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PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 401k Plan overview

Plan NamePINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN
Plan identification number 501

PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental

401k Sponsoring company profile

PINSLY RAILROAD COMPANY has sponsored the creation of one or more 401k plans.

Company Name:PINSLY RAILROAD COMPANY
Employer identification number (EIN):042507678
NAIC Classification:482110
NAIC Description: Rail Transportation

Additional information about PINSLY RAILROAD COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0784429

More information about PINSLY RAILROAD COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-03-01ANGELA DEPALO ANGELA DEPALO2016-06-28
5012014-03-01ANGELA DEPALO ANGELA DEPALO2015-08-13
5012013-03-01ANGELA DEPALO
5012012-03-01ANGELA DEPALO
5012011-03-01ANGELA DEPALO
5012009-03-01ANGELA DEPALO
5012008-03-01ANGELA DEPALO
5012007-03-01ANGELA DEPALO

Plan Statistics for PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN

401k plan membership statisitcs for PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN

Measure Date Value
2015: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01133
Total number of active participants reported on line 7a of the Form 55002015-03-0168
Total of all active and inactive participants2015-03-0168
Total participants2015-03-0168
2014: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01144
Total number of active participants reported on line 7a of the Form 55002014-03-01133
Total of all active and inactive participants2014-03-01133
Total participants2014-03-01133
2013: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01150
Total number of active participants reported on line 7a of the Form 55002013-03-01144
Total of all active and inactive participants2013-03-01144
Total participants2013-03-01144
2012: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01153
Total number of active participants reported on line 7a of the Form 55002012-03-01150
Total of all active and inactive participants2012-03-01150
Total participants2012-03-01150
2011: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-01149
Total number of active participants reported on line 7a of the Form 55002011-03-01153
Total of all active and inactive participants2011-03-01153
Total participants2011-03-01153
2009: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-01149
Total number of active participants reported on line 7a of the Form 55002009-03-01146
Total of all active and inactive participants2009-03-01146
Total participants2009-03-01146
2008: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year2008-03-01152
Total number of active participants reported on line 7a of the Form 55002008-03-01149
Total of all active and inactive participants2008-03-01149
Total participants2008-03-01149
2007: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year2007-03-01152
Total number of active participants reported on line 7a of the Form 55002007-03-01152
Total of all active and inactive participants2007-03-01152
Total participants2007-03-01152

Form 5500 Responses for PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN

2015: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planNo
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Submission has been amendedNo
2013-03-01This submission is the final filingNo
2013-03-01This return/report is a short plan year return/report (less than 12 months)No
2013-03-01Plan is a collectively bargained planNo
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planNo
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – General assets of the sponsorYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – General assets of the sponsorYes
2011: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planNo
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedYes
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes
2008: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2008 form 5500 responses
2008-03-01Type of plan entitySingle employer plan
2008-03-01Submission has been amendedYes
2008-03-01This submission is the final filingNo
2008-03-01This return/report is a short plan year return/report (less than 12 months)No
2008-03-01Plan is a collectively bargained planNo
2008-03-01Plan funding arrangement – InsuranceYes
2008-03-01Plan funding arrangement – General assets of the sponsorYes
2008-03-01Plan benefit arrangement – InsuranceYes
2008-03-01Plan benefit arrangement – General assets of the sponsorYes
2007: PINSLY RAILROAD COMPANY HEALTH BENEFIT PLAN 2007 form 5500 responses
2007-03-01Type of plan entitySingle employer plan
2007-03-01Submission has been amendedYes
2007-03-01This submission is the final filingNo
2007-03-01This return/report is a short plan year return/report (less than 12 months)No
2007-03-01Plan is a collectively bargained planNo
2007-03-01Plan funding arrangement – InsuranceYes
2007-03-01Plan funding arrangement – General assets of the sponsorYes
2007-03-01Plan benefit arrangement – InsuranceYes
2007-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG094Z1
Policy instance 2
Insurance contract or identification numberGLUG094Z1
Number of Individuals Covered68
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $2,407
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $18,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,407
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC INS AGENCY
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEPRC036
Policy instance 1
Insurance contract or identification numberEPRC036
Number of Individuals Covered67
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $68,869
Total amount of fees paid to insurance companyUSD $35,243
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees35243
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $68,869
Insurance broker nameTHE GAUDREAU GROUP INC INS AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG094Z1
Policy instance 2
Insurance contract or identification numberGLUG094Z1
Number of Individuals Covered67
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $1,711
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $17,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,711
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC INS AGENCY
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEPR036
Policy instance 1
Insurance contract or identification numberEPR036
Number of Individuals Covered133
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $68,869
Total amount of fees paid to insurance companyUSD $69,203
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,869
Insurance broker organization code?3
Amount paid for insurance broker fees69203
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker nameCONSOLIDATED HELATH PLANS
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEPRC036
Policy instance 1
Insurance contract or identification numberEPRC036
Number of Individuals Covered144
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $77,689
Total amount of fees paid to insurance companyUSD $66,145
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Amount paid for insurance broker fees66145
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $77,689
Insurance broker nameTHE GAUDREAU GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00094Z1
Policy instance 2
Insurance contract or identification numberG00094Z1
Number of Individuals Covered143
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $1,741
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $17,408
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,741
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG00094Z1
Policy instance 2
Insurance contract or identification numberG00094Z1
Number of Individuals Covered150
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $1,766
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,657
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,766
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEPRC306
Policy instance 1
Insurance contract or identification numberEPRC306
Number of Individuals Covered147
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $64,419
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,419
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberEPRC306
Policy instance 1
Insurance contract or identification numberEPRC306
Number of Individuals Covered153
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $64,625
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG094Z1
Policy instance 2
Insurance contract or identification numberGLUG094Z1
Number of Individuals Covered150
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $1,696
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 094Z1
Policy instance 2
Insurance contract or identification numberGLUG 094Z1
Number of Individuals Covered149
Insurance policy start date2010-03-01
Insurance policy end date2011-03-01
Total amount of commissions paid to insurance brokerUSD $1,585
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,585
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC.
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberEPRC306
Policy instance 1
Insurance contract or identification numberEPRC306
Number of Individuals Covered149
Insurance policy start date2010-03-01
Insurance policy end date2011-03-01
Total amount of commissions paid to insurance brokerUSD $53,032
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,032
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC.
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberEPRC306
Policy instance 1
Insurance contract or identification numberEPRC306
Number of Individuals Covered149
Insurance policy start date2008-03-01
Insurance policy end date2009-03-01
Total amount of commissions paid to insurance brokerUSD $46,805
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,805
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 094Z1
Policy instance 2
Insurance contract or identification numberGLUG 094Z1
Number of Individuals Covered149
Insurance policy start date2008-03-01
Insurance policy end date2009-03-01
Total amount of commissions paid to insurance brokerUSD $1,557
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,565
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,557
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC.
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberEPRC306
Policy instance 1
Insurance contract or identification numberEPRC306
Number of Individuals Covered152
Insurance policy start date2007-03-01
Insurance policy end date2008-03-01
Total amount of commissions paid to insurance brokerUSD $49,153
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,153
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 094Z1
Policy instance 2
Insurance contract or identification numberGLUG 094Z1
Number of Individuals Covered152
Insurance policy start date2007-03-01
Insurance policy end date2008-03-01
Total amount of commissions paid to insurance brokerUSD $1,521
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,521
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 094Z1
Policy instance 1
Insurance contract or identification numberGLUG 094Z1
Number of Individuals Covered152
Insurance policy start date2006-03-01
Insurance policy end date2007-03-01
Total amount of commissions paid to insurance brokerUSD $1,475
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,475
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC.
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberEPRC306
Policy instance 2
Insurance contract or identification numberEPRC306
Number of Individuals Covered152
Insurance policy start date2006-03-01
Insurance policy end date2007-03-01
Total amount of commissions paid to insurance brokerUSD $46,027
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,027
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number640506
Policy instance 1
Insurance contract or identification number640506
Number of Individuals Covered143
Insurance policy start date2005-03-01
Insurance policy end date2006-03-01
Total amount of fees paid to insurance companyUSD $48,600
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees48600
Insurance broker organization code?3
Insurance broker nameCORESOURCE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 094Z1
Policy instance 2
Insurance contract or identification numberGLUG 094Z1
Number of Individuals Covered143
Insurance policy start date2005-03-01
Insurance policy end date2006-03-01
Total amount of commissions paid to insurance brokerUSD $1,205
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,052
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,205
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameROBERT G. EATON
AVEMCO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number640506
Policy instance 2
Insurance contract or identification number640506
Number of Individuals Covered108
Insurance policy start date2004-03-01
Insurance policy end date2005-03-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $38,490
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees38490
Insurance broker organization code?3
Insurance broker nameCORESOURCE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 094Z1
Policy instance 1
Insurance contract or identification numberGLUG 094Z1
Number of Individuals Covered108
Insurance policy start date2004-03-01
Insurance policy end date2005-03-01
Total amount of commissions paid to insurance brokerUSD $1,013
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,128
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,013
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameROBERT G. EATON

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