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COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 401k Plan overview

Plan NameCOLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN
Plan identification number 502

COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

COLLUMS ADMINISTRATION AND MAINTENANCE CO LLC has sponsored the creation of one or more 401k plans.

Company Name:COLLUMS ADMINISTRATION AND MAINTENANCE CO LLC
Employer identification number (EIN):010679228
NAIC Classification:113310
NAIC Description:Logging

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-12-01THOMAS HARTER
5022023-01-01THOMAS HARTER
5022022-12-01
5022022-12-01THOMAS HARTER
5022021-12-01
5022021-12-01SARA HUGGINS
5022020-12-01
5022020-12-01
5022019-12-01
5022019-12-01
5022018-12-01
5022017-12-01TOM HARTER2019-09-16 TOM HARTER2019-09-16
5022016-12-01THOMAS HARTER2018-10-29
5022015-12-01TONYA BODIFORD
5022014-12-01TONYA BODIFORD
5022013-12-01TONYA BODIFORD
5022012-12-01TONYA BODIFORD
5022011-12-01TONYA BODIFORD
5022010-12-01TONYA BODIFORD
5022009-12-01TONYA BODIFORD
5022009-12-01TONYA BODIFORD
5022008-12-01TONYA BODIFORD

Plan Statistics for COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN

401k plan membership statisitcs for COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN

Measure Date Value
2022: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01113
Total number of active participants reported on line 7a of the Form 55002022-12-01115
Total of all active and inactive participants2022-12-01115
Total participants2022-12-01115
2021: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01126
Total number of active participants reported on line 7a of the Form 55002021-12-01113
Total of all active and inactive participants2021-12-01113
Total participants2021-12-01113
2020: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01145
Total number of active participants reported on line 7a of the Form 55002020-12-01126
Total of all active and inactive participants2020-12-01126
Total participants2020-12-01126
2019: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01160
Total number of active participants reported on line 7a of the Form 55002019-12-01145
Total of all active and inactive participants2019-12-01145
Total participants2019-12-01145
2018: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01156
Total number of active participants reported on line 7a of the Form 55002018-12-01160
Total of all active and inactive participants2018-12-01160
Total participants2018-12-01160
2017: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01157
Total number of active participants reported on line 7a of the Form 55002017-12-01156
Total of all active and inactive participants2017-12-01156
2016: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01148
Total number of active participants reported on line 7a of the Form 55002016-12-01157
Total of all active and inactive participants2016-12-01157
Total participants2016-12-01157
2015: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01132
Total number of active participants reported on line 7a of the Form 55002015-12-01146
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-12-010
Total participants2015-12-01146
Number of participants with account balances2015-12-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-12-010
2014: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01125
Total number of active participants reported on line 7a of the Form 55002014-12-01132
Total of all active and inactive participants2014-12-01132
Total participants2014-12-01132
2013: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01118
Total number of active participants reported on line 7a of the Form 55002013-12-01125
Total of all active and inactive participants2013-12-01125
Total participants2013-12-01125
2012: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01125
Total number of active participants reported on line 7a of the Form 55002012-12-01118
Total of all active and inactive participants2012-12-01118
Total participants2012-12-01118
2011: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01129
Total number of active participants reported on line 7a of the Form 55002011-12-01125
Total of all active and inactive participants2011-12-01125
Total participants2011-12-01125
2010: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01106
Total number of active participants reported on line 7a of the Form 55002010-12-01129
Total of all active and inactive participants2010-12-01129
Total participants2010-12-01129
2009: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01142
Total number of active participants reported on line 7a of the Form 55002009-12-01106
Total of all active and inactive participants2009-12-01106
Total participants2009-12-01106
2008: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year2008-12-01141
Total number of active participants reported on line 7a of the Form 55002008-12-01142
Total of all active and inactive participants2008-12-01142
Total participants2008-12-01142

Financial Data on COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN

Measure Date Value
2017 : COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$0
Total income from all sources (including contributions)2017-11-30$1,779,338
Total loss/gain on sale of assets2017-11-30$0
Total of all expenses incurred2017-11-30$1,745,132
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-30$1,646,745
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-30$1,779,338
Value of total assets at end of year2017-11-30$110,093
Value of total assets at beginning of year2017-11-30$75,887
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-11-30$98,387
Total interest from all sources2017-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2017-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-30No
Was this plan covered by a fidelity bond2017-11-30Yes
Value of fidelity bond cover2017-11-30$500,000
If this is an individual account plan, was there a blackout period2017-11-30No
Were there any nonexempt tranactions with any party-in-interest2017-11-30No
Contributions received from participants2017-11-30$673,747
Participant contributions at end of year2017-11-30$22,055
Participant contributions at beginning of year2017-11-30$6,734
Total non interest bearing cash at end of year2017-11-30$88,038
Total non interest bearing cash at beginning of year2017-11-30$24,917
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Value of net income/loss2017-11-30$34,206
Value of net assets at end of year (total assets less liabilities)2017-11-30$110,093
Value of net assets at beginning of year (total assets less liabilities)2017-11-30$75,887
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-30No
Were any leases to which the plan was party in default or uncollectible2017-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2017-11-30$355,186
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-30No
Was there a failure to transmit to the plan any participant contributions2017-11-30No
Has the plan failed to provide any benefit when due under the plan2017-11-30No
Contributions received in cash from employer2017-11-30$1,105,591
Employer contributions (assets) at beginning of year2017-11-30$44,236
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-11-30$1,291,559
Contract administrator fees2017-11-30$98,387
Did the plan have assets held for investment2017-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-30No
Opinion of an independent qualified public accountant for this plan2017-11-30Unqualified
Accountancy firm name2017-11-30SCOTT AND COMPANY, LLC
Accountancy firm EIN2017-11-30571021392
2016 : COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$0
Total income from all sources (including contributions)2016-11-30$1,637,117
Total loss/gain on sale of assets2016-11-30$0
Total of all expenses incurred2016-11-30$1,665,335
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-30$1,514,659
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-30$1,637,117
Value of total assets at end of year2016-11-30$75,887
Value of total assets at beginning of year2016-11-30$104,105
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-11-30$150,676
Total interest from all sources2016-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2016-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-30No
Was this plan covered by a fidelity bond2016-11-30Yes
Value of fidelity bond cover2016-11-30$500,000
If this is an individual account plan, was there a blackout period2016-11-30No
Were there any nonexempt tranactions with any party-in-interest2016-11-30No
Contributions received from participants2016-11-30$492,731
Participant contributions at end of year2016-11-30$6,734
Participant contributions at beginning of year2016-11-30$10,481
Total non interest bearing cash at end of year2016-11-30$24,917
Total non interest bearing cash at beginning of year2016-11-30$2,170
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Value of net income/loss2016-11-30$-28,218
Value of net assets at end of year (total assets less liabilities)2016-11-30$75,887
Value of net assets at beginning of year (total assets less liabilities)2016-11-30$104,105
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-30No
Were any leases to which the plan was party in default or uncollectible2016-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2016-11-30$186,201
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-30No
Was there a failure to transmit to the plan any participant contributions2016-11-30No
Has the plan failed to provide any benefit when due under the plan2016-11-30No
Contributions received in cash from employer2016-11-30$1,144,386
Employer contributions (assets) at end of year2016-11-30$44,236
Employer contributions (assets) at beginning of year2016-11-30$91,454
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-11-30$1,328,458
Contract administrator fees2016-11-30$150,676
Did the plan have assets held for investment2016-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-30No
Opinion of an independent qualified public accountant for this plan2016-11-30Unqualified
Accountancy firm name2016-11-30THOMAS, WATSON & DYCHES, LLC
Accountancy firm EIN2016-11-30743188333
2015 : COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$0
Total income from all sources (including contributions)2015-11-30$1,192,977
Total loss/gain on sale of assets2015-11-30$0
Total of all expenses incurred2015-11-30$1,142,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-11-30$1,026,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-11-30$1,192,977
Value of total assets at end of year2015-11-30$104,105
Value of total assets at beginning of year2015-11-30$53,850
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-11-30$116,477
Total interest from all sources2015-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2015-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-11-30No
Was this plan covered by a fidelity bond2015-11-30Yes
Value of fidelity bond cover2015-11-30$500,000
If this is an individual account plan, was there a blackout period2015-11-30No
Were there any nonexempt tranactions with any party-in-interest2015-11-30No
Contributions received from participants2015-11-30$454,474
Participant contributions at end of year2015-11-30$10,481
Participant contributions at beginning of year2015-11-30$8,018
Total non interest bearing cash at end of year2015-11-30$2,170
Total non interest bearing cash at beginning of year2015-11-30$9,569
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Value of net income/loss2015-11-30$50,255
Value of net assets at end of year (total assets less liabilities)2015-11-30$104,105
Value of net assets at beginning of year (total assets less liabilities)2015-11-30$53,850
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-11-30No
Were any leases to which the plan was party in default or uncollectible2015-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2015-11-30$180,131
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-11-30No
Was there a failure to transmit to the plan any participant contributions2015-11-30No
Has the plan failed to provide any benefit when due under the plan2015-11-30No
Contributions received in cash from employer2015-11-30$738,503
Employer contributions (assets) at end of year2015-11-30$91,454
Employer contributions (assets) at beginning of year2015-11-30$36,263
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-11-30$846,114
Contract administrator fees2015-11-30$116,477
Did the plan have assets held for investment2015-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-11-30No
Opinion of an independent qualified public accountant for this plan2015-11-30Unqualified
Accountancy firm name2015-11-30THOMAS, WATSON & DYCHES, LLC
Accountancy firm EIN2015-11-30743188333
2014 : COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$0
Total income from all sources (including contributions)2014-11-30$894,647
Total loss/gain on sale of assets2014-11-30$0
Total of all expenses incurred2014-11-30$952,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-11-30$852,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-11-30$894,647
Value of total assets at end of year2014-11-30$53,850
Value of total assets at beginning of year2014-11-30$112,165
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-11-30$99,976
Total interest from all sources2014-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2014-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-11-30No
Was this plan covered by a fidelity bond2014-11-30Yes
Value of fidelity bond cover2014-11-30$500,000
If this is an individual account plan, was there a blackout period2014-11-30No
Were there any nonexempt tranactions with any party-in-interest2014-11-30No
Contributions received from participants2014-11-30$433,642
Participant contributions at end of year2014-11-30$8,018
Participant contributions at beginning of year2014-11-30$8,070
Total non interest bearing cash at end of year2014-11-30$9,569
Total non interest bearing cash at beginning of year2014-11-30$34,986
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Value of net income/loss2014-11-30$-58,315
Value of net assets at end of year (total assets less liabilities)2014-11-30$53,850
Value of net assets at beginning of year (total assets less liabilities)2014-11-30$112,165
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-11-30No
Were any leases to which the plan was party in default or uncollectible2014-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2014-11-30$161,733
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-11-30No
Was there a failure to transmit to the plan any participant contributions2014-11-30No
Has the plan failed to provide any benefit when due under the plan2014-11-30No
Contributions received in cash from employer2014-11-30$461,005
Employer contributions (assets) at end of year2014-11-30$36,263
Employer contributions (assets) at beginning of year2014-11-30$69,109
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-11-30$691,253
Contract administrator fees2014-11-30$99,976
Did the plan have assets held for investment2014-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-11-30No
Opinion of an independent qualified public accountant for this plan2014-11-30Unqualified
Accountancy firm name2014-11-30THOMAS, WATSON & DYCHES, LLC
Accountancy firm EIN2014-11-30743188333
2013 : COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$112,165
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$88,042
Total income from all sources (including contributions)2013-11-30$1,400,448
Total loss/gain on sale of assets2013-11-30$0
Total of all expenses incurred2013-11-30$1,376,325
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-11-30$1,238,850
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-11-30$1,400,448
Value of total assets at end of year2013-11-30$112,165
Value of total assets at beginning of year2013-11-30$88,042
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-11-30$137,475
Total interest from all sources2013-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2013-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-11-30No
Was this plan covered by a fidelity bond2013-11-30Yes
Value of fidelity bond cover2013-11-30$500,000
If this is an individual account plan, was there a blackout period2013-11-30No
Were there any nonexempt tranactions with any party-in-interest2013-11-30No
Contributions received from participants2013-11-30$414,906
Participant contributions at end of year2013-11-30$8,070
Participant contributions at beginning of year2013-11-30$0
Total non interest bearing cash at end of year2013-11-30$34,986
Total non interest bearing cash at beginning of year2013-11-30$4,260
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Value of net income/loss2013-11-30$24,123
Value of net assets at end of year (total assets less liabilities)2013-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2013-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-11-30No
Were any leases to which the plan was party in default or uncollectible2013-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2013-11-30$155,384
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-11-30No
Was there a failure to transmit to the plan any participant contributions2013-11-30No
Has the plan failed to provide any benefit when due under the plan2013-11-30No
Contributions received in cash from employer2013-11-30$985,542
Employer contributions (assets) at end of year2013-11-30$69,109
Employer contributions (assets) at beginning of year2013-11-30$83,782
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-11-30$1,083,466
Contract administrator fees2013-11-30$137,475
Liabilities. Value of benefit claims payable at end of year2013-11-30$112,165
Liabilities. Value of benefit claims payable at beginning of year2013-11-30$88,042
Did the plan have assets held for investment2013-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-11-30No
Opinion of an independent qualified public accountant for this plan2013-11-30Unqualified
Accountancy firm name2013-11-30THOMAS, WATSON & DYCHES, LLC
Accountancy firm EIN2013-11-30743188333
2012 : COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$88,042
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$64,132
Total income from all sources (including contributions)2012-11-30$1,052,055
Total of all expenses incurred2012-11-30$1,012,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-11-30$900,605
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-11-30$1,052,055
Value of total assets at end of year2012-11-30$88,042
Value of total assets at beginning of year2012-11-30$64,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-11-30$111,889
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-11-30No
Was this plan covered by a fidelity bond2012-11-30Yes
Value of fidelity bond cover2012-11-30$500,000
If this is an individual account plan, was there a blackout period2012-11-30No
Were there any nonexempt tranactions with any party-in-interest2012-11-30No
Contributions received from participants2012-11-30$488,627
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-11-30$15,651
Total non interest bearing cash at end of year2012-11-30$4,260
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Value of net income/loss2012-11-30$39,561
Value of net assets at end of year (total assets less liabilities)2012-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2012-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-11-30No
Were any leases to which the plan was party in default or uncollectible2012-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2012-11-30$183,176
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-11-30No
Was there a failure to transmit to the plan any participant contributions2012-11-30No
Has the plan failed to provide any benefit when due under the plan2012-11-30No
Contributions received in cash from employer2012-11-30$563,428
Employer contributions (assets) at end of year2012-11-30$83,782
Employer contributions (assets) at beginning of year2012-11-30$64,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-11-30$717,429
Contract administrator fees2012-11-30$111,889
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-11-30No
Liabilities. Value of benefit claims payable at end of year2012-11-30$88,042
Liabilities. Value of benefit claims payable at beginning of year2012-11-30$48,481
Did the plan have assets held for investment2012-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-11-30No
Opinion of an independent qualified public accountant for this plan2012-11-30Unqualified
Accountancy firm name2012-11-30KIRKLAND, THOMAS, WATSON & DYCHES
Accountancy firm EIN2012-11-30743188333
2011 : COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$64,132
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$171,266
Total income from all sources (including contributions)2011-11-30$1,041,919
Total of all expenses incurred2011-11-30$1,041,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-11-30$955,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-11-30$1,041,919
Value of total assets at end of year2011-11-30$64,132
Value of total assets at beginning of year2011-11-30$171,266
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-11-30$85,992
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-11-30No
Was this plan covered by a fidelity bond2011-11-30Yes
Value of fidelity bond cover2011-11-30$500,000
If this is an individual account plan, was there a blackout period2011-11-30No
Were there any nonexempt tranactions with any party-in-interest2011-11-30No
Contributions received from participants2011-11-30$435,639
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-11-30$15,651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-11-30$13,089
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Value of net income/loss2011-11-30$0
Value of net assets at end of year (total assets less liabilities)2011-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2011-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-11-30No
Were any leases to which the plan was party in default or uncollectible2011-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2011-11-30$258,925
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-11-30No
Was there a failure to transmit to the plan any participant contributions2011-11-30No
Has the plan failed to provide any benefit when due under the plan2011-11-30No
Contributions received in cash from employer2011-11-30$606,280
Employer contributions (assets) at end of year2011-11-30$64,132
Employer contributions (assets) at beginning of year2011-11-30$171,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-11-30$697,002
Contract administrator fees2011-11-30$85,992
Liabilities. Value of benefit claims payable at end of year2011-11-30$48,481
Liabilities. Value of benefit claims payable at beginning of year2011-11-30$158,177
Did the plan have assets held for investment2011-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-11-30No
Opinion of an independent qualified public accountant for this plan2011-11-30Unqualified
Accountancy firm name2011-11-30KIRKLAND, THOMAS, WATSON, & DYCHES
Accountancy firm EIN2011-11-30743188333

Form 5500 Responses for COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN

2022: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)No
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedYes
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes
2016: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement - TrustYes
2015: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement - TrustYes
2014: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement - TrustYes
2013: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan funding arrangement – TrustYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement - TrustYes
2012: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement - TrustYes
2011: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planNo
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement - TrustYes
2010: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Submission has been amendedNo
2010-12-01This submission is the final filingNo
2010-12-01This return/report is a short plan year return/report (less than 12 months)No
2010-12-01Plan is a collectively bargained planNo
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan funding arrangement – TrustYes
2010-12-01Plan benefit arrangement – InsuranceYes
2010-12-01Plan benefit arrangement - TrustYes
2009: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement - TrustYes
2008: COLLUM'S ADMINISTRATION AND MAINTENANCE, LLC GROUP MEDICAL & DENTAL PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01First time form 5500 has been submittedYes
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo
2008-12-01Plan funding arrangement – InsuranceYes
2008-12-01Plan funding arrangement – TrustYes
2008-12-01Plan benefit arrangement – InsuranceYes
2008-12-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number06405
Policy instance 6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number03-07686
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040980
Policy instance 8
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-015876
Policy instance 7
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 4
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number06405
Policy instance 5
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI-SUM20212-02
Policy instance 6
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number03-07686
Policy instance 7
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040980
Policy instance 8
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number06405
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 5
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number03-07686
Policy instance 6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 7
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040980
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number03-07686
Policy instance 5
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number06405
Policy instance 6
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040980
Policy instance 7
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040980
Policy instance 6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 2
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040980
Policy instance 4
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number06405
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 4
BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 )
Policy contract number06405
Policy instance 5
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number25774
Policy instance 8
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number25774
Policy instance 7
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040980
Policy instance 6
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL18812
Policy instance 5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 2
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number25774
Policy instance 9
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 1
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number25774
Policy instance 9
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 8
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 7
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number25774
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 5
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040980
Policy instance 4
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL18812
Policy instance 3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number25774
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AT5S
Policy instance 6

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