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HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 401k Plan overview

Plan NameHARVARD UNIVERSITY BUSINESS TRAVEL PLAN
Plan identification number 504

HARVARD UNIVERSITY BUSINESS TRAVEL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

PRESIDENT & FELLOWS OF HARVARD COLLEGE HARVARD HUMAN RESOURCES, BENEFI has sponsored the creation of one or more 401k plans.

Company Name:PRESIDENT & FELLOWS OF HARVARD COLLEGE HARVARD HUMAN RESOURCES, BENEFI
Employer identification number (EIN):042103580
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARVARD UNIVERSITY BUSINESS TRAVEL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-07-01
5042021-07-01
5042020-02-22
5042019-03-31
5042018-02-22
5042017-02-22LYNN CORDARO
5042016-02-22LYNN CORDARO
5042015-02-22LYNN CORDARO
5042014-02-22LYNN CORDARO
5042013-02-22LYNN CORDARO
5042012-02-22LYNN CORDARO
5042011-02-21LYNN CORDARO
5042009-02-22RITA MOORE
5042009-02-22RITA MOORE

Plan Statistics for HARVARD UNIVERSITY BUSINESS TRAVEL PLAN

401k plan membership statisitcs for HARVARD UNIVERSITY BUSINESS TRAVEL PLAN

Measure Date Value
2022: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0121,932
Total number of active participants reported on line 7a of the Form 55002022-07-0123,691
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-0123,691
2021: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0121,829
Total number of active participants reported on line 7a of the Form 55002021-07-0121,932
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0121,932
2020: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-2224,025
Total number of active participants reported on line 7a of the Form 55002020-02-2221,829
Number of retired or separated participants receiving benefits2020-02-220
Number of other retired or separated participants entitled to future benefits2020-02-220
Total of all active and inactive participants2020-02-2221,829
2019: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-3123,748
Total number of active participants reported on line 7a of the Form 55002019-03-3124,025
Number of retired or separated participants receiving benefits2019-03-310
Number of other retired or separated participants entitled to future benefits2019-03-310
Total of all active and inactive participants2019-03-3124,025
2018: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-2223,310
Total number of active participants reported on line 7a of the Form 55002018-02-2223,748
Total of all active and inactive participants2018-02-2223,748
2017: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-2222,827
Total number of active participants reported on line 7a of the Form 55002017-02-2223,310
Number of retired or separated participants receiving benefits2017-02-220
Number of other retired or separated participants entitled to future benefits2017-02-220
Total of all active and inactive participants2017-02-2223,310
2016: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-2222,572
Total number of active participants reported on line 7a of the Form 55002016-02-2222,827
Number of retired or separated participants receiving benefits2016-02-220
Number of other retired or separated participants entitled to future benefits2016-02-220
Total of all active and inactive participants2016-02-2222,827
2015: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-2220,833
Total number of active participants reported on line 7a of the Form 55002015-02-2222,572
Number of retired or separated participants receiving benefits2015-02-220
Number of other retired or separated participants entitled to future benefits2015-02-220
Total of all active and inactive participants2015-02-2222,572
2014: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-2221,403
Total number of active participants reported on line 7a of the Form 55002014-02-2220,833
Total of all active and inactive participants2014-02-2220,833
2013: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-2220,852
Total number of active participants reported on line 7a of the Form 55002013-02-2221,403
Total of all active and inactive participants2013-02-2221,403
Total participants2013-02-2221,403
2012: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-2220,645
Total number of active participants reported on line 7a of the Form 55002012-02-2220,852
Total of all active and inactive participants2012-02-2220,852
Total participants2012-02-2220,852
2011: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-2120,013
Total number of active participants reported on line 7a of the Form 55002011-02-2120,645
Total of all active and inactive participants2011-02-2120,645
Total participants2011-02-2120,645
2009: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-2220,179
Total number of active participants reported on line 7a of the Form 55002009-02-2219,559
Total of all active and inactive participants2009-02-2219,559
Total participants2009-02-2219,559

Form 5500 Responses for HARVARD UNIVERSITY BUSINESS TRAVEL PLAN

2022: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2020 form 5500 responses
2020-02-22Type of plan entitySingle employer plan
2020-02-22Submission has been amendedNo
2020-02-22This submission is the final filingNo
2020-02-22This return/report is a short plan year return/report (less than 12 months)No
2020-02-22Plan is a collectively bargained planNo
2020-02-22Plan funding arrangement – InsuranceYes
2020-02-22Plan benefit arrangement – InsuranceYes
2019: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2019 form 5500 responses
2019-03-31Type of plan entitySingle employer plan
2019-03-31Submission has been amendedNo
2019-03-31This submission is the final filingNo
2019-03-31This return/report is a short plan year return/report (less than 12 months)No
2019-03-31Plan is a collectively bargained planNo
2019-03-31Plan funding arrangement – InsuranceYes
2019-03-31Plan benefit arrangement – InsuranceYes
2018: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2018 form 5500 responses
2018-02-22Type of plan entitySingle employer plan
2018-02-22Submission has been amendedNo
2018-02-22This submission is the final filingNo
2018-02-22This return/report is a short plan year return/report (less than 12 months)No
2018-02-22Plan is a collectively bargained planNo
2018-02-22Plan funding arrangement – InsuranceYes
2018-02-22Plan benefit arrangement – InsuranceYes
2017: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2017 form 5500 responses
2017-02-22Type of plan entitySingle employer plan
2017-02-22Submission has been amendedNo
2017-02-22This submission is the final filingNo
2017-02-22This return/report is a short plan year return/report (less than 12 months)No
2017-02-22Plan is a collectively bargained planNo
2017-02-22Plan funding arrangement – InsuranceYes
2017-02-22Plan benefit arrangement – InsuranceYes
2016: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2016 form 5500 responses
2016-02-22Type of plan entitySingle employer plan
2016-02-22Submission has been amendedNo
2016-02-22This submission is the final filingNo
2016-02-22This return/report is a short plan year return/report (less than 12 months)No
2016-02-22Plan is a collectively bargained planNo
2016-02-22Plan funding arrangement – InsuranceYes
2016-02-22Plan benefit arrangement – InsuranceYes
2015: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2015 form 5500 responses
2015-02-22Type of plan entitySingle employer plan
2015-02-22Submission has been amendedNo
2015-02-22This submission is the final filingNo
2015-02-22This return/report is a short plan year return/report (less than 12 months)No
2015-02-22Plan is a collectively bargained planNo
2015-02-22Plan funding arrangement – InsuranceYes
2015-02-22Plan benefit arrangement – InsuranceYes
2014: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2014 form 5500 responses
2014-02-22Type of plan entitySingle employer plan
2014-02-22Submission has been amendedNo
2014-02-22This submission is the final filingNo
2014-02-22This return/report is a short plan year return/report (less than 12 months)No
2014-02-22Plan is a collectively bargained planNo
2014-02-22Plan funding arrangement – InsuranceYes
2014-02-22Plan benefit arrangement – InsuranceYes
2013: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2013 form 5500 responses
2013-02-22Type of plan entitySingle employer plan
2013-02-22Plan funding arrangement – InsuranceYes
2013-02-22Plan benefit arrangement – InsuranceYes
2012: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2012 form 5500 responses
2012-02-22Type of plan entitySingle employer plan
2012-02-22Plan funding arrangement – InsuranceYes
2012-02-22Plan benefit arrangement – InsuranceYes
2011: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2011 form 5500 responses
2011-02-21Type of plan entitySingle employer plan
2011-02-21Plan funding arrangement – InsuranceYes
2011-02-21Plan benefit arrangement – InsuranceYes
2009: HARVARD UNIVERSITY BUSINESS TRAVEL PLAN 2009 form 5500 responses
2009-02-22Type of plan entitySingle employer plan
2009-02-22Plan funding arrangement – InsuranceYes
2009-02-22Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9906-9685
Policy instance 1
Insurance contract or identification number9906-9685
Number of Individuals Covered23691
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $40,000
Total amount of fees paid to insurance companyUSD $7,280
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $200,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,000
Amount paid for insurance broker fees7280
Additional information about fees paid to insurance brokerCONTINGENT COMMISSION
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9906-9685
Policy instance 1
Insurance contract or identification number9906-9685
Number of Individuals Covered21932
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $43,500
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $200,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,500
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9906-9685
Policy instance 1
Insurance contract or identification number9906-9685
Number of Individuals Covered21829
Insurance policy start date2020-07-01
Insurance policy end date2021-07-01
Total amount of commissions paid to insurance brokerUSD $40,000
Total amount of fees paid to insurance companyUSD $9,740
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $200,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,000
Amount paid for insurance broker fees9740
Additional information about fees paid to insurance brokerCONTINGENT COMMISSION
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9906-9685
Policy instance 1
Insurance contract or identification number9906-9685
Number of Individuals Covered24025
Insurance policy start date2019-03-31
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $72,564
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $362,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,564
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9906-9685
Policy instance 1
Insurance contract or identification number9906-9685
Number of Individuals Covered23748
Insurance policy start date2018-02-22
Insurance policy end date2019-02-21
Total amount of commissions paid to insurance brokerUSD $68,095
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $340,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,095
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9906-9685
Policy instance 1
Insurance contract or identification number9906-9685
Number of Individuals Covered23310
Insurance policy start date2017-02-22
Insurance policy end date2018-02-21
Total amount of commissions paid to insurance brokerUSD $63,627
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $318,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,627
Insurance broker organization code?3
Insurance broker nameRSC INSURANCE BROKERAGE , INC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099069685
Policy instance 1
Insurance contract or identification number000099069685
Number of Individuals Covered22572
Insurance policy start date2015-02-22
Insurance policy end date2016-02-21
Total amount of commissions paid to insurance brokerUSD $51,784
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $258,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,784
Insurance broker organization code?3
Insurance broker nameRSC INSURANCE BROKERAGE , INC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099069685
Policy instance 1
Insurance contract or identification number000099069685
Number of Individuals Covered20833
Insurance policy start date2014-02-22
Insurance policy end date2015-02-21
Total amount of commissions paid to insurance brokerUSD $51,784
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $258,920
Commission paid to Insurance BrokerUSD $51,784
Insurance broker organization code?3
Insurance broker nameRSC INSURANCE BROKERAGE , INC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099069685
Policy instance 1
Insurance contract or identification number000099069685
Number of Individuals Covered21403
Insurance policy start date2013-02-22
Insurance policy end date2014-02-21
Total amount of commissions paid to insurance brokerUSD $3,923
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,009
Commission paid to Insurance BrokerUSD $3,923
Insurance broker organization code?3
Insurance broker nameRSC INSURANCE BROKERAGE , INC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099069685
Policy instance 1
Insurance contract or identification number000099069685
Number of Individuals Covered20852
Insurance policy start date2012-02-22
Insurance policy end date2013-02-21
Total amount of commissions paid to insurance brokerUSD $61,077
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,329
Commission paid to Insurance BrokerUSD $54,387
Additional information about fees paid to insurance brokerSALES SERVICE
Insurance broker organization code?3
Insurance broker nameRSC INSURANCE BROKERAGE, INC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number000099069685
Policy instance 1
Insurance contract or identification number000099069685
Number of Individuals Covered20645
Insurance policy start date2011-02-21
Insurance policy end date2012-02-21
Total amount of commissions paid to insurance brokerUSD $13,997
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,329
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL980067
Policy instance 1
Insurance contract or identification numberABL980067
Number of Individuals Covered20013
Insurance policy start date2010-02-22
Insurance policy end date2011-02-21
Total amount of commissions paid to insurance brokerUSD $4,719
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,740
Commission paid to Insurance BrokerUSD $4,719
Additional information about fees paid to insurance brokerSALES SERVICE
Insurance broker organization code?3
Insurance broker nameRISK STRATEGIES COMPANY

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