RESIDENTIAL MANAGEMENT SERVICES, IN C. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN
401k plan membership statisitcs for RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2019: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 432 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 300 |
| Number of retired or separated participants receiving benefits | 2019-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-07-01 | 0 |
| Total of all active and inactive participants | 2019-07-01 | 300 |
| 2018: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 385 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 291 |
| Number of retired or separated participants receiving benefits | 2018-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 0 |
| Total of all active and inactive participants | 2018-07-01 | 291 |
| 2017: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 145 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 145 |
| 2016: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 138 |
| Number of retired or separated participants receiving benefits | 2016-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 0 |
| Total of all active and inactive participants | 2016-07-01 | 138 |
| 2015: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-01 | 171 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 138 |
| Number of retired or separated participants receiving benefits | 2015-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-07-01 | 0 |
| Total of all active and inactive participants | 2015-07-01 | 138 |
| 2014: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 169 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 171 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
| Total of all active and inactive participants | 2014-07-01 | 171 |
| 2013: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 170 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 169 |
| Total of all active and inactive participants | 2013-07-01 | 169 |
| 2012: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 170 |
| Total of all active and inactive participants | 2012-07-01 | 170 |
| 2011: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 185 |
| Total of all active and inactive participants | 2011-07-01 | 185 |
| 2010: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 185 |
| Number of retired or separated participants receiving benefits | 2010-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-07-01 | 0 |
| Total of all active and inactive participants | 2010-07-01 | 185 |
| 2009: RESIDENTIAL MANAGEMENT SERVICES WELFARE BENEFIT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 182 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 185 |
| Number of retired or separated participants receiving benefits | 2009-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-07-01 | 0 |
| Total of all active and inactive participants | 2009-07-01 | 185 |
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000400000 |
| Policy instance | 10 |
| Insurance contract or identification number | 1000400000 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $1,389 | | Welfare Benefit Premiums Paid to Carrier | USD $31,834 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,389 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000430002 |
| Policy instance | 1 |
| Insurance contract or identification number | 1000430002 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $4,930 | | Welfare Benefit Premiums Paid to Carrier | USD $140,878 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,930 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000420002 |
| Policy instance | 2 |
| Insurance contract or identification number | 1000420002 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $5,504 | | Welfare Benefit Premiums Paid to Carrier | USD $153,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,504 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000390002 |
| Policy instance | 3 |
| Insurance contract or identification number | 1000390002 | | Number of Individuals Covered | 28 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $5,673 | | Welfare Benefit Premiums Paid to Carrier | USD $178,230 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,673 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000400002 |
| Policy instance | 4 |
| Insurance contract or identification number | 1000400002 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $3,163 | | Welfare Benefit Premiums Paid to Carrier | USD $88,845 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,163 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000410002 |
| Policy instance | 5 |
| Insurance contract or identification number | 1000410002 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $2,398 | | Welfare Benefit Premiums Paid to Carrier | USD $60,887 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,398 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000430000 |
| Policy instance | 6 |
| Insurance contract or identification number | 1000430000 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $356 | | Welfare Benefit Premiums Paid to Carrier | USD $10,435 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $356 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 100420001 |
| Policy instance | 7 |
| Insurance contract or identification number | 100420001 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $168 | | Welfare Benefit Premiums Paid to Carrier | USD $4,829 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $168 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000390000 |
| Policy instance | 8 |
| Insurance contract or identification number | 1000390000 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $2,632 | | Welfare Benefit Premiums Paid to Carrier | USD $78,189 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,632 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000410000 |
| Policy instance | 9 |
| Insurance contract or identification number | 1000410000 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $1,417 | | Welfare Benefit Premiums Paid to Carrier | USD $43,175 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,417 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000420002 |
| Policy instance | 2 |
| Insurance contract or identification number | 1000420002 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $5,504 | | Welfare Benefit Premiums Paid to Carrier | USD $153,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,504 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000390002 |
| Policy instance | 3 |
| Insurance contract or identification number | 1000390002 | | Number of Individuals Covered | 28 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $5,673 | | Welfare Benefit Premiums Paid to Carrier | USD $178,230 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,673 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000400002 |
| Policy instance | 4 |
| Insurance contract or identification number | 1000400002 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $3,163 | | Welfare Benefit Premiums Paid to Carrier | USD $88,845 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,163 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000410002 |
| Policy instance | 5 |
| Insurance contract or identification number | 1000410002 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $2,398 | | Welfare Benefit Premiums Paid to Carrier | USD $60,887 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,398 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000430000 |
| Policy instance | 6 |
| Insurance contract or identification number | 1000430000 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $356 | | Welfare Benefit Premiums Paid to Carrier | USD $10,435 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $356 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 100420001 |
| Policy instance | 7 |
| Insurance contract or identification number | 100420001 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $168 | | Welfare Benefit Premiums Paid to Carrier | USD $4,829 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $168 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000390000 |
| Policy instance | 8 |
| Insurance contract or identification number | 1000390000 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $2,632 | | Welfare Benefit Premiums Paid to Carrier | USD $78,189 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,632 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000410000 |
| Policy instance | 9 |
| Insurance contract or identification number | 1000410000 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $1,417 | | Welfare Benefit Premiums Paid to Carrier | USD $43,175 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,417 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000400000 |
| Policy instance | 10 |
| Insurance contract or identification number | 1000400000 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $1,389 | | Welfare Benefit Premiums Paid to Carrier | USD $31,834 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,389 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) |
| Policy contract number | 1000430002 |
| Policy instance | 1 |
| Insurance contract or identification number | 1000430002 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $4,930 | | Welfare Benefit Premiums Paid to Carrier | USD $140,878 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,930 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM603064 |
| Policy instance | 4 |
| Insurance contract or identification number | SGM603064 | | Number of Individuals Covered | 145 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-02-01 | | Total amount of commissions paid to insurance broker | USD $1,298 | | Total amount of fees paid to insurance company | USD $570 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,395 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SOK601940 |
| Policy instance | 3 |
| Insurance contract or identification number | SOK601940 | | Number of Individuals Covered | 145 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-02-01 | | Total amount of commissions paid to insurance broker | USD $175 | | Total amount of fees paid to insurance company | USD $73 | | Other welfare benefits provided | ACCIDENTAL DEATH | | Welfare Benefit Premiums Paid to Carrier | USD $1,461 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 ) |
| Policy contract number | 2352 |
| Policy instance | 2 |
| Insurance contract or identification number | 2352 | | Number of Individuals Covered | 145 | | Insurance policy start date | 2016-08-01 | | Insurance policy end date | 2017-07-31 | | Total amount of fees paid to insurance company | USD $31,028 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,108,153 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD603009 |
| Policy instance | 1 |
| Insurance contract or identification number | SGD603009 | | Number of Individuals Covered | 145 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-02-01 | | Total amount of commissions paid to insurance broker | USD $2,668 | | Total amount of fees paid to insurance company | USD $959 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,184 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SOK601940 |
| Policy instance | 1 |
| Insurance contract or identification number | SOK601940 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-02-01 | | Total amount of commissions paid to insurance broker | USD $177 | | Total amount of fees paid to insurance company | USD $74 | | Other welfare benefits provided | ACCIDENTAL DEATH | | Welfare Benefit Premiums Paid to Carrier | USD $1,473 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 74 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 | | Commission paid to Insurance Broker | USD $177 | | Insurance broker name | PEOPLES UNITED INSURANCE |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD603009 |
| Policy instance | 2 |
| Insurance contract or identification number | SGD603009 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-02-01 | | Total amount of commissions paid to insurance broker | USD $2,610 | | Total amount of fees paid to insurance company | USD $930 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,596 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 930 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 | | Commission paid to Insurance Broker | USD $2,610 | | Insurance broker name | PEOPLES UNITED INSURANCE |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM603064 |
| Policy instance | 3 |
| Insurance contract or identification number | SGM603064 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-02-01 | | Total amount of commissions paid to insurance broker | USD $1,274 | | Total amount of fees paid to insurance company | USD $552 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,047 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 552 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 | | Commission paid to Insurance Broker | USD $1,274 | | Insurance broker name | PEOPLES UNITED INSURANCE |
|
| CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 ) |
| Policy contract number | 2352 |
| Policy instance | 4 |
| Insurance contract or identification number | 2352 | | Number of Individuals Covered | 138 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of fees paid to insurance company | USD $28,765 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,027,310 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 28765 | | Additional information about fees paid to insurance broker | TO FULLFILL COMM 3 | | Insurance broker name | PEOPLE'S UNITED INSURANCE AGENCY, I |
|
| ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 ) |
| Policy contract number | 300347 |
| Policy instance | 2 |
| Insurance contract or identification number | 300347 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of fees paid to insurance company | USD $4,858 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,075,569 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 4858 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 | | Insurance broker name | PEOPLESUNITED INSUR AGENCY, INC |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-399039 |
| Policy instance | 1 |
| Insurance contract or identification number | 010-399039 | | Number of Individuals Covered | 376 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $3,836 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $109,610 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,836 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 | | Insurance broker name | PEOPLESUNITED INSURANCE AGENCY INC. |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-399039 |
| Policy instance | 1 |
| Insurance contract or identification number | 010-399039 | | Number of Individuals Covered | 371 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $3,752 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $107,200 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,752 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 | | Insurance broker name | PEOPLESUNITED INSURANCE AGENCY INC. |
|
| ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 ) |
| Policy contract number | 300347 |
| Policy instance | 2 |
| Insurance contract or identification number | 300347 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of fees paid to insurance company | USD $6,528 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $995,880 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 6528 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 | | Insurance broker name | PEOPLESUNITED INSUR AGENCY, INC |
|
| ANTHM HEALTH PLANS INC. (National Association of Insurance Commissioners NAIC id number: 60217 ) |
| Policy contract number | 300347 |
| Policy instance | 2 |
| Insurance contract or identification number | 300347 | | Number of Individuals Covered | 169 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $996,668 | | 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 number | 010-399039 |
| Policy instance | 1 |
| Insurance contract or identification number | 010-399039 | | Number of Individuals Covered | 374 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $3,810 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $108,845 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,810 | | Additional information about fees paid to insurance broker | TO FULFILL COMM 3 | | Insurance broker name | REOPLESUNITED INSURANCE AGENCY INC. |
|
| ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 ) |
| Policy contract number | 300347 |
| Policy instance | 3 |
| Insurance contract or identification number | 300347 | | Number of Individuals Covered | 147 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of fees paid to insurance company | USD $6,437 | | 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 number | 010-399039 |
| Policy instance | 2 |
| Insurance contract or identification number | 010-399039 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $3,681 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $105,183 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 855520G |
| Policy instance | 1 |
| Insurance contract or identification number | 855520G | | Number of Individuals Covered | 185 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $5,597 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $35,669 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 ) |
| Policy contract number | 300347 |
| Policy instance | 3 |
| Insurance contract or identification number | 300347 | | Number of Individuals Covered | 147 | | Insurance policy start date | 2009-08-01 | | Insurance policy end date | 2010-07-31 | | Total amount of fees paid to insurance company | USD $6,437 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 855520G |
| Policy instance | 1 |
| Insurance contract or identification number | 855520G | | Number of Individuals Covered | 185 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $5,505 | | Total amount of fees paid to insurance company | USD $350 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $37,989 | | 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 number | 010-399039 |
| Policy instance | 2 |
| Insurance contract or identification number | 010-399039 | | Number of Individuals Covered | 369 | | Insurance policy start date | 2009-10-01 | | Insurance policy end date | 2010-09-30 | | Total amount of commissions paid to insurance broker | USD $3,681 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $105,183 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
