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J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 401k Plan overview

Plan NameJ.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS
Plan identification number 501

J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

JT MAGEN & COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:JT MAGEN & COMPANY, INC.
Employer identification number (EIN):113136124
NAIC Classification:236200

Additional information about JT MAGEN & COMPANY, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1992-12-07
Company Identification Number: 1685495
Legal Registered Office Address: 44 W 28TH ST FL 11
11th Floor
NEW YORK
United States of America (USA)
10001

More information about JT MAGEN & COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-08-01
5012021-08-01
5012020-08-01
5012019-08-01
5012018-08-01
5012017-08-01STEVEN MOUNT
5012016-08-01STEVEN MOUNT
5012015-08-01STEVEN MOUNT
5012014-08-01STEVEN MOUNT
5012013-08-01STEVEN MOUNT
5012012-08-01STEVEN MOUNT
5012011-08-01STEVEN MOUNT
5012010-08-01STEVEN MOUNT
5012009-08-01STEVEN MOUNT

Plan Statistics for J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS

401k plan membership statisitcs for J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS

Measure Date Value
2022: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2022 401k membership
Total participants, beginning-of-year2022-08-01245
Total number of active participants reported on line 7a of the Form 55002022-08-01260
Total of all active and inactive participants2022-08-01260
2021: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2021 401k membership
Total participants, beginning-of-year2021-08-01244
Total number of active participants reported on line 7a of the Form 55002021-08-01245
Total of all active and inactive participants2021-08-01245
2020: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2020 401k membership
Total participants, beginning-of-year2020-08-01247
Total number of active participants reported on line 7a of the Form 55002020-08-01244
Total of all active and inactive participants2020-08-01244
2019: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2019 401k membership
Total participants, beginning-of-year2019-08-01257
Total number of active participants reported on line 7a of the Form 55002019-08-01247
Total of all active and inactive participants2019-08-01247
2018: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2018 401k membership
Total participants, beginning-of-year2018-08-01198
Total number of active participants reported on line 7a of the Form 55002018-08-01257
Total of all active and inactive participants2018-08-01257
2017: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2017 401k membership
Total participants, beginning-of-year2017-08-01205
Total number of active participants reported on line 7a of the Form 55002017-08-01198
Total of all active and inactive participants2017-08-01198
Total participants2017-08-01198
2016: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2016 401k membership
Total participants, beginning-of-year2016-08-01181
Total number of active participants reported on line 7a of the Form 55002016-08-01205
Total of all active and inactive participants2016-08-01205
Total participants2016-08-01205
2015: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2015 401k membership
Total participants, beginning-of-year2015-08-01188
Total number of active participants reported on line 7a of the Form 55002015-08-01181
Total of all active and inactive participants2015-08-01181
Total participants2015-08-01181
2014: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2014 401k membership
Total participants, beginning-of-year2014-08-01182
Total number of active participants reported on line 7a of the Form 55002014-08-01188
Total of all active and inactive participants2014-08-01188
Total participants2014-08-01188
2013: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2013 401k membership
Total participants, beginning-of-year2013-08-01153
Total number of active participants reported on line 7a of the Form 55002013-08-01182
Total of all active and inactive participants2013-08-01182
Total participants2013-08-01182
2012: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2012 401k membership
Total participants, beginning-of-year2012-08-01163
Total number of active participants reported on line 7a of the Form 55002012-08-01153
Total of all active and inactive participants2012-08-01153
Total participants2012-08-01153
2011: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2011 401k membership
Total participants, beginning-of-year2011-08-01143
Total number of active participants reported on line 7a of the Form 55002011-08-01163
Total of all active and inactive participants2011-08-01163
Total participants2011-08-01163
2010: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2010 401k membership
Total participants, beginning-of-year2010-08-01127
Total number of active participants reported on line 7a of the Form 55002010-08-01143
Total of all active and inactive participants2010-08-01143
Total participants2010-08-01143
2009: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2009 401k membership
Total participants, beginning-of-year2009-08-01131
Total number of active participants reported on line 7a of the Form 55002009-08-01127
Total of all active and inactive participants2009-08-01127
Total participants2009-08-01127

Form 5500 Responses for J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS

2022: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan benefit arrangement – InsuranceYes
2021: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2020: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 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: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 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: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 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: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 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: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: J.T. MAGEN GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1071926
Policy instance 2
Insurance contract or identification number1071926
Number of Individuals Covered230
Insurance policy start date2022-08-01
Insurance policy end date2023-07-31
Total amount of commissions paid to insurance brokerUSD $143,568
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,187,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $143,568
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number370319
Policy instance 1
Insurance contract or identification number370319
Number of Individuals Covered260
Insurance policy start date2022-08-01
Insurance policy end date2023-07-31
Total amount of commissions paid to insurance brokerUSD $8,008
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $80,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,008
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300202
Policy instance 2
Insurance contract or identification number300202
Number of Individuals Covered234
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $148,440
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,590,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $148,440
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006565
Policy instance 1
Insurance contract or identification numberAL00006565
Number of Individuals Covered245
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $10,149
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $94,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,149
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300202
Policy instance 2
Insurance contract or identification number300202
Number of Individuals Covered223
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $144,725
Total amount of fees paid to insurance companyUSD $6,900
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,055,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $144,725
Amount paid for insurance broker fees6900
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006565
Policy instance 1
Insurance contract or identification numberAL00006565
Number of Individuals Covered244
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $9,745
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $87,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,745
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300202
Policy instance 1
Insurance contract or identification number300202
Number of Individuals Covered227
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $139,158
Total amount of fees paid to insurance companyUSD $6,870
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,556,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $139,158
Amount paid for insurance broker fees6870
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006565
Policy instance 2
Insurance contract or identification numberAL00006565
Number of Individuals Covered247
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $9,003
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $104,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,003
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006565
Policy instance 2
Insurance contract or identification numberAL00006565
Number of Individuals Covered257
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $7,645
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $90,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,645
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300202
Policy instance 1
Insurance contract or identification number300202
Number of Individuals Covered226
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $133,193
Total amount of fees paid to insurance companyUSD $20,800
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,559,030
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $133,193
Amount paid for insurance broker fees20800
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number410800/458955
Policy instance 2
Insurance contract or identification number410800/458955
Number of Individuals Covered197
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $119,424
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,985,608
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 numberTM05994078
Policy instance 1
Insurance contract or identification numberTM05994078
Number of Individuals Covered198
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $7,809
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $74,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number410800/458955
Policy instance 2
Insurance contract or identification number410800/458955
Number of Individuals Covered181
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $108,619
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,715,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $108,619
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05994078
Policy instance 1
Insurance contract or identification numberTM05994078
Number of Individuals Covered181
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $5,703
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $43,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,703
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05994078
Policy instance 2
Insurance contract or identification numberTM05994078
Number of Individuals Covered188
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $4,752
Total amount of fees paid to insurance companyUSD $647
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $51,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,752
Amount paid for insurance broker fees647
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number410800/458955
Policy instance 1
Insurance contract or identification number410800/458955
Number of Individuals Covered170
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $102,004
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,550,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,004
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302369
Policy instance 2
Insurance contract or identification number302369
Number of Individuals Covered182
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $6,416
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $55,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,416
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number410800/458955
Policy instance 1
Insurance contract or identification number410800/458955
Number of Individuals Covered173
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $98,015
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,450,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $98,015
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number410800/458955
Policy instance 1
Insurance contract or identification number410800/458955
Number of Individuals Covered153
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $83,096
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,039,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $83,096
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302369
Policy instance 2
Insurance contract or identification number302369
Number of Individuals Covered165
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $5,797
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENTT
Welfare Benefit Premiums Paid to CarrierUSD $55,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,797
Insurance broker organization code?3
Insurance broker nameKINLOCH CONSULTING GROUP,INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302369
Policy instance 1
Insurance contract or identification number302369
Number of Individuals Covered163
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $5,368
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $53,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number458955
Policy instance 2
Insurance contract or identification number458955
Number of Individuals Covered150
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $75,823
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,822,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
J.T. MAGEN'S GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302369
Policy instance 1
Insurance contract or identification number302369
Number of Individuals Covered143
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $4,744
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $44,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
J.T. MAGEN'S GROUP MEDICAL, LIFE, AD&D AND LTD PROGRAMS (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number458955
Policy instance 2
Insurance contract or identification number458955
Number of Individuals Covered135
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $64,033
Total amount of fees paid to insurance companyUSD $3,720
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,600,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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