DOLLAR BANK, FEDERAL SAVINGS BANK has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan DOLLAR BANK WELFARE BENEFITS PLAN
Measure | Date | Value |
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2022: DOLLAR BANK WELFARE BENEFITS PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 1,303 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 1,418 |
Total of all active and inactive participants | 2022-01-01 | 1,418 |
2021: DOLLAR BANK WELFARE BENEFITS PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 1,369 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 1,303 |
Total of all active and inactive participants | 2021-01-01 | 1,303 |
2020: DOLLAR BANK WELFARE BENEFITS PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 1,331 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 1,369 |
Total of all active and inactive participants | 2020-01-01 | 1,369 |
2019: DOLLAR BANK WELFARE BENEFITS PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 1,331 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 1,331 |
Total of all active and inactive participants | 2019-01-01 | 1,331 |
2018: DOLLAR BANK WELFARE BENEFITS PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 1,363 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 1,331 |
Total of all active and inactive participants | 2018-01-01 | 1,331 |
2017: DOLLAR BANK WELFARE BENEFITS PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 1,314 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 1,363 |
Total of all active and inactive participants | 2017-01-01 | 1,363 |
2016: DOLLAR BANK WELFARE BENEFITS PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 1,282 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 1,314 |
Total of all active and inactive participants | 2016-01-01 | 1,314 |
2015: DOLLAR BANK WELFARE BENEFITS PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 1,288 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 1,282 |
Total of all active and inactive participants | 2015-01-01 | 1,282 |
2014: DOLLAR BANK WELFARE BENEFITS PLAN 2014 401k membership |
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Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,288 |
Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
Total of all active and inactive participants | 2014-01-01 | 1,288 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
Total participants | 2014-01-01 | 1,288 |
Total participants, beginning-of-year | 2014-01-01 | 1,240 |
2013: DOLLAR BANK WELFARE BENEFITS PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 1,231 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,240 |
Total of all active and inactive participants | 2013-01-01 | 1,240 |
Total participants | 2013-01-01 | 1,240 |
2012: DOLLAR BANK WELFARE BENEFITS PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 1,218 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,231 |
Total of all active and inactive participants | 2012-01-01 | 1,231 |
Total participants | 2012-01-01 | 1,231 |
2011: DOLLAR BANK WELFARE BENEFITS PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 1,179 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,218 |
Total of all active and inactive participants | 2011-01-01 | 1,218 |
Total participants | 2011-01-01 | 1,218 |
2009: DOLLAR BANK WELFARE BENEFITS PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 1,148 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 1,169 |
Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
Total of all active and inactive participants | 2009-01-01 | 1,169 |
Measure | Date | Value |
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2014 : DOLLAR BANK WELFARE BENEFITS PLAN 2014 401k financial data |
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Total income from all sources (including contributions) | 2014-12-31 | $10,904,900 |
Total of all expenses incurred | 2014-12-31 | $10,904,900 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $10,122,864 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $10,904,900 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $782,036 |
Contributions received from participants | 2014-12-31 | $3,036,262 |
Value of net income/loss | 2014-12-31 | $0 |
Investment advisory and management fees | 2014-12-31 | $768,256 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $1,596,407 |
Contributions received in cash from employer | 2014-12-31 | $7,868,638 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $8,526,457 |
Contract administrator fees | 2014-12-31 | $13,780 |
2013 : DOLLAR BANK WELFARE BENEFITS PLAN 2013 401k financial data |
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Total income from all sources (including contributions) | 2013-12-31 | $211,588 |
Total of all expenses incurred | 2013-12-31 | $211,588 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $211,588 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $211,588 |
Value of net income/loss | 2013-12-31 | $0 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $211,588 |
Contributions received in cash from employer | 2013-12-31 | $211,588 |
2012 : DOLLAR BANK WELFARE BENEFITS PLAN 2012 401k financial data |
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Total income from all sources (including contributions) | 2012-12-31 | $201,430 |
Total of all expenses incurred | 2012-12-31 | $201,430 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $201,430 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $201,430 |
Value of net income/loss | 2012-12-31 | $0 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $201,430 |
Contributions received in cash from employer | 2012-12-31 | $201,430 |
2011 : DOLLAR BANK WELFARE BENEFITS PLAN 2011 401k financial data |
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Total income from all sources (including contributions) | 2011-12-31 | $193,156 |
Total of all expenses incurred | 2011-12-31 | $193,156 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $193,156 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $193,156 |
Value of net income/loss | 2011-12-31 | $0 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $193,156 |
Contributions received in cash from employer | 2011-12-31 | $193,156 |
2010 : DOLLAR BANK WELFARE BENEFITS PLAN 2010 401k financial data |
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Total income from all sources (including contributions) | 2010-12-31 | $187,967 |
Total of all expenses incurred | 2010-12-31 | $187,967 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $187,789 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $187,967 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $178 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
Was this plan covered by a fidelity bond | 2010-12-31 | No |
If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
Income. Received or receivable in cash from other sources (including rollovers) | 2010-12-31 | $187,967 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
Value of net income/loss | 2010-12-31 | $0 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $187,789 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
Contributions received in cash from employer | 2010-12-31 | $187,967 |
Contract administrator fees | 2010-12-31 | $178 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-12-31 | No |
Did the plan have assets held for investment | 2010-12-31 | No |
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 | 2010-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
2022: DOLLAR BANK WELFARE BENEFITS PLAN 2022 form 5500 responses |
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2021: DOLLAR BANK WELFARE BENEFITS PLAN 2021 form 5500 responses |
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: DOLLAR BANK WELFARE BENEFITS PLAN 2020 form 5500 responses |
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: DOLLAR BANK WELFARE BENEFITS PLAN 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: DOLLAR BANK WELFARE BENEFITS PLAN 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: DOLLAR BANK WELFARE BENEFITS PLAN 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: DOLLAR BANK WELFARE BENEFITS PLAN 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: DOLLAR BANK WELFARE BENEFITS PLAN 2015 form 5500 responses |
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2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | Plan funding arrangement – Insurance | Yes |
2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: DOLLAR BANK WELFARE BENEFITS PLAN 2014 form 5500 responses |
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2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Submission has been amended | Yes |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: DOLLAR BANK WELFARE BENEFITS PLAN 2013 form 5500 responses |
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2013-01-01 | Type of plan entity | DFE (Diect Filing Entity) |
2013-01-01 | Plan funding arrangement – Insurance | Yes |
2013-01-01 | Plan benefit arrangement – Insurance | Yes |
2012: DOLLAR BANK WELFARE BENEFITS PLAN 2012 form 5500 responses |
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2012-01-01 | Type of plan entity | DFE (Diect Filing Entity) |
2012-01-01 | Plan funding arrangement – Insurance | Yes |
2012-01-01 | Plan benefit arrangement – Insurance | Yes |
2011: DOLLAR BANK WELFARE BENEFITS PLAN 2011 form 5500 responses |
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2011-01-01 | Type of plan entity | DFE (Diect Filing Entity) |
2011-01-01 | Plan funding arrangement – Insurance | Yes |
2011-01-01 | Plan benefit arrangement – Insurance | Yes |
2009: DOLLAR BANK WELFARE BENEFITS PLAN 2009 form 5500 responses |
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2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Submission has been amended | Yes |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | Plan funding arrangement – Insurance | Yes |
2009-01-01 | Plan benefit arrangement – Insurance | Yes |
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | 406410 0010SSLS |
Policy instance | 4 |
Insurance contract or identification number | 406410 0010SSLS | Number of Individuals Covered | 1082 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $1,119,900 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 41185 |
Policy instance | 3 |
Insurance contract or identification number | 41185 | Number of Individuals Covered | 1416 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $715,311 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HARTFORD LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 19682 ) |
Policy contract number | GTA101123 |
Policy instance | 2 |
Insurance contract or identification number | GTA101123 | Number of Individuals Covered | 1418 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | BUSINESS TRAVEL | Welfare Benefit Premiums Paid to Carrier | USD $1,434 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | DBF/001,002,003 |
Policy instance | 1 |
Insurance contract or identification number | DBF/001,002,003 | Number of Individuals Covered | 1932 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $157,017 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | DBF/001,002,003 |
Policy instance | 1 |
Insurance contract or identification number | DBF/001,002,003 | Number of Individuals Covered | 1633 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $138,319 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 19682 ) |
Policy contract number | GTA101123 |
Policy instance | 2 |
Insurance contract or identification number | GTA101123 | Number of Individuals Covered | 1303 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $205 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | BUSINESS TRAVEL | Welfare Benefit Premiums Paid to Carrier | USD $1,364 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $205 | Insurance broker organization code? | 3 |
|
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 41185 |
Policy instance | 3 |
Insurance contract or identification number | 41185 | Number of Individuals Covered | 1384 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $646,804 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | 406410 0010SSLS |
Policy instance | 4 |
Insurance contract or identification number | 406410 0010SSLS | Number of Individuals Covered | 1037 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $1,081,777 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | 406410 0010SSLS |
Policy instance | 4 |
Insurance contract or identification number | 406410 0010SSLS | Number of Individuals Covered | 1068 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $1,134,294 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 41185 |
Policy instance | 3 |
Insurance contract or identification number | 41185 | Number of Individuals Covered | 1384 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $626,056 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | ETB111478 |
Policy instance | 2 |
Insurance contract or identification number | ETB111478 | Number of Individuals Covered | 1369 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $205 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | BUSINESS TRAVEL | Welfare Benefit Premiums Paid to Carrier | USD $1,364 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $205 | Insurance broker organization code? | 3 |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | DBF/001,002,003 |
Policy instance | 1 |
Insurance contract or identification number | DBF/001,002,003 | Number of Individuals Covered | 1656 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $138,514 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | ETB111478 |
Policy instance | 2 |
Insurance contract or identification number | ETB111478 | Number of Individuals Covered | 1331 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $205 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | BUSINESS TRAVEL | Welfare Benefit Premiums Paid to Carrier | USD $1,364 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $205 | Insurance broker organization code? | 3 |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | DBF/001,002,003 |
Policy instance | 1 |
Insurance contract or identification number | DBF/001,002,003 | Number of Individuals Covered | 1606 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $133,693 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 41185 |
Policy instance | 3 |
Insurance contract or identification number | 41185 | Number of Individuals Covered | 1349 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $606,768 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | 406410 0010SSLS |
Policy instance | 4 |
Insurance contract or identification number | 406410 0010SSLS | Number of Individuals Covered | 1024 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $1,166,662 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | 406410 0010SSLS |
Policy instance | 4 |
Insurance contract or identification number | 406410 0010SSLS | Number of Individuals Covered | 1050 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $934,538 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | DBF/001,002,003 |
Policy instance | 1 |
Insurance contract or identification number | DBF/001,002,003 | Number of Individuals Covered | 1557 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $131,214 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | ETB111478 |
Policy instance | 2 |
Insurance contract or identification number | ETB111478 | Number of Individuals Covered | 1331 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $135 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | BUSINESS TRAVEL | Welfare Benefit Premiums Paid to Carrier | USD $903 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $135 | Insurance broker organization code? | 3 |
|
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 41185 |
Policy instance | 3 |
Insurance contract or identification number | 41185 | Number of Individuals Covered | 1336 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $564,564 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | 406410 0010SSLS |
Policy instance | 4 |
Insurance contract or identification number | 406410 0010SSLS | Number of Individuals Covered | 1008 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $666,133 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 41185 |
Policy instance | 3 |
Insurance contract or identification number | 41185 | Number of Individuals Covered | 1285 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $441,116 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | ETB111478 |
Policy instance | 2 |
Insurance contract or identification number | ETB111478 | Number of Individuals Covered | 1363 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $135 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | BUSINESS TRAVEL | Welfare Benefit Premiums Paid to Carrier | USD $903 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $135 | Insurance broker organization code? | 3 | Insurance broker name | DOLLAR BANK INSURANCE AGENCY INC. |
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HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | DBF/001,002,003 |
Policy instance | 1 |
Insurance contract or identification number | DBF/001,002,003 | Number of Individuals Covered | 1543 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $129,681 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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