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UNITED ALUMINUM CORPORATION DENTAL PLAN 401k Plan overview

Plan NameUNITED ALUMINUM CORPORATION DENTAL PLAN
Plan identification number 504

UNITED ALUMINUM CORPORATION DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • 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

UNITED ALUMINUM CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:UNITED ALUMINUM CORPORATION
Employer identification number (EIN):060572100
NAIC Classification:331310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED ALUMINUM CORPORATION DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-11-01JEFFREY GUTH2024-02-23
5042021-11-01JEFFREY G. GUTH2023-05-22
5042020-11-01JEFFREY GUTH2022-05-20
5042019-11-01JEFFREY G. GUTH2021-04-15
5042018-11-01JEFF GUTH2020-10-23
5042018-08-01JEFF GUTH2020-10-23
5042017-08-01JEFF GUTH2020-10-23
5042016-08-01JEFF GUTH2020-10-23
5042015-08-01JEFF GUTH2020-10-23
5042014-08-01JEFF GUTH2020-10-23
5042013-08-01JEFF GUTH2020-10-23
5042013-04-01JEFF GUTH2020-10-23
5042012-04-01JEFF GUTH2020-10-23
5042011-04-01JEFF GUTH2020-10-23
5042010-04-01JEFF GUTH2020-10-23
5042010-01-01JEFF GUTH2020-10-23
5042009-01-01JEFF GUTH2020-10-23

Plan Statistics for UNITED ALUMINUM CORPORATION DENTAL PLAN

401k plan membership statisitcs for UNITED ALUMINUM CORPORATION DENTAL PLAN

Measure Date Value
2022: UNITED ALUMINUM CORPORATION DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-11-01142
Total number of active participants reported on line 7a of the Form 55002022-11-01145
Number of retired or separated participants receiving benefits2022-11-010
Number of other retired or separated participants entitled to future benefits2022-11-010
Total of all active and inactive participants2022-11-01145
Number of employers contributing to the scheme2022-11-010
2021: UNITED ALUMINUM CORPORATION DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01128
Total number of active participants reported on line 7a of the Form 55002021-11-01142
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01142
Number of employers contributing to the scheme2021-11-010
2020: UNITED ALUMINUM CORPORATION DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01129
Total number of active participants reported on line 7a of the Form 55002020-11-01128
Number of retired or separated participants receiving benefits2020-11-010
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-01128
Number of employers contributing to the scheme2020-11-010
2019: UNITED ALUMINUM CORPORATION DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01127
Total number of active participants reported on line 7a of the Form 55002019-11-01129
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01129
Number of employers contributing to the scheme2019-11-010
2018: UNITED ALUMINUM CORPORATION DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01125
Total number of active participants reported on line 7a of the Form 55002018-11-01127
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-01127
Number of employers contributing to the scheme2018-11-010
Total participants, beginning-of-year2018-08-01122
Total number of active participants reported on line 7a of the Form 55002018-08-01125
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01125
Number of employers contributing to the scheme2018-08-010
2017: UNITED ALUMINUM CORPORATION DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01124
Total number of active participants reported on line 7a of the Form 55002017-08-01122
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01122
Number of employers contributing to the scheme2017-08-010
2016: UNITED ALUMINUM CORPORATION DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01144
Total number of active participants reported on line 7a of the Form 55002016-08-01124
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01124
Number of employers contributing to the scheme2016-08-010
2015: UNITED ALUMINUM CORPORATION DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01260
Total number of active participants reported on line 7a of the Form 55002015-08-01144
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-01144
Number of employers contributing to the scheme2015-08-010
2014: UNITED ALUMINUM CORPORATION DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01255
Total number of active participants reported on line 7a of the Form 55002014-08-01260
Number of retired or separated participants receiving benefits2014-08-010
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-01260
Number of employers contributing to the scheme2014-08-010
2013: UNITED ALUMINUM CORPORATION DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01141
Total number of active participants reported on line 7a of the Form 55002013-08-01255
Number of retired or separated participants receiving benefits2013-08-010
Number of other retired or separated participants entitled to future benefits2013-08-010
Total of all active and inactive participants2013-08-01255
Number of employers contributing to the scheme2013-08-010
Total participants, beginning-of-year2013-04-01141
Total number of active participants reported on line 7a of the Form 55002013-04-01141
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-010
Total of all active and inactive participants2013-04-01141
Number of employers contributing to the scheme2013-04-010
2012: UNITED ALUMINUM CORPORATION DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01137
Total number of active participants reported on line 7a of the Form 55002012-04-01141
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-01141
Number of employers contributing to the scheme2012-04-010
2011: UNITED ALUMINUM CORPORATION DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01140
Total number of active participants reported on line 7a of the Form 55002011-04-01137
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-010
Total of all active and inactive participants2011-04-01137
Number of employers contributing to the scheme2011-04-010
2010: UNITED ALUMINUM CORPORATION DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01245
Total number of active participants reported on line 7a of the Form 55002010-04-01140
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-010
Total of all active and inactive participants2010-04-01140
Number of employers contributing to the scheme2010-04-010
Total participants, beginning-of-year2010-01-01246
Total number of active participants reported on line 7a of the Form 55002010-01-01245
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01245
Number of employers contributing to the scheme2010-01-010
2009: UNITED ALUMINUM CORPORATION DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01134
Total number of active participants reported on line 7a of the Form 55002009-01-01246
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01246
Number of employers contributing to the scheme2009-01-010

Form 5500 Responses for UNITED ALUMINUM CORPORATION DENTAL PLAN

2022: UNITED ALUMINUM CORPORATION DENTAL PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – InsuranceYes
2021: UNITED ALUMINUM CORPORATION DENTAL PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: UNITED ALUMINUM CORPORATION DENTAL PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: UNITED ALUMINUM CORPORATION DENTAL PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: UNITED ALUMINUM CORPORATION DENTAL PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-08-01Type of plan entitySingle employer plan
2018-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: UNITED ALUMINUM CORPORATION DENTAL PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: UNITED ALUMINUM CORPORATION DENTAL PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: UNITED ALUMINUM CORPORATION DENTAL PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: UNITED ALUMINUM CORPORATION DENTAL PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: UNITED ALUMINUM CORPORATION DENTAL PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-04-01Type of plan entitySingle employer plan
2013-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: UNITED ALUMINUM CORPORATION DENTAL PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: UNITED ALUMINUM CORPORATION DENTAL PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: UNITED ALUMINUM CORPORATION DENTAL PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-01-01Type of plan entitySingle employer plan
2010-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: UNITED ALUMINUM CORPORATION DENTAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF CT, INC. (National Association of Insurance Commissioners NAIC id number: 15987 )
Policy contract number4368
Policy instance 1
Insurance contract or identification number4368
Number of Individuals Covered318
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CT, INC. (National Association of Insurance Commissioners NAIC id number: 15987 )
Policy contract number4368
Policy instance 1
Insurance contract or identification number4368
Number of Individuals Covered317
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $932
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $599
Amount paid for insurance broker fees0
Insurance broker organization code?3
DELTA DENTAL OF CT, INC. (National Association of Insurance Commissioners NAIC id number: 15987 )
Policy contract number4368
Policy instance 1
Insurance contract or identification number4368
Number of Individuals Covered290
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CT, INC. (National Association of Insurance Commissioners NAIC id number: 15987 )
Policy contract number4368
Policy instance 1
Insurance contract or identification number4368
Number of Individuals Covered297
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CT, INC. (National Association of Insurance Commissioners NAIC id number: 15987 )
Policy contract number4368
Policy instance 1
Insurance contract or identification number4368
Number of Individuals Covered316
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number1D032814
Policy instance 1
Insurance contract or identification number1D032814
Number of Individuals Covered125
Insurance policy start date2018-08-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number1D032814
Policy instance 1
Insurance contract or identification number1D032814
Number of Individuals Covered122
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $11,067
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $124,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-042236
Policy instance 1
Insurance contract or identification number010-042236
Number of Individuals Covered316
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $7,780
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $137,292
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,119
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5451157
Policy instance 2
Insurance contract or identification number5451157
Number of Individuals Covered137
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $2,716
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,716
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5910270
Policy instance 1
Insurance contract or identification number5910270
Number of Individuals Covered611
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $10,993
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $138,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,902
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5910270
Policy instance 2
Insurance contract or identification number5910270
Number of Individuals Covered599
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $10,113
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,250
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5451157
Policy instance 1
Insurance contract or identification number5451157
Number of Individuals Covered137
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $2,716
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,716
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5451157
Policy instance 1
Insurance contract or identification number5451157
Number of Individuals Covered141
Insurance policy start date2013-04-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5451157
Policy instance 1
Insurance contract or identification number5451157
Number of Individuals Covered141
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $4,260
Total amount of fees paid to insurance companyUSD $2,945
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $147,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,260
Amount paid for insurance broker fees2945
Additional information about fees paid to insurance brokerPRODUCER BONUS PROGRAM
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5451157
Policy instance 1
Insurance contract or identification number5451157
Number of Individuals Covered137
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $4,267
Total amount of fees paid to insurance companyUSD $1,512
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $147,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,267
Amount paid for insurance broker fees1512
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5451157
Policy instance 1
Insurance contract or identification number5451157
Number of Individuals Covered140
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $4,242
Total amount of fees paid to insurance companyUSD $1,452
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $145,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,242
Amount paid for insurance broker fees1452
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5712189
Policy instance 1
Insurance contract or identification number5712189
Number of Individuals Covered575
Insurance policy start date2010-01-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5712189
Policy instance 1
Insurance contract or identification number5712189
Number of Individuals Covered578
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $4,220
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $145,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,220
Amount paid for insurance broker fees0
Insurance broker organization code?3

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