PARKVIEW HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.
Additional information about PARKVIEW HEALTH SYSTEM, INC.
Submission information for form 5500 for 401k plan PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN
401k plan membership statisitcs for PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2022: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 14,187 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 15,164 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 121 |
| Total of all active and inactive participants | 2022-01-01 | 15,285 |
| Total participants | 2022-01-01 | 15,285 |
| 2021: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 13,370 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 14,064 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 123 |
| Total of all active and inactive participants | 2021-01-01 | 14,187 |
| Total participants | 2021-01-01 | 14,187 |
| 2020: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 13,277 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 13,252 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 118 |
| Total of all active and inactive participants | 2020-01-01 | 13,370 |
| Total participants | 2020-01-01 | 13,370 |
| 2019: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 12,119 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 13,154 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 123 |
| Total of all active and inactive participants | 2019-01-01 | 13,277 |
| Total participants | 2019-01-01 | 13,277 |
| 2018: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 11,371 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 12,001 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 118 |
| Total of all active and inactive participants | 2018-01-01 | 12,119 |
| Total participants | 2018-01-01 | 12,119 |
| 2017: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 10,778 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 11,254 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 117 |
| Total of all active and inactive participants | 2017-01-01 | 11,371 |
| Total participants | 2017-01-01 | 11,371 |
| 2016: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 10,398 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 10,668 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 110 |
| Total of all active and inactive participants | 2016-01-01 | 10,778 |
| Total participants | 2016-01-01 | 10,778 |
| 2015: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 9,746 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 10,290 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 108 |
| Total of all active and inactive participants | 2015-01-01 | 10,398 |
| Total participants | 2015-01-01 | 10,398 |
| 2014: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 9,647 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 9,647 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 99 |
| Total of all active and inactive participants | 2014-01-01 | 9,746 |
| Total participants | 2014-01-01 | 9,746 |
| 2013: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 9,202 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 9,545 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 102 |
| Total of all active and inactive participants | 2013-01-01 | 9,647 |
| Total participants | 2013-01-01 | 9,647 |
| 2012: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 8,301 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 9,094 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 108 |
| Total of all active and inactive participants | 2012-01-01 | 9,202 |
| Total participants | 2012-01-01 | 9,202 |
| 2011: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 7,923 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 8,253 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 48 |
| Total of all active and inactive participants | 2011-01-01 | 8,301 |
| Total participants | 2011-01-01 | 8,301 |
| 2010: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 6,684 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 7,888 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 35 |
| Total of all active and inactive participants | 2010-01-01 | 7,923 |
| Total participants | 2010-01-01 | 7,923 |
| 2009: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 6,986 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 6,635 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 49 |
| Total of all active and inactive participants | 2009-01-01 | 6,684 |
| Total participants | 2009-01-01 | 6,684 |
| 2022: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: PARKVIEW HEALTH SYSTEM INC WELFARE BENEFIT PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681854G |
| Policy instance | 4 |
| Insurance contract or identification number | 681854G | | Number of Individuals Covered | 13487 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $323,123 | | Total amount of fees paid to insurance company | USD $92,437 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,243,746 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $323,123 | | Amount paid for insurance broker fees | 92437 | | Additional information about fees paid to insurance broker | OTHER FEES | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0211037 |
| Policy instance | 3 |
| Insurance contract or identification number | 0211037 | | Number of Individuals Covered | 3703 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $137,554 | | Total amount of fees paid to insurance company | USD $10,794 | | Other welfare benefits provided | CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $647,825 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $137,554 | | Amount paid for insurance broker fees | 10794 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0211038 |
| Policy instance | 2 |
| Insurance contract or identification number | 0211038 | | Number of Individuals Covered | 6375 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $78,009 | | Total amount of fees paid to insurance company | USD $7,697 | | Other welfare benefits provided | ACCIDENT COVERAGE | | Welfare Benefit Premiums Paid to Carrier | USD $457,924 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $78,009 | | Amount paid for insurance broker fees | 7697 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0162321 |
| Policy instance | 1 |
| Insurance contract or identification number | 0162321 | | Number of Individuals Covered | 21598 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,377,661 | | 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 number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 18779 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $3,006,013 | | 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 number | 0162321 |
| Policy instance | 2 |
| Insurance contract or identification number | 0162321 | | Number of Individuals Covered | 20751 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,309,838 | | 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 number | 0211038 |
| Policy instance | 3 |
| Insurance contract or identification number | 0211038 | | Number of Individuals Covered | 5772 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $60,666 | | Total amount of fees paid to insurance company | USD $8,773 | | Other welfare benefits provided | ACCIDENT COVERAGE | | Welfare Benefit Premiums Paid to Carrier | USD $411,514 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $60,666 | | Amount paid for insurance broker fees | 8773 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0211037 |
| Policy instance | 4 |
| Insurance contract or identification number | 0211037 | | Number of Individuals Covered | 1850 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $100,897 | | Total amount of fees paid to insurance company | USD $11,466 | | Other welfare benefits provided | CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $546,477 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $100,897 | | Amount paid for insurance broker fees | 11466 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681854G |
| Policy instance | 5 |
| Insurance contract or identification number | 681854G | | Number of Individuals Covered | 12661 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $273,720 | | Total amount of fees paid to insurance company | USD $82,414 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,681,680 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $273,720 | | Amount paid for insurance broker fees | 82414 | | Additional information about fees paid to insurance broker | OTHER FEES | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 18330 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $5,445,388 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 13252 | | Insurance policy start date | 2019-12-14 | | Insurance policy end date | 2021-01-01 | | Total amount of commissions paid to insurance broker | USD $582 | | Total amount of fees paid to insurance company | USD $343 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $38,854 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $582 | | Amount paid for insurance broker fees | 343 | | Additional information about fees paid to insurance broker | OTHER FEES | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0162321 |
| Policy instance | 3 |
| Insurance contract or identification number | 0162321 | | Number of Individuals Covered | 20421 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,306,031 | | 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 number | 0211038 |
| Policy instance | 4 |
| Insurance contract or identification number | 0211038 | | Number of Individuals Covered | 5367 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $73,161 | | Total amount of fees paid to insurance company | USD $5,865 | | Other welfare benefits provided | ACCIDENT COVERAGE | | Welfare Benefit Premiums Paid to Carrier | USD $396,854 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $73,161 | | Amount paid for insurance broker fees | 5865 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0211037 |
| Policy instance | 5 |
| Insurance contract or identification number | 0211037 | | Number of Individuals Covered | 2792 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $101,383 | | Total amount of fees paid to insurance company | USD $7,265 | | Other welfare benefits provided | CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $497,492 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $101,383 | | Amount paid for insurance broker fees | 7265 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681854G |
| Policy instance | 6 |
| Insurance contract or identification number | 681854G | | Number of Individuals Covered | 12055 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $61,582 | | Total amount of fees paid to insurance company | USD $51,101 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,110,077 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $61,582 | | Amount paid for insurance broker fees | 51101 | | Additional information about fees paid to insurance broker | OTHER FEES | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 16807 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $4,713,324 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 13154 | | Insurance policy start date | 2018-12-14 | | Insurance policy end date | 2019-12-14 | | Other welfare benefits provided | AD&D | | 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 number | 0162321 |
| Policy instance | 3 |
| Insurance contract or identification number | 0162321 | | Number of Individuals Covered | 19567 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,147,297 | | 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 number | 0162321 |
| Policy instance | 3 |
| Insurance contract or identification number | 0162321 | | Number of Individuals Covered | 17800 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,018,259 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 12001 | | Insurance policy start date | 2017-12-14 | | Insurance policy end date | 2018-12-14 | | Other welfare benefits provided | AD&D | | 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 number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 15956 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $4,523,606 | | 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 number | 0162321 |
| Policy instance | 3 |
| Insurance contract or identification number | 0162321 | | Number of Individuals Covered | 16574 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $898,592 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 11254 | | Insurance policy start date | 2016-12-14 | | Insurance policy end date | 2017-12-14 | | Total amount of commissions paid to insurance broker | USD $6,921 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $43,945 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,921 | | Insurance broker organization code? | 3 | | Insurance broker name | ONI RISK PARTNERS INC (INDY) |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 15279 | | Insurance policy start date | 2016-03-01 | | Insurance policy end date | 2017-02-28 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $3,596,301 | | 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 number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 10290 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,709,029 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 9894 | | Insurance policy start date | 2014-12-14 | | Insurance policy end date | 2015-12-14 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | 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 number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 9647 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,556,825 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 8806 | | Insurance policy start date | 2013-12-14 | | Insurance policy end date | 2014-12-14 | | Total amount of commissions paid to insurance broker | USD $4,705 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $28,515 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,705 | | Insurance broker organization code? | 3 | | Insurance broker name | OLD NATIONAL INSURANCE (INDY) |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 9647 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,556,825 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 8688 | | Insurance policy start date | 2012-12-14 | | Insurance policy end date | 2013-12-14 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | AD&D | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker name | OLD NATIONAL INSURANCE (INDY) |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 8330 | | Insurance policy start date | 2011-12-14 | | Insurance policy end date | 2012-12-14 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | AD&D | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker name | OLD NATIONAL INSURANCE (INDY) |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 9202 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,364,663 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 7512 | | Insurance policy start date | 2010-12-14 | | Insurance policy end date | 2011-12-14 | | Total amount of commissions paid to insurance broker | USD $4,277 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $28,515 | | 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 number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 8301 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,337,267 | | 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 number | 0136487 |
| Policy instance | 1 |
| Insurance contract or identification number | 0136487 | | Number of Individuals Covered | 7923 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,034,149 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 000064041134 |
| Policy instance | 2 |
| Insurance contract or identification number | 000064041134 | | Number of Individuals Covered | 6951 | | Insurance policy start date | 2009-12-14 | | Insurance policy end date | 2010-12-14 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | AD&D | | Insurance broker name | OLD NATIONAL INSURANCE FORT WAYNE |
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