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MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 401k Plan overview

Plan NameMAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN
Plan identification number 506

MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

MAGID GLOVE & SAFETY MANUFACTURING COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:MAGID GLOVE & SAFETY MANUFACTURING COMPANY, LLC
Employer identification number (EIN):364057654
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062019-10-01
5062018-10-01
5062017-10-01TONY RADECKY TONY RADECKY2019-03-12
5062016-10-01ANTHONY RADECKY ANTHONY RADECKY2018-04-06
5062015-10-01ANTHONY RADECKY ANTHONY RADECKY2017-05-01
5062014-10-01ANTHONY RADECKY
5062013-10-01TINA SUN
5062012-10-01DOUG BENEDA
5062011-10-01DOUG BENEDA
5062010-10-01DOUG BENEDA
5062009-10-01CHUCK PALID
5062007-10-01CHUCK PALID
5062006-10-01CHUCK PALID
5062005-10-01CHUCK PALID
5062003-07-01CHUCK PALID
5061997-07-01CHUCK PALID
5061996-07-01CHUCK PALID
5061995-07-01CHUCK PALID
5061994-07-01CHUCK PALID
5061993-07-01CHUCK PALID
5061992-07-01CHUCK PALID

Plan Statistics for MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN

401k plan membership statisitcs for MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN

Measure Date Value
2019: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01480
Total number of active participants reported on line 7a of the Form 55002019-10-010
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-010
2018: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01487
Total number of active participants reported on line 7a of the Form 55002018-10-01479
Number of retired or separated participants receiving benefits2018-10-011
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01480
2017: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01477
Total number of active participants reported on line 7a of the Form 55002017-10-01482
Number of retired or separated participants receiving benefits2017-10-015
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01487
2016: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01440
Total number of active participants reported on line 7a of the Form 55002016-10-01473
Number of retired or separated participants receiving benefits2016-10-014
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01477
2015: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01487
Total number of active participants reported on line 7a of the Form 55002015-10-01440
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01440
2014: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01408
Total number of active participants reported on line 7a of the Form 55002014-10-01487
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01487
2013: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01350
Total number of active participants reported on line 7a of the Form 55002013-10-01408
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01408
2012: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01350
Total number of active participants reported on line 7a of the Form 55002012-10-01350
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01350
2011: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01328
Total number of active participants reported on line 7a of the Form 55002011-10-01350
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01350
2010: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01164
Total number of active participants reported on line 7a of the Form 55002010-10-01186
Number of retired or separated participants receiving benefits2010-10-010
Number of other retired or separated participants entitled to future benefits2010-10-010
Total of all active and inactive participants2010-10-01186
2009: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01162
Total number of active participants reported on line 7a of the Form 55002009-10-01161
Number of retired or separated participants receiving benefits2009-10-011
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01162
2007: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year2007-10-01160
Total number of active participants reported on line 7a of the Form 55002007-10-01156
Number of retired or separated participants receiving benefits2007-10-012
Number of other retired or separated participants entitled to future benefits2007-10-010
Total of all active and inactive participants2007-10-01158
2006: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year2006-10-01153
Total number of active participants reported on line 7a of the Form 55002006-10-01159
Number of retired or separated participants receiving benefits2006-10-011
Number of other retired or separated participants entitled to future benefits2006-10-010
Total of all active and inactive participants2006-10-01160
2005: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2005 401k membership
Total participants, beginning-of-year2005-10-01151
Total number of active participants reported on line 7a of the Form 55002005-10-01153
Number of retired or separated participants receiving benefits2005-10-010
Number of other retired or separated participants entitled to future benefits2005-10-010
Total of all active and inactive participants2005-10-01153
2003: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2003 401k membership
Total participants, beginning-of-year2003-07-01166
Total number of active participants reported on line 7a of the Form 55002003-07-01171
Number of retired or separated participants receiving benefits2003-07-012
Number of other retired or separated participants entitled to future benefits2003-07-010
Total of all active and inactive participants2003-07-01173
1997: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1997 401k membership
Total participants, beginning-of-year1997-07-01210
Total number of active participants reported on line 7a of the Form 55001997-07-01217
Number of retired or separated participants receiving benefits1997-07-015
Number of other retired or separated participants entitled to future benefits1997-07-010
Total of all active and inactive participants1997-07-01222
1996: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1996 401k membership
Total participants, beginning-of-year1996-07-01219
Total number of active participants reported on line 7a of the Form 55001996-07-01206
Number of retired or separated participants receiving benefits1996-07-014
Number of other retired or separated participants entitled to future benefits1996-07-010
Total of all active and inactive participants1996-07-01210
1995: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1995 401k membership
Total participants, beginning-of-year1995-07-01201
Total number of active participants reported on line 7a of the Form 55001995-07-01215
Number of retired or separated participants receiving benefits1995-07-014
Number of other retired or separated participants entitled to future benefits1995-07-010
Total of all active and inactive participants1995-07-01219
1994: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1994 401k membership
Total participants, beginning-of-year1994-07-01192
Total number of active participants reported on line 7a of the Form 55001994-07-01199
Number of retired or separated participants receiving benefits1994-07-012
Number of other retired or separated participants entitled to future benefits1994-07-010
Total of all active and inactive participants1994-07-01201
1993: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1993 401k membership
Total participants, beginning-of-year1993-07-01200
Total number of active participants reported on line 7a of the Form 55001993-07-01189
Number of retired or separated participants receiving benefits1993-07-013
Number of other retired or separated participants entitled to future benefits1993-07-010
Total of all active and inactive participants1993-07-01192
1992: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1992 401k membership
Total participants, beginning-of-year1992-07-01192
Total number of active participants reported on line 7a of the Form 55001992-07-01198
Number of retired or separated participants receiving benefits1992-07-012
Number of other retired or separated participants entitled to future benefits1992-07-010
Total of all active and inactive participants1992-07-01200

Form 5500 Responses for MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN

2019: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingYes
2019-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2018: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – General assets of the sponsorYes
2017: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes
2016: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes
2015: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2007: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2007 form 5500 responses
2007-10-01Type of plan entitySingle employer plan
2007-10-01Submission has been amendedNo
2007-10-01This submission is the final filingNo
2007-10-01This return/report is a short plan year return/report (less than 12 months)No
2007-10-01Plan is a collectively bargained planNo
2007-10-01Plan funding arrangement – InsuranceYes
2007-10-01Plan benefit arrangement – InsuranceYes
2006: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2006 form 5500 responses
2006-10-01Type of plan entitySingle employer plan
2006-10-01Submission has been amendedNo
2006-10-01This submission is the final filingNo
2006-10-01This return/report is a short plan year return/report (less than 12 months)No
2006-10-01Plan is a collectively bargained planNo
2006-10-01Plan funding arrangement – InsuranceYes
2006-10-01Plan benefit arrangement – InsuranceYes
2005: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2005 form 5500 responses
2005-10-01Type of plan entitySingle employer plan
2005-10-01Submission has been amendedNo
2005-10-01This submission is the final filingNo
2005-10-01This return/report is a short plan year return/report (less than 12 months)No
2005-10-01Plan is a collectively bargained planNo
2005-10-01Plan funding arrangement – InsuranceYes
2005-10-01Plan benefit arrangement – InsuranceYes
2003: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 2003 form 5500 responses
2003-07-01Type of plan entitySingle employer plan
2003-07-01Submission has been amendedNo
2003-07-01This submission is the final filingNo
2003-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2003-07-01Plan is a collectively bargained planNo
2003-07-01Plan funding arrangement – InsuranceYes
2003-07-01Plan benefit arrangement – InsuranceYes
1997: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1997 form 5500 responses
1997-07-01Type of plan entitySingle employer plan
1997-07-01Submission has been amendedNo
1997-07-01This submission is the final filingNo
1997-07-01This return/report is a short plan year return/report (less than 12 months)No
1997-07-01Plan is a collectively bargained planNo
1997-07-01Plan funding arrangement – InsuranceYes
1997-07-01Plan benefit arrangement – InsuranceYes
1996: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1996 form 5500 responses
1996-07-01Type of plan entitySingle employer plan
1996-07-01Submission has been amendedNo
1996-07-01This submission is the final filingNo
1996-07-01This return/report is a short plan year return/report (less than 12 months)No
1996-07-01Plan is a collectively bargained planNo
1996-07-01Plan funding arrangement – InsuranceYes
1996-07-01Plan benefit arrangement – InsuranceYes
1995: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1995 form 5500 responses
1995-07-01Type of plan entitySingle employer plan
1995-07-01Submission has been amendedNo
1995-07-01This submission is the final filingNo
1995-07-01This return/report is a short plan year return/report (less than 12 months)No
1995-07-01Plan is a collectively bargained planNo
1995-07-01Plan funding arrangement – InsuranceYes
1995-07-01Plan benefit arrangement – InsuranceYes
1994: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1994 form 5500 responses
1994-07-01Type of plan entitySingle employer plan
1994-07-01Submission has been amendedNo
1994-07-01This submission is the final filingNo
1994-07-01This return/report is a short plan year return/report (less than 12 months)No
1994-07-01Plan is a collectively bargained planNo
1994-07-01Plan funding arrangement – InsuranceYes
1994-07-01Plan benefit arrangement – InsuranceYes
1993: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1993 form 5500 responses
1993-07-01Type of plan entitySingle employer plan
1993-07-01Submission has been amendedNo
1993-07-01This submission is the final filingNo
1993-07-01This return/report is a short plan year return/report (less than 12 months)No
1993-07-01Plan is a collectively bargained planNo
1993-07-01Plan funding arrangement – InsuranceYes
1993-07-01Plan benefit arrangement – InsuranceYes
1992: MAGID GLOVE & SAFETY MANUFACTURING COMPANY LLC BENEFITS PLAN 1992 form 5500 responses
1992-07-01Type of plan entitySingle employer plan
1992-07-01First time form 5500 has been submittedYes
1992-07-01Submission has been amendedNo
1992-07-01This submission is the final filingNo
1992-07-01This return/report is a short plan year return/report (less than 12 months)No
1992-07-01Plan is a collectively bargained planNo
1992-07-01Plan funding arrangement – InsuranceYes
1992-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BF5J
Policy instance 1
Insurance contract or identification numberGLUG0BF5J
Number of Individuals Covered475
Insurance policy start date2019-10-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $7,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0BF5J
Policy instance 2
Insurance contract or identification numberGLTD0BF5J
Number of Individuals Covered31
Insurance policy start date2019-10-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00378559
Policy instance 3
Insurance contract or identification number00378559
Number of Individuals Covered342
Insurance policy start date2019-10-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0BF5J
Policy instance 4
Insurance contract or identification numberGUPR0BF5J
Number of Individuals Covered115
Insurance policy start date2019-10-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0BF5J
Policy instance 5
Insurance contract or identification numberGVTL0BF5J
Number of Individuals Covered155
Insurance policy start date2019-10-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $22,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0BF5J
Policy instance 4
Insurance contract or identification numberGUPR0BF5J
Number of Individuals Covered118
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $329
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees329
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00378559
Policy instance 3
Insurance contract or identification number00378559
Number of Individuals Covered350
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $7,910
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $211,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7910
Additional information about fees paid to insurance brokerTOTAL FEES PAID
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0BF5J
Policy instance 2
Insurance contract or identification numberGLTD0BF5J
Number of Individuals Covered31
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $72
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees72
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BF5J
Policy instance 1
Insurance contract or identification numberGLUG0BF5J
Number of Individuals Covered479
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $269
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $29,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees269
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0BF5J
Policy instance 5
Insurance contract or identification numberGVTL0BF5J
Number of Individuals Covered159
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $774
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $83,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees774
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00378559
Policy instance 1
Insurance contract or identification number00378559
Number of Individuals Covered482
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $10,894
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $425,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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