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WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan NameWINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN
Plan identification number 502

WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

WPC MANAGEMENT PARTNERS, LLC has sponsored the creation of one or more 401k plans.

Company Name:WPC MANAGEMENT PARTNERS, LLC
Employer identification number (EIN):260334007
NAIC Classification:236200

Additional information about WPC MANAGEMENT PARTNERS, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2007-06-07
Company Identification Number: L07000060214
Legal Registered Office Address: 221 CIRCLE DRIVE

MAITLAND

32751

More information about WPC MANAGEMENT PARTNERS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-11-01NOELLE DEIBLER2022-04-03 NOELLE DEIBLER2022-04-03
5022020-11-0178382022-05-13 78382022-05-13
5022019-11-0178382021-05-06 78382021-05-06
5022018-11-0178382020-05-28 78382020-05-28
5022017-11-0178382019-05-14 78382019-05-14
5022016-11-01
5022015-11-01
5022014-11-01
5022013-11-01
5022012-11-01A1718698 A17186982014-05-29
5022011-11-01A1718698 A17186982014-06-04
5022009-11-01
5022008-11-01

Plan Statistics for WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN

Measure Date Value
2021: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01113
Total number of active participants reported on line 7a of the Form 55002021-11-0177
Total of all active and inactive participants2021-11-0177
2020: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01144
Total number of active participants reported on line 7a of the Form 55002020-11-01113
Total of all active and inactive participants2020-11-01113
2019: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01139
Total number of active participants reported on line 7a of the Form 55002019-11-01144
Total of all active and inactive participants2019-11-01144
2018: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01126
Total number of active participants reported on line 7a of the Form 55002018-11-01139
Total of all active and inactive participants2018-11-01139
2017: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01124
Total number of active participants reported on line 7a of the Form 55002017-11-01126
Total of all active and inactive participants2017-11-01126
2016: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-0184
Total number of active participants reported on line 7a of the Form 55002016-11-01124
Total of all active and inactive participants2016-11-01124
2015: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01109
Total number of active participants reported on line 7a of the Form 55002015-11-0184
Total of all active and inactive participants2015-11-0184
2014: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01109
Total number of active participants reported on line 7a of the Form 55002014-11-01109
Total of all active and inactive participants2014-11-01109
2013: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-0174
Total number of active participants reported on line 7a of the Form 55002013-11-01114
Total of all active and inactive participants2013-11-01114
2012: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-0177
Total number of active participants reported on line 7a of the Form 55002012-11-0174
Total of all active and inactive participants2012-11-0174
2011: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-0163
Total number of active participants reported on line 7a of the Form 55002011-11-0177
Total of all active and inactive participants2011-11-0177
2009: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01113
Total number of active participants reported on line 7a of the Form 55002009-11-01129
Total of all active and inactive participants2009-11-01129
2008: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year2008-11-01154
Total number of active participants reported on line 7a of the Form 55002008-11-01113
Total of all active and inactive participants2008-11-01113

Form 5500 Responses for WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN

2021: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Submission has been amendedNo
2021-11-01This submission is the final filingNo
2021-11-01This return/report is a short plan year return/report (less than 12 months)No
2021-11-01Plan is a collectively bargained planNo
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – General assets of the sponsorYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – General assets of the sponsorYes
2020: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Submission has been amendedNo
2020-11-01This submission is the final filingNo
2020-11-01This return/report is a short plan year return/report (less than 12 months)No
2020-11-01Plan is a collectively bargained planNo
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – General assets of the sponsorYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – General assets of the sponsorYes
2019: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – General assets of the sponsorYes
2018: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)No
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – General assets of the sponsorYes
2017: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – General assets of the sponsorYes
2016: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – General assets of the sponsorYes
2015: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – General assets of the sponsorYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – General assets of the sponsorYes
2014: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – General assets of the sponsorYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – General assets of the sponsorYes
2013: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – General assets of the sponsorYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – General assets of the sponsorYes
2012: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – General assets of the sponsorYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – General assets of the sponsorYes
2011: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedYes
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – General assets of the sponsorYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – General assets of the sponsorYes
2009: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedYes
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – General assets of the sponsorYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – General assets of the sponsorYes
2008: WINTER PARK CONSTRUCTION INC FLEXIBLE BENEFITS PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedYes
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo
2008-11-01Plan funding arrangement – InsuranceYes
2008-11-01Plan funding arrangement – General assets of the sponsorYes
2008-11-01Plan benefit arrangement – InsuranceYes
2008-11-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00633848
Policy instance 2
Insurance contract or identification number00633848
Number of Individuals Covered77
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $40,407
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $712,674
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees40407
Additional information about fees paid to insurance brokerCONSULTING & SERVICE
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BMFR
Policy instance 1
Insurance contract or identification numberG000BMFR
Number of Individuals Covered77
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $15,774
Total amount of fees paid to insurance companyUSD $10,206
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,774
Amount paid for insurance broker fees10206
Additional information about fees paid to insurance brokerSERVICE
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BMFR
Policy instance 1
Insurance contract or identification numberG000BMFR
Number of Individuals Covered113
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $22,120
Total amount of fees paid to insurance companyUSD $1,387
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $22,120
Amount paid for insurance broker fees1387
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BMFR
Policy instance 1
Insurance contract or identification numberG000BMFR
Number of Individuals Covered144
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $21,535
Total amount of fees paid to insurance companyUSD $916
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,594
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,535
Amount paid for insurance broker fees916
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )
Policy contract number16110201
Policy instance 2
Insurance contract or identification number16110201
Insurance policy start date2018-11-02
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $5,301
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $5,301
Amount paid for insurance broker fees0
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BMFR
Policy instance 1
Insurance contract or identification numberG000BMFR
Number of Individuals Covered139
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $7,373
Total amount of fees paid to insurance companyUSD $2,150
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,373
Amount paid for insurance broker fees2150
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )
Policy contract number16110201
Policy instance 1
Insurance contract or identification number16110201
Number of Individuals Covered117
Insurance policy start date2017-11-02
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $5,244
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10222019
Policy instance 2
Insurance contract or identification number10222019
Number of Individuals Covered126
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $11,869
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedOPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $79,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number0715258
Policy instance 3
Insurance contract or identification number0715258
Number of Individuals Covered55
Insurance policy start date2015-11-01
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $29,288
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,288
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number28037
Policy instance 2
Insurance contract or identification number28037
Number of Individuals Covered29
Insurance policy start date2015-11-01
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $9,729
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,729
Insurance broker organization code?3
Insurance broker nameLASSITER WARE
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number14307300
Policy instance 1
Insurance contract or identification number14307300
Number of Individuals Covered81
Insurance policy start date2015-11-01
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $14,299
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $141,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,299
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number0715258
Policy instance 3
Insurance contract or identification number0715258
Number of Individuals Covered54
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $24,687
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,687
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number28037
Policy instance 2
Insurance contract or identification number28037
Number of Individuals Covered29
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $8,146
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $8,146
Insurance broker organization code?3
Insurance broker nameLASSITER WARE
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number14307300
Policy instance 1
Insurance contract or identification number14307300
Number of Individuals Covered109
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $12,361
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $122,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,361
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number14307300
Policy instance 1
Insurance contract or identification number14307300
Number of Individuals Covered114
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $12,670
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $125,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,670
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number28037
Policy instance 2
Insurance contract or identification number28037
Number of Individuals Covered22
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $6,812
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,812
Insurance broker organization code?3
Insurance broker nameLASSITER WARE
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number0715258
Policy instance 3
Insurance contract or identification number0715258
Number of Individuals Covered54
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $24,236
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,236
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number0715258
Policy instance 2
Insurance contract or identification number0715258
Number of Individuals Covered74
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $24,441
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $24,441
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number14307300
Policy instance 1
Insurance contract or identification number14307300
Number of Individuals Covered66
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $10,469
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $103,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,469
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number14307300
Policy instance 1
Insurance contract or identification number14307300
Number of Individuals Covered77
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $10,814
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number0715258
Policy instance 2
Insurance contract or identification number0715258
Number of Individuals Covered62
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $20,650
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number0715258
Policy instance 2
Insurance contract or identification number0715258
Number of Individuals Covered64
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $18,721
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number14307300
Policy instance 1
Insurance contract or identification number14307300
Number of Individuals Covered61
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $11,168
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,522
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 number0715258
Policy instance 2
Insurance contract or identification number0715258
Number of Individuals Covered129
Insurance policy start date2009-11-01
Insurance policy end date2010-10-31
Total amount of commissions paid to insurance brokerUSD $27,662
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $553,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,662
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number159122
Policy instance 1
Insurance contract or identification number159122
Number of Individuals Covered62
Insurance policy start date2009-11-01
Insurance policy end date2010-10-31
Total amount of commissions paid to insurance brokerUSD $13,311
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $131,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,311
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0715258
Policy instance 2
Insurance contract or identification number0715258
Number of Individuals Covered104
Insurance policy start date2008-11-01
Insurance policy end date2009-10-31
Total amount of commissions paid to insurance brokerUSD $27,809
Total amount of fees paid to insurance companyUSD $1,680
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,809
Amount paid for insurance broker fees1680
Additional information about fees paid to insurance brokerINCENTIVE
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL14307344853
Policy instance 1
Insurance contract or identification numberGL14307344853
Number of Individuals Covered104
Insurance policy start date2008-11-01
Insurance policy end date2009-10-31
Total amount of commissions paid to insurance brokerUSD $7,206
Total amount of fees paid to insurance companyUSD $1,416
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,059
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,206
Amount paid for insurance broker fees1416
Insurance broker organization code?3
Insurance broker nameLASSITER WARE INSURANCE

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