QUAD COUNTY READY MIX INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D
401k plan membership statisitcs for QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D
Measure | Date | Value |
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2021: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2021 401k membership |
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Total participants, beginning-of-year | 2021-10-01 | 111 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 103 |
Total of all active and inactive participants | 2021-10-01 | 103 |
Total participants | 2021-10-01 | 103 |
2020: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2020 401k membership |
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Total participants, beginning-of-year | 2020-10-01 | 109 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 111 |
Total of all active and inactive participants | 2020-10-01 | 111 |
Total participants | 2020-10-01 | 111 |
2019: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2019 401k membership |
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Total participants, beginning-of-year | 2019-10-01 | 116 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 109 |
Total of all active and inactive participants | 2019-10-01 | 109 |
Total participants | 2019-10-01 | 109 |
2018: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2018 401k membership |
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Total participants, beginning-of-year | 2018-10-01 | 112 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 116 |
Total of all active and inactive participants | 2018-10-01 | 116 |
Total participants | 2018-10-01 | 116 |
2017: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2017 401k membership |
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Total participants, beginning-of-year | 2017-10-01 | 117 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 112 |
Total of all active and inactive participants | 2017-10-01 | 112 |
Total participants | 2017-10-01 | 112 |
2016: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2016 401k membership |
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Total participants, beginning-of-year | 2016-10-01 | 117 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 117 |
Total of all active and inactive participants | 2016-10-01 | 117 |
Total participants | 2016-10-01 | 117 |
2015: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2015 401k membership |
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Total participants, beginning-of-year | 2015-10-01 | 115 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 117 |
Total of all active and inactive participants | 2015-10-01 | 117 |
Total participants | 2015-10-01 | 0 |
2014: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2014 401k membership |
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Total participants, beginning-of-year | 2014-10-01 | 114 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 115 |
Total of all active and inactive participants | 2014-10-01 | 115 |
Total participants | 2014-10-01 | 0 |
2013: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2013 401k membership |
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Total participants, beginning-of-year | 2013-10-01 | 118 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 114 |
Total of all active and inactive participants | 2013-10-01 | 114 |
Total participants | 2013-10-01 | 0 |
2012: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2012 401k membership |
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Total participants, beginning-of-year | 2012-10-01 | 119 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 118 |
Total of all active and inactive participants | 2012-10-01 | 118 |
Total participants | 2012-10-01 | 0 |
2011: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2011 401k membership |
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Total participants, beginning-of-year | 2011-10-01 | 119 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 119 |
Total of all active and inactive participants | 2011-10-01 | 119 |
Total participants | 2011-10-01 | 119 |
2009: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2009 401k membership |
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Total participants, beginning-of-year | 2009-10-01 | 135 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 129 |
Total of all active and inactive participants | 2009-10-01 | 129 |
Total participants | 2009-10-01 | 129 |
2021: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2021 form 5500 responses |
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2021-10-01 | Type of plan entity | Single employer plan |
2021-10-01 | Plan funding arrangement – Insurance | Yes |
2021-10-01 | Plan benefit arrangement – Insurance | Yes |
2020: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2020 form 5500 responses |
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2020-10-01 | Type of plan entity | Single employer plan |
2020-10-01 | Plan funding arrangement – Insurance | Yes |
2020-10-01 | Plan benefit arrangement – Insurance | Yes |
2019: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2019 form 5500 responses |
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2019-10-01 | Type of plan entity | Single employer plan |
2019-10-01 | Plan funding arrangement – Insurance | Yes |
2019-10-01 | Plan benefit arrangement – Insurance | Yes |
2018: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2018 form 5500 responses |
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2018-10-01 | Type of plan entity | Single employer plan |
2018-10-01 | Plan funding arrangement – Insurance | Yes |
2018-10-01 | Plan benefit arrangement – Insurance | Yes |
2017: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2017 form 5500 responses |
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2017-10-01 | Type of plan entity | Single employer plan |
2017-10-01 | Plan funding arrangement – Insurance | Yes |
2017-10-01 | Plan benefit arrangement – Insurance | Yes |
2016: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2016 form 5500 responses |
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2016-10-01 | Type of plan entity | Single employer plan |
2016-10-01 | Plan funding arrangement – Insurance | Yes |
2016-10-01 | Plan benefit arrangement – Insurance | Yes |
2015: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2015 form 5500 responses |
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2015-10-01 | Type of plan entity | Single employer plan |
2015-10-01 | Plan funding arrangement – Insurance | Yes |
2015-10-01 | Plan benefit arrangement – Insurance | Yes |
2014: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2014 form 5500 responses |
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2014-10-01 | Type of plan entity | Single employer plan |
2014-10-01 | Plan funding arrangement – Insurance | Yes |
2014-10-01 | Plan benefit arrangement – Insurance | Yes |
2013: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2013 form 5500 responses |
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2013-10-01 | Type of plan entity | Single employer plan |
2013-10-01 | Plan funding arrangement – Insurance | Yes |
2013-10-01 | Plan benefit arrangement – Insurance | Yes |
2012: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2012 form 5500 responses |
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2012-10-01 | Type of plan entity | Single employer plan |
2012-10-01 | Plan funding arrangement – Insurance | Yes |
2012-10-01 | Plan benefit arrangement – Insurance | Yes |
2011: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2011 form 5500 responses |
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2011-10-01 | Type of plan entity | Single employer plan |
2011-10-01 | Plan funding arrangement – Insurance | Yes |
2011-10-01 | Plan benefit arrangement – Insurance | Yes |
2009: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2009 form 5500 responses |
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2009-10-01 | Type of plan entity | Single employer plan |
2009-10-01 | Plan funding arrangement – Insurance | Yes |
2009-10-01 | Plan benefit arrangement – Insurance | Yes |
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 103 | Insurance policy start date | 2021-10-01 | Insurance policy end date | 2022-09-30 | Total amount of commissions paid to insurance broker | USD $1,474 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $18,424 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,474 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 103 | Insurance policy start date | 2021-10-01 | Insurance policy end date | 2022-09-30 | Total amount of commissions paid to insurance broker | USD $601 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,517 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $601 | Insurance broker organization code? | 3 |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 111 | Insurance policy start date | 2020-10-01 | Insurance policy end date | 2021-09-30 | Total amount of commissions paid to insurance broker | USD $1,490 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $18,622 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,490 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 111 | Insurance policy start date | 2020-10-01 | Insurance policy end date | 2021-09-30 | Total amount of commissions paid to insurance broker | USD $608 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,602 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $608 | Insurance broker organization code? | 3 |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 109 | Insurance policy start date | 2019-10-01 | Insurance policy end date | 2020-09-30 | Total amount of commissions paid to insurance broker | USD $638 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,977 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $638 | Insurance broker organization code? | 3 |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 109 | Insurance policy start date | 2019-10-01 | Insurance policy end date | 2020-09-30 | Total amount of commissions paid to insurance broker | USD $1,312 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $16,402 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,312 | Insurance broker organization code? | 3 |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 116 | Insurance policy start date | 2018-10-01 | Insurance policy end date | 2019-09-30 | Total amount of commissions paid to insurance broker | USD $647 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $8,082 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $647 | Insurance broker organization code? | 3 |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 116 | Insurance policy start date | 2018-10-01 | Insurance policy end date | 2019-09-30 | Total amount of commissions paid to insurance broker | USD $1,318 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $16,473 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,318 | Insurance broker organization code? | 3 |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 112 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Total amount of commissions paid to insurance broker | USD $1,013 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,668 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,013 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 112 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Total amount of commissions paid to insurance broker | USD $633 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,916 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $633 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 117 | Insurance policy start date | 2015-10-01 | Insurance policy end date | 2016-09-30 | Total amount of commissions paid to insurance broker | USD $597 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,464 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $597 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 117 | Insurance policy start date | 2015-10-01 | Insurance policy end date | 2016-09-30 | Total amount of commissions paid to insurance broker | USD $895 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,193 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $895 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 115 | Insurance policy start date | 2014-10-01 | Insurance policy end date | 2015-09-30 | Total amount of commissions paid to insurance broker | USD $877 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $10,959 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $877 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 115 | Insurance policy start date | 2014-10-01 | Insurance policy end date | 2015-09-30 | Total amount of commissions paid to insurance broker | USD $588 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,349 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $588 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 114 | Insurance policy start date | 2013-10-01 | Insurance policy end date | 2014-09-30 | Total amount of commissions paid to insurance broker | USD $598 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,477 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $598 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 114 | Insurance policy start date | 2013-10-01 | Insurance policy end date | 2014-09-30 | Total amount of commissions paid to insurance broker | USD $890 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,123 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $890 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 118 | Insurance policy start date | 2012-10-01 | Insurance policy end date | 2013-09-30 | Total amount of commissions paid to insurance broker | USD $605 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,568 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $605 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 118 | Insurance policy start date | 2012-10-01 | Insurance policy end date | 2013-09-30 | Total amount of commissions paid to insurance broker | USD $902 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,271 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $902 | Insurance broker organization code? | 3 | Insurance broker name | SCHMALE INSURANCE AGENCY |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 119 | Insurance policy start date | 2011-10-01 | Insurance policy end date | 2012-09-30 | Total amount of commissions paid to insurance broker | USD $1,178 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,452 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 119 | Insurance policy start date | 2011-10-01 | Insurance policy end date | 2012-09-30 | Total amount of commissions paid to insurance broker | USD $792 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,700 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG 083U3 |
Policy instance | 2 |
Insurance contract or identification number | GLUG 083U3 | Number of Individuals Covered | 119 | Insurance policy start date | 2010-10-01 | Insurance policy end date | 2011-09-30 | Total amount of commissions paid to insurance broker | USD $631 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,892 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUG 083U3 |
Policy instance | 1 |
Insurance contract or identification number | GUG 083U3 | Number of Individuals Covered | 119 | Insurance policy start date | 2010-10-01 | Insurance policy end date | 2011-09-30 | Total amount of commissions paid to insurance broker | USD $939 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,733 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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