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STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 401k Plan overview

Plan NameSTATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN
Plan identification number 502

STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

STATE LAW ENFORCEMENT BARGAINING COUNCIL has sponsored the creation of one or more 401k plans.

Company Name:STATE LAW ENFORCEMENT BARGAINING COUNCIL
Employer identification number (EIN):363789851
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-01-01BRIAN PETERSEN - PRESIDENT BRIAN PETERSEN - PRESIDENT2018-10-15
5022016-01-01BRIAN PETERSEN - PRESIDENT BRIAN PETERSEN - PRESIDENT2017-10-12
5022015-01-01BRIAN PETERSEN - PRESIDENT BRIAN PETERSEN - PRESIDENT2016-10-17
5022014-01-01BRIAN PETERSEN - PRESIDENT BRIAN PETERSEN - PRESIDENT2015-10-14
5022013-01-01BRIAN PETERSEN - PRESIDENT BRIAN PETERSEN - PRESIDENT2014-10-15
5022012-01-01BRIAN PETERSEN - PRESIDENT BRIAN PETERSEN - PRESIDENT2013-10-15
5022011-01-01BRIAN PETERSEN - PRESIDENT BRIAN PETERSEN - PRESIDENT2012-10-15
5022009-01-01BRIAN PETERSEN - PRESIDENT BRIAN PETERSEN - PRESIDENT2010-10-15

Plan Statistics for STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN

401k plan membership statisitcs for STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN

Measure Date Value
2017: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01490
Total number of active participants reported on line 7a of the Form 55002017-01-01490
Total of all active and inactive participants2017-01-01490
2016: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01489
Total number of active participants reported on line 7a of the Form 55002016-01-01490
Total of all active and inactive participants2016-01-01490
2015: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01460
Total number of active participants reported on line 7a of the Form 55002015-01-01489
Total of all active and inactive participants2015-01-01489
2014: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01473
Total number of active participants reported on line 7a of the Form 55002014-01-01460
Total of all active and inactive participants2014-01-01460
2013: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01471
Total number of active participants reported on line 7a of the Form 55002013-01-01473
Total of all active and inactive participants2013-01-01473
2012: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01463
Total number of active participants reported on line 7a of the Form 55002012-01-01471
Total of all active and inactive participants2012-01-01471
2011: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01473
Total number of active participants reported on line 7a of the Form 55002011-01-01463
Total of all active and inactive participants2011-01-01463
2009: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01503
Total number of active participants reported on line 7a of the Form 55002009-01-01484
Total of all active and inactive participants2009-01-01484

Financial Data on STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN

Measure Date Value
2017 : STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,427,505
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,625,000
Total income from all sources (including contributions)2017-12-31$9,576,619
Total of all expenses incurred2017-12-31$9,238,316
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$8,747,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$9,032,084
Value of total assets at end of year2017-12-31$2,941,388
Value of total assets at beginning of year2017-12-31$2,800,580
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$490,717
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Assets. Real estate other than employer real property at end of year2017-12-31$119,902
Assets. Real estate other than employer real property at beginning of year2017-12-31$104,913
Administrative expenses professional fees incurred2017-12-31$9,089
Was this plan covered by a fidelity bond2017-12-31No
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$2,124,128
Other income not declared elsewhere2017-12-31$544,535
Administrative expenses (other) incurred2017-12-31$93,492
Total non interest bearing cash at end of year2017-12-31$940,337
Total non interest bearing cash at beginning of year2017-12-31$930,954
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$338,303
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,513,883
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,175,580
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$233,443
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$301,307
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$301,307
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,034,682
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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$6,907,956
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,712,917
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$678,588
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$717,389
Contract administrator fees2017-12-31$388,136
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$969,118
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$746,017
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,427,505
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$1,625,000
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BLACKMAN & ASSOCIATES PC
Accountancy firm EIN2017-12-31470813847
2016 : STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,625,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,625,000
Total income from all sources (including contributions)2016-12-31$9,548,341
Total of all expenses incurred2016-12-31$9,821,114
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$9,407,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$8,973,485
Value of total assets at end of year2016-12-31$2,800,580
Value of total assets at beginning of year2016-12-31$3,073,353
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$413,364
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Assets. Real estate other than employer real property at end of year2016-12-31$104,913
Assets. Real estate other than employer real property at beginning of year2016-12-31$91,649
Administrative expenses professional fees incurred2016-12-31$8,500
Was this plan covered by a fidelity bond2016-12-31No
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$2,130,197
Other income not declared elsewhere2016-12-31$574,856
Administrative expenses (other) incurred2016-12-31$93,537
Total non interest bearing cash at end of year2016-12-31$930,954
Total non interest bearing cash at beginning of year2016-12-31$106,188
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-272,773
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,175,580
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,448,353
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$301,307
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$225,143
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$225,143
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,013,218
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
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$6,843,288
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$8,394,532
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$717,389
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$1,444,343
Contract administrator fees2016-12-31$311,327
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$746,017
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$1,206,030
Liabilities. Value of benefit claims payable at end of year2016-12-31$1,625,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$1,625,000
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BLACKMAN & ASSOCIATES, PC
Accountancy firm EIN2016-12-31470813847
2015 : STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,625,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,125,000
Total income from all sources (including contributions)2015-12-31$7,743,120
Total of all expenses incurred2015-12-31$10,052,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$9,674,209
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$7,019,895
Value of total assets at end of year2015-12-31$3,073,353
Value of total assets at beginning of year2015-12-31$4,882,283
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$377,841
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Assets. Real estate other than employer real property at end of year2015-12-31$91,649
Administrative expenses professional fees incurred2015-12-31$8,500
Was this plan covered by a fidelity bond2015-12-31No
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$1,751,142
Other income not declared elsewhere2015-12-31$723,225
Administrative expenses (other) incurred2015-12-31$94,120
Total non interest bearing cash at end of year2015-12-31$106,188
Total non interest bearing cash at beginning of year2015-12-31$74,700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-2,308,930
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,448,353
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,757,283
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$225,143
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$244,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$244,074
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$934,732
Asset value of US Government securities at beginning of year2015-12-31$236,020
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
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$5,268,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$8,739,477
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$1,444,343
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$2,358,539
Contract administrator fees2015-12-31$275,221
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$1,206,030
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$1,968,950
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,625,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,125,000
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2015-12-31470813847
2014 : STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,125,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$731,736
Total income from all sources (including contributions)2014-12-31$6,463,237
Total of all expenses incurred2014-12-31$7,301,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$7,071,324
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$6,405,702
Value of total assets at end of year2014-12-31$4,882,283
Value of total assets at beginning of year2014-12-31$5,327,358
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$230,252
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$8,000
Was this plan covered by a fidelity bond2014-12-31No
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$1,550,624
Other income not declared elsewhere2014-12-31$57,535
Administrative expenses (other) incurred2014-12-31$28,277
Total non interest bearing cash at end of year2014-12-31$74,700
Total non interest bearing cash at beginning of year2014-12-31$53,464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-838,339
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,757,283
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,595,622
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$244,074
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,085,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,085,882
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$896,755
Asset value of US Government securities at end of year2014-12-31$236,020
Asset value of US Government securities at beginning of year2014-12-31$77,279
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
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$4,855,078
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$6,174,569
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$2,358,539
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$1,791,139
Contract administrator fees2014-12-31$193,975
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$1,968,950
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$1,239,955
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,125,000
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$731,736
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$1,079,639
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2014-12-31470813847
2013 : STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$731,736
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$731,736
Total income from all sources (including contributions)2013-12-31$7,152,057
Total of all expenses incurred2013-12-31$7,045,237
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,802,230
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$6,507,114
Value of total assets at end of year2013-12-31$5,327,358
Value of total assets at beginning of year2013-12-31$5,220,538
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$243,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$9,500
Was this plan covered by a fidelity bond2013-12-31No
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$1,537,137
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Other income not declared elsewhere2013-12-31$644,943
Administrative expenses (other) incurred2013-12-31$30,847
Total non interest bearing cash at end of year2013-12-31$53,464
Total non interest bearing cash at beginning of year2013-12-31$173,054
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$106,820
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,595,622
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,488,802
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,085,882
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$93,180
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$93,180
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$890,288
Asset value of US Government securities at end of year2013-12-31$77,279
Asset value of US Government securities at beginning of year2013-12-31$86,112
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$4,969,977
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$5,911,942
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$1,791,139
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$1,517,782
Contract administrator fees2013-12-31$202,660
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
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$1,239,955
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$2,239,924
Liabilities. Value of benefit claims payable at end of year2013-12-31$731,736
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$731,736
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$1,079,639
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$1,110,486
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2013-12-31470813847
2012 : STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$731,736
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$750,000
Total income from all sources (including contributions)2012-12-31$6,783,095
Total of all expenses incurred2012-12-31$6,975,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$6,762,453
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$6,503,271
Value of total assets at end of year2012-12-31$5,220,538
Value of total assets at beginning of year2012-12-31$5,431,381
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$213,221
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$8,500
Was this plan covered by a fidelity bond2012-12-31No
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$1,518,257
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$11,098
Other income not declared elsewhere2012-12-31$279,824
Administrative expenses (other) incurred2012-12-31$30,847
Total non interest bearing cash at end of year2012-12-31$173,054
Total non interest bearing cash at beginning of year2012-12-31$553,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-192,579
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,488,802
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,681,381
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$93,180
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$448,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$448,184
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$857,908
Asset value of US Government securities at end of year2012-12-31$86,112
Asset value of US Government securities at beginning of year2012-12-31$228,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
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$4,973,916
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$5,904,545
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$1,517,782
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$1,787,956
Contract administrator fees2012-12-31$173,874
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
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$2,239,924
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,271,378
Liabilities. Value of benefit claims payable at end of year2012-12-31$731,736
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$750,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$1,110,486
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$1,141,333
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2012-12-31470813847
2011 : STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$750,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,760,599
Total income from all sources (including contributions)2011-12-31$6,599,278
Total of all expenses incurred2011-12-31$5,143,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,944,675
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$6,480,176
Value of total assets at end of year2011-12-31$5,431,381
Value of total assets at beginning of year2011-12-31$4,986,678
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$199,301
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$18,200
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31Yes
Amount of non-exempt transactions with any party-in-interest2011-12-31$1,218,450
Contributions received from participants2011-12-31$1,564,332
Other income not declared elsewhere2011-12-31$119,102
Administrative expenses (other) incurred2011-12-31$30,847
Liabilities. Value of operating payables at end of year2011-12-31$0
Liabilities. Value of operating payables at beginning of year2011-12-31$28,863
Total non interest bearing cash at end of year2011-12-31$553,734
Total non interest bearing cash at beginning of year2011-12-31$1,071,003
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$1,455,302
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,681,381
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,226,079
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$448,184
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$119,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$119,232
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$794,403
Asset value of US Government securities at end of year2011-12-31$228,796
Asset value of US Government securities at beginning of year2011-12-31$350,286
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
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$4,915,844
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,150,272
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$1,787,956
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$1,249,980
Contract administrator fees2011-12-31$150,254
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
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,271,378
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,023,997
Liabilities. Value of benefit claims payable at end of year2011-12-31$750,000
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,731,736
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$1,141,333
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$1,172,180
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2011-12-31470813847
2010 : STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,760,599
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,711,736
Total income from all sources (including contributions)2010-12-31$6,888,518
Total of all expenses incurred2010-12-31$5,720,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,505,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$6,476,272
Value of total assets at end of year2010-12-31$4,986,678
Value of total assets at beginning of year2010-12-31$3,769,419
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$214,266
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$22,150
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31Yes
Amount of non-exempt transactions with any party-in-interest2010-12-31$1,218,450
Contributions received from participants2010-12-31$1,523,671
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$10,415
Other income not declared elsewhere2010-12-31$412,246
Administrative expenses (other) incurred2010-12-31$30,847
Liabilities. Value of operating payables at end of year2010-12-31$28,863
Liabilities. Value of operating payables at beginning of year2010-12-31$0
Total non interest bearing cash at end of year2010-12-31$1,071,003
Total non interest bearing cash at beginning of year2010-12-31$121,835
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$1,168,396
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,226,079
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,057,683
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$119,232
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$4,322
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$4,322
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$792,626
Asset value of US Government securities at end of year2010-12-31$350,286
Asset value of US Government securities at beginning of year2010-12-31$522,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$4,942,186
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$4,713,230
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$1,249,980
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$1,106,850
Contract administrator fees2010-12-31$161,269
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
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,023,997
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$810,665
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,731,736
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,711,736
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$1,172,180
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$1,203,027
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BLACKMAN & ASSOCIATES, P.C.
Accountancy firm EIN2010-12-31470813847

Form 5500 Responses for STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN

2017: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: STATE LAW ENFORCEMENT BARGAINING COUNCIL EMPLOYEE HEALTH AND DENTAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number162274
Policy instance 4
Insurance contract or identification number162274
Insurance policy start date2017-10-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameJASON R SPREITZER
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30061443
Policy instance 3
Insurance contract or identification number30061443
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
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameCORPORATE BENEFITS CONSORTIUM, LLC
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGLIUME000002
Policy instance 2
Insurance contract or identification numberGLIUME000002
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
Other welfare benefits providedREINSURANCE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG01624
Policy instance 1
Insurance contract or identification numberG01624
Number of Individuals Covered473
Insurance policy start date2017-01-01
Insurance policy end date2017-05-01
Total amount of commissions paid to insurance brokerUSD $4,112
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,112
Insurance broker organization code?3
Insurance broker nameJASON R SPREITZER
UNDERWRITING MANAGEMENT EXPERTS (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGLIUME000002
Policy instance 2
Insurance contract or identification numberGLIUME000002
Number of Individuals Covered489
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $75,819
Total amount of fees paid to insurance companyUSD $159,983
Other welfare benefits providedREINSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $568,213
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,819
Amount paid for insurance broker fees125641
Insurance broker organization code?3
Insurance broker namePREMIER HEALTHCARE EXCHANGE
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number870758G
Policy instance 1
Insurance contract or identification number870758G
Number of Individuals Covered489
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $48,861
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $241,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees48861
Insurance broker organization code?5
Insurance broker nameTHE BENEFIT GROUP
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI-07449
Policy instance 2
Insurance contract or identification numberCLI-07449
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedREINSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $527,587
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 fees0
Insurance broker organization code?3
Insurance broker nameTHE BENEFIT GROUP
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number870758G
Policy instance 1
Insurance contract or identification number870758G
Number of Individuals Covered460
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $26,970
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 $252,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,970
Insurance broker organization code?3
Insurance broker nameTHE BENEFIT GROUP
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI-07449
Policy instance 2
Insurance contract or identification numberCLI-07449
Number of Individuals Covered468
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
Other welfare benefits providedREINSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $525,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameTHE BENEFIT GROUP
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number870758G
Policy instance 1
Insurance contract or identification number870758G
Number of Individuals Covered473
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $32,213
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 $299,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,213
Insurance broker organization code?3
Insurance broker nameTHE BENEFIT GROUP
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI-07449
Policy instance 2
Insurance contract or identification numberCLI-07449
Number of Individuals Covered468
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
Other welfare benefits providedREINSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $500,260
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameTHE BENEFIT GROUP
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number870758G
Policy instance 1
Insurance contract or identification number870758G
Number of Individuals Covered486
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $26,565
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 $246,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,565
Insurance broker organization code?3
Insurance broker nameTHE BENEFIT GROUP
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI-70449
Policy instance 1
Insurance contract or identification numberCLI-70449
Number of Individuals Covered469
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
Other welfare benefits providedREINSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $452,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number870758G
Policy instance 2
Insurance contract or identification number870758G
Number of Individuals Covered475
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $28,690
Total amount of fees paid to insurance companyUSD $6,156
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 $266,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL16702
Policy instance 1
Insurance contract or identification numberHCL16702
Number of Individuals Covered473
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,707
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 providedREINSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $468,295
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,707
Insurance broker organization code?3
Insurance broker nameHHC LIFE INSURANCE COMPANY

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