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SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 401k Plan overview

Plan NameSAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY
Plan identification number 501

SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY Benefits

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

401k Sponsoring company profile

SAVIN ENGINEERS, PC has sponsored the creation of one or more 401k plans.

Company Name:SAVIN ENGINEERS, PC
Employer identification number (EIN):061241917
NAIC Classification:541330
NAIC Description:Engineering Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01RENGHACHARI SRINIVASARAGHAVAN2023-10-20
5012021-04-01RENGHACHARI SRINIVASARAGHAVAN2022-10-14
5012020-04-01RENGHACHARI SRINIVASARAGHAVAN2021-10-14
5012019-04-01RENGHACHARI SRINIVASARAGHAVAN2020-10-08
5012018-04-01RENGHACHARI SRINIVASARAGHAVAN2019-09-25
5012017-04-01
5012016-04-01
5012015-04-01
5012014-04-01
5012013-04-01
5012012-04-01R. SRINIVASARAGHAVAN
5012011-04-01RENGACHARI SRINIVASARAGHAVAN
5012010-04-01R SRINIVASARAGHAVAN
5012009-04-01R SRINIVASARAGHAVAN

Plan Statistics for SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY

401k plan membership statisitcs for SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY

Measure Date Value
2022: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2022 401k membership
Total participants, beginning-of-year2022-04-01131
Total number of active participants reported on line 7a of the Form 55002022-04-01102
Number of retired or separated participants receiving benefits2022-04-014
Total of all active and inactive participants2022-04-01106
2021: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2021 401k membership
Total participants, beginning-of-year2021-04-01154
Total number of active participants reported on line 7a of the Form 55002021-04-01131
Number of retired or separated participants receiving benefits2021-04-014
Total of all active and inactive participants2021-04-01135
2020: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2020 401k membership
Total participants, beginning-of-year2020-04-01173
Total number of active participants reported on line 7a of the Form 55002020-04-01154
Number of retired or separated participants receiving benefits2020-04-014
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01158
2019: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2019 401k membership
Total participants, beginning-of-year2019-04-01156
Total number of active participants reported on line 7a of the Form 55002019-04-01171
Number of retired or separated participants receiving benefits2019-04-012
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01173
2018: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2018 401k membership
Total participants, beginning-of-year2018-04-01145
Total number of active participants reported on line 7a of the Form 55002018-04-01154
Number of retired or separated participants receiving benefits2018-04-012
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-01156
2017: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year2017-04-01123
Total number of active participants reported on line 7a of the Form 55002017-04-01144
Number of retired or separated participants receiving benefits2017-04-011
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-01145
2016: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year2016-04-01126
Total number of active participants reported on line 7a of the Form 55002016-04-01122
Number of retired or separated participants receiving benefits2016-04-011
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-01123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-01123
2015: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year2015-04-01128
Total number of active participants reported on line 7a of the Form 55002015-04-01125
Number of retired or separated participants receiving benefits2015-04-011
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-01126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-01126
2014: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year2014-04-01109
Total number of active participants reported on line 7a of the Form 55002014-04-01127
Number of retired or separated participants receiving benefits2014-04-011
Total of all active and inactive participants2014-04-01128
Total participants2014-04-01128
2013: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year2013-04-01118
Total number of active participants reported on line 7a of the Form 55002013-04-01107
Number of retired or separated participants receiving benefits2013-04-012
Number of other retired or separated participants entitled to future benefits2013-04-010
Total of all active and inactive participants2013-04-01109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-01109
2012: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year2012-04-01112
Total number of active participants reported on line 7a of the Form 55002012-04-01118
Number of retired or separated participants receiving benefits2012-04-012
Total of all active and inactive participants2012-04-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-01120
2011: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year2011-04-01113
Total number of active participants reported on line 7a of the Form 55002011-04-01110
Number of retired or separated participants receiving benefits2011-04-012
Total of all active and inactive participants2011-04-01112
2010: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year2010-04-01113
Total number of active participants reported on line 7a of the Form 55002010-04-01112
Number of retired or separated participants receiving benefits2010-04-011
Total of all active and inactive participants2010-04-01113
Total participants2010-04-01113
2009: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year2009-04-01117
Total number of active participants reported on line 7a of the Form 55002009-04-01112
Number of retired or separated participants receiving benefits2009-04-012
Total of all active and inactive participants2009-04-01114
Total participants2009-04-01114

Form 5500 Responses for SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY

2022: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 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: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 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: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Plan is a collectively bargained planYes
2010-04-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2010-04-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2009: SAVIN ENGINEERS, PC GROUP BASIC TERM LIFE GROUP AD&D LONG TERM DISABILITY 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Plan is a collectively bargained planYes
2009-04-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2009-04-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered107
Insurance policy start date2021-05-01
Insurance policy end date2022-05-01
Total amount of commissions paid to insurance brokerUSD $392
Total amount of fees paid to insurance companyUSD $334
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $392
Amount paid for insurance broker fees334
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered107
Insurance policy start date2021-05-01
Insurance policy end date2022-05-01
Total amount of commissions paid to insurance brokerUSD $2,988
Total amount of fees paid to insurance companyUSD $2,503
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,988
Amount paid for insurance broker fees2503
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered79
Insurance policy start date2021-05-01
Insurance policy end date2022-05-01
Total amount of commissions paid to insurance brokerUSD $4,408
Total amount of fees paid to insurance companyUSD $3,712
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,408
Amount paid for insurance broker fees3712
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered112
Insurance policy start date2021-05-01
Insurance policy end date2022-05-01
Total amount of commissions paid to insurance brokerUSD $3,708
Total amount of fees paid to insurance companyUSD $3,097
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,708
Amount paid for insurance broker fees3097
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered135
Insurance policy start date2020-05-01
Insurance policy end date2021-05-01
Total amount of commissions paid to insurance brokerUSD $4,008
Total amount of fees paid to insurance companyUSD $3,440
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,720
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,008
Amount paid for insurance broker fees3440
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered88
Insurance policy start date2020-05-01
Insurance policy end date2021-05-01
Total amount of commissions paid to insurance brokerUSD $4,818
Total amount of fees paid to insurance companyUSD $4,108
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,818
Amount paid for insurance broker fees4108
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered130
Insurance policy start date2020-05-01
Insurance policy end date2021-05-01
Total amount of commissions paid to insurance brokerUSD $3,168
Total amount of fees paid to insurance companyUSD $2,686
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,168
Amount paid for insurance broker fees2686
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered130
Insurance policy start date2020-05-01
Insurance policy end date2021-05-01
Total amount of commissions paid to insurance brokerUSD $431
Total amount of fees paid to insurance companyUSD $365
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $431
Amount paid for insurance broker fees365
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered0
Insurance policy start date2019-05-01
Insurance policy end date2020-05-01
Total amount of commissions paid to insurance brokerUSD $438
Total amount of fees paid to insurance companyUSD $344
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $438
Amount paid for insurance broker fees344
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered170
Insurance policy start date2019-05-01
Insurance policy end date2020-05-01
Total amount of commissions paid to insurance brokerUSD $4,467
Total amount of fees paid to insurance companyUSD $3,539
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,467
Amount paid for insurance broker fees3539
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered154
Insurance policy start date2019-05-01
Insurance policy end date2020-05-01
Total amount of commissions paid to insurance brokerUSD $3,217
Total amount of fees paid to insurance companyUSD $2,530
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,217
Amount paid for insurance broker fees2530
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered108
Insurance policy start date2019-05-01
Insurance policy end date2020-05-01
Total amount of commissions paid to insurance brokerUSD $4,643
Total amount of fees paid to insurance companyUSD $3,523
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,643
Amount paid for insurance broker fees3523
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered0
Insurance policy start date2018-05-01
Insurance policy end date2019-05-01
Total amount of commissions paid to insurance brokerUSD $392
Total amount of fees paid to insurance companyUSD $309
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $392
Amount paid for insurance broker fees309
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered159
Insurance policy start date2018-05-01
Insurance policy end date2019-05-01
Total amount of commissions paid to insurance brokerUSD $3,911
Total amount of fees paid to insurance companyUSD $3,055
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,911
Amount paid for insurance broker fees3055
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered136
Insurance policy start date2018-05-01
Insurance policy end date2019-05-01
Total amount of commissions paid to insurance brokerUSD $2,884
Total amount of fees paid to insurance companyUSD $2,265
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,884
Amount paid for insurance broker fees2265
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered77
Insurance policy start date2018-05-01
Insurance policy end date2019-05-01
Total amount of commissions paid to insurance brokerUSD $3,692
Total amount of fees paid to insurance companyUSD $2,952
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,692
Amount paid for insurance broker fees2952
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered122
Insurance policy start date2017-05-01
Insurance policy end date2018-05-01
Total amount of commissions paid to insurance brokerUSD $340
Total amount of fees paid to insurance companyUSD $249
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $340
Amount paid for insurance broker fees249
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered141
Insurance policy start date2017-05-01
Insurance policy end date2018-05-01
Total amount of commissions paid to insurance brokerUSD $3,301
Total amount of fees paid to insurance companyUSD $2,371
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,301
Amount paid for insurance broker fees2371
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered122
Insurance policy start date2017-05-01
Insurance policy end date2018-05-01
Total amount of commissions paid to insurance brokerUSD $2,514
Total amount of fees paid to insurance companyUSD $1,840
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,514
Amount paid for insurance broker fees1840
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered74
Insurance policy start date2017-05-01
Insurance policy end date2018-05-01
Total amount of commissions paid to insurance brokerUSD $3,593
Total amount of fees paid to insurance companyUSD $2,634
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,593
Amount paid for insurance broker fees2634
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered78
Insurance policy start date2016-05-01
Insurance policy end date2017-05-01
Total amount of commissions paid to insurance brokerUSD $3,570
Total amount of fees paid to insurance companyUSD $2,747
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,570
Amount paid for insurance broker fees2747
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameEMERSON REID LLC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered119
Insurance policy start date2016-05-01
Insurance policy end date2017-05-01
Total amount of commissions paid to insurance brokerUSD $2,299
Total amount of fees paid to insurance companyUSD $1,649
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,299
Amount paid for insurance broker fees1649
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameEMERSON REID LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered122
Insurance policy start date2016-05-01
Insurance policy end date2017-05-01
Total amount of commissions paid to insurance brokerUSD $3,116
Total amount of fees paid to insurance companyUSD $2,299
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,776
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,116
Amount paid for insurance broker fees2299
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameEMERSON REID LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered120
Insurance policy start date2016-05-01
Insurance policy end date2017-05-01
Total amount of commissions paid to insurance brokerUSD $340
Total amount of fees paid to insurance companyUSD $248
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $340
Amount paid for insurance broker fees248
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameEMERSON REID LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered108
Insurance policy start date2014-05-01
Insurance policy end date2015-05-01
Total amount of commissions paid to insurance brokerUSD $312
Total amount of fees paid to insurance companyUSD $125
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $154
Insurance broker organization code?3
Amount paid for insurance broker fees125
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameEMERSON REID LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered129
Insurance policy start date2014-05-01
Insurance policy end date2015-05-01
Total amount of commissions paid to insurance brokerUSD $2,900
Total amount of fees paid to insurance companyUSD $1,153
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,373
Insurance broker organization code?3
Amount paid for insurance broker fees1153
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameEMERSON REID LLC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered108
Insurance policy start date2014-05-01
Insurance policy end date2015-05-01
Total amount of commissions paid to insurance brokerUSD $1,923
Total amount of fees paid to insurance companyUSD $767
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $923
Insurance broker organization code?3
Amount paid for insurance broker fees767
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameEMERSON REID LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered86
Insurance policy start date2014-05-01
Insurance policy end date2015-05-01
Total amount of commissions paid to insurance brokerUSD $3,683
Total amount of fees paid to insurance companyUSD $1,467
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,780
Insurance broker organization code?3
Amount paid for insurance broker fees1467
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameEMERSON REID LLC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered105
Insurance policy start date2013-05-01
Insurance policy end date2014-05-01
Total amount of commissions paid to insurance brokerUSD $1,871
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,871
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered105
Insurance policy start date2013-05-01
Insurance policy end date2014-05-01
Total amount of commissions paid to insurance brokerUSD $312
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $312
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered107
Insurance policy start date2013-05-01
Insurance policy end date2014-05-01
Total amount of commissions paid to insurance brokerUSD $2,635
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,635
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered71
Insurance policy start date2013-05-01
Insurance policy end date2014-05-01
Total amount of commissions paid to insurance brokerUSD $3,430
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,430
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered118
Insurance policy start date2012-05-01
Insurance policy end date2013-05-01
Total amount of commissions paid to insurance brokerUSD $2,793
Total amount of fees paid to insurance companyUSD $414
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,793
Amount paid for insurance broker fees414
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered112
Insurance policy start date2012-05-01
Insurance policy end date2013-05-01
Total amount of commissions paid to insurance brokerUSD $1,947
Total amount of fees paid to insurance companyUSD $291
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,947
Amount paid for insurance broker fees291
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Number of Individuals Covered75
Insurance policy start date2012-07-01
Insurance policy end date2013-05-01
Total amount of commissions paid to insurance brokerUSD $2,958
Total amount of fees paid to insurance companyUSD $278
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,958
Amount paid for insurance broker fees278
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered112
Insurance policy start date2012-05-01
Insurance policy end date2013-05-01
Total amount of commissions paid to insurance brokerUSD $324
Total amount of fees paid to insurance companyUSD $48
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $324
Amount paid for insurance broker fees48
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number810164
Policy instance 4
Insurance contract or identification number810164
Number of Individuals Covered82
Insurance policy start date2011-12-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $2,082
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,882
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,082
Insurance broker organization code?3
Insurance broker nameDANIEL GREECHAN
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered110
Insurance policy start date2011-05-01
Insurance policy end date2012-05-01
Total amount of commissions paid to insurance brokerUSD $323
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $323
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered115
Insurance policy start date2011-05-01
Insurance policy end date2012-05-01
Total amount of commissions paid to insurance brokerUSD $2,591
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,591
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered110
Insurance policy start date2011-05-01
Insurance policy end date2012-05-01
Total amount of commissions paid to insurance brokerUSD $1,938
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,938
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES, INC
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Number of Individuals Covered103
Insurance policy start date2010-05-01
Insurance policy end date2011-05-01
Total amount of commissions paid to insurance brokerUSD $1,833
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,219
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: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Number of Individuals Covered103
Insurance policy start date2010-05-01
Insurance policy end date2011-05-01
Total amount of commissions paid to insurance brokerUSD $306
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,037
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: 71412 )
Policy contract numberG000ACP5
Policy instance 1
Insurance contract or identification numberG000ACP5
Number of Individuals Covered110
Insurance policy start date2010-05-01
Insurance policy end date2011-05-01
Total amount of commissions paid to insurance brokerUSD $2,502
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract numberG000ACP5
Policy instance 4
Insurance contract or identification numberG000ACP5
Insurance policy start date2010-05-01
Insurance policy end date2011-05-01
Total amount of commissions paid to insurance brokerUSD $1,833
Life 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 $1,833
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 3
Insurance contract or identification numberG000ACP5
Insurance policy start date2010-05-01
Insurance policy end date2011-05-01
Total amount of commissions paid to insurance brokerUSD $306
Other welfare benefits providedAD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $306
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ACP5
Policy instance 2
Insurance contract or identification numberG000ACP5
Insurance policy start date2010-05-01
Insurance policy end date2011-05-01
Total amount of commissions paid to insurance brokerUSD $2,502
Long Term Disability 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 $2,502
Insurance broker organization code?3
Insurance broker nameCJR BUSINESS ASSOCIATES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number852843G
Policy instance 1
Insurance contract or identification number852843G
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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