FLEXICON CORPORATION has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022: FLEXICON CORPORATION 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 170 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 161 |
| Number of retired or separated participants receiving benefits | 2022-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-07-01 | 0 |
| Total of all active and inactive participants | 2022-07-01 | 161 |
| 2021: FLEXICON CORPORATION 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 292 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 170 |
| Number of retired or separated participants receiving benefits | 2021-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
| Total of all active and inactive participants | 2021-07-01 | 170 |
| 2020: FLEXICON CORPORATION 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-10-01 | 284 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 153 |
| Total of all active and inactive participants | 2020-10-01 | 153 |
| 2019: FLEXICON CORPORATION 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-10-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 284 |
| Total of all active and inactive participants | 2019-10-01 | 284 |
| 2018: FLEXICON CORPORATION 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 240 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 138 |
| Total of all active and inactive participants | 2018-10-01 | 138 |
| 2017: FLEXICON CORPORATION 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-10-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 240 |
| Total of all active and inactive participants | 2017-10-01 | 240 |
| 2016: FLEXICON CORPORATION 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 110 |
| Total of all active and inactive participants | 2016-10-01 | 110 |
| 2015: FLEXICON CORPORATION 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 185 |
| Total of all active and inactive participants | 2015-10-01 | 185 |
| 2011: FLEXICON CORPORATION 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 90 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 107 |
| Total of all active and inactive participants | 2011-10-01 | 107 |
| Measure | Date | Value |
|---|
| 2023 : FLEXICON CORPORATION 2023 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2023-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-06-30 | $229,855 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-06-30 | $191,152 |
| Total income from all sources (including contributions) | 2023-06-30 | $2,105,718 |
| Total loss/gain on sale of assets | 2023-06-30 | $0 |
| Total of all expenses incurred | 2023-06-30 | $2,107,523 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-06-30 | $1,449,649 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-06-30 | $2,104,919 |
| Value of total assets at end of year | 2023-06-30 | $170,418 |
| Value of total assets at beginning of year | 2023-06-30 | $133,520 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-06-30 | $657,874 |
| Total interest from all sources | 2023-06-30 | $799 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-06-30 | No |
| Was this plan covered by a fidelity bond | 2023-06-30 | Yes |
| Value of fidelity bond cover | 2023-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2023-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-06-30 | No |
| Contributions received from participants | 2023-06-30 | $864,755 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-06-30 | $1,558 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-06-30 | $67,608 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2023-06-30 | $154,482 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2023-06-30 | $144,448 |
| Administrative expenses (other) incurred | 2023-06-30 | $533,550 |
| Liabilities. Value of operating payables at end of year | 2023-06-30 | $12 |
| Liabilities. Value of operating payables at beginning of year | 2023-06-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-06-30 | No |
| Value of net income/loss | 2023-06-30 | $-1,805 |
| Value of net assets at end of year (total assets less liabilities) | 2023-06-30 | $-59,437 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-06-30 | $-57,632 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-06-30 | No |
| Investment advisory and management fees | 2023-06-30 | $41,553 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-06-30 | $49,104 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-06-30 | $65,912 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-06-30 | $65,912 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-06-30 | $799 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-06-30 | $1,449,649 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-06-30 | No |
| Assets. Invements in employer securities at end of year | 2023-06-30 | $0 |
| Assets. Invements in employer securities at beginning of year | 2023-06-30 | $0 |
| Contributions received in cash from employer | 2023-06-30 | $1,240,164 |
| Employer contributions (assets) at end of year | 2023-06-30 | $119,756 |
| Employer contributions (assets) at beginning of year | 2023-06-30 | $0 |
| Contract administrator fees | 2023-06-30 | $82,771 |
| Liabilities. Value of benefit claims payable at end of year | 2023-06-30 | $75,361 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-06-30 | $46,704 |
| Did the plan have assets held for investment | 2023-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-06-30 | Unqualified |
| Accountancy firm name | 2023-06-30 | YOUNG OAKES BROWN & CO PC |
| Accountancy firm EIN | 2023-06-30 | 251589048 |
| 2022 : FLEXICON CORPORATION 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-06-30 | $191,152 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-06-30 | $0 |
| Total income from all sources (including contributions) | 2022-06-30 | $1,840,446 |
| Total loss/gain on sale of assets | 2022-06-30 | $0 |
| Total of all expenses incurred | 2022-06-30 | $1,898,078 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-06-30 | $1,294,892 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-06-30 | $1,840,222 |
| Value of total assets at end of year | 2022-06-30 | $133,520 |
| Value of total assets at beginning of year | 2022-06-30 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-06-30 | $603,186 |
| Total interest from all sources | 2022-06-30 | $224 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-06-30 | No |
| Was this plan covered by a fidelity bond | 2022-06-30 | Yes |
| Value of fidelity bond cover | 2022-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-06-30 | No |
| Contributions received from participants | 2022-06-30 | $662,953 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-06-30 | $67,608 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-06-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-06-30 | $144,448 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-06-30 | $0 |
| Administrative expenses (other) incurred | 2022-06-30 | $473,672 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-06-30 | No |
| Value of net income/loss | 2022-06-30 | $-57,632 |
| Value of net assets at end of year (total assets less liabilities) | 2022-06-30 | $-57,632 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-06-30 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-06-30 | No |
| Investment advisory and management fees | 2022-06-30 | $39,492 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-06-30 | $65,912 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-06-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-06-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-06-30 | $224 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-06-30 | $1,294,892 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-06-30 | No |
| Assets. Invements in employer securities at end of year | 2022-06-30 | $0 |
| Assets. Invements in employer securities at beginning of year | 2022-06-30 | $0 |
| Contributions received in cash from employer | 2022-06-30 | $1,177,269 |
| Contract administrator fees | 2022-06-30 | $90,022 |
| Liabilities. Value of benefit claims payable at end of year | 2022-06-30 | $46,704 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-06-30 | $0 |
| Did the plan have assets held for investment | 2022-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-06-30 | Unqualified |
| Accountancy firm name | 2022-06-30 | YOUNG OAKES BROWN & CO PC |
| Accountancy firm EIN | 2022-06-30 | 251589048 |
| 2022: FLEXICON CORPORATION 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Submission has been amended | Yes |
| 2022-07-01 | This submission is the final filing | No |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-07-01 | Plan is a collectively bargained plan | No |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan funding arrangement – Trust | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement - Trust | Yes |
| 2021: FLEXICON CORPORATION 2021 form 5500 responses |
|---|
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | First time form 5500 has been submitted | Yes |
| 2021-07-01 | Submission has been amended | No |
| 2021-07-01 | This submission is the final filing | No |
| 2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-07-01 | Plan is a collectively bargained plan | No |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan funding arrangement – Trust | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement - Trust | Yes |
| 2020: FLEXICON CORPORATION 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: FLEXICON CORPORATION 2019 form 5500 responses |
|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: FLEXICON CORPORATION 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: FLEXICON CORPORATION 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: FLEXICON CORPORATION 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: FLEXICON CORPORATION 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: FLEXICON CORPORATION 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 31000241 |
| Policy instance | 1 |
| Insurance contract or identification number | 31000241 | | Number of Individuals Covered | 161 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $533,550 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 31000241 |
| Policy instance | 1 |
| Insurance contract or identification number | 31000241 | | Number of Individuals Covered | 170 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $473,672 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 ) |
| Policy contract number | 00700278 |
| Policy instance | 1 |
| Insurance contract or identification number | 00700278 | | Number of Individuals Covered | 292 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $30,768 | | Total amount of fees paid to insurance company | USD $132,645 | | Welfare Benefit Premiums Paid to Carrier | USD $1,281,697 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0754351 |
| Policy instance | 1 |
| Insurance contract or identification number | 0754351 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $1,348 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,348 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 |
|
| CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 ) |
| Policy contract number | 00700278 |
| Policy instance | 1 |
| Insurance contract or identification number | 00700278 | | Number of Individuals Covered | 134 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $39,816 | | Total amount of fees paid to insurance company | USD $169,345 | | Welfare Benefit Premiums Paid to Carrier | USD $1,443,237 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39,816 | | Amount paid for insurance broker fees | 169345 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0754351 |
| Policy instance | 1 |
| Insurance contract or identification number | 0754351 | | Number of Individuals Covered | 284 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $1,692 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,692 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0754351 |
| Policy instance | 1 |
| Insurance contract or identification number | 0754351 | | Number of Individuals Covered | 138 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $1,717 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,717 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0754351 |
| Policy instance | 1 |
| Insurance contract or identification number | 0754351 | | Number of Individuals Covered | 240 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $1,475 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 754351 |
| Policy instance | 1 |
| Insurance contract or identification number | 754351 | | Number of Individuals Covered | 185 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $1,247 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,247 | | Insurance broker organization code? | 3 | | Insurance broker name | BNN GROUP, INC. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 240033 |
| Policy instance | 1 |
| Insurance contract or identification number | 240033 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $1,428 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,278 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
