entitled to future benefits2008-02-010
Total of all active and inactive participants2008-02-01115
2007: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2007 401k membership
Total participants, beginning-of-year2007-02-01108
Total number of active participants reported on line 7a of the Form 55002007-02-01111
Number of retired or separated participants receiving benefits2007-02-010
Number of other retired or separated participants entitled to future benefits2007-02-010
Total of all active and inactive participants2007-02-01111
2006: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2006 401k membership
Total participants, beginning-of-year2006-02-01112
Total number of active participants reported on line 7a of the Form 55002006-02-01108
Number of retired or separated participants receiving benefits2006-02-010
Number of other retired or separated participants entitled to future benefits2006-02-010
Total of all active and inactive participants2006-02-01108
2005: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2005 401k membership
Total participants, beginning-of-year2005-02-01121
Total number of active participants reported on line 7a of the Form 55002005-02-01112
Number of retired or separated participants receiving benefits2005-02-010
Number of other retired or separated participants entitled to future benefits2005-02-010
Total of all active and inactive participants2005-02-01112
2004: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2004 401k membership
Total participants, beginning-of-year2004-02-01133
Total number of active participants reported on line 7a of the Form 55002004-02-01121
Number of retired or separated participants receiving benefits2004-02-010
Number of other retired or separated participants entitled to future benefits2004-02-010
Total of all active and inactive participants2004-02-01121
2003: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2003 401k membership
Total participants, beginning-of-year2003-02-01126
Total number of active participants reported on line 7a of the Form 55002003-02-01133
Number of retired or separated participants receiving benefits2003-02-010
Number of other retired or separated participants entitled to future benefits2003-02-010
Total of all active and inactive participants2003-02-01133
2002: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2002 401k membership
Total participants, beginning-of-year2002-02-01119
Total number of active participants reported on line 7a of the Form 55002002-02-01126
Number of retired or separated participants receiving benefits2002-02-010
Number of other retired or separated participants entitled to future benefits2002-02-010
Total of all active and inactive participants2002-02-01126
2001: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2001 401k membership
Total participants, beginning-of-year2001-02-01119
Total number of active participants reported on line 7a of the Form 55002001-02-01118
Number of retired or separated participants receiving benefits2001-02-010
Number of other retired or separated participants entitled to future benefits2001-02-010
Total of all active and inactive participants2001-02-01118
2000: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2000 401k membership
Total participants, beginning-of-year2000-02-01100
Total number of active participants reported on line 7a of the Form 55002000-02-01119
Number of retired or separated participants receiving benefits2000-02-010
Number of other retired or separated participants entitled to future benefits2000-02-010
Total of all active and inactive participants2000-02-01119

Form 5500 Responses for GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC.

2023: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2023 form 5500 responses
2023-02-01Type of plan entitySingle employer plan
2023-02-01Plan funding arrangement – InsuranceYes
2023-02-01Plan funding arrangement – General assets of the sponsorYes
2023-02-01Plan benefit arrangement – InsuranceYes
2023-02-01Plan benefit arrangement – General assets of the sponsorYes
2022: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan funding arrangement – General assets of the sponsorYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – General assets of the sponsorYes
2021: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – General assets of the sponsorYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – General assets of the sponsorYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – General assets of the sponsorYes
2016: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingNo
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Submission has been amendedNo
2015-02-01This submission is the final filingNo
2015-02-01This return/report is a short plan year return/report (less than 12 months)No
2015-02-01Plan is a collectively bargained planNo
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Submission has been amendedNo
2014-02-01This submission is the final filingNo
2014-02-01This return/report is a short plan year return/report (less than 12 months)No
2014-02-01Plan is a collectively bargained planNo
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedNo
2013-02-01This submission is the final filingNo
2013-02-01This return/report is a short plan year return/report (less than 12 months)No
2013-02-01Plan is a collectively bargained planNo
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Submission has been amendedNo
2010-02-01This submission is the final filingNo
2010-02-01This return/report is a short plan year return/report (less than 12 months)No
2010-02-01Plan is a collectively bargained planNo
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes
2008: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2008 form 5500 responses
2008-02-01Type of plan entitySingle employer plan
2008-02-01Submission has been amendedNo
2008-02-01This submission is the final filingNo
2008-02-01This return/report is a short plan year return/report (less than 12 months)No
2008-02-01Plan is a collectively bargained planNo
2008-02-01Plan funding arrangement – InsuranceYes
2008-02-01Plan benefit arrangement – InsuranceYes
2007: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2007 form 5500 responses
2007-02-01Type of plan entitySingle employer plan
2007-02-01Submission has been amendedNo
2007-02-01This submission is the final filingNo
2007-02-01This return/report is a short plan year return/report (less than 12 months)No
2007-02-01Plan is a collectively bargained planNo
2007-02-01Plan funding arrangement – InsuranceYes
2007-02-01Plan benefit arrangement – InsuranceYes
2006: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2006 form 5500 responses
2006-02-01Type of plan entitySingle employer plan
2006-02-01Submission has been amendedNo
2006-02-01This submission is the final filingNo
2006-02-01This return/report is a short plan year return/report (less than 12 months)No
2006-02-01Plan is a collectively bargained planNo
2006-02-01Plan funding arrangement – InsuranceYes
2006-02-01Plan benefit arrangement – InsuranceYes
2005: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2005 form 5500 responses
2005-02-01Type of plan entitySingle employer plan
2005-02-01Submission has been amendedNo
2005-02-01This submission is the final filingNo
2005-02-01This return/report is a short plan year return/report (less than 12 months)No
2005-02-01Plan is a collectively bargained planNo
2005-02-01Plan funding arrangement – InsuranceYes
2005-02-01Plan benefit arrangement – InsuranceYes
2004: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2004 form 5500 responses
2004-02-01Type of plan entitySingle employer plan
2004-02-01Submission has been amendedNo
2004-02-01This submission is the final filingNo
2004-02-01This return/report is a short plan year return/report (less than 12 months)No
2004-02-01Plan is a collectively bargained planNo
2004-02-01Plan funding arrangement – InsuranceYes
2004-02-01Plan benefit arrangement – InsuranceYes
2003: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2003 form 5500 responses
2003-02-01Type of plan entitySingle employer plan
2003-02-01Submission has been amendedNo
2003-02-01This submission is the final filingNo
2003-02-01This return/report is a short plan year return/report (less than 12 months)No
2003-02-01Plan is a collectively bargained planNo
2003-02-01Plan funding arrangement – InsuranceYes
2003-02-01Plan benefit arrangement – InsuranceYes
2002: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2002 form 5500 responses
2002-02-01Type of plan entitySingle employer plan
2002-02-01Submission has been amendedNo
2002-02-01This submission is the final filingNo
2002-02-01This return/report is a short plan year return/report (less than 12 months)No
2002-02-01Plan is a collectively bargained planNo
2002-02-01Plan funding arrangement – InsuranceYes
2002-02-01Plan benefit arrangement – InsuranceYes
2001: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2001 form 5500 responses
2001-02-01Type of plan entitySingle employer plan
2001-02-01Submission has been amendedNo
2001-02-01This submission is the final filingNo
2001-02-01This return/report is a short plan year return/report (less than 12 months)No
2001-02-01Plan is a collectively bargained planNo
2001-02-01Plan funding arrangement – InsuranceYes
2001-02-01Plan benefit arrangement – InsuranceYes
2000: GROUP LIFE, DEPENDENT LIFE AND ADD INSURANCE FOR EMPLOYEE OF A C LEGG PACKING COMPANY, INC. 2000 form 5500 responses
2000-02-01Type of plan entitySingle employer plan
2000-02-01First time form 5500 has been submittedYes
2000-02-01Submission has been amendedNo
2000-02-01This submission is the final filingNo
2000-02-01This return/report is a short plan year return/report (less than 12 months)No
2000-02-01Plan is a collectively bargained planNo
2000-02-01Plan funding arrangement – InsuranceYes
2000-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764700
Policy instance 5
Insurance contract or identification numberE4764700
Number of Individuals Covered32
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $6,112
Total amount of fees paid to insurance companyUSD $67
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $32,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101066
Policy instance 4
Insurance contract or identification number101066
Number of Individuals Covered90
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $3,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764692
Policy instance 3
Insurance contract or identification numberE4764692
Number of Individuals Covered48
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $9,764
Total amount of fees paid to insurance companyUSD $432
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $46,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number10-053115
Policy instance 2
Insurance contract or identification number10-053115
Number of Individuals Covered162
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $1,422
Total amount of fees paid to insurance companyUSD $412
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805026G
Policy instance 1
Insurance contract or identification number805026G
Number of Individuals Covered142
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $5,302
Total amount of fees paid to insurance companyUSD $307
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $52,469
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805026G
Policy instance 1
Insurance contract or identification number805026G
Number of Individuals Covered120
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $4,953
Total amount of fees paid to insurance companyUSD $108
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,953
Amount paid for insurance broker fees108
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-053115
Policy instance 2
Insurance contract or identification number010-053115
Number of Individuals Covered187
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $1,492
Total amount of fees paid to insurance companyUSD $43
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,492
Amount paid for insurance broker fees43
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764692
Policy instance 3
Insurance contract or identification numberE4764692
Number of Individuals Covered59
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $12,580
Total amount of fees paid to insurance companyUSD $158
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $51,433
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,860
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101066
Policy instance 4
Insurance contract or identification number101066
Number of Individuals Covered120
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $4,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764700
Policy instance 5
Insurance contract or identification numberE4764700
Number of Individuals Covered36
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $7,380
Total amount of fees paid to insurance companyUSD $48
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $35,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,670
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764700
Policy instance 5
Insurance contract or identification numberE4764700
Number of Individuals Covered36
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $8,124
Total amount of fees paid to insurance companyUSD $315
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $33,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,189
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101066
Policy instance 4
Insurance contract or identification number101066
Number of Individuals Covered125
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $4,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764692
Policy instance 3
Insurance contract or identification numberE4764692
Number of Individuals Covered57
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $14,233
Total amount of fees paid to insurance companyUSD $685
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $54,061
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,791
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-053115
Policy instance 2
Insurance contract or identification number010-053115
Number of Individuals Covered180
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $1,355
Total amount of fees paid to insurance companyUSD $36
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,355
Amount paid for insurance broker fees36
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805026G
Policy instance 1
Insurance contract or identification number805026G
Number of Individuals Covered120
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $5,583
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $47,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,583
Amount paid for insurance broker fees0
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764700
Policy instance 5
Insurance contract or identification numberE4764700
Number of Individuals Covered29
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $5,569
Total amount of fees paid to insurance companyUSD $219
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $25,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,322
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101066
Policy instance 4
Insurance contract or identification number101066
Number of Individuals Covered120
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $3,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764692
Policy instance 3
Insurance contract or identification numberE4764692
Number of Individuals Covered56
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $13,104
Total amount of fees paid to insurance companyUSD $905
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $47,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,220
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-053115
Policy instance 2
Insurance contract or identification number010-053115
Number of Individuals Covered162
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $1,399
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,399
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805026G
Policy instance 1
Insurance contract or identification number805026G
Number of Individuals Covered120
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $5,583
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $47,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,583
Amount paid for insurance broker fees0
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764700
Policy instance 5
Insurance contract or identification numberE4764700
Number of Individuals Covered30
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $5,918
Total amount of fees paid to insurance companyUSD $547
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $25,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,442
Amount paid for insurance broker fees162
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101066
Policy instance 4
Insurance contract or identification number101066
Number of Individuals Covered122
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $3,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764692
Policy instance 3
Insurance contract or identification numberE4764692
Number of Individuals Covered54
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $9,598
Total amount of fees paid to insurance companyUSD $1,404
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $38,051
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,054
Amount paid for insurance broker fees394
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract number23373
Policy instance 2
Insurance contract or identification number23373
Number of Individuals Covered56
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $1,104
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,104
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number287457
Policy instance 1
Insurance contract or identification number287457
Number of Individuals Covered248
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $8,196
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $59,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,196
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number287457
Policy instance 1
Insurance contract or identification number287457
Number of Individuals Covered228
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $7,605
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $54,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,605
Amount paid for insurance broker fees0
Insurance broker organization code?3
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract number23373
Policy instance 2
Insurance contract or identification number23373
Number of Individuals Covered49
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $911
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $457
Amount paid for insurance broker fees0
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764692
Policy instance 3
Insurance contract or identification numberE4764692
Number of Individuals Covered51
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $10,428
Total amount of fees paid to insurance companyUSD $2,083
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $39,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,679
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101066
Policy instance 4
Insurance contract or identification number101066
Number of Individuals Covered3
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $6,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764700
Policy instance 5
Insurance contract or identification numberE4764700
Number of Individuals Covered26
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $4,942
Total amount of fees paid to insurance companyUSD $626
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $22,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,639
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764700
Policy instance 5
Insurance contract or identification numberE4764700
Number of Individuals Covered30
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $8,852
Total amount of fees paid to insurance companyUSD $4,912
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $32,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,681
Amount paid for insurance broker fees698
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameLISA MARIE KLEIN
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101066
Policy instance 4
Insurance contract or identification number101066
Number of Individuals Covered101
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $48,807
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4764692
Policy instance 3
Insurance contract or identification numberE4764692
Number of Individuals Covered45
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $14,528
Total amount of fees paid to insurance companyUSD $8,192
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $32,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,406
Amount paid for insurance broker fees1147
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameLISA MARIE KLEIN
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract number23373
Policy instance 2
Insurance contract or identification number23373
Number of Individuals Covered46
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $1,063
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,063
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameSTEPHEN C. LANZA
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number287457
Policy instance 1
Insurance contract or identification number287457
Number of Individuals Covered214
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $5,925
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $55,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,925
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCOBBS ALLEN & HALL INC.

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