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LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 401k Plan overview

Plan NameLIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN
Plan identification number 503

LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Long-term disability cover

401k Sponsoring company profile

LIRO ENGINEERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:LIRO ENGINEERS, INC.
Employer identification number (EIN):131974950
NAIC Classification:541330
NAIC Description:Engineering Services

Additional information about LIRO ENGINEERS, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1925-04-28
Company Identification Number: 20755
Legal Registered Office Address: 3 AERIAL WAY
Nassau
SYOSSET
United States of America (USA)
11791

More information about LIRO ENGINEERS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-01-01
5032017-01-01STEPHEN GREEN
5032016-01-01STEPHEN GREEN STEPHEN GREEN2017-10-02
5032015-01-01STEPHEN GREEN
5032014-01-01STEPHEN GREEN
5032013-01-01STEPHEN GREEN STEPHEN GREEN2014-10-09
5032012-01-01STEPHEN GREEN
5032011-01-01STEPHEN GREEN
5032009-01-01STEPHEN GREEN
5032008-01-01STEPHEN GREEN
5032007-01-01STEPHEN GREEN
5032006-01-01STEPHEN GREEN
5032005-01-01STEPHEN GREEN
5032004-01-01STEPHEN GREEN
5032003-01-01STEPHEN GREEN
5032002-01-01STEPHEN GREEN
5032001-01-01STEPHEN GREEN
5032000-01-01STEPHEN GREEN

Plan Statistics for LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN

401k plan membership statisitcs for LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN

Measure Date Value
2018: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01800
Total number of active participants reported on line 7a of the Form 55002018-01-010
Total of all active and inactive participants2018-01-010
Total participants2018-01-010
2017: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01744
Total number of active participants reported on line 7a of the Form 55002017-01-01795
Total of all active and inactive participants2017-01-01795
Total participants2017-01-01795
2016: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01699
Total number of active participants reported on line 7a of the Form 55002016-01-01744
Total of all active and inactive participants2016-01-01744
Total participants2016-01-01744
2015: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01622
Total number of active participants reported on line 7a of the Form 55002015-01-01699
Total of all active and inactive participants2015-01-01699
Total participants2015-01-01699
2014: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01572
Total number of active participants reported on line 7a of the Form 55002014-01-01622
Total of all active and inactive participants2014-01-01622
Total participants2014-01-01622
2013: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01471
Total number of active participants reported on line 7a of the Form 55002013-01-01572
Total of all active and inactive participants2013-01-01572
Total participants2013-01-01572
2012: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01447
Total number of active participants reported on line 7a of the Form 55002012-01-01471
Total of all active and inactive participants2012-01-01471
Total participants2012-01-01471
2011: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01448
Total number of active participants reported on line 7a of the Form 55002011-01-01495
Total of all active and inactive participants2011-01-01495
Total participants2011-01-01495
2009: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01371
Total number of active participants reported on line 7a of the Form 55002009-01-01396
Total of all active and inactive participants2009-01-01396
Total participants2009-01-01396
2008: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-01356
Total number of active participants reported on line 7a of the Form 55002008-01-01371
Total of all active and inactive participants2008-01-01371
Total participants2008-01-01371
2007: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-01319
Total number of active participants reported on line 7a of the Form 55002007-01-01356
Total of all active and inactive participants2007-01-01356
Total participants2007-01-01356
2006: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-01322
Total number of active participants reported on line 7a of the Form 55002006-01-01319
Total of all active and inactive participants2006-01-01319
Total participants2006-01-01319
2005: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2005 401k membership
Total participants, beginning-of-year2005-01-01296
Total number of active participants reported on line 7a of the Form 55002005-01-01322
Total of all active and inactive participants2005-01-01322
Total participants2005-01-01322
2004: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2004 401k membership
Total participants, beginning-of-year2004-01-01294
Total number of active participants reported on line 7a of the Form 55002004-01-01296
Total of all active and inactive participants2004-01-01296
Total participants2004-01-01296
2003: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2003 401k membership
Total participants, beginning-of-year2003-01-01280
Total number of active participants reported on line 7a of the Form 55002003-01-01294
Total of all active and inactive participants2003-01-01294
Total participants2003-01-01294
2002: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2002 401k membership
Total participants, beginning-of-year2002-01-01271
Total number of active participants reported on line 7a of the Form 55002002-01-01280
Total of all active and inactive participants2002-01-01280
Total participants2002-01-01280
2001: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2001 401k membership
Total participants, beginning-of-year2001-01-01257
Total number of active participants reported on line 7a of the Form 55002001-01-01271
Total of all active and inactive participants2001-01-01271
Total participants2001-01-01271
2000: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2000 401k membership
Total participants, beginning-of-year2000-01-01248
Total number of active participants reported on line 7a of the Form 55002000-01-01257
Total of all active and inactive participants2000-01-01257
Total participants2000-01-01257

Form 5500 Responses for LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN

2018: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes
2008: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01First time form 5500 has been submittedYes
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – InsuranceYes
2007: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01First time form 5500 has been submittedYes
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan benefit arrangement – InsuranceYes
2006: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01First time form 5500 has been submittedYes
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan benefit arrangement – InsuranceYes
2005: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01First time form 5500 has been submittedYes
2005-01-01Submission has been amendedNo
2005-01-01This submission is the final filingNo
2005-01-01This return/report is a short plan year return/report (less than 12 months)No
2005-01-01Plan is a collectively bargained planNo
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan benefit arrangement – InsuranceYes
2004: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01First time form 5500 has been submittedYes
2004-01-01Submission has been amendedNo
2004-01-01This submission is the final filingNo
2004-01-01This return/report is a short plan year return/report (less than 12 months)No
2004-01-01Plan is a collectively bargained planNo
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan benefit arrangement – InsuranceYes
2003: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2003 form 5500 responses
2003-01-01Type of plan entitySingle employer plan
2003-01-01First time form 5500 has been submittedYes
2003-01-01Submission has been amendedNo
2003-01-01This submission is the final filingNo
2003-01-01This return/report is a short plan year return/report (less than 12 months)No
2003-01-01Plan is a collectively bargained planNo
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan benefit arrangement – InsuranceYes
2002: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2002 form 5500 responses
2002-01-01Type of plan entitySingle employer plan
2002-01-01First time form 5500 has been submittedYes
2002-01-01Submission has been amendedNo
2002-01-01This submission is the final filingNo
2002-01-01This return/report is a short plan year return/report (less than 12 months)No
2002-01-01Plan is a collectively bargained planNo
2002-01-01Plan funding arrangement – InsuranceYes
2002-01-01Plan benefit arrangement – InsuranceYes
2001: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2001 form 5500 responses
2001-01-01Type of plan entitySingle employer plan
2001-01-01First time form 5500 has been submittedYes
2001-01-01Submission has been amendedNo
2001-01-01This submission is the final filingNo
2001-01-01This return/report is a short plan year return/report (less than 12 months)No
2001-01-01Plan is a collectively bargained planNo
2001-01-01Plan funding arrangement – InsuranceYes
2001-01-01Plan benefit arrangement – InsuranceYes
2000: LIRO ENGINEERS, INC. LIFE AD&D AND LTD PLAN 2000 form 5500 responses
2000-01-01Type of plan entitySingle employer plan
2000-01-01First time form 5500 has been submittedYes
2000-01-01Submission has been amendedNo
2000-01-01This submission is the final filingNo
2000-01-01This return/report is a short plan year return/report (less than 12 months)No
2000-01-01Plan is a collectively bargained planNo
2000-01-01Plan funding arrangement – InsuranceYes
2000-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5933596
Policy instance 1
Insurance contract or identification number5933596
Number of Individuals Covered1430
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $24,561
Total amount of fees paid to insurance companyUSD $7,460
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,134,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,114
Amount paid for insurance broker fees4852
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5933596
Policy instance 1
Insurance contract or identification number5933596
Number of Individuals Covered795
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $51,283
Total amount of fees paid to insurance companyUSD $61
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $474,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees61
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $51,283
Insurance broker nameBOSSIO ROSS & ASSOCIATION
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number51762
Policy instance 1
Insurance contract or identification number51762
Number of Individuals Covered699
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $107,320
Total amount of fees paid to insurance companyUSD $234
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $880,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameBOSSIO ROSS& ASSOCIATES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number51762
Policy instance 1
Insurance contract or identification number51762
Number of Individuals Covered622
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $95,726
Total amount of fees paid to insurance companyUSD $210
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $781,106
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $95,726
Amount paid for insurance broker fees210
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?3
Insurance broker nameBOSSIO ROSS & ASSOCIATES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number51762
Policy instance 1
Insurance contract or identification number51762
Insurance policy start date2013-08-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $38,313
Total amount of fees paid to insurance companyUSD $66
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $314,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,313
Amount paid for insurance broker fees66
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameDAVIDSON INSURANCE & FIN'L SVCS INC
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number224015
Policy instance 2
Insurance contract or identification number224015
Number of Individuals Covered501
Insurance policy start date2013-01-01
Insurance policy end date2013-08-01
Total amount of commissions paid to insurance brokerUSD $38,176
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $181,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,176
Insurance broker nameBOSSIO ROSS & ASSOCIATES
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number224015
Policy instance 1
Insurance contract or identification number224015
Number of Individuals Covered471
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $57,809
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
Commission paid to Insurance BrokerUSD $57,809
Insurance broker nameBOSSIO ROSS & ASSOCIATES
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number224015
Policy instance 1
Insurance contract or identification number224015
Number of Individuals Covered495
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $68,949
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $345,084
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 numberTM05595688
Policy instance 1
Insurance contract or identification numberTM05595688
Number of Individuals Covered448
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $47,156
Total amount of fees paid to insurance companyUSD $449
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $196,707
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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