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G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 401k Plan overview

Plan NameG & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN
Plan identification number 505

G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN Benefits

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

401k Sponsoring company profile

G & T INDUSTRIES, INC has sponsored the creation of one or more 401k plans.

Company Name:G & T INDUSTRIES, INC
Employer identification number (EIN):381460927
NAIC Classification:326200

Additional information about G & T INDUSTRIES, INC

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 083456
Legal Registered Office Address: 1001 76TH STREET SW BYRON CENTER


United States of America (USA)
49315

More information about G & T INDUSTRIES, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-07-01DARRYL KRAGT2024-01-17 DARRYL KRAGT2024-01-17
5052021-07-01DARRYL KRAGT2023-01-10 DARRYL KRAGT2023-01-10
5052020-07-01DARRYL KRAGT2022-02-09 DARRYL KRAGT2022-02-09
5052019-07-01DARRYL KRAGT2021-03-22 DARRYL KRAGT2021-03-22
5052018-07-01DARRYL KRAGT2020-02-07
5052017-07-01
5052016-07-01
5052015-07-01
5052014-07-01
5052013-07-01
5052012-07-01DARRYL KRAGT
5052011-07-01DARRYL KRAGT
5052010-07-01DARRYL KRAGT
5052009-07-01DARRYL KRAGT

Plan Statistics for G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN

401k plan membership statisitcs for G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN

Measure Date Value
2022: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01369
Total number of active participants reported on line 7a of the Form 55002022-07-01347
Number of retired or separated participants receiving benefits2022-07-011
Total of all active and inactive participants2022-07-01348
2021: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01352
Total number of active participants reported on line 7a of the Form 55002021-07-01368
Number of retired or separated participants receiving benefits2021-07-011
Total of all active and inactive participants2021-07-01369
2020: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01415
Total number of active participants reported on line 7a of the Form 55002020-07-01350
Number of retired or separated participants receiving benefits2020-07-012
Total of all active and inactive participants2020-07-01352
2019: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01397
Total number of active participants reported on line 7a of the Form 55002019-07-01413
Number of retired or separated participants receiving benefits2019-07-012
Total of all active and inactive participants2019-07-01415
2018: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01382
Total number of active participants reported on line 7a of the Form 55002018-07-01396
Number of retired or separated participants receiving benefits2018-07-011
Total of all active and inactive participants2018-07-01397
2017: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01214
Total number of active participants reported on line 7a of the Form 55002017-07-01381
Number of retired or separated participants receiving benefits2017-07-011
Total of all active and inactive participants2017-07-01382
2016: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01193
Total number of active participants reported on line 7a of the Form 55002016-07-01213
Number of retired or separated participants receiving benefits2016-07-011
Total of all active and inactive participants2016-07-01214
2015: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01170
Total number of active participants reported on line 7a of the Form 55002015-07-01192
Number of retired or separated participants receiving benefits2015-07-011
Total of all active and inactive participants2015-07-01193
2014: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01166
Total number of active participants reported on line 7a of the Form 55002014-07-01170
Number of retired or separated participants receiving benefits2014-07-010
Total of all active and inactive participants2014-07-01170
2013: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01167
Total number of active participants reported on line 7a of the Form 55002013-07-01164
Number of retired or separated participants receiving benefits2013-07-012
Total of all active and inactive participants2013-07-01166
2012: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01180
Total number of active participants reported on line 7a of the Form 55002012-07-01165
Number of retired or separated participants receiving benefits2012-07-012
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01167
2011: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01171
Total number of active participants reported on line 7a of the Form 55002011-07-01178
Number of retired or separated participants receiving benefits2011-07-012
Total of all active and inactive participants2011-07-01180
2010: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01161
Total number of active participants reported on line 7a of the Form 55002010-07-01171
Total of all active and inactive participants2010-07-01171
2009: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01159
Total number of active participants reported on line 7a of the Form 55002009-07-01161
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01161

Form 5500 Responses for G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN

2022: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: G & T INDUSTRIES, INC. LIFE AND DISABILITY PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number956413
Policy instance 1
Insurance contract or identification number956413
Number of Individuals Covered372
Insurance policy start date2021-08-01
Insurance policy end date2022-08-01
Total amount of commissions paid to insurance brokerUSD $15,028
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $247,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,028
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BDHD
Policy instance 1
Insurance contract or identification numberG000BDHD
Number of Individuals Covered738
Insurance policy start date2020-08-01
Insurance policy end date2021-08-01
Total amount of commissions paid to insurance brokerUSD $37,866
Total amount of fees paid to insurance companyUSD $9,358
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $421,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,866
Amount paid for insurance broker fees9358
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BDHD
Policy instance 1
Insurance contract or identification numberG000BDHD
Number of Individuals Covered393
Insurance policy start date2019-08-01
Insurance policy end date2020-08-01
Total amount of commissions paid to insurance brokerUSD $19,115
Total amount of fees paid to insurance companyUSD $9,358
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $215,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,115
Amount paid for insurance broker fees9358
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BDHD
Policy instance 1
Insurance contract or identification numberG000BDHD
Number of Individuals Covered394
Insurance policy start date2018-08-01
Insurance policy end date2019-08-01
Total amount of commissions paid to insurance brokerUSD $18,543
Total amount of fees paid to insurance companyUSD $2,017
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $202,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,543
Amount paid for insurance broker fees2017
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number217115
Policy instance 1
Insurance contract or identification number217115
Number of Individuals Covered386
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $5,815
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $98,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,815
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number217115
Policy instance 1
Insurance contract or identification number217115
Number of Individuals Covered223
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $8,898
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $110,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number217115
Policy instance 1
Insurance contract or identification number217115
Number of Individuals Covered207
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $7,345
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $90,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,345
Insurance broker organization code?3
Insurance broker nameCOLDBROOK INSURANCE GROUP LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number217115
Policy instance 1
Insurance contract or identification number217115
Number of Individuals Covered164
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $7,060
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
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $78,021
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,579
Insurance broker organization code?3
Insurance broker nameCOLDBROOK INSURANCE GROUP LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number217115
Policy instance 1
Insurance contract or identification number217115
Number of Individuals Covered181
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $6,825
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
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $85,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,825
Insurance broker organization code?3
Insurance broker namePINNACLE INSURANCE PARTNERS
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number217115
Policy instance 1
Insurance contract or identification number217115
Number of Individuals Covered165
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $6,633
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $86,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,633
Insurance broker organization code?3
Insurance broker namePINNACLE INSURANCE PARTNERS
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number217115
Policy instance 1
Insurance contract or identification number217115
Number of Individuals Covered178
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $6,666
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $88,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number217115
Policy instance 2
Insurance contract or identification number217115
Number of Individuals Covered171
Insurance policy start date2011-02-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $2,713
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $36,443
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 number691155G
Policy instance 1
Insurance contract or identification number691155G
Number of Individuals Covered171
Insurance policy start date2010-07-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $6,815
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $56,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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