GRUBB & ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN
| Measure | Date | Value |
|---|
| 2024 : GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2024 401k financial data |
|---|
| Transfers to/from the plan | 2024-02-29 | $0 |
| Total plan liabilities at end of year | 2024-02-29 | $0 |
| Total plan liabilities at beginning of year | 2024-02-29 | $0 |
| Total income from all sources | 2024-02-29 | $2,232 |
| Expenses. Total of all expenses incurred | 2024-02-29 | $2,232 |
| Benefits paid (including direct rollovers) | 2024-02-29 | $2,232 |
| Total plan assets at end of year | 2024-02-29 | $0 |
| Total plan assets at beginning of year | 2024-02-29 | $0 |
| Total contributions received or receivable from participants | 2024-02-29 | $1,116 |
| Expenses. Other expenses not covered elsewhere | 2024-02-29 | $0 |
| Contributions received from other sources (not participants or employers) | 2024-02-29 | $0 |
| Other income received | 2024-02-29 | $0 |
| Noncash contributions received | 2024-02-29 | $0 |
| Net income (gross income less expenses) | 2024-02-29 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2024-02-29 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2024-02-29 | $0 |
| Total contributions received or receivable from employer(s) | 2024-02-29 | $1,116 |
| Value of certain deemed distributions of participant loans | 2024-02-29 | $0 |
| Value of corrective distributions | 2024-02-29 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2024-02-29 | $0 |
| 2023 : GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2023 401k financial data |
|---|
| Transfers to/from the plan | 2023-02-28 | $0 |
| Total plan liabilities at end of year | 2023-02-28 | $0 |
| Total plan liabilities at beginning of year | 2023-02-28 | $0 |
| Total income from all sources | 2023-02-28 | $5,830 |
| Expenses. Total of all expenses incurred | 2023-02-28 | $5,830 |
| Benefits paid (including direct rollovers) | 2023-02-28 | $5,830 |
| Total plan assets at end of year | 2023-02-28 | $0 |
| Total plan assets at beginning of year | 2023-02-28 | $0 |
| Total contributions received or receivable from participants | 2023-02-28 | $2,915 |
| Expenses. Other expenses not covered elsewhere | 2023-02-28 | $0 |
| Contributions received from other sources (not participants or employers) | 2023-02-28 | $0 |
| Other income received | 2023-02-28 | $0 |
| Noncash contributions received | 2023-02-28 | $0 |
| Net income (gross income less expenses) | 2023-02-28 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2023-02-28 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-02-28 | $0 |
| Total contributions received or receivable from employer(s) | 2023-02-28 | $2,915 |
| Value of certain deemed distributions of participant loans | 2023-02-28 | $0 |
| Value of corrective distributions | 2023-02-28 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-02-28 | $0 |
| 2022 : GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2022 401k financial data |
|---|
| Transfers to/from the plan | 2022-02-28 | $0 |
| Total plan liabilities at end of year | 2022-02-28 | $0 |
| Total plan liabilities at beginning of year | 2022-02-28 | $0 |
| Total income from all sources | 2022-02-28 | $5,990 |
| Expenses. Total of all expenses incurred | 2022-02-28 | $5,990 |
| Benefits paid (including direct rollovers) | 2022-02-28 | $5,990 |
| Total plan assets at end of year | 2022-02-28 | $0 |
| Total plan assets at beginning of year | 2022-02-28 | $0 |
| Total contributions received or receivable from participants | 2022-02-28 | $2,995 |
| Expenses. Other expenses not covered elsewhere | 2022-02-28 | $0 |
| Contributions received from other sources (not participants or employers) | 2022-02-28 | $0 |
| Other income received | 2022-02-28 | $0 |
| Noncash contributions received | 2022-02-28 | $0 |
| Net income (gross income less expenses) | 2022-02-28 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2022-02-28 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-02-28 | $0 |
| Total contributions received or receivable from employer(s) | 2022-02-28 | $2,995 |
| Value of certain deemed distributions of participant loans | 2022-02-28 | $0 |
| Value of corrective distributions | 2022-02-28 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-02-28 | $0 |
| 2021 : GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2021 401k financial data |
|---|
| Transfers to/from the plan | 2021-02-28 | $0 |
| Total plan liabilities at end of year | 2021-02-28 | $0 |
| Total plan liabilities at beginning of year | 2021-02-28 | $0 |
| Total income from all sources | 2021-02-28 | $6,250 |
| Expenses. Total of all expenses incurred | 2021-02-28 | $6,250 |
| Benefits paid (including direct rollovers) | 2021-02-28 | $6,250 |
| Total plan assets at end of year | 2021-02-28 | $0 |
| Total plan assets at beginning of year | 2021-02-28 | $0 |
| Total contributions received or receivable from participants | 2021-02-28 | $3,125 |
| Expenses. Other expenses not covered elsewhere | 2021-02-28 | $0 |
| Contributions received from other sources (not participants or employers) | 2021-02-28 | $0 |
| Other income received | 2021-02-28 | $0 |
| Noncash contributions received | 2021-02-28 | $0 |
| Net income (gross income less expenses) | 2021-02-28 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2021-02-28 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-02-28 | $0 |
| Total contributions received or receivable from employer(s) | 2021-02-28 | $3,125 |
| Value of certain deemed distributions of participant loans | 2021-02-28 | $0 |
| Value of corrective distributions | 2021-02-28 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-02-28 | $0 |
| 2020 : GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2020 401k financial data |
|---|
| Transfers to/from the plan | 2020-02-29 | $0 |
| Total plan liabilities at end of year | 2020-02-29 | $0 |
| Total plan liabilities at beginning of year | 2020-02-29 | $0 |
| Total income from all sources | 2020-02-29 | $18,434 |
| Expenses. Total of all expenses incurred | 2020-02-29 | $18,434 |
| Benefits paid (including direct rollovers) | 2020-02-29 | $18,434 |
| Total plan assets at end of year | 2020-02-29 | $0 |
| Total plan assets at beginning of year | 2020-02-29 | $0 |
| Total contributions received or receivable from participants | 2020-02-29 | $9,217 |
| Expenses. Other expenses not covered elsewhere | 2020-02-29 | $0 |
| Contributions received from other sources (not participants or employers) | 2020-02-29 | $0 |
| Other income received | 2020-02-29 | $0 |
| Noncash contributions received | 2020-02-29 | $0 |
| Net income (gross income less expenses) | 2020-02-29 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2020-02-29 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-02-29 | $0 |
| Total contributions received or receivable from employer(s) | 2020-02-29 | $9,217 |
| Value of certain deemed distributions of participant loans | 2020-02-29 | $0 |
| Value of corrective distributions | 2020-02-29 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-02-29 | $0 |
| 2019 : GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2019 401k financial data |
|---|
| Transfers to/from the plan | 2019-02-28 | $0 |
| Total plan liabilities at end of year | 2019-02-28 | $0 |
| Total plan liabilities at beginning of year | 2019-02-28 | $0 |
| Total income from all sources | 2019-02-28 | $28,476 |
| Expenses. Total of all expenses incurred | 2019-02-28 | $28,476 |
| Benefits paid (including direct rollovers) | 2019-02-28 | $28,476 |
| Total plan assets at end of year | 2019-02-28 | $0 |
| Total plan assets at beginning of year | 2019-02-28 | $0 |
| Total contributions received or receivable from participants | 2019-02-28 | $14,238 |
| Expenses. Other expenses not covered elsewhere | 2019-02-28 | $0 |
| Contributions received from other sources (not participants or employers) | 2019-02-28 | $0 |
| Other income received | 2019-02-28 | $0 |
| Noncash contributions received | 2019-02-28 | $0 |
| Net income (gross income less expenses) | 2019-02-28 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2019-02-28 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-02-28 | $0 |
| Total contributions received or receivable from employer(s) | 2019-02-28 | $14,238 |
| Value of certain deemed distributions of participant loans | 2019-02-28 | $0 |
| Value of corrective distributions | 2019-02-28 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-02-28 | $0 |
| 2018 : GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2018 401k financial data |
|---|
| Transfers to/from the plan | 2018-02-28 | $0 |
| Total plan liabilities at end of year | 2018-02-28 | $0 |
| Total plan liabilities at beginning of year | 2018-02-28 | $0 |
| Total income from all sources | 2018-02-28 | $32,644 |
| Expenses. Total of all expenses incurred | 2018-02-28 | $32,644 |
| Benefits paid (including direct rollovers) | 2018-02-28 | $32,644 |
| Total plan assets at end of year | 2018-02-28 | $0 |
| Total plan assets at beginning of year | 2018-02-28 | $0 |
| Total contributions received or receivable from participants | 2018-02-28 | $16,322 |
| Expenses. Other expenses not covered elsewhere | 2018-02-28 | $0 |
| Contributions received from other sources (not participants or employers) | 2018-02-28 | $0 |
| Other income received | 2018-02-28 | $0 |
| Noncash contributions received | 2018-02-28 | $0 |
| Net income (gross income less expenses) | 2018-02-28 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2018-02-28 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-02-28 | $0 |
| Total contributions received or receivable from employer(s) | 2018-02-28 | $16,322 |
| Value of certain deemed distributions of participant loans | 2018-02-28 | $0 |
| Value of corrective distributions | 2018-02-28 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-02-28 | $0 |
| 2017 : GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2017 401k financial data |
|---|
| Transfers to/from the plan | 2017-02-28 | $0 |
| Total plan liabilities at end of year | 2017-02-28 | $0 |
| Total plan liabilities at beginning of year | 2017-02-28 | $0 |
| Total income from all sources | 2017-02-28 | $31,798 |
| Expenses. Total of all expenses incurred | 2017-02-28 | $31,798 |
| Benefits paid (including direct rollovers) | 2017-02-28 | $31,798 |
| Total plan assets at end of year | 2017-02-28 | $0 |
| Total plan assets at beginning of year | 2017-02-28 | $0 |
| Total contributions received or receivable from participants | 2017-02-28 | $15,899 |
| Expenses. Other expenses not covered elsewhere | 2017-02-28 | $0 |
| Contributions received from other sources (not participants or employers) | 2017-02-28 | $0 |
| Other income received | 2017-02-28 | $0 |
| Noncash contributions received | 2017-02-28 | $0 |
| Net income (gross income less expenses) | 2017-02-28 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2017-02-28 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-02-28 | $0 |
| Total contributions received or receivable from employer(s) | 2017-02-28 | $15,899 |
| Value of certain deemed distributions of participant loans | 2017-02-28 | $0 |
| Value of corrective distributions | 2017-02-28 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-02-28 | $0 |
| 2023: GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2023 form 5500 responses |
|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | Submission has been amended | No |
| 2023-03-01 | This submission is the final filing | No |
| 2023-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-03-01 | Plan is a collectively bargained plan | No |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan funding arrangement – Trust | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2022 form 5500 responses |
|---|
| 2022-03-01 | Type of plan entity | Single employer plan |
| 2022-03-01 | Submission has been amended | No |
| 2022-03-01 | This submission is the final filing | No |
| 2022-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-03-01 | Plan is a collectively bargained plan | No |
| 2022-03-01 | Plan funding arrangement – Insurance | Yes |
| 2022-03-01 | Plan funding arrangement – Trust | Yes |
| 2022-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2021 form 5500 responses |
|---|
| 2021-03-01 | Type of plan entity | Single employer plan |
| 2021-03-01 | Submission has been amended | No |
| 2021-03-01 | This submission is the final filing | No |
| 2021-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-03-01 | Plan is a collectively bargained plan | No |
| 2021-03-01 | Plan funding arrangement – Insurance | Yes |
| 2021-03-01 | Plan funding arrangement – Trust | Yes |
| 2021-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2020 form 5500 responses |
|---|
| 2020-03-01 | Type of plan entity | Single employer plan |
| 2020-03-01 | Submission has been amended | No |
| 2020-03-01 | This submission is the final filing | No |
| 2020-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-03-01 | Plan is a collectively bargained plan | No |
| 2020-03-01 | Plan funding arrangement – Insurance | Yes |
| 2020-03-01 | Plan funding arrangement – Trust | Yes |
| 2020-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2019 form 5500 responses |
|---|
| 2019-03-01 | Type of plan entity | Single employer plan |
| 2019-03-01 | Submission has been amended | No |
| 2019-03-01 | This submission is the final filing | No |
| 2019-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-03-01 | Plan is a collectively bargained plan | No |
| 2019-03-01 | Plan funding arrangement – Insurance | Yes |
| 2019-03-01 | Plan funding arrangement – Trust | Yes |
| 2019-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2018 form 5500 responses |
|---|
| 2018-03-01 | Type of plan entity | Single employer plan |
| 2018-03-01 | Submission has been amended | No |
| 2018-03-01 | This submission is the final filing | No |
| 2018-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-03-01 | Plan is a collectively bargained plan | No |
| 2018-03-01 | Plan funding arrangement – Insurance | Yes |
| 2018-03-01 | Plan funding arrangement – Trust | Yes |
| 2018-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2017 form 5500 responses |
|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | Submission has been amended | No |
| 2017-03-01 | This submission is the final filing | No |
| 2017-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-03-01 | Plan is a collectively bargained plan | No |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan funding arrangement – Trust | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GRUBB & ASSOCIATES HEALTH AND WELFARE PLAN 2016 form 5500 responses |
|---|
| 2016-03-01 | Type of plan entity | Single employer plan |
| 2016-03-01 | First time form 5500 has been submitted | Yes |
| 2016-03-01 | Submission has been amended | No |
| 2016-03-01 | This submission is the final filing | No |
| 2016-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-03-01 | Plan is a collectively bargained plan | No |
| 2016-03-01 | Plan funding arrangement – Insurance | Yes |
| 2016-03-01 | Plan funding arrangement – Trust | Yes |
| 2016-03-01 | Plan benefit arrangement – Insurance | Yes |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0806334 |
| Policy instance | 1 |
| Insurance contract or identification number | 0806334 | | Number of Individuals Covered | 345 | | Insurance policy start date | 2023-03-01 | | Insurance policy end date | 2024-02-29 | | Total amount of commissions paid to insurance broker | USD $24,382 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,447,954 | | 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 | 803237G/890889G |
| Policy instance | 2 |
| Insurance contract or identification number | 803237G/890889G | | Number of Individuals Covered | 329 | | Insurance policy start date | 2023-03-01 | | Insurance policy end date | 2024-02-29 | | Total amount of commissions paid to insurance broker | USD $13,931 | | Total amount of fees paid to insurance company | USD $6,083 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D, ACCIDENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $104,804 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0806334 |
| Policy instance | 1 |
| Insurance contract or identification number | 0806334 | | Number of Individuals Covered | 413 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $22,522 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,575,308 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,522 | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 803237G/890889G |
| Policy instance | 2 |
| Insurance contract or identification number | 803237G/890889G | | Number of Individuals Covered | 395 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $22,873 | | Total amount of fees paid to insurance company | USD $3,964 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D, ACCIDENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $112,260 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,873 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3964 | | Additional information about fees paid to insurance broker | BONUS PAID |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0806334 |
| Policy instance | 1 |
| Insurance contract or identification number | 0806334 | | Number of Individuals Covered | 467 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $24,617 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,482,512 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24,617 | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 803237G/890889G |
| Policy instance | 2 |
| Insurance contract or identification number | 803237G/890889G | | Number of Individuals Covered | 451 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $14,065 | | Total amount of fees paid to insurance company | USD $919 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D, ACCIDENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $88,997 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,065 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 919 | | Additional information about fees paid to insurance broker | BONUS PAID |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 803237G/890889G |
| Policy instance | 2 |
| Insurance contract or identification number | 803237G/890889G | | Number of Individuals Covered | 414 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $11,835 | | Total amount of fees paid to insurance company | USD $38 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D, ACCIDENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $80,578 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0806334 |
| Policy instance | 1 |
| Insurance contract or identification number | 0806334 | | Number of Individuals Covered | 374 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $16,244 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,983,086 | | 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 | 803237G |
| Policy instance | 2 |
| Insurance contract or identification number | 803237G | | Number of Individuals Covered | 320 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $8,594 | | Total amount of fees paid to insurance company | USD $403 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $52,918 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0806334 |
| Policy instance | 1 |
| Insurance contract or identification number | 0806334 | | Number of Individuals Covered | 320 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $17,073 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,734,000 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0806334 |
| Policy instance | 1 |
| Insurance contract or identification number | 0806334 | | Number of Individuals Covered | 300 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $22,636 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,706,609 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0806334 |
| Policy instance | 1 |
| Insurance contract or identification number | 0806334 | | Number of Individuals Covered | 268 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $22,538 | | Total amount of fees paid to insurance company | USD $1,525 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,861,589 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0806334 |
| Policy instance | 1 |
| Insurance contract or identification number | 0806334 | | Number of Individuals Covered | 358 | | Insurance policy start date | 2016-03-01 | | Insurance policy end date | 2017-02-28 | | Total amount of commissions paid to insurance broker | USD $23,051 | | Total amount of fees paid to insurance company | USD $978 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,010,722 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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