STATE BANK AND TRUST COMPANY has sponsored the creation of one or more 401k plans.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 2 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $7,870 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $52,463 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,611 | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT COMPANY LLC |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 1 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 391 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $17,079 | Total amount of fees paid to insurance company | USD $255 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $113,858 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $14,347 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 255 | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | Insurance broker name | AXA ASSISTANCE, USA |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 3 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $1,063 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $7,085 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $893 | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT COMPANY LLC |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 6 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 317 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $11,804 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $78,693 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $9,916 | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT COMPANY LLC |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 4 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $260 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE CHILD | Welfare Benefit Premiums Paid to Carrier | USD $1,730 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $218 | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT COMPANY LLC |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 5 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 796 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $20,228 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $134,857 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,993 | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT COMPANY LLC |
|
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 7 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 844 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $19,922 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $132,815 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,736 | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT COMPANY LLC |
|
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 8 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 804 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $4,059 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC AD&D INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $27,058 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,410 | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT COMPANY LLC |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 2 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 260 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $11,784 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $101,359 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,784 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 4 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $622 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $5,352 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $622 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
|
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 5 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $125 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE CHILD | Welfare Benefit Premiums Paid to Carrier | USD $1,071 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $125 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 6 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 535 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $12,778 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $109,905 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,778 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 7 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 188 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $7,175 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $61,711 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,175 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 8 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 562 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $9,336 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $80,304 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $9,336 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
|
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 9 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 535 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $2,025 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC AD&D INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $17,416 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,025 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
|
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 3 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $4,558 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $39,201 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,558 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 1 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 1 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $6 | Total amount of fees paid to insurance company | USD $193 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $52 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 193 | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | Insurance broker name | AXA ASSISTANCE, USA |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 9 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 551 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $2,733 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC AD&D INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $18,218 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,733 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 8 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 573 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $16,712 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $111,415 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,712 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 7 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 183 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $8,952 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $59,677 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,952 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 6 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 552 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $19,521 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $130,142 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,521 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 5 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 0 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $181 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE CHILD | Welfare Benefit Premiums Paid to Carrier | USD $1,208 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $181 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 3 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 0 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $7,580 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $50,530 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,580 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 2 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 264 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $15,545 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $103,634 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,545 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 1 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 1 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $16 | Total amount of fees paid to insurance company | USD $207 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $104 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 207 | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | Insurance broker name | AXA ASSISTANCE, USA |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 4 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 0 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $970 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $6,466 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $970 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 7 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 187 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $6,275 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $41,835 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,275 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 1 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 16 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $208 | Total amount of fees paid to insurance company | USD $195 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $1,387 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $208 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 195 | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | Insurance broker name | AXA ASSISTANCE, USA |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 2 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 241 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $11,708 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $78,055 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,708 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 3 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $5,025 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $33,501 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,025 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 4 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $767 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $5,116 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $767 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 5 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $139 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE CHILD | Welfare Benefit Premiums Paid to Carrier | USD $925 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $139 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 6 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 574 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $18,049 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $120,324 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $18,049 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 8 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 574 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $15,165 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $101,099 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,165 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 9 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 574 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $2,523 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC AD&D INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $16,819 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,523 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 2 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 1155 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $8,311 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $110,817 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 3 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 433 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $5,543 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $73,904 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 4 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $2,886 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $38,481 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 5 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 226 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $1,966 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT-TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $26,219 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 6 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $65 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE CHILD | Welfare Benefit Premiums Paid to Carrier | USD $862 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 7 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 1127 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $9,952 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $132,681 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 8 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 1126 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $1,147 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $15,288 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 1 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 836 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $28,722 | Total amount of fees paid to insurance company | USD $180 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $382,964 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 9 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 1126 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $1,147 | Other welfare benefits provided | BASIC AD&D INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $15,288 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 9 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 458 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $914 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | BASIC AD&D INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $12,191 | Commission paid to Insurance Broker | USD $914 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 1 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 463 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $21,470 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $284,277 | Commission paid to Insurance Broker | USD $21,321 | Insurance broker organization code? | 3 | Insurance broker name | AXA ASSISTANCE, USA |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 2 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 467 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $6,603 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $88,046 | Commission paid to Insurance Broker | USD $6,603 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 3 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 181 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $5,183 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $69,103 | Commission paid to Insurance Broker | USD $5,183 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 4 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $1,805 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $24,062 | Commission paid to Insurance Broker | USD $1,805 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 5 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $828 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | BASIC DEP LIFE SPOUSE/FAM | Welfare Benefit Premiums Paid to Carrier | USD $11,034 | Commission paid to Insurance Broker | USD $828 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 7 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 458 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $6,851 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $91,348 | Commission paid to Insurance Broker | USD $6,851 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 8 |
Insurance contract or identification number | 00845 | Number of Individuals Covered | 458 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $914 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,191 | Commission paid to Insurance Broker | USD $914 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 00845 |
Policy instance | 6 |
Insurance contract or identification number | 00845 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $51 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | VOLUNTARY DEP LIFE CHILD | Welfare Benefit Premiums Paid to Carrier | USD $684 | Commission paid to Insurance Broker | USD $51 | Insurance broker organization code? | 3 | Insurance broker name | HOLMES INC DBA HOLMES SHAW AGENCY |
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