THREE RIVERS ORTHOPAEDIC & SPINE PRODUCTS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE
401k plan membership statisitcs for THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE
Measure | Date | Value |
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2020: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2020 401k membership |
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Total participants, beginning-of-year | 2020-02-01 | 132 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-02-01 | 135 |
Number of retired or separated participants receiving benefits | 2020-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-02-01 | 0 |
Total of all active and inactive participants | 2020-02-01 | 135 |
2019: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2019 401k membership |
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Total participants, beginning-of-year | 2019-02-01 | 134 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-02-01 | 132 |
Number of retired or separated participants receiving benefits | 2019-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-02-01 | 0 |
Total of all active and inactive participants | 2019-02-01 | 132 |
2018: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2018 401k membership |
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Total participants, beginning-of-year | 2018-02-01 | 132 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-02-01 | 134 |
Number of retired or separated participants receiving benefits | 2018-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-02-01 | 0 |
Total of all active and inactive participants | 2018-02-01 | 134 |
2017: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2017 401k membership |
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Total participants, beginning-of-year | 2017-02-01 | 133 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 132 |
Number of retired or separated participants receiving benefits | 2017-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-02-01 | 0 |
Total of all active and inactive participants | 2017-02-01 | 132 |
2016: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2016 401k membership |
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Total participants, beginning-of-year | 2016-02-01 | 134 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 133 |
Number of retired or separated participants receiving benefits | 2016-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-02-01 | 0 |
Total of all active and inactive participants | 2016-02-01 | 133 |
2015: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2015 401k membership |
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Total participants, beginning-of-year | 2015-02-01 | 135 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 134 |
Number of retired or separated participants receiving benefits | 2015-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-02-01 | 0 |
Total of all active and inactive participants | 2015-02-01 | 134 |
2014: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2014 401k membership |
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Total participants, beginning-of-year | 2014-02-01 | 138 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 135 |
Number of retired or separated participants receiving benefits | 2014-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-02-01 | 0 |
Total of all active and inactive participants | 2014-02-01 | 135 |
2013: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2013 401k membership |
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Total participants, beginning-of-year | 2013-02-01 | 140 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 138 |
Total of all active and inactive participants | 2013-02-01 | 138 |
2012: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2012 401k membership |
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Total participants, beginning-of-year | 2012-02-01 | 144 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 140 |
Total of all active and inactive participants | 2012-02-01 | 140 |
2011: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2011 401k membership |
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Total participants, beginning-of-year | 2011-02-01 | 134 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 144 |
Total of all active and inactive participants | 2011-02-01 | 144 |
2010: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2010 401k membership |
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Total participants, beginning-of-year | 2010-02-01 | 129 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-02-01 | 134 |
Total of all active and inactive participants | 2010-02-01 | 134 |
2009: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2009 401k membership |
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Total participants, beginning-of-year | 2009-02-01 | 118 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 129 |
Total of all active and inactive participants | 2009-02-01 | 129 |
Measure | Date | Value |
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2021 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2021 401k financial data |
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Total income from all sources | 2021-01-31 | $0 |
Total plan assets at end of year | 2021-01-31 | $0 |
Total plan assets at beginning of year | 2021-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2021-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2021-01-31 | $0 |
2020 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2020 401k financial data |
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Total income from all sources | 2020-01-31 | $0 |
Total plan assets at end of year | 2020-01-31 | $0 |
Total plan assets at beginning of year | 2020-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2020-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2020-01-31 | $0 |
2019 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2019 401k financial data |
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Total income from all sources | 2019-01-31 | $0 |
Total plan assets at end of year | 2019-01-31 | $0 |
Total plan assets at beginning of year | 2019-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2019-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2019-01-31 | $0 |
2018 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2018 401k financial data |
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Total income from all sources | 2018-01-31 | $0 |
Total plan assets at end of year | 2018-01-31 | $0 |
Total plan assets at beginning of year | 2018-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2018-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2018-01-31 | $0 |
2017 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2017 401k financial data |
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Total income from all sources | 2017-01-31 | $0 |
Total plan assets at end of year | 2017-01-31 | $0 |
Total plan assets at beginning of year | 2017-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2017-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2017-01-31 | $0 |
2016 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2016 401k financial data |
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Total income from all sources | 2016-01-31 | $0 |
Total plan assets at end of year | 2016-01-31 | $0 |
Total plan assets at beginning of year | 2016-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2016-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2016-01-31 | $0 |
2015 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2015 401k financial data |
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Total income from all sources | 2015-01-31 | $0 |
Total plan assets at end of year | 2015-01-31 | $0 |
Total plan assets at beginning of year | 2015-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2015-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2015-01-31 | $0 |
2014 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2014 401k financial data |
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Total income from all sources | 2014-01-31 | $0 |
Total plan assets at end of year | 2014-01-31 | $0 |
Total plan assets at beginning of year | 2014-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2014-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2014-01-31 | $0 |
2013 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2013 401k financial data |
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Total income from all sources | 2013-01-31 | $0 |
Total plan assets at end of year | 2013-01-31 | $0 |
Total plan assets at beginning of year | 2013-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2013-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2013-01-31 | $0 |
2012 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2012 401k financial data |
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Total income from all sources | 2012-01-31 | $0 |
Total plan assets at end of year | 2012-01-31 | $0 |
Total plan assets at beginning of year | 2012-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2012-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2012-01-31 | $0 |
2011 : THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2011 401k financial data |
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Total plan assets at end of year | 2011-01-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2011-01-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2011-01-31 | $0 |
2020: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2020 form 5500 responses |
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2020-02-01 | Type of plan entity | Single employer plan |
2020-02-01 | Plan funding arrangement – Insurance | Yes |
2020-02-01 | Plan benefit arrangement – Insurance | Yes |
2019: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2019 form 5500 responses |
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2019-02-01 | Type of plan entity | Single employer plan |
2019-02-01 | Plan funding arrangement – Insurance | Yes |
2019-02-01 | Plan benefit arrangement – Insurance | Yes |
2018: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2018 form 5500 responses |
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2018-02-01 | Type of plan entity | Single employer plan |
2018-02-01 | Plan funding arrangement – Insurance | Yes |
2018-02-01 | Plan benefit arrangement – Insurance | Yes |
2017: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2017 form 5500 responses |
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2017-02-01 | Type of plan entity | Single employer plan |
2017-02-01 | Plan funding arrangement – Insurance | Yes |
2017-02-01 | Plan benefit arrangement – Insurance | Yes |
2016: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2016 form 5500 responses |
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2016-02-01 | Type of plan entity | Single employer plan |
2016-02-01 | Plan funding arrangement – Insurance | Yes |
2016-02-01 | Plan benefit arrangement – Insurance | Yes |
2015: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2015 form 5500 responses |
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2015-02-01 | Type of plan entity | Single employer plan |
2015-02-01 | Plan funding arrangement – Insurance | Yes |
2015-02-01 | Plan benefit arrangement – Insurance | Yes |
2014: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2014 form 5500 responses |
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2014-02-01 | Type of plan entity | Single employer plan |
2014-02-01 | Plan funding arrangement – Insurance | Yes |
2014-02-01 | Plan benefit arrangement – Insurance | Yes |
2013: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2013 form 5500 responses |
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2013-02-01 | Type of plan entity | Single employer plan |
2013-02-01 | Plan funding arrangement – Insurance | Yes |
2013-02-01 | Plan benefit arrangement – Insurance | Yes |
2012: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2012 form 5500 responses |
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2012-02-01 | Type of plan entity | Single employer plan |
2012-02-01 | Plan funding arrangement – Insurance | Yes |
2012-02-01 | Plan benefit arrangement – Insurance | Yes |
2011: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2011 form 5500 responses |
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2011-02-01 | Type of plan entity | Single employer plan |
2011-02-01 | Plan funding arrangement – Insurance | Yes |
2011-02-01 | Plan benefit arrangement – Insurance | Yes |
2010: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2010 form 5500 responses |
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2010-02-01 | Type of plan entity | Single employer plan |
2010-02-01 | Submission has been amended | Yes |
2010-02-01 | Plan funding arrangement – Insurance | Yes |
2010-02-01 | Plan benefit arrangement – Insurance | Yes |
2009: THREE RIVERS ORTHOPAEDIC SPINE PRODUCTS LIFE AND ACCIDENT INSURANCE 2009 form 5500 responses |
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2009-02-01 | Type of plan entity | Single employer plan |
2009-02-01 | Submission has been amended | Yes |
2009-02-01 | Plan funding arrangement – Insurance | Yes |
2009-02-01 | Plan benefit arrangement – Insurance | Yes |
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 132 | Insurance policy start date | 2020-02-01 | Insurance policy end date | 2021-01-31 | Total amount of commissions paid to insurance broker | USD $1,197 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $778 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 133 | Insurance policy start date | 2020-02-01 | Insurance policy end date | 2021-01-31 | Total amount of commissions paid to insurance broker | USD $372 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $242 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 133 | Insurance policy start date | 2019-02-01 | Insurance policy end date | 2020-01-31 | Total amount of commissions paid to insurance broker | USD $1,048 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $681 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 132 | Insurance policy start date | 2019-02-01 | Insurance policy end date | 2020-01-31 | Total amount of commissions paid to insurance broker | USD $3,405 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,213 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 119 | Insurance policy start date | 2018-02-01 | Insurance policy end date | 2019-01-31 | Total amount of commissions paid to insurance broker | USD $3,613 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,348 | Insurance broker organization code? | 3 |
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AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
Policy contract number | G00609475 |
Policy instance | 3 |
Insurance contract or identification number | G00609475 | Number of Individuals Covered | 134 | Insurance policy start date | 2018-02-01 | Insurance policy end date | 2019-01-31 | Total amount of commissions paid to insurance broker | USD $5,603 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,363 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 121 | Insurance policy start date | 2018-02-01 | Insurance policy end date | 2019-01-31 | Total amount of commissions paid to insurance broker | USD $1,080 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $702 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 132 | Insurance policy start date | 2017-02-01 | Insurance policy end date | 2018-01-31 | Total amount of commissions paid to insurance broker | USD $1,087 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $707 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 130 | Insurance policy start date | 2017-02-01 | Insurance policy end date | 2018-01-31 | Total amount of commissions paid to insurance broker | USD $3,661 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,380 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 136 | Insurance policy start date | 2015-02-01 | Insurance policy end date | 2016-01-31 | Total amount of commissions paid to insurance broker | USD $1,094 | Welfare Benefit Premiums Paid to Carrier | USD $5,467 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $711 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 134 | Insurance policy start date | 2015-02-01 | Insurance policy end date | 2016-01-31 | Total amount of commissions paid to insurance broker | USD $2,826 | Welfare Benefit Premiums Paid to Carrier | USD $14,131 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,837 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 140 | Insurance policy start date | 2014-02-01 | Insurance policy end date | 2015-01-31 | Total amount of commissions paid to insurance broker | USD $1,147 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $746 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 139 | Insurance policy start date | 2014-02-01 | Insurance policy end date | 2015-01-31 | Total amount of commissions paid to insurance broker | USD $2,848 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,851 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 139 | Insurance policy start date | 2013-02-01 | Insurance policy end date | 2014-01-31 | Total amount of commissions paid to insurance broker | USD $2,708 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,760 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 140 | Insurance policy start date | 2013-02-01 | Insurance policy end date | 2014-01-31 | Total amount of commissions paid to insurance broker | USD $1,149 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $747 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 140 | Insurance policy start date | 2012-02-01 | Insurance policy end date | 2013-01-31 | Total amount of commissions paid to insurance broker | USD $1,103 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $717 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 139 | Insurance policy start date | 2012-02-01 | Insurance policy end date | 2013-01-31 | Total amount of commissions paid to insurance broker | USD $2,439 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,585 | Insurance broker organization code? | 3 | Insurance broker name | STUART D. FOX |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 2 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 144 | Insurance policy start date | 2011-02-01 | Insurance policy end date | 2012-01-31 | Total amount of commissions paid to insurance broker | USD $2,488 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 1 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 144 | Insurance policy start date | 2011-02-01 | Insurance policy end date | 2012-01-31 | Total amount of commissions paid to insurance broker | USD $1,151 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0174F |
Policy instance | 2 |
Insurance contract or identification number | GLUG0174F | Number of Individuals Covered | 134 | Insurance policy start date | 2010-02-01 | Insurance policy end date | 2011-01-31 | Total amount of commissions paid to insurance broker | USD $1,058 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLTD0174F |
Policy instance | 1 |
Insurance contract or identification number | GLTD0174F | Number of Individuals Covered | 134 | Insurance policy start date | 2010-02-01 | Insurance policy end date | 2011-01-31 | Total amount of commissions paid to insurance broker | USD $2,237 | Contracts With Unallocated Funds Deposit Administration | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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