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EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 401k Plan overview

Plan NameEDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN
Plan identification number 503

EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

THE EDEN II SCHOOL FOR AUTISTIC CHILDREN, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE EDEN II SCHOOL FOR AUTISTIC CHILDREN, INC.
Employer identification number (EIN):132872916
NAIC Classification:611000

Additional information about THE EDEN II SCHOOL FOR AUTISTIC CHILDREN, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1976-12-22
Company Identification Number: 418283
Legal Registered Office Address: 57 LEVIT AVE.
Richmond
STATEN ISLAND
United States of America (USA)
10314

More information about THE EDEN II SCHOOL FOR AUTISTIC CHILDREN, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-07-01
5032020-07-01
5032019-07-01
5032018-07-01
5032017-07-01EILEEN HOPKINS EILEEN HOPKINS2019-01-25
5032016-07-01EILEEN HOPKINS EILEEN HOPKINS2018-01-22
5032015-07-01EILEEN HOPKINS EILEEN HOPKINS2017-01-02
5032014-07-01EILEEN HOPKINS EILEEN HOPKINS2016-01-08
5032013-07-01EILEEN HOPKINS EILEEN HOPKINS2015-01-28
5032012-07-01FREDERICK BUNKER
5032011-07-01FREDERICK BUNKER
5032010-07-01DEBRA ALESSI-SROMOVSKI
5032009-07-01STEPHANIE WINTERS
5032008-07-01STEPHANIE WINTERS
5032006-07-01STEPHANIE WINTERS

Plan Statistics for EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN

401k plan membership statisitcs for EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN

Measure Date Value
2021: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01247
Total number of active participants reported on line 7a of the Form 55002021-07-01214
Total of all active and inactive participants2021-07-01214
Total participants2021-07-01214
2020: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01258
Total number of active participants reported on line 7a of the Form 55002020-07-01247
Total of all active and inactive participants2020-07-01247
Total participants2020-07-01247
2019: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01262
Total number of active participants reported on line 7a of the Form 55002019-07-01251
Total of all active and inactive participants2019-07-01251
Total participants2019-07-01251
2018: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01281
Total number of active participants reported on line 7a of the Form 55002018-07-01257
Total of all active and inactive participants2018-07-01257
Total participants2018-07-01257
2017: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01274
Total number of active participants reported on line 7a of the Form 55002017-07-01271
Total of all active and inactive participants2017-07-01271
Total participants2017-07-01271
2016: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01280
Total number of active participants reported on line 7a of the Form 55002016-07-01266
Total of all active and inactive participants2016-07-01266
Total participants2016-07-01266
2015: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01277
Total number of active participants reported on line 7a of the Form 55002015-07-01277
Number of retired or separated participants receiving benefits2015-07-010
Total of all active and inactive participants2015-07-01277
Total participants2015-07-01277
2014: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01284
Total number of active participants reported on line 7a of the Form 55002014-07-01270
Number of retired or separated participants receiving benefits2014-07-010
Total of all active and inactive participants2014-07-01270
Total participants2014-07-01270
2013: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01284
Total number of active participants reported on line 7a of the Form 55002013-07-01269
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01269
2012: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01300
Total number of active participants reported on line 7a of the Form 55002012-07-01282
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01282
2011: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01450
Total number of active participants reported on line 7a of the Form 55002011-07-01300
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01300
2010: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01454
Total number of active participants reported on line 7a of the Form 55002010-07-01450
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-01450
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-01450
2009: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01434
Total number of active participants reported on line 7a of the Form 55002009-07-01289
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01289
2008: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year2008-07-01504
Total number of active participants reported on line 7a of the Form 55002008-07-01434
Number of retired or separated participants receiving benefits2008-07-010
Number of other retired or separated participants entitled to future benefits2008-07-010
Total of all active and inactive participants2008-07-01434
2006: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2006 401k membership
Total participants, beginning-of-year2006-07-01433
Total number of active participants reported on line 7a of the Form 55002006-07-01433
Number of retired or separated participants receiving benefits2006-07-010
Number of other retired or separated participants entitled to future benefits2006-07-010
Total of all active and inactive participants2006-07-01433

Form 5500 Responses for EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN

2021: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – General assets of the sponsorYes
2018-07-01Plan benefit arrangement – General assets of the sponsorYes
2017: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – General assets of the sponsorYes
2011: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – General assets of the sponsorYes
2010: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – General assets of the sponsorYes
2010-07-01Plan benefit arrangement – General assets of the sponsorYes
2009: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes
2008: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01Submission has been amendedNo
2008-07-01This submission is the final filingNo
2008-07-01This return/report is a short plan year return/report (less than 12 months)No
2008-07-01Plan is a collectively bargained planNo
2008-07-01Plan funding arrangement – InsuranceYes
2008-07-01Plan benefit arrangement – InsuranceYes
2006: EDEN II SCHOOL FOR AUTISTIC CHILDREN MEDICAL PLAN 2006 form 5500 responses
2006-07-01Type of plan entitySingle employer plan
2006-07-01First time form 5500 has been submittedYes
2006-07-01Submission has been amendedNo
2006-07-01This submission is the final filingNo
2006-07-01This return/report is a short plan year return/report (less than 12 months)No
2006-07-01Plan is a collectively bargained planNo
2006-07-01Plan funding arrangement – InsuranceYes
2006-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3331895
Policy instance 1
Insurance contract or identification number3331895
Number of Individuals Covered289
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $63,458
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $2,115,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,763
Insurance broker organization code?3
Insurance broker nameCHARLES DYSON
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract numberUS085510
Policy instance 1
Insurance contract or identification numberUS085510
Number of Individuals Covered548
Insurance policy start date2007-10-01
Insurance policy end date2008-09-30
Total amount of commissions paid to insurance brokerUSD $91,318
Total amount of fees paid to insurance companyUSD $0
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 $1,535,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,879
Insurance broker organization code?3
Insurance broker nameCENTERSTONE INSURANCE AND FINANCIAL
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number472544-SHORT
Policy instance 2
Insurance contract or identification number472544-SHORT
Number of Individuals Covered434
Insurance policy start date2008-11-01
Insurance policy end date2009-06-30
Total amount of commissions paid to insurance brokerUSD $33,520
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $1,275,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,520
Insurance broker organization code?3
Insurance broker nameJOSEPH P IMPARATO
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract numberUS085510-SHORT
Policy instance 3
Insurance contract or identification numberUS085510-SHORT
Number of Individuals Covered552
Insurance policy start date2008-10-01
Insurance policy end date2008-10-31
Total amount of commissions paid to insurance brokerUSD $8,019
Total amount of fees paid to insurance companyUSD $0
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 $134,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,673
Insurance broker organization code?3
Insurance broker nameSEABROOK CONSULTING
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract numberUS085510
Policy instance 1
Insurance contract or identification numberUS085510
Number of Individuals Covered504
Insurance policy start date2006-10-01
Insurance policy end date2007-09-30
Total amount of commissions paid to insurance brokerUSD $74,742
Total amount of fees paid to insurance companyUSD $0
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 $1,258,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,828
Insurance broker organization code?3
Insurance broker nameWIB BROKERS INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract numberUS085510
Policy instance 1
Insurance contract or identification numberUS085510
Number of Individuals Covered433
Insurance policy start date2005-10-01
Insurance policy end date2006-09-30
Total amount of commissions paid to insurance brokerUSD $58,749
Total amount of fees paid to insurance companyUSD $0
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 $1,007,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,166
Insurance broker organization code?3
Insurance broker nameWIB BROKERS INC.

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