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APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 401k Plan overview

Plan NameAPPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN
Plan identification number 503

APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

APPLE HEALTH CONSORTIUM INC has sponsored the creation of one or more 401k plans.

Company Name:APPLE HEALTH CONSORTIUM INC
Employer identification number (EIN):223269197
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about APPLE HEALTH CONSORTIUM INC

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number: 0100572306

More information about APPLE HEALTH CONSORTIUM INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-04-01RICHARD PINELES2023-11-21
5032021-04-01RICHARD PINELES2022-10-19
5032020-04-01RICHARD PINELES2021-11-08
5032019-04-01RICHARD PINELES2020-12-10
5032018-04-01RICHARD PINELES2019-11-12
5032017-04-01
5032016-04-01
5032015-04-01
5032014-04-01
5032013-04-01
5032012-04-01RICHARD PINELES
5032011-04-01RICHARD PINELES
5032010-04-01RICHARD PINELES
5032009-04-01RICHARD PINELES

Plan Statistics for APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN

401k plan membership statisitcs for APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN

Measure Date Value
2022: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01366
Total number of active participants reported on line 7a of the Form 55002022-04-0154
Total of all active and inactive participants2022-04-0154
2021: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01412
Total number of active participants reported on line 7a of the Form 55002021-04-01366
Total of all active and inactive participants2021-04-01366
2020: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01374
Total number of active participants reported on line 7a of the Form 55002020-04-01412
Total of all active and inactive participants2020-04-01412
2019: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01362
Total number of active participants reported on line 7a of the Form 55002019-04-01374
Total of all active and inactive participants2019-04-01374
2018: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01385
Total number of active participants reported on line 7a of the Form 55002018-04-01362
Total of all active and inactive participants2018-04-01362
2017: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01386
Total number of active participants reported on line 7a of the Form 55002017-04-01385
Total of all active and inactive participants2017-04-01385
2016: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01421
Total number of active participants reported on line 7a of the Form 55002016-04-01386
Total of all active and inactive participants2016-04-01386
2015: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01445
Total number of active participants reported on line 7a of the Form 55002015-04-01421
Total of all active and inactive participants2015-04-01421
2014: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01438
Total number of active participants reported on line 7a of the Form 55002014-04-01445
Total of all active and inactive participants2014-04-01445
2013: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01433
Total number of active participants reported on line 7a of the Form 55002013-04-01438
Total of all active and inactive participants2013-04-01438
2012: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01426
Total number of active participants reported on line 7a of the Form 55002012-04-01433
Total of all active and inactive participants2012-04-01433
2011: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01422
Total number of active participants reported on line 7a of the Form 55002011-04-01426
Total of all active and inactive participants2011-04-01426
2010: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01439
Total number of active participants reported on line 7a of the Form 55002010-04-01422
Total of all active and inactive participants2010-04-01422
2009: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01453
Total number of active participants reported on line 7a of the Form 55002009-04-01439
Total of all active and inactive participants2009-04-01439

Form 5500 Responses for APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN

2022: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2009: APPLE HEALTH CONSORTIUM LIFE INSURANCE PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01This submission is the final filingNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number013346-2
Policy instance 4
Insurance contract or identification number013346-2
Number of Individuals Covered54
Insurance policy start date2022-07-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $600
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $600
Additional information about fees paid to insurance brokerSERVICE FEE AND BONUS
Insurance broker organization code?3
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number013346
Policy instance 3
Insurance contract or identification number013346
Number of Individuals Covered25
Insurance policy start date2022-07-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $1,625
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,625
Additional information about fees paid to insurance brokerSERVICE FEE AND BONUS
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number62343-2
Policy instance 2
Insurance contract or identification number62343-2
Number of Individuals Covered129
Insurance policy start date2022-04-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,314
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 number62343
Policy instance 1
Insurance contract or identification number62343
Number of Individuals Covered359
Insurance policy start date2022-04-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $1,032
Total amount of fees paid to insurance companyUSD $17
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,001
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,032
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees17
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number62343
Policy instance 1
Insurance contract or identification number62343
Number of Individuals Covered366
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $4,543
Total amount of fees paid to insurance companyUSD $76
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $13,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,543
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees76
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number62343-2
Policy instance 2
Insurance contract or identification number62343-2
Number of Individuals Covered128
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,125
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 number62343
Policy instance 2
Insurance contract or identification number62343
Number of Individuals Covered152
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,313
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 number62343
Policy instance 1
Insurance contract or identification number62343
Number of Individuals Covered412
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $4,908
Total amount of fees paid to insurance companyUSD $78
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $14,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,908
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees78
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number62343
Policy instance 4
Insurance contract or identification number62343
Number of Individuals Covered154
Insurance policy start date2019-07-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,681
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 number62343
Policy instance 3
Insurance contract or identification number62343
Number of Individuals Covered374
Insurance policy start date2019-07-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $3,494
Total amount of fees paid to insurance companyUSD $74
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $10,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,494
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees62
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPL 300474
Policy instance 2
Insurance contract or identification numberVPL 300474
Number of Individuals Covered0
Insurance policy start date2019-04-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $653
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $653
Additional information about fees paid to insurance brokerADMIN AND FEES TO INSURANCE AGENT CODE14-1498 - VOL LT DISABILITYADMI
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 145966
Policy instance 1
Insurance contract or identification numberGL 145966
Number of Individuals Covered0
Insurance policy start date2019-04-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $330
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $330
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerADMIN AND FEES TO INSURANCE AGENT CODE 14-1498- GROUP LIFE/AD&D.
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 145966
Policy instance 1
Insurance contract or identification numberGL 145966
Number of Individuals Covered362
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $1,910
Total amount of fees paid to insurance companyUSD $792
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $23,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,910
Amount paid for insurance broker fees792
Additional information about fees paid to insurance brokerADMIN AND FEES TO INSURANCE AGENT CODE 14-1498- GROUP LIFE/AD&D.
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPL 300474
Policy instance 2
Insurance contract or identification numberVPL 300474
Number of Individuals Covered90
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $3,612
Total amount of fees paid to insurance companyUSD $1,152
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,612
Amount paid for insurance broker fees1152
Additional information about fees paid to insurance brokerADMIN AND FEES TO INSURANCE AGENT CODE14-1498 - VOL LT DISABILITY
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPL 300474
Policy instance 2
Insurance contract or identification numberVPL 300474
Number of Individuals Covered102
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $3,360
Total amount of fees paid to insurance companyUSD $618
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,595
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,360
Amount paid for insurance broker fees618
Additional information about fees paid to insurance brokerADMIN AND FEES TO INSURANCE AGENT CODE14-1498 - VOL LT DISABILITY
Insurance broker organization code?3
Insurance broker nameECONOMIC EVALUATION GROUP INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 145966
Policy instance 1
Insurance contract or identification numberGL 145966
Number of Individuals Covered385
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $1,891
Total amount of fees paid to insurance companyUSD $394
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $23,651
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,891
Amount paid for insurance broker fees394
Additional information about fees paid to insurance brokerADMIN AND FEES TO INSURANCE AGENT CODE 14-1498- GROUP LIFE/AD&D.
Insurance broker organization code?3
Insurance broker nameECONOMIC EVALUATION GROUP INC
RELIANCE STANDARD LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 100004
Policy instance 1
Insurance contract or identification numberGL 100004
Number of Individuals Covered421
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $73,205
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 100004
Policy instance 1
Insurance contract or identification numberGL 100004
Number of Individuals Covered445
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 100004
Policy instance 1
Insurance contract or identification numberGL 100004
Number of Individuals Covered438
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 100004
Policy instance 1
Insurance contract or identification numberGL 100004
Number of Individuals Covered433
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 100004
Policy instance 1
Insurance contract or identification numberGL 100004
Number of Individuals Covered426
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 100004
Policy instance 1
Insurance contract or identification numberGL 100004
Number of Individuals Covered422
Insurance policy start date2010-07-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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