AMANDA BENT BOLT COMPANY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY
401k plan membership statisitcs for THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY
| Measure | Date | Value |
|---|
| 2022: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-03-01 | 387 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-03-01 | 419 |
| Number of retired or separated participants receiving benefits | 2022-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-03-01 | 0 |
| Total of all active and inactive participants | 2022-03-01 | 419 |
| 2021: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-03-01 | 258 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-03-01 | 387 |
| Number of retired or separated participants receiving benefits | 2021-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-03-01 | 0 |
| Total of all active and inactive participants | 2021-03-01 | 387 |
| 2020: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-03-01 | 229 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-03-01 | 258 |
| Number of retired or separated participants receiving benefits | 2020-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-03-01 | 0 |
| Total of all active and inactive participants | 2020-03-01 | 258 |
| 2019: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-03-01 | 241 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 229 |
| Number of retired or separated participants receiving benefits | 2019-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-03-01 | 0 |
| Total of all active and inactive participants | 2019-03-01 | 229 |
| 2018: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-03-01 | 264 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 241 |
| Number of retired or separated participants receiving benefits | 2018-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-03-01 | 0 |
| Total of all active and inactive participants | 2018-03-01 | 241 |
| 2017: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-03-01 | 231 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 264 |
| Number of retired or separated participants receiving benefits | 2017-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-03-01 | 0 |
| Total of all active and inactive participants | 2017-03-01 | 264 |
| 2016: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-03-01 | 182 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 231 |
| Number of retired or separated participants receiving benefits | 2016-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-03-01 | 0 |
| Total of all active and inactive participants | 2016-03-01 | 231 |
| 2015: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-03-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 182 |
| Number of retired or separated participants receiving benefits | 2015-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-03-01 | 0 |
| Total of all active and inactive participants | 2015-03-01 | 182 |
| 2014: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-03-01 | 172 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-03-01 | 185 |
| Number of retired or separated participants receiving benefits | 2014-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-03-01 | 0 |
| Total of all active and inactive participants | 2014-03-01 | 185 |
| 2013: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-03-01 | 154 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-03-01 | 172 |
| Total of all active and inactive participants | 2013-03-01 | 172 |
| 2012: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-03-01 | 146 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-03-01 | 154 |
| Total of all active and inactive participants | 2012-03-01 | 154 |
| 2011: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-03-01 | 177 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-03-01 | 146 |
| Total of all active and inactive participants | 2011-03-01 | 146 |
| 2010: THE GROUP HEALTH PLAN FOR EMPLOYEES OF AMANDA BENT BOLT COMPANY 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-03-01 | 86 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-03-01 | 125 |
| Total of all active and inactive participants | 2010-03-01 | 125 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 1011351101 |
| Policy instance | 3 |
| Insurance contract or identification number | 1011351101 | | Number of Individuals Covered | 184 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $1,630 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,630 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5049507 |
| Policy instance | 1 |
| Insurance contract or identification number | E5049507 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $9,050 | | Total amount of fees paid to insurance company | USD $523 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,050 | | Amount paid for insurance broker fees | 523 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5934140 |
| Policy instance | 2 |
| Insurance contract or identification number | 5934140 | | Number of Individuals Covered | 34 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $1,134 | | Total amount of fees paid to insurance company | USD $292 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,134 | | Amount paid for insurance broker fees | 292 | | Additional information about fees paid to insurance broker | DENTAL |
|
| MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | |
| Policy instance | 11 |
| Number of Individuals Covered | 167 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | 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 | 890787G |
| Policy instance | 4 |
| Insurance contract or identification number | 890787G | | Number of Individuals Covered | 257 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $9,957 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,376 |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00611855/0001 |
| Policy instance | 6 |
| Insurance contract or identification number | 00611855/0001 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $945 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $945 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 10174061001 |
| Policy instance | 7 |
| Insurance contract or identification number | 10174061001 | | Number of Individuals Covered | 64 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $517 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $517 |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL34704 |
| Policy instance | 8 |
| Insurance contract or identification number | HCL34704 | | Number of Individuals Covered | 167 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $26,198 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,198 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E4828182 |
| Policy instance | 9 |
| Insurance contract or identification number | E4828182 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $2,469 | | Total amount of fees paid to insurance company | USD $2 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,469 | | Amount paid for insurance broker fees | 2 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E4828174 |
| Policy instance | 10 |
| Insurance contract or identification number | E4828174 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $5,774 | | Total amount of fees paid to insurance company | USD $476 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,774 | | Amount paid for insurance broker fees | 476 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5934140 |
| Policy instance | 2 |
| Insurance contract or identification number | 5934140 | | Number of Individuals Covered | 34 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $1,050 | | Total amount of fees paid to insurance company | USD $205 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,050 | | Amount paid for insurance broker fees | 205 | | Additional information about fees paid to insurance broker | DENTAL |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5049507 |
| Policy instance | 1 |
| Insurance contract or identification number | E5049507 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $8,493 | | Total amount of fees paid to insurance company | USD $307 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,493 | | Amount paid for insurance broker fees | 307 | | Insurance broker organization code? | 3 |
|
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) |
| Policy contract number | 00288046/0001 |
| Policy instance | 6 |
| Insurance contract or identification number | 00288046/0001 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $6,285 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,285 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 1011351101 |
| Policy instance | 3 |
| Insurance contract or identification number | 1011351101 | | Number of Individuals Covered | 194 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $1,461 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,461 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 890787G |
| Policy instance | 4 |
| Insurance contract or identification number | 890787G | | Number of Individuals Covered | 234 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $14,378 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,904 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 10174061001 |
| Policy instance | 7 |
| Insurance contract or identification number | 10174061001 | | Number of Individuals Covered | 55 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $4,702 | | Total amount of fees paid to insurance company | USD $475 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,702 | | Amount paid for insurance broker fees | 475 |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | |
| Policy instance | 8 |
| Number of Individuals Covered | 193 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $45,634 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45,634 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E4828174 |
| Policy instance | 4 |
| Insurance contract or identification number | E4828174 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $6,143 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,143 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5049507 |
| Policy instance | 3 |
| Insurance contract or identification number | E5049507 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $8,075 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,075 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E4828182 |
| Policy instance | 2 |
| Insurance contract or identification number | E4828182 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $3,386 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,386 | | Insurance broker organization code? | 3 |
|
| MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 229 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $23,292 | | Total amount of fees paid to insurance company | USD $155,892 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 155892 | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $23,292 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 4 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 83 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $4,052 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,418 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 3 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 231 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $5,686 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,716 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 2 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 261 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $3,471 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,554 | | Insurance broker organization code? | 3 |
|
| MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 229 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $25,190 | | Total amount of fees paid to insurance company | USD $162,998 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 162998 | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $25,190 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES |
|
| MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 264 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $67,258 | | Total amount of fees paid to insurance company | USD $124,193 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 124193 | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $67,258 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 2 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 267 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $3,487 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,494 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 3 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 237 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $6,110 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,621 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 4 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 85 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $3,805 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,272 |
|
| MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 264 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $71,849 | | Total amount of fees paid to insurance company | USD $226,479 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 226479 | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $71,849 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker name | MERITAIN HEALTH |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 2 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $2,836 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,266 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 3 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $4,870 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,601 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 4 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $2,717 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,415 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
|
| MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 182 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $50,634 | | Total amount of fees paid to insurance company | USD $80,817 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50,634 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 80817 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker name | MERITAIN HEALTH |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 3 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 216 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $2,869 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,323 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 4 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $1,325 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $442 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 752728 |
| Policy instance | 2 |
| Insurance contract or identification number | 752728 | | Number of Individuals Covered | 197 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $6,825 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,821 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010156465 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010156465 | | Number of Individuals Covered | 200 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $2,863 | | Total amount of fees paid to insurance company | USD $800 | | Other welfare benefits provided | WEEKLY INCOME | | Welfare Benefit Premiums Paid to Carrier | USD $47,654 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,863 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 800 | | Insurance broker name | BROWN & BROWN OF FL |
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010156463 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010156463 | | Number of Individuals Covered | 223 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $1,770 | | Total amount of fees paid to insurance company | USD $331 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,285 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,770 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 331 | | Insurance broker name | BROWN & BROWN OF FL |
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| MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 185 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $51,323 | | Total amount of fees paid to insurance company | USD $83,198 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51,323 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 83198 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker name | MERITAIN HEALTH |
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010156464 |
| Policy instance | 4 |
| Insurance contract or identification number | 000010156464 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $898 | | Total amount of fees paid to insurance company | USD $107 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,985 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 107 | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $898 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010156463 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010156463 | | Number of Individuals Covered | 202 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $1,596 | | Total amount of fees paid to insurance company | USD $503 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,826 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,596 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 503 | | Insurance broker name | BROWN & BROWN OF FL |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010156464 |
| Policy instance | 4 |
| Insurance contract or identification number | 000010156464 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $721 | | Total amount of fees paid to insurance company | USD $170 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,804 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 170 | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $721 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
|
| MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 172 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $46,613 | | Total amount of fees paid to insurance company | USD $69,094 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $46,613 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 69094 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker name | MERITAIN HEALTH |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010156465 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010156465 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $2,630 | | Total amount of fees paid to insurance company | USD $1,205 | | Other welfare benefits provided | WEEKLY INCOME | | Welfare Benefit Premiums Paid to Carrier | USD $35,999 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,630 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1205 | | Insurance broker name | BROWN & BROWN OF FL |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | IIS2149 |
| Policy instance | 1 |
| Insurance contract or identification number | IIS2149 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $53,601 | | Total amount of fees paid to insurance company | USD $97,677 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $185,136 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 54120 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE | | Commission paid to Insurance Broker | USD $42,037 | | Insurance broker organization code? | 3 | | Insurance broker name | COFINITY GROUP HEALTH |
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010156465 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010156465 | | Number of Individuals Covered | 170 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $2,594 | | Other welfare benefits provided | WEEKLY INCOME | | Welfare Benefit Premiums Paid to Carrier | USD $34,177 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,594 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010156463 |
| Policy instance | 3 |
| Insurance contract or identification number | 000010156463 | | Number of Individuals Covered | 185 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $1,562 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,399 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,562 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF DETROIT INC |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 212751 |
| Policy instance | 2 |
| Insurance contract or identification number | 212751 | | Number of Individuals Covered | 184 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $5,144 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $52,794 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | IIS2149 |
| Policy instance | 1 |
| Insurance contract or identification number | IIS2149 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $51,214 | | Total amount of fees paid to insurance company | USD $89,152 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $198,253 | | 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 | 201422 |
| Policy instance | 1 |
| Insurance contract or identification number | 201422 | | Number of Individuals Covered | 118 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $39,081 | | Welfare Benefit Premiums Paid to Carrier | USD $193,632 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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