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WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 401k Plan overview

Plan NameWHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN
Plan identification number 501

WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT 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
  • Other welfare benefit cover

401k Sponsoring company profile

WINSUPPLY INC. has sponsored the creation of one or more 401k plans.

Company Name:WINSUPPLY INC.
Employer identification number (EIN):311356478
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01KATHERINE JOSEPH2023-10-13 KATHERINE JOSEPH2023-10-13
5012021-01-01ROBERT DITOMMASO2022-09-29 ROBERT DITOMMASO2022-09-29
5012020-01-01ROBERT DITOMMASO2021-10-12 ROBERT DITOMMASO2021-10-12
5012019-01-01ROBERT DITOMMASO2020-10-14 MICHAEL KIRKLAND2020-10-14
5012018-01-01PHILIP KREMER2019-10-14 MICHAEL KIRKLAND2019-10-14
5012017-01-01
5012016-01-01
5012015-01-01PHILIP KREMER
5012014-01-01PHILIP KREMER PHILIP KREMER2015-10-15
5012013-01-01
5012012-01-01PHILIP KREMER
5012011-01-01PHILIP KREMER
5012010-01-01PHILIP KREMER
5012009-01-01PHILIP M KREMER MICHAEL S. KIRKLAND2010-10-15

Plan Statistics for WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN

401k plan membership statisitcs for WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN

Measure Date Value
2022: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-014,509
Total number of active participants reported on line 7a of the Form 55002022-01-015,191
Number of retired or separated participants receiving benefits2022-01-0120
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-015,211
2021: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-014,572
Total number of active participants reported on line 7a of the Form 55002021-01-014,477
Number of retired or separated participants receiving benefits2021-01-0132
Total of all active and inactive participants2021-01-014,509
2020: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014,625
Total number of active participants reported on line 7a of the Form 55002020-01-014,511
Number of retired or separated participants receiving benefits2020-01-0161
Total of all active and inactive participants2020-01-014,572
2019: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014,690
Total number of active participants reported on line 7a of the Form 55002019-01-014,490
Number of retired or separated participants receiving benefits2019-01-0124
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-014,514
2018: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014,450
Total number of active participants reported on line 7a of the Form 55002018-01-014,483
Number of retired or separated participants receiving benefits2018-01-0138
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-014,521
2017: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014,132
Total number of active participants reported on line 7a of the Form 55002017-01-014,415
Number of retired or separated participants receiving benefits2017-01-0170
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-014,485
2016: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,496
Total number of active participants reported on line 7a of the Form 55002016-01-013,773
Number of retired or separated participants receiving benefits2016-01-0137
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-013,810
2015: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,095
Total number of active participants reported on line 7a of the Form 55002015-01-013,466
Number of retired or separated participants receiving benefits2015-01-0130
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-013,496
2014: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,131
Total number of active participants reported on line 7a of the Form 55002014-01-013,051
Number of retired or separated participants receiving benefits2014-01-0144
Total of all active and inactive participants2014-01-013,095
2013: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,052
Total number of active participants reported on line 7a of the Form 55002013-01-013,357
Total of all active and inactive participants2013-01-013,357
2012: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,911
Total number of active participants reported on line 7a of the Form 55002012-01-013,052
Total of all active and inactive participants2012-01-013,052
2011: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,229
Total number of active participants reported on line 7a of the Form 55002011-01-012,911
Total of all active and inactive participants2011-01-012,911
2010: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-013,255
Total number of active participants reported on line 7a of the Form 55002010-01-013,229
Total of all active and inactive participants2010-01-013,229
2009: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013,632
Total number of active participants reported on line 7a of the Form 55002009-01-013,255
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-013,255

Financial Data on WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN

Measure Date Value
2022 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$-7,696
Total unrealized appreciation/depreciation of assets2022-12-31$-7,696
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$10,403,217
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$8,116,032
Total income from all sources (including contributions)2022-12-31$60,634,546
Total loss/gain on sale of assets2022-12-31$-3,524
Total of all expenses incurred2022-12-31$57,630,159
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$52,231,879
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$60,542,598
Value of total assets at end of year2022-12-31$12,430,735
Value of total assets at beginning of year2022-12-31$7,139,163
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$5,398,280
Total interest from all sources2022-12-31$103,168
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$5,398,280
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$18,489,909
Participant contributions at end of year2022-12-31$1,502,413
Participant contributions at beginning of year2022-12-31$1,326,031
Assets. Other investments not covered elsewhere at end of year2022-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$222,013
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,007,629
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$379,545
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$9,436,546
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$8,068,417
Liabilities. Value of operating payables at end of year2022-12-31$966,671
Liabilities. Value of operating payables at beginning of year2022-12-31$47,615
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$3,004,387
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,027,518
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$-976,869
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Income. Interest from US Government securities2022-12-31$3,183
Income. Interest from corporate debt instruments2022-12-31$3,857
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$6,271,303
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$525,699
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$525,699
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$96,128
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$8,410,017
Asset value of US Government securities at end of year2022-12-31$284,319
Asset value of US Government securities at beginning of year2022-12-31$280,652
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$42,052,689
Employer contributions (assets) at end of year2022-12-31$3,243,048
Employer contributions (assets) at beginning of year2022-12-31$4,250,089
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$43,821,862
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$122,023
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$155,134
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$64,070,328
Aggregate carrying amount (costs) on sale of assets2022-12-31$64,073,852
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2022-12-31310800053
2021 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$-7,657
Total unrealized appreciation/depreciation of assets2021-12-31$-7,657
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$8,116,032
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$6,542,187
Total income from all sources (including contributions)2021-12-31$56,278,773
Total loss/gain on sale of assets2021-12-31$-1,247
Total of all expenses incurred2021-12-31$59,069,733
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$54,906,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$56,278,988
Value of total assets at end of year2021-12-31$7,139,163
Value of total assets at beginning of year2021-12-31$8,356,278
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$4,162,953
Total interest from all sources2021-12-31$8,689
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$4,162,953
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$16,952,193
Participant contributions at end of year2021-12-31$1,326,031
Participant contributions at beginning of year2021-12-31$1,184,601
Assets. Other investments not covered elsewhere at end of year2021-12-31$222,013
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$206,228
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$379,545
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,719,092
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$8,068,417
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$6,525,158
Liabilities. Value of operating payables at end of year2021-12-31$47,615
Liabilities. Value of operating payables at beginning of year2021-12-31$17,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-2,790,960
Value of net assets at end of year (total assets less liabilities)2021-12-31$-976,869
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,814,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Income. Interest from US Government securities2021-12-31$2,004
Income. Interest from corporate debt instruments2021-12-31$4,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$525,699
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,398,133
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,398,133
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,855
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$7,464,829
Asset value of US Government securities at end of year2021-12-31$280,652
Asset value of US Government securities at beginning of year2021-12-31$276,833
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$39,326,795
Employer contributions (assets) at end of year2021-12-31$4,250,089
Employer contributions (assets) at beginning of year2021-12-31$3,408,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$47,441,951
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$155,134
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$162,791
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$53,875,715
Aggregate carrying amount (costs) on sale of assets2021-12-31$53,876,962
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2021-12-31310800053
2020 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$2,019
Total unrealized appreciation/depreciation of assets2020-12-31$2,019
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$6,542,187
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$6,741,578
Total income from all sources (including contributions)2020-12-31$53,278,982
Total loss/gain on sale of assets2020-12-31$1,422
Total of all expenses incurred2020-12-31$50,927,003
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$47,756,079
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$53,251,726
Value of total assets at end of year2020-12-31$8,356,278
Value of total assets at beginning of year2020-12-31$6,203,690
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,170,924
Total interest from all sources2020-12-31$23,815
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$3,170,924
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$14,765,381
Participant contributions at end of year2020-12-31$1,184,601
Participant contributions at beginning of year2020-12-31$1,048,428
Assets. Other investments not covered elsewhere at end of year2020-12-31$206,228
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$1,126,760
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,719,092
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$1,483,552
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$6,525,158
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$6,731,406
Liabilities. Value of operating payables at end of year2020-12-31$17,029
Liabilities. Value of operating payables at beginning of year2020-12-31$10,172
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,351,979
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,814,091
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$-537,888
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Income. Interest from US Government securities2020-12-31$4,545
Income. Interest from corporate debt instruments2020-12-31$9,603
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,398,133
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$42,783
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$42,783
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$9,667
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$6,722,495
Asset value of US Government securities at end of year2020-12-31$276,833
Asset value of US Government securities at beginning of year2020-12-31$97,261
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$38,486,345
Employer contributions (assets) at end of year2020-12-31$3,408,600
Employer contributions (assets) at beginning of year2020-12-31$2,256,915
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$41,033,584
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$162,791
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$147,991
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$57,949,157
Aggregate carrying amount (costs) on sale of assets2020-12-31$57,947,735
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CLARK SCHAEFER HACKETT & CO.
Accountancy firm EIN2020-12-31310800053
2019 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$186,225
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$186,225
Total unrealized appreciation/depreciation of assets2019-12-31$186,225
Total unrealized appreciation/depreciation of assets2019-12-31$186,225
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,741,578
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,741,578
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,686,099
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,686,099
Total income from all sources (including contributions)2019-12-31$45,337,249
Total income from all sources (including contributions)2019-12-31$45,337,249
Total loss/gain on sale of assets2019-12-31$-87,086
Total loss/gain on sale of assets2019-12-31$-87,086
Total of all expenses incurred2019-12-31$50,847,598
Total of all expenses incurred2019-12-31$50,847,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$47,619,504
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$47,619,504
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$40,711,171
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$40,711,171
Value of total assets at end of year2019-12-31$6,203,690
Value of total assets at beginning of year2019-12-31$11,658,560
Value of total assets at beginning of year2019-12-31$11,658,560
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,228,094
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,228,094
Total interest from all sources2019-12-31$116,031
Total interest from all sources2019-12-31$116,031
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$3,228,094
Administrative expenses professional fees incurred2019-12-31$3,228,094
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$12,748,663
Contributions received from participants2019-12-31$12,748,663
Participant contributions at end of year2019-12-31$1,048,428
Participant contributions at end of year2019-12-31$1,048,428
Participant contributions at beginning of year2019-12-31$906,887
Participant contributions at beginning of year2019-12-31$906,887
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,126,760
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,126,760
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$84,352
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$84,352
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,483,552
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,483,552
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$426,231
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$426,231
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$6,731,406
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$6,572,259
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$6,572,259
Other income not declared elsewhere2019-12-31$4,410,908
Other income not declared elsewhere2019-12-31$4,410,908
Liabilities. Value of operating payables at end of year2019-12-31$10,172
Liabilities. Value of operating payables at beginning of year2019-12-31$113,840
Liabilities. Value of operating payables at beginning of year2019-12-31$113,840
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-5,510,349
Value of net income/loss2019-12-31$-5,510,349
Value of net assets at end of year (total assets less liabilities)2019-12-31$-537,888
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,972,461
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,972,461
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Income. Interest from US Government securities2019-12-31$24,190
Income. Interest from US Government securities2019-12-31$24,190
Income. Interest from corporate debt instruments2019-12-31$65,026
Income. Interest from corporate debt instruments2019-12-31$65,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$42,783
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$42,783
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,459,446
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,459,446
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,459,446
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,459,446
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$26,815
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$26,815
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$6,104,656
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$6,104,656
Asset value of US Government securities at end of year2019-12-31$97,261
Asset value of US Government securities at beginning of year2019-12-31$2,233,342
Asset value of US Government securities at beginning of year2019-12-31$2,233,342
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$27,962,508
Contributions received in cash from employer2019-12-31$27,962,508
Employer contributions (assets) at end of year2019-12-31$2,256,915
Employer contributions (assets) at end of year2019-12-31$2,256,915
Employer contributions (assets) at beginning of year2019-12-31$2,004,618
Employer contributions (assets) at beginning of year2019-12-31$2,004,618
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$41,514,848
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$41,514,848
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$147,991
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$4,543,684
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$4,543,684
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$68,884,975
Aggregate carrying amount (costs) on sale of assets2019-12-31$68,972,061
Aggregate carrying amount (costs) on sale of assets2019-12-31$68,972,061
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31RSM US LLP
Accountancy firm name2019-12-31RSM US LLP
Accountancy firm EIN2019-12-31420714325
Accountancy firm EIN2019-12-31420714325
2018 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-8,738
Total unrealized appreciation/depreciation of assets2018-12-31$-8,738
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$6,686,099
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,300,340
Total income from all sources (including contributions)2018-12-31$41,863,757
Total loss/gain on sale of assets2018-12-31$-31,986
Total of all expenses incurred2018-12-31$45,454,182
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$42,313,252
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$36,816,207
Value of total assets at end of year2018-12-31$11,658,560
Value of total assets at beginning of year2018-12-31$12,863,226
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,140,930
Total interest from all sources2018-12-31$208,800
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$12,184,072
Participant contributions at end of year2018-12-31$906,887
Participant contributions at beginning of year2018-12-31$838,655
Assets. Other investments not covered elsewhere at end of year2018-12-31$84,352
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$426,231
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$139
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$6,572,259
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$4,294,125
Other income not declared elsewhere2018-12-31$4,879,474
Liabilities. Value of operating payables at end of year2018-12-31$113,840
Liabilities. Value of operating payables at beginning of year2018-12-31$6,215
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,590,425
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,972,461
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$8,562,886
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Income. Interest from US Government securities2018-12-31$38,208
Income. Interest from corporate debt instruments2018-12-31$133,602
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,459,446
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$9,750,802
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$9,750,802
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$36,990
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$6,352,340
Asset value of US Government securities at end of year2018-12-31$2,233,342
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$24,632,135
Employer contributions (assets) at end of year2018-12-31$2,004,618
Employer contributions (assets) at beginning of year2018-12-31$2,273,630
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$35,960,912
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$4,543,684
Contract administrator fees2018-12-31$3,140,930
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$65,739,458
Aggregate carrying amount (costs) on sale of assets2018-12-31$65,771,444
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31RSM US LLP
Accountancy firm EIN2018-12-31420714325
2017 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$33,102
Total unrealized appreciation/depreciation of assets2017-12-31$33,102
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,300,340
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,083,022
Total income from all sources (including contributions)2017-12-31$39,178,046
Total loss/gain on sale of assets2017-12-31$-65,371
Total of all expenses incurred2017-12-31$37,813,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$35,293,111
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$36,920,792
Value of total assets at end of year2017-12-31$12,863,226
Value of total assets at beginning of year2017-12-31$10,280,971
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,519,998
Total interest from all sources2017-12-31$104,446
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$11,014,059
Participant contributions at end of year2017-12-31$838,655
Participant contributions at beginning of year2017-12-31$774,696
Assets. Other investments not covered elsewhere at end of year2017-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$250,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$139
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$13,511
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$4,294,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$3,006,989
Other income not declared elsewhere2017-12-31$2,185,077
Liabilities. Value of operating payables at end of year2017-12-31$6,215
Liabilities. Value of operating payables at beginning of year2017-12-31$76,033
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,364,937
Value of net assets at end of year (total assets less liabilities)2017-12-31$8,562,886
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$7,197,949
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Income. Interest from US Government securities2017-12-31$99,629
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$9,750,802
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$400,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$400,674
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$4,817
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$5,572,624
Asset value of US Government securities at end of year2017-12-31$0
Asset value of US Government securities at beginning of year2017-12-31$6,614,020
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$25,906,733
Employer contributions (assets) at end of year2017-12-31$2,273,630
Employer contributions (assets) at beginning of year2017-12-31$2,228,070
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$29,720,487
Contract administrator fees2017-12-31$2,519,998
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$49,428,722
Aggregate carrying amount (costs) on sale of assets2017-12-31$49,494,093
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31RSM US LLP
Accountancy firm EIN2017-12-31420714325
2016 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-25,861
Total unrealized appreciation/depreciation of assets2016-12-31$-25,861
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,083,022
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,243,063
Total income from all sources (including contributions)2016-12-31$31,797,242
Total loss/gain on sale of assets2016-12-31$2,757
Total of all expenses incurred2016-12-31$28,565,672
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$26,560,825
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$31,779,775
Value of total assets at end of year2016-12-31$10,280,971
Value of total assets at beginning of year2016-12-31$6,209,442
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,004,847
Total interest from all sources2016-12-31$40,571
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$9,011,552
Participant contributions at end of year2016-12-31$774,696
Participant contributions at beginning of year2016-12-31$623,420
Assets. Other investments not covered elsewhere at end of year2016-12-31$250,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$13,511
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$3,454
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$3,006,989
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$2,239,535
Liabilities. Value of operating payables at end of year2016-12-31$76,033
Liabilities. Value of operating payables at beginning of year2016-12-31$3,528
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$3,231,570
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,197,949
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,966,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Income. Interest from US Government securities2016-12-31$40,556
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$400,674
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$257,075
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$257,075
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$15
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$5,084,663
Asset value of US Government securities at end of year2016-12-31$6,614,020
Asset value of US Government securities at beginning of year2016-12-31$3,344,921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$22,768,223
Employer contributions (assets) at end of year2016-12-31$2,228,070
Employer contributions (assets) at beginning of year2016-12-31$1,980,572
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$21,476,162
Contract administrator fees2016-12-31$2,004,847
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$37,333,861
Aggregate carrying amount (costs) on sale of assets2016-12-31$37,331,104
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31RSM US LLP
Accountancy firm EIN2016-12-31420714325
2015 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-7,653
Total unrealized appreciation/depreciation of assets2015-12-31$-7,653
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,243,063
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,755,899
Total income from all sources (including contributions)2015-12-31$29,448,847
Total loss/gain on sale of assets2015-12-31$1,413
Total of all expenses incurred2015-12-31$28,017,475
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$25,918,470
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$29,442,713
Value of total assets at end of year2015-12-31$6,209,442
Value of total assets at beginning of year2015-12-31$4,290,906
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,099,005
Total interest from all sources2015-12-31$12,374
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$8,340,178
Participant contributions at end of year2015-12-31$623,420
Participant contributions at beginning of year2015-12-31$676,598
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$3,454
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$281
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$2,239,535
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$1,752,677
Administrative expenses (other) incurred2015-12-31$18,792
Liabilities. Value of operating payables at end of year2015-12-31$3,528
Liabilities. Value of operating payables at beginning of year2015-12-31$3,222
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$382,037
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,431,372
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,966,379
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,535,007
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Income. Interest from US Government securities2015-12-31$12,310
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$257,075
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$292,463
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$292,463
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$64
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$4,493,579
Asset value of US Government securities at end of year2015-12-31$3,344,921
Asset value of US Government securities at beginning of year2015-12-31$1,225,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$21,102,535
Employer contributions (assets) at end of year2015-12-31$1,980,572
Employer contributions (assets) at beginning of year2015-12-31$1,714,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$21,424,891
Contract administrator fees2015-12-31$2,080,213
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$33,945,139
Aggregate carrying amount (costs) on sale of assets2015-12-31$33,943,726
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31RSM US LLP
Accountancy firm EIN2015-12-31420714325
2014 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$1,779
Total unrealized appreciation/depreciation of assets2014-12-31$1,779
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,755,899
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,643,964
Total income from all sources (including contributions)2014-12-31$25,010,428
Total loss/gain on sale of assets2014-12-31$-2,857
Total of all expenses incurred2014-12-31$22,812,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$20,851,910
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$25,005,758
Value of total assets at end of year2014-12-31$4,290,906
Value of total assets at beginning of year2014-12-31$2,980,988
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,960,535
Total interest from all sources2014-12-31$5,748
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$7,053,136
Participant contributions at end of year2014-12-31$676,598
Participant contributions at beginning of year2014-12-31$584,646
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$281
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,817
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$1,752,677
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,641,192
Administrative expenses (other) incurred2014-12-31$20,380
Liabilities. Value of operating payables at end of year2014-12-31$3,222
Liabilities. Value of operating payables at beginning of year2014-12-31$2,772
Total non interest bearing cash at end of year2014-12-31$382,037
Total non interest bearing cash at beginning of year2014-12-31$399,103
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,197,983
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,535,007
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$337,024
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Income. Interest from US Government securities2014-12-31$5,691
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$292,463
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$88,884
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$88,884
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$57
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$3,351,444
Asset value of US Government securities at end of year2014-12-31$1,225,005
Asset value of US Government securities at beginning of year2014-12-31$702,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$17,952,622
Employer contributions (assets) at end of year2014-12-31$1,714,522
Employer contributions (assets) at beginning of year2014-12-31$1,204,525
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$17,500,466
Contract administrator fees2014-12-31$1,940,155
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$31,356,431
Aggregate carrying amount (costs) on sale of assets2014-12-31$31,359,288
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31MCGLADREY
Accountancy firm EIN2014-12-31420714325
2013 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$2,669
Total unrealized appreciation/depreciation of assets2013-12-31$2,669
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,313,745
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$636,918
Total income from all sources (including contributions)2013-12-31$20,855,548
Total loss/gain on sale of assets2013-12-31$-16,079
Total of all expenses incurred2013-12-31$22,636,353
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$21,178,349
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$20,850,594
Value of total assets at end of year2013-12-31$2,980,988
Value of total assets at beginning of year2013-12-31$4,084,966
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,458,004
Total interest from all sources2013-12-31$18,364
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$8,386,812
Participant contributions at end of year2013-12-31$584,646
Participant contributions at beginning of year2013-12-31$466,152
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,817
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$11,073
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$1,310,973
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$634,629
Liabilities. Value of operating payables at end of year2013-12-31$2,772
Liabilities. Value of operating payables at beginning of year2013-12-31$2,289
Total non interest bearing cash at end of year2013-12-31$399,103
Total non interest bearing cash at beginning of year2013-12-31$559,410
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-1,780,805
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,667,243
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,448,048
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$13,492
Income. Interest from US Government securities2013-12-31$18,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$88,884
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$33,798
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$33,798
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$95
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$2,869,245
Asset value of US Government securities at end of year2013-12-31$702,013
Asset value of US Government securities at beginning of year2013-12-31$2,020,271
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$12,463,782
Employer contributions (assets) at end of year2013-12-31$1,204,525
Employer contributions (assets) at beginning of year2013-12-31$994,262
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$18,309,104
Contract administrator fees2013-12-31$1,444,512
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$21,607,268
Aggregate carrying amount (costs) on sale of assets2013-12-31$21,623,347
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BATTELLE RIPPE KINGSTON LLP
Accountancy firm EIN2013-12-31310210560
2012 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$3,139
Total unrealized appreciation/depreciation of assets2012-12-31$3,139
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$636,918
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$567,426
Total income from all sources (including contributions)2012-12-31$16,031,361
Total loss/gain on sale of assets2012-12-31$-45,787
Total of all expenses incurred2012-12-31$18,484,499
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$17,196,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$16,018,072
Value of total assets at end of year2012-12-31$4,084,966
Value of total assets at beginning of year2012-12-31$6,468,612
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,287,518
Total interest from all sources2012-12-31$55,937
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$7,225,730
Participant contributions at end of year2012-12-31$466,152
Participant contributions at beginning of year2012-12-31$406,348
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$11,073
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$19,117
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$634,629
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$565,319
Liabilities. Value of operating payables at end of year2012-12-31$2,289
Liabilities. Value of operating payables at beginning of year2012-12-31$2,107
Total non interest bearing cash at end of year2012-12-31$559,410
Total non interest bearing cash at beginning of year2012-12-31$217,985
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-2,453,138
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,448,048
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,901,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$24,435
Income. Interest from US Government securities2012-12-31$55,909
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$33,798
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$653,149
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$653,149
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$28
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,405,710
Asset value of US Government securities at end of year2012-12-31$2,020,271
Asset value of US Government securities at beginning of year2012-12-31$4,582,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$8,792,342
Employer contributions (assets) at end of year2012-12-31$994,262
Employer contributions (assets) at beginning of year2012-12-31$589,350
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$14,791,271
Contract administrator fees2012-12-31$1,263,083
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$18,723,720
Aggregate carrying amount (costs) on sale of assets2012-12-31$18,769,507
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BATTELLE & BATTELLE LLP
Accountancy firm EIN2012-12-31310210560
2011 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-8,028
Total unrealized appreciation/depreciation of assets2011-12-31$-8,028
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$567,426
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,071,226
Total income from all sources (including contributions)2011-12-31$14,953,897
Total loss/gain on sale of assets2011-12-31$-6,967
Total of all expenses incurred2011-12-31$14,815,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$13,591,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$14,879,391
Value of total assets at end of year2011-12-31$6,468,612
Value of total assets at beginning of year2011-12-31$6,833,596
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,223,232
Total interest from all sources2011-12-31$89,501
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$6,591,835
Participant contributions at end of year2011-12-31$406,348
Participant contributions at beginning of year2011-12-31$391,374
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$19,117
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$25,678
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$565,319
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$1,069,353
Liabilities. Value of operating payables at end of year2011-12-31$2,107
Liabilities. Value of operating payables at beginning of year2011-12-31$1,873
Total non interest bearing cash at end of year2011-12-31$217,985
Total non interest bearing cash at beginning of year2011-12-31$170,220
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$138,816
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,901,186
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,762,370
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$32,418
Income. Interest from US Government securities2011-12-31$89,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$653,149
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$139,431
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$139,431
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$148
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,055,186
Asset value of US Government securities at end of year2011-12-31$4,582,663
Asset value of US Government securities at beginning of year2011-12-31$5,410,644
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$8,287,556
Employer contributions (assets) at end of year2011-12-31$589,350
Employer contributions (assets) at beginning of year2011-12-31$696,249
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$11,536,663
Contract administrator fees2011-12-31$1,190,814
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$15,014,487
Aggregate carrying amount (costs) on sale of assets2011-12-31$15,021,454
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BATTELLE & BATTELLE LLP
Accountancy firm EIN2011-12-31310210560
2010 : WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-48,136
Total unrealized appreciation/depreciation of assets2010-12-31$-48,136
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,071,226
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$954,484
Total income from all sources (including contributions)2010-12-31$15,870,306
Total of all expenses incurred2010-12-31$13,892,853
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$12,738,337
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$15,833,115
Value of total assets at end of year2010-12-31$6,833,596
Value of total assets at beginning of year2010-12-31$4,739,401
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,154,516
Total interest from all sources2010-12-31$85,327
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$7,116,759
Participant contributions at end of year2010-12-31$391,374
Participant contributions at beginning of year2010-12-31$227,388
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$25,678
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$27,081
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,069,353
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$928,493
Liabilities. Value of operating payables at end of year2010-12-31$1,873
Liabilities. Value of operating payables at beginning of year2010-12-31$25,991
Total non interest bearing cash at end of year2010-12-31$170,220
Total non interest bearing cash at beginning of year2010-12-31$29,935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,977,453
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,762,370
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,784,917
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$23,807
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$139,431
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,142,930
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,142,930
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$85,327
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,936,794
Asset value of US Government securities at end of year2010-12-31$5,410,644
Asset value of US Government securities at beginning of year2010-12-31$2,181,055
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$8,716,356
Employer contributions (assets) at end of year2010-12-31$696,249
Employer contributions (assets) at beginning of year2010-12-31$926,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$10,801,543
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$204,746
Contract administrator fees2010-12-31$1,130,709
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BATTELLE & BATTELLE LLP
Accountancy firm EIN2010-12-31310210560

Form 5500 Responses for WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN

2022: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: WHOLESALERS' GROUP LIFE AND HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0175651
Policy instance 3
Insurance contract or identification number0175651
Number of Individuals Covered949
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $4,079,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12078784
Policy instance 2
Insurance contract or identification number12078784
Number of Individuals Covered4263
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71240-0
Policy instance 1
Insurance contract or identification number71240-0
Number of Individuals Covered7999
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $499,087
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D, CRITICAL ILLNESS
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 CarrierUSD $4,120,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $499,087
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71240-0
Policy instance 1
Insurance contract or identification number71240-0
Number of Individuals Covered7158
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $421,410
Total amount of fees paid to insurance companyUSD $106,053
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D, CRITICAL ILLNESS
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 CarrierUSD $7,079,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $421,410
Insurance broker organization code?3
Amount paid for insurance broker fees106053
Additional information about fees paid to insurance brokerFEES PAID
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12078784
Policy instance 2
Insurance contract or identification number12078784
Number of Individuals Covered3839
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 number937432
Policy instance 3
Insurance contract or identification number937432
Number of Individuals Covered4543
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $22,544
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $3,373,865
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 fees22544
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71240-0
Policy instance 2
Insurance contract or identification number71240-0
Number of Individuals Covered6286
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $237,192
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $2,455,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $237,192
Insurance broker organization code?3
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number20382
Policy instance 1
Insurance contract or identification number20382
Number of Individuals Covered4109
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $86,894
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS & 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 CarrierUSD $744,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,521
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12078784
Policy instance 4
Insurance contract or identification number12078784
Number of Individuals Covered3484
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000020382
Policy instance 2
Insurance contract or identification number0000020382
Number of Individuals Covered3987
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $119,518
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS AND 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 CarrierUSD $716,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $117,156
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12078784
Policy instance 4
Insurance contract or identification number12078784
Number of Individuals Covered3282
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberERL L 19101541
Policy instance 1
Insurance contract or identification numberERL L 19101541
Number of Individuals Covered4496
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS AND 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 CarrierUSD $2,678,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017076-00
Policy instance 3
Insurance contract or identification number01-017076-00
Number of Individuals Covered6144
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $230,243
Total amount of fees paid to insurance companyUSD $49,400
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $2,302,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $180,409
Insurance broker organization code?3
Amount paid for insurance broker fees28329
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12078784
Policy instance 2
Insurance contract or identification number12078784
Number of Individuals Covered3084
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017076-00
Policy instance 1
Insurance contract or identification number01-017076-00
Number of Individuals Covered5946
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $216,069
Total amount of fees paid to insurance companyUSD $51,206
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $2,160,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $153,360
Insurance broker organization code?3
Amount paid for insurance broker fees26186
Additional information about fees paid to insurance brokerGROUP MARKETING SUPPORT FEE $7,048 GROUP VOLUME BONUS $19,137.77
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12078784
Policy instance 2
Insurance contract or identification number12078784
Number of Individuals Covered2784
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017076-00
Policy instance 1
Insurance contract or identification number01-017076-00
Number of Individuals Covered5522
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $199,987
Total amount of fees paid to insurance companyUSD $32,017
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $2,024,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $172,368
Insurance broker organization code?3
Amount paid for insurance broker fees17800
Additional information about fees paid to insurance brokerGROUP SUPPLEMENTAL COMMISSION
Insurance broker nameWELLS FARGO INS SVCS USA INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12078784
Policy instance 5
Insurance contract or identification number12078784
Number of Individuals Covered2346
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 number10134130
Policy instance 1
Insurance contract or identification number10134130
Number of Individuals Covered4702
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $11,090
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $110,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,090
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134131
Policy instance 2
Insurance contract or identification number10134131
Number of Individuals Covered1387
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $35,121
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $351,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,121
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134132
Policy instance 3
Insurance contract or identification number10134132
Number of Individuals Covered1297
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $27,921
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $279,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,921
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SVCS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000
Policy instance 4
Insurance contract or identification number400001000
Number of Individuals Covered4819
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $113,508
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&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 CarrierUSD $1,135,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $113,508
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000
Policy instance 6
Insurance contract or identification number400001000
Number of Individuals Covered4599
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $104,235
Total amount of fees paid to insurance companyUSD $6,250
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOLUNTARY LIFE & 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 CarrierUSD $1,042,350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6250
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $104,235
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134132
Policy instance 5
Insurance contract or identification number10134132
Number of Individuals Covered1316
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $26,870
Total amount of fees paid to insurance companyUSD $2,742
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $268,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,320
Insurance broker organization code?3
Amount paid for insurance broker fees2742
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameGALLAGHER BENEFIT SVCS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134131
Policy instance 4
Insurance contract or identification number10134131
Number of Individuals Covered1363
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $33,292
Total amount of fees paid to insurance companyUSD $3,649
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $332,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,292
Insurance broker organization code?3
Amount paid for insurance broker fees3649
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWELLS FARGO INS SVCS USA INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12078784
Policy instance 2
Insurance contract or identification number12078784
Number of Individuals Covered1967
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 number10134130
Policy instance 3
Insurance contract or identification number10134130
Number of Individuals Covered4501
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,553
Total amount of fees paid to insurance companyUSD $1,222
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $105,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,553
Insurance broker organization code?3
Amount paid for insurance broker fees1222
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWELLS FARGO INS SVCS USA INC
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number3320900
Policy instance 1
Insurance contract or identification number3320900
Number of Individuals Covered3655
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedSTOP LOSS
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 CarrierUSD $1,562,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12078784
Policy instance 2
Insurance contract or identification number12078784
Number of Individuals Covered2030
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
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 number10134130
Policy instance 3
Insurance contract or identification number10134130
Number of Individuals Covered3761
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $8,775
Total amount of fees paid to insurance companyUSD $2,959
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,775
Insurance broker organization code?3
Amount paid for insurance broker fees2959
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWELLS FARGO
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134131
Policy instance 4
Insurance contract or identification number10134131
Number of Individuals Covered1088
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $26,456
Total amount of fees paid to insurance companyUSD $8,565
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $264,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,456
Insurance broker organization code?3
Amount paid for insurance broker fees8565
Additional information about fees paid to insurance brokerBROKERS BONUS
Insurance broker nameWELLS FARGO
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134132
Policy instance 5
Insurance contract or identification number10134132
Number of Individuals Covered1008
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $19,822
Total amount of fees paid to insurance companyUSD $6,028
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $198,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,822
Insurance broker organization code?3
Amount paid for insurance broker fees6028
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWELLS FARGO
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000
Policy instance 6
Insurance contract or identification number400001000
Number of Individuals Covered3867
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $86,329
Total amount of fees paid to insurance companyUSD $16,250
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedVOLUNTARY LIFE & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $863,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $86,329
Insurance broker organization code?3
Amount paid for insurance broker fees16250
Additional information about fees paid to insurance brokerBROKERS BONUS
Insurance broker nameWELLS FARGO
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number3320900
Policy instance 1
Insurance contract or identification number3320900
Number of Individuals Covered3357
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $52,924
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Other welfare benefits providedSTOP LOSS
Welfare Benefit Premiums Paid to CarrierUSD $1,252,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,924
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134132
Policy instance 5
Insurance contract or identification number10134132
Number of Individuals Covered865
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $16,345
Total amount of fees paid to insurance companyUSD $4,780
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $163,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,345
Insurance broker organization code?3
Amount paid for insurance broker fees4780
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134131
Policy instance 4
Insurance contract or identification number10134131
Number of Individuals Covered999
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $23,611
Total amount of fees paid to insurance companyUSD $7,260
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $236,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,611
Insurance broker organization code?3
Amount paid for insurance broker fees7260
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134130
Policy instance 3
Insurance contract or identification number10134130
Number of Individuals Covered3423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $8,022
Total amount of fees paid to insurance companyUSD $2,604
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,218
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,022
Insurance broker organization code?3
Amount paid for insurance broker fees2604
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWELLS FARGO INS SVCS USA INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12078784
Policy instance 2
Insurance contract or identification number12078784
Number of Individuals Covered1882
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
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 number400001000
Policy instance 6
Insurance contract or identification number400001000
Number of Individuals Covered3643
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $77,017
Total amount of fees paid to insurance companyUSD $7,338
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedVOLUNTARY LIFE & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $770,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,017
Insurance broker organization code?3
Amount paid for insurance broker fees7338
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameWELLS FARGO INS SVCS USA INC
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number3320900
Policy instance 1
Insurance contract or identification number3320900
Number of Individuals Covered3052
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $62,210
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Other welfare benefits providedSTOP LOSS
Welfare Benefit Premiums Paid to CarrierUSD $868,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,277
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10134130
Policy instance 3
Insurance contract or identification number10134130
Number of Individuals Covered3692
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $8,871
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,712
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 number10134131
Policy instance 4
Insurance contract or identification number10134131
Number of Individuals Covered1037
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $24,736
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $247,362
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 number400001000
Policy instance 6
Insurance contract or identification number400001000
Number of Individuals Covered2254
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $80,373
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedVOLUNTARY LIFE & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $803,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number3320900
Policy instance 1
Insurance contract or identification number3320900
Number of Individuals Covered3235
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Other welfare benefits providedSTOP LOSS
Welfare Benefit Premiums Paid to CarrierUSD $744,444
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 number10134132
Policy instance 5
Insurance contract or identification number10134132
Number of Individuals Covered853
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $16,287
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $162,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12078784
Policy instance 2
Insurance contract or identification number12078784
Number of Individuals Covered1739
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136844
Policy instance 4
Insurance contract or identification number136844
Number of Individuals Covered1000
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $20,089
Total amount of fees paid to insurance companyUSD $11,639
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $465,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12078784
Policy instance 3
Insurance contract or identification number12078784
Number of Individuals Covered1742
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0123533
Policy instance 2
Insurance contract or identification number0123533
Number of Individuals Covered5343
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $748,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number3320900
Policy instance 1
Insurance contract or identification number3320900
Number of Individuals Covered3229
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedSTOP LOSS
Welfare Benefit Premiums Paid to CarrierUSD $620,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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