401k Plan data: STEINEN GROUP INSURANCE PLAN plan

STEINEN GROUP INSURANCE PLAN 401k Plan overview

Plan Name	STEINEN GROUP INSURANCE PLAN
Plan identification number	501

STEINEN GROUP INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Other welfare benefit cover

401k Sponsoring company profile

STEINEN HOLDINGS, INC has sponsored the creation of one or more 401k plans.

Company Name: STEINEN HOLDINGS, INC

Employer identification number (EIN): 205910741

NAIC Classification: 541310
NAIC Description: Architectural Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STEINEN GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-01-01
501 2018-01-01 PAUL GRIFFIN
501 2017-01-01 PAUL GRIFFIN
501 2016-01-01 PAUL GRIFFIN
501 2015-01-01 THOMAS KEENAN
501 2014-01-01 THOMAS KEENAN
501 2013-01-01 THOMAS KEENAN
501 2012-01-01 THOMAS KEENAN
501 2011-01-01 THOMAS KEENAN
501 2009-01-01 THOMAS KEENAN

Plan Statistics for STEINEN GROUP INSURANCE PLAN

401k plan membership statisitcs for STEINEN GROUP INSURANCE PLAN

Measure Date Value
2019: STEINEN GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 100
Number of retired or separated participants receiving benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 101
Total participants 2019-01-01 101
2018: STEINEN GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 100
Number of retired or separated participants receiving benefits 2018-01-01 1
Total of all active and inactive participants 2018-01-01 101
Total participants 2018-01-01 101
2017: STEINEN GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 83
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 100
Number of retired or separated participants receiving benefits 2017-01-01 1
Total of all active and inactive participants 2017-01-01 101
Total participants 2017-01-01 101
2016: STEINEN GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 83
Total of all active and inactive participants 2016-01-01 83
Total participants 2016-01-01 83
2015: STEINEN GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 76
Total of all active and inactive participants 2015-01-01 76
Total participants 2015-01-01 0
2014: STEINEN GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 66
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 104
Total of all active and inactive participants 2014-01-01 104
Total participants 2014-01-01 0
2013: STEINEN GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 67
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 66
Total of all active and inactive participants 2013-01-01 66
Total participants 2013-01-01 0
2012: STEINEN GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 67
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 67
Total of all active and inactive participants 2012-01-01 67
Total participants 2012-01-01 0
2011: STEINEN GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 76
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 67
Total of all active and inactive participants 2011-01-01 67
Total participants 2011-01-01 67
2009: STEINEN GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 153
Number of retired or separated participants receiving benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 154
Total participants 2009-01-01 154

Measure	Date	Value
2019: STEINEN GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	100
Number of retired or separated participants receiving benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	101
Total participants	2019-01-01	101
2018: STEINEN GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	100
Number of retired or separated participants receiving benefits	2018-01-01	1
Total of all active and inactive participants	2018-01-01	101
Total participants	2018-01-01	101
2017: STEINEN GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	83
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	100
Number of retired or separated participants receiving benefits	2017-01-01	1
Total of all active and inactive participants	2017-01-01	101
Total participants	2017-01-01	101
2016: STEINEN GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	83
Total of all active and inactive participants	2016-01-01	83
Total participants	2016-01-01	83
2015: STEINEN GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	76
Total of all active and inactive participants	2015-01-01	76
Total participants	2015-01-01	0
2014: STEINEN GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	66
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	104
Total of all active and inactive participants	2014-01-01	104
Total participants	2014-01-01	0
2013: STEINEN GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	67
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	66
Total of all active and inactive participants	2013-01-01	66
Total participants	2013-01-01	0
2012: STEINEN GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	67
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	67
Total of all active and inactive participants	2012-01-01	67
Total participants	2012-01-01	0
2011: STEINEN GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	76
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	67
Total of all active and inactive participants	2011-01-01	67
Total participants	2011-01-01	67
2009: STEINEN GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	153
Number of retired or separated participants receiving benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	154
Total participants	2009-01-01	154

Financial Data on STEINEN GROUP INSURANCE PLAN

Measure	Date	Value
2013 : STEINEN GROUP INSURANCE PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$900,003
Expenses. Total of all expenses incurred	2013-12-31	$900,003
Benefits paid (including direct rollovers)	2013-12-31	$833,082
Expenses. Other expenses not covered elsewhere	2013-12-31	$8,918
Total contributions received or receivable from employer(s)	2013-12-31	$900,003
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$58,003
2012 : STEINEN GROUP INSURANCE PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$854,377
Expenses. Total of all expenses incurred	2012-12-31	$854,377
Benefits paid (including direct rollovers)	2012-12-31	$792,276
Value of fidelity bond covering the plan	2012-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$4,628
Total contributions received or receivable from employer(s)	2012-12-31	$854,377
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$57,473
2011 : STEINEN GROUP INSURANCE PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$971,339
Expenses. Total of all expenses incurred	2011-12-31	$971,339
Benefits paid (including direct rollovers)	2011-12-31	$923,187
Contributions received from other sources (not participants or employers)	2011-12-31	$1,746
Total contributions received or receivable from employer(s)	2011-12-31	$969,593
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$48,152

Form 5500 Responses for STEINEN GROUP INSURANCE PLAN

2019: STEINEN GROUP INSURANCE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: STEINEN GROUP INSURANCE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: STEINEN GROUP INSURANCE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: STEINEN GROUP INSURANCE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: STEINEN GROUP INSURANCE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: STEINEN GROUP INSURANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: STEINEN GROUP INSURANCE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: STEINEN GROUP INSURANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: STEINEN GROUP INSURANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: STEINEN GROUP INSURANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00613760

Policy instance

Insurance contract or identification number	00613760
Number of Individuals Covered	73
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00613760

Policy instance

Insurance contract or identification number	00613760
Number of Individuals Covered	73
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $63,420
Total amount of fees paid to insurance company	USD $25,179
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $354,160
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,048
Insurance broker organization code?	3
Amount paid for insurance broker fees	12936
Additional information about fees paid to insurance broker	SERVICE/GENERAL AGENT PAYMENTS

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )

Policy contract number

02724

Policy instance

Insurance contract or identification number	02724
Insurance policy start date	2017-12-01
Insurance policy end date	2018-11-30
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

405684

Policy instance

Insurance contract or identification number	405684
Number of Individuals Covered	100
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of fees paid to insurance company	USD $3,228
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $38,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3228
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

405684

Policy instance

Insurance contract or identification number	405684
Number of Individuals Covered	62
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of fees paid to insurance company	USD $3,291
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $40,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3291
Insurance broker organization code?	3

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )

Policy contract number

02724

Policy instance

Insurance contract or identification number	02724
Insurance policy start date	2017-12-01
Insurance policy end date	2018-11-30
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00613760

Policy instance

Insurance contract or identification number	00613760
Number of Individuals Covered	22
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $16,635
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $21,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,635
Insurance broker organization code?	3

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00613760

Policy instance

Insurance contract or identification number	00613760
Number of Individuals Covered	55
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $85,174
Total amount of fees paid to insurance company	USD $27,216
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $373,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $44,436
Amount paid for insurance broker fees	12936
Additional information about fees paid to insurance broker	SERVICE/GENERAL AGENT PAYMENTS
Insurance broker organization code?	3

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

117875

Policy instance

Insurance contract or identification number	117875
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00613760

Policy instance

Insurance contract or identification number	00613760
Number of Individuals Covered	59
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $15,486
Total amount of fees paid to insurance company	USD $11,066
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $400,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,976
Amount paid for insurance broker fees	10204
Additional information about fees paid to insurance broker	ADMINISTRATION FEES
Insurance broker organization code?	3
Insurance broker name	BENCHMARK PLANNING GROUP LLC

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

117875

Policy instance

Insurance contract or identification number	117875
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )

Policy contract number

02724

Policy instance

Insurance contract or identification number	02724
Insurance policy start date	2016-12-01
Insurance policy end date	2017-11-30
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

405684

Policy instance

Insurance contract or identification number	405684
Number of Individuals Covered	61
Insurance policy start date	2016-07-01
Insurance policy end date	2017-06-30
Total amount of fees paid to insurance company	USD $2,596
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $27,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2596
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

83022849

Policy instance

Insurance contract or identification number	83022849
Insurance policy start date	2016-12-01
Insurance policy end date	2017-11-30
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00613760

Policy instance

Insurance contract or identification number	00613760
Number of Individuals Covered	22
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $41,934
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $21,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $41,934
Insurance broker organization code?	3
Insurance broker name	BENCHMARK PLANNING GROUP LLC

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

117875

Policy instance

Insurance contract or identification number	117875
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $17,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

405684

Policy instance

Insurance contract or identification number	405684
Number of Individuals Covered	76
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $2,060
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $21,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,060
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )

Policy contract number

02724

Policy instance

Insurance contract or identification number	02724
Number of Individuals Covered	10
Insurance policy start date	2014-12-01
Insurance policy end date	2015-11-30
Total amount of commissions paid to insurance broker	USD $610
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $458
Insurance broker name	FILCO

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00613760

Policy instance

Insurance contract or identification number	00613760
Number of Individuals Covered	61
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $16,000
Total amount of fees paid to insurance company	USD $5,332
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $120,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,000
Amount paid for insurance broker fees	5332
Insurance broker organization code?	3
Insurance broker name

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

83022849

Policy instance

Insurance contract or identification number	83022849
Number of Individuals Covered	9
Insurance policy start date	2014-12-01
Insurance policy end date	2015-11-30
Total amount of commissions paid to insurance broker	USD $2,474
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $56,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,474
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )

Policy contract number

2724

Policy instance

Insurance contract or identification number	2724
Number of Individuals Covered	10
Insurance policy start date	2001-12-01
Insurance policy end date	2014-11-30
Total amount of commissions paid to insurance broker	USD $499
Welfare Benefit Premiums Paid to Carrier	USD $8,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $499
Insurance broker name	FRITZ MCDONALD CORP

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0365064

Policy instance

Insurance contract or identification number	R0365064
Number of Individuals Covered	94
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $2,723
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $18,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,723
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

WS1594

Policy instance

Insurance contract or identification number	WS1594
Number of Individuals Covered	101
Insurance policy start date	2014-01-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $23,602
Total amount of fees paid to insurance company	USD $3,510
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $337,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,602
Amount paid for insurance broker fees	3510
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

117875

Policy instance

Insurance contract or identification number	117875
Number of Individuals Covered	3
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $28,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H25134

Policy instance

Insurance contract or identification number	H25134
Number of Individuals Covered	18
Insurance policy start date	2013-08-01
Insurance policy end date	2014-07-31
Total amount of commissions paid to insurance broker	USD $595
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $595
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

WS1594

Policy instance

Insurance contract or identification number	WS1594
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $54,678
Total amount of fees paid to insurance company	USD $8,953
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $773,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,723
Insurance broker organization code?	3
Amount paid for insurance broker fees	5148
Additional information about fees paid to insurance broker	ADMINSTRATIVE SERVICES
Insurance broker name	FUIDUCIARY INTERMEDIARY

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H25134

Policy instance

Insurance contract or identification number	H25134
Insurance policy start date	2012-08-01
Insurance policy end date	2013-07-31
Total amount of fees paid to insurance company	USD $534
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	534
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0365064

Policy instance

Insurance contract or identification number	R0365064
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of fees paid to insurance company	USD $2,791
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $18,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2791
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

117875

Policy instance

Insurance contract or identification number	117875
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $36,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0365064

Policy instance

Insurance contract or identification number	R0365064
Number of Individuals Covered	91
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $2,808
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $18,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,808
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

WS1594

Policy instance

Insurance contract or identification number	WS1594
Number of Individuals Covered	114
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $53,952
Total amount of fees paid to insurance company	USD $4,628
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $773,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	4628
Additional information about fees paid to insurance broker	ADMINISTRATIVE SERVICES
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $53,952
Insurance broker name	STEPHEN SEPANIAK

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

117875

Policy instance

Insurance contract or identification number	117875
Number of Individuals Covered	6
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $55,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H25134

Policy instance

Insurance contract or identification number	H25134
Number of Individuals Covered	19
Insurance policy start date	2011-08-01
Insurance policy end date	2012-07-31
Total amount of commissions paid to insurance broker	USD $713
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,938
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $713
Insurance broker organization code?	3
Insurance broker name	FRITZ MCDONALD CORP

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

117875

Policy instance

Insurance contract or identification number	117875
Number of Individuals Covered	5
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $37
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $51,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

53434

Policy instance

Insurance contract or identification number	53434
Insurance policy start date	2011-01-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $1,008
Total amount of fees paid to insurance company	USD $19
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $23,394
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H25134

Policy instance

Insurance contract or identification number	H25134
Insurance policy start date	2010-08-01
Insurance policy end date	2012-07-31
Total amount of commissions paid to insurance broker	USD $691
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

WS1594

Policy instance

Insurance contract or identification number	WS1594
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $46,397
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $726,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

53434

Policy instance

Insurance contract or identification number	53434
Number of Individuals Covered	111
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,768
Total amount of fees paid to insurance company	USD $36
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $22,657
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H25134

Policy instance

Insurance contract or identification number	H25134
Number of Individuals Covered	25
Insurance policy start date	2009-08-01
Insurance policy end date	2010-07-31
Total amount of commissions paid to insurance broker	USD $599
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

117875

Policy instance

Insurance contract or identification number	117875
Number of Individuals Covered	4
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $142
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

WS1594

Policy instance

Insurance contract or identification number	WS1594
Number of Individuals Covered	145
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $41,708
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $582,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	STEINEN HOLDINGS, INC
Employer identification number (EIN):	205910741
NAIC Classification:	541310
NAIC Description:	Architectural Services

Plan id#	Filing Submission Date	Name of Administrator
501	2019-01-01
501	2018-01-01	PAUL GRIFFIN
501	2017-01-01	PAUL GRIFFIN
501	2016-01-01	PAUL GRIFFIN
501	2015-01-01	THOMAS KEENAN
501	2014-01-01	THOMAS KEENAN
501	2013-01-01	THOMAS KEENAN
501	2012-01-01	THOMAS KEENAN
501	2011-01-01	THOMAS KEENAN
501	2009-01-01	THOMAS KEENAN