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ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan NameABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST
Plan identification number 501

ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

ABBOTT BALL COMPANY has sponsored the creation of one or more 401k plans.

Company Name:ABBOTT BALL COMPANY
Employer identification number (EIN):060235810
NAIC Classification:332900

Additional information about ABBOTT BALL COMPANY

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number: 0100490229

More information about ABBOTT BALL COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01NICHOLAS DIFIORE
5012017-01-01NICHOLAS DIFIORE
5012016-01-01NICHOLAS DIFIORE
5012015-01-01NICHOLAS DIFIORE
5012014-01-01NICHOLAS DIFIORE
5012013-01-01NICHOLAS DIFIORE
5012012-01-01NICHOLAS DIFIORE
5012011-01-01NICHOLAS DIFIORE2012-10-11
5012010-01-01NICHOLAS DIFIORE2011-10-14

Plan Statistics for ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST

Measure Date Value
2022: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-0162
Total number of active participants reported on line 7a of the Form 55002022-01-0170
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0170
2021: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-0173
Total number of active participants reported on line 7a of the Form 55002021-01-0162
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0162
2020: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-0160
Total number of active participants reported on line 7a of the Form 55002020-01-0172
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0173
2019: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-0159
Total number of active participants reported on line 7a of the Form 55002019-01-0160
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0160
2018: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-0158
Total number of active participants reported on line 7a of the Form 55002018-01-0159
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0159
2017: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-0157
Total number of active participants reported on line 7a of the Form 55002017-01-0158
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0158
2016: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-0158
Total number of active participants reported on line 7a of the Form 55002016-01-0157
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0157
2015: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-0163
Total number of active participants reported on line 7a of the Form 55002015-01-0158
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0158
2014: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-0168
Total number of active participants reported on line 7a of the Form 55002014-01-0163
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0163
2013: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0174
Total number of active participants reported on line 7a of the Form 55002013-01-0168
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0168
2012: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0168
Total number of active participants reported on line 7a of the Form 55002012-01-0174
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0174

Financial Data on ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST

Measure Date Value
2022 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$1,510,006
Expenses. Total of all expenses incurred2022-12-31$1,504,864
Benefits paid (including direct rollovers)2022-12-31$1,504,864
Total plan assets at end of year2022-12-31$336,648
Total plan assets at beginning of year2022-12-31$331,506
Total contributions received or receivable from participants2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$0
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$5,142
Net plan assets at end of year (total assets less liabilities)2022-12-31$336,648
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$331,506
Total contributions received or receivable from employer(s)2022-12-31$1,510,006
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$0
2021 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2021 401k financial data
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,385,006
Expenses. Total of all expenses incurred2021-12-31$1,280,606
Benefits paid (including direct rollovers)2021-12-31$1,280,606
Total plan assets at end of year2021-12-31$331,506
Total plan assets at beginning of year2021-12-31$227,106
Total contributions received or receivable from participants2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$0
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$104,400
Net plan assets at end of year (total assets less liabilities)2021-12-31$331,506
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$227,106
Total contributions received or receivable from employer(s)2021-12-31$1,385,006
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$0
2020 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$885,002
Expenses. Total of all expenses incurred2020-12-31$661,231
Benefits paid (including direct rollovers)2020-12-31$661,231
Total plan assets at end of year2020-12-31$227,106
Total plan assets at beginning of year2020-12-31$3,335
Total contributions received or receivable from participants2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$0
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$223,771
Net plan assets at end of year (total assets less liabilities)2020-12-31$227,106
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,335
Total contributions received or receivable from employer(s)2020-12-31$885,002
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$0
2019 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2019 401k financial data
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$70,001
Expenses. Total of all expenses incurred2019-12-31$78,221
Benefits paid (including direct rollovers)2019-12-31$78,221
Total plan assets at end of year2019-12-31$3,335
Total plan assets at beginning of year2019-12-31$11,555
Total contributions received or receivable from participants2019-12-31$0
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$0
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$-8,220
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,335
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$11,555
Total contributions received or receivable from employer(s)2019-12-31$70,001
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$0
2018 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$9
Expenses. Total of all expenses incurred2018-12-31$71,793
Benefits paid (including direct rollovers)2018-12-31$71,793
Total plan assets at end of year2018-12-31$11,555
Total plan assets at beginning of year2018-12-31$83,339
Total contributions received or receivable from participants2018-12-31$0
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$9
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-71,784
Net plan assets at end of year (total assets less liabilities)2018-12-31$11,555
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$83,339
Total contributions received or receivable from employer(s)2018-12-31$0
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$0
2017 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$100,005
Expenses. Total of all expenses incurred2017-12-31$78,004
Benefits paid (including direct rollovers)2017-12-31$78,004
Total plan assets at end of year2017-12-31$83,339
Total plan assets at beginning of year2017-12-31$61,338
Total contributions received or receivable from participants2017-12-31$0
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$0
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$22,001
Net plan assets at end of year (total assets less liabilities)2017-12-31$83,339
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$61,338
Total contributions received or receivable from employer(s)2017-12-31$100,005
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$0
2016 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$117,002
Expenses. Total of all expenses incurred2016-12-31$76,167
Benefits paid (including direct rollovers)2016-12-31$76,167
Total plan assets at end of year2016-12-31$61,338
Total plan assets at beginning of year2016-12-31$20,503
Total contributions received or receivable from participants2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$0
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$40,835
Net plan assets at end of year (total assets less liabilities)2016-12-31$61,338
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$20,503
Total contributions received or receivable from employer(s)2016-12-31$117,002
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$0
2015 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$79,001
Expenses. Total of all expenses incurred2015-12-31$58,516
Benefits paid (including direct rollovers)2015-12-31$58,516
Total plan assets at end of year2015-12-31$20,503
Total plan assets at beginning of year2015-12-31$18
Total contributions received or receivable from participants2015-12-31$0
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$0
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$20,485
Net plan assets at end of year (total assets less liabilities)2015-12-31$20,503
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$18
Total contributions received or receivable from employer(s)2015-12-31$79,001
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$0
2014 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$62,751
Expenses. Total of all expenses incurred2014-12-31$62,739
Benefits paid (including direct rollovers)2014-12-31$62,739
Total plan assets at end of year2014-12-31$18
Total plan assets at beginning of year2014-12-31$6
Total contributions received or receivable from participants2014-12-31$0
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$0
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$12
Net plan assets at end of year (total assets less liabilities)2014-12-31$18
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$6
Total contributions received or receivable from employer(s)2014-12-31$62,751
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
2013 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$82,320
Expenses. Total of all expenses incurred2013-12-31$82,541
Benefits paid (including direct rollovers)2013-12-31$82,541
Total plan assets at end of year2013-12-31$6
Total plan assets at beginning of year2013-12-31$227
Total contributions received or receivable from participants2013-12-31$0
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$0
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$-221
Net plan assets at end of year (total assets less liabilities)2013-12-31$6
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$227
Total contributions received or receivable from employer(s)2013-12-31$82,320
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
2012 : ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$651,305
Expenses. Total of all expenses incurred2012-12-31$685,243
Benefits paid (including direct rollovers)2012-12-31$685,243
Total plan assets at end of year2012-12-31$227
Total plan assets at beginning of year2012-12-31$34,165
Total contributions received or receivable from participants2012-12-31$0
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$5
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$-33,938
Net plan assets at end of year (total assets less liabilities)2012-12-31$227
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$34,165
Total contributions received or receivable from employer(s)2012-12-31$651,300
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0

Form 5500 Responses for ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST

2022: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ABBOTT BALL COMPANY, INC. EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL147631
Policy instance 1
Insurance contract or identification numberGL147631
Number of Individuals Covered69
Total amount of commissions paid to insurance brokerUSD $3,943
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,943
Insurance broker organization code?3
Insurance broker nameDIVERSIFIED GROUP BROKERAGE CORP.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 121252
Policy instance 2
Insurance contract or identification numberLTD 121252
Number of Individuals Covered24
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $1,614
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,614
Insurance broker organization code?3
Insurance broker nameDIVERSIFIED GROUP BROKERAGE CORP.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 204979
Policy instance 3
Insurance contract or identification numberVAR 204979
Number of Individuals Covered69
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $449
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $449
Insurance broker nameDIVERSIFIED GROUP BROKERAGE CORP.

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