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NML GROUP TRAVEL ACCIDENT PLAN 401k Plan overview

Plan NameNML GROUP TRAVEL ACCIDENT PLAN
Plan identification number 503

NML GROUP TRAVEL ACCIDENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

NORTHWESTERN MUTUAL LIFE INS. CO. has sponsored the creation of one or more 401k plans.

Company Name:NORTHWESTERN MUTUAL LIFE INS. CO.
Employer identification number (EIN):390509570
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NML GROUP TRAVEL ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01
5032017-01-01TODD W SMASAL
5032016-01-01TODD W SMASAL TOM TALAJKOWSKI2017-10-11
5032015-01-01TODD W SMASAL DAVID E WILLERT DIRECTOR FED TAX2016-10-05
5032014-01-01TODD W SMASAL DAVID E WILLER DIRECTOR FED TAX2015-08-25
5032013-01-01TODD W SMASAL DAVID E WILLER DIRECTOR FED TAX2014-08-29
5032012-01-01TODD W SMASAL JASON T ANDERSON ASST DIRECTOR-TAX2013-08-22
5032011-01-01TODD W SMASAL JASON T ANDERSON ASST DIRECTOR-TAX2012-11-12
5032010-01-01TODD W SMASAL JASON T ANDERSON ASST DIRECTOR-TAX2011-10-06
5032009-01-01TODD W SMASAL JASON T ANDERSON ASST DIRECTOR-TAX2010-09-30

Plan Statistics for NML GROUP TRAVEL ACCIDENT PLAN

401k plan membership statisitcs for NML GROUP TRAVEL ACCIDENT PLAN

Measure Date Value
2023: NML GROUP TRAVEL ACCIDENT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-018,354
Total number of active participants reported on line 7a of the Form 55002023-01-018,255
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-018,255
2022: NML GROUP TRAVEL ACCIDENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-017,603
Total number of active participants reported on line 7a of the Form 55002022-01-018,354
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-018,354
2021: NML GROUP TRAVEL ACCIDENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-017,363
Total number of active participants reported on line 7a of the Form 55002021-01-017,603
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-017,603
2020: NML GROUP TRAVEL ACCIDENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-015,944
Total number of active participants reported on line 7a of the Form 55002020-01-017,363
Total of all active and inactive participants2020-01-017,363
Total participants2020-01-017,363
2019: NML GROUP TRAVEL ACCIDENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-015,887
Total number of active participants reported on line 7a of the Form 55002019-01-015,944
Total of all active and inactive participants2019-01-015,944
Total participants2019-01-015,944
2018: NML GROUP TRAVEL ACCIDENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-015,576
Total number of active participants reported on line 7a of the Form 55002018-01-015,887
Total of all active and inactive participants2018-01-015,887
Total participants2018-01-015,887
2017: NML GROUP TRAVEL ACCIDENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-015,942
Total number of active participants reported on line 7a of the Form 55002017-01-015,576
Total of all active and inactive participants2017-01-015,576
Total participants2017-01-015,576
2016: NML GROUP TRAVEL ACCIDENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-015,657
Total number of active participants reported on line 7a of the Form 55002016-01-015,942
Total of all active and inactive participants2016-01-015,942
Total participants2016-01-015,942
2015: NML GROUP TRAVEL ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-015,245
Total number of active participants reported on line 7a of the Form 55002015-01-015,657
Total of all active and inactive participants2015-01-015,657
Total participants2015-01-015,657
2014: NML GROUP TRAVEL ACCIDENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-015,074
Total number of active participants reported on line 7a of the Form 55002014-01-015,245
Total of all active and inactive participants2014-01-015,245
Total participants2014-01-015,245
2013: NML GROUP TRAVEL ACCIDENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-015,033
Total number of active participants reported on line 7a of the Form 55002013-01-015,074
Total of all active and inactive participants2013-01-015,074
Total participants2013-01-015,074
2012: NML GROUP TRAVEL ACCIDENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014,945
Total number of active participants reported on line 7a of the Form 55002012-01-015,033
Total of all active and inactive participants2012-01-015,033
Total participants2012-01-015,033
2011: NML GROUP TRAVEL ACCIDENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-014,922
Total number of active participants reported on line 7a of the Form 55002011-01-014,945
Total of all active and inactive participants2011-01-014,945
Total participants2011-01-014,945
2010: NML GROUP TRAVEL ACCIDENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-014,963
Total number of active participants reported on line 7a of the Form 55002010-01-014,922
Total of all active and inactive participants2010-01-014,922
Total participants2010-01-014,922
2009: NML GROUP TRAVEL ACCIDENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-015,150
Total number of active participants reported on line 7a of the Form 55002009-01-014,963
Total of all active and inactive participants2009-01-014,963
Total participants2009-01-014,963

Form 5500 Responses for NML GROUP TRAVEL ACCIDENT PLAN

2023: NML GROUP TRAVEL ACCIDENT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: NML GROUP TRAVEL ACCIDENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: NML GROUP TRAVEL ACCIDENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: NML GROUP TRAVEL ACCIDENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: NML GROUP TRAVEL ACCIDENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: NML GROUP TRAVEL ACCIDENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: NML GROUP TRAVEL ACCIDENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: NML GROUP TRAVEL ACCIDENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: NML GROUP TRAVEL ACCIDENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: NML GROUP TRAVEL ACCIDENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: NML GROUP TRAVEL ACCIDENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: NML GROUP TRAVEL ACCIDENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: NML GROUP TRAVEL ACCIDENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: NML GROUP TRAVEL ACCIDENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: NML GROUP TRAVEL ACCIDENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4284832
Policy instance 1
Insurance contract or identification numberGTU 4284832
Number of Individuals Covered8255
Insurance policy start date2022-07-14
Insurance policy end date2023-07-13
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4284832
Policy instance 1
Insurance contract or identification numberGTU 4284832
Number of Individuals Covered8354
Insurance policy start date2021-07-14
Insurance policy end date2022-07-13
Total amount of commissions paid to insurance brokerUSD $10,849
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $72,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,849
Insurance broker organization code?4
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 2
Insurance contract or identification number9906-36-46
Number of Individuals Covered0
Insurance policy start date2020-07-16
Insurance policy end date2021-07-15
Total amount of commissions paid to insurance brokerUSD $4,856
Total amount of fees paid to insurance companyUSD $120
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $32,375
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,856
Amount paid for insurance broker fees120
Additional information about fees paid to insurance brokerCONTINGENT COMMISSION
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4284832
Policy instance 1
Insurance contract or identification numberGTU 4284832
Number of Individuals Covered7603
Insurance policy start date2021-07-14
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $10,849
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $72,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,849
Insurance broker organization code?4
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Number of Individuals Covered7363
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $32,375
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees32375
Insurance broker organization code?4
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Number of Individuals Covered5944
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $0
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?4
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Number of Individuals Covered5887
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $0
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?4
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Number of Individuals Covered5576
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $12,137
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $80,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,137
Insurance broker organization code?4
Insurance broker nameROBERTSON, RYAN & ASSOC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Number of Individuals Covered5657
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,265
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $26,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,265
Insurance broker organization code?4
Insurance broker nameROBERTSON, RYAN & ASSOC
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Number of Individuals Covered5245
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,265
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $26,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,265
Insurance broker organization code?4
Insurance broker nameROBERTSON RYAN & ASSOC AN AFFILIATE
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Total amount of commissions paid to insurance brokerUSD $4,180
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $27,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,180
Insurance broker organization code?4
Insurance broker nameROBERTSON RYAN & ASSOC AN AFFILIATE
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Total amount of commissions paid to insurance brokerUSD $4,180
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $27,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,180
Insurance broker organization code?4
Insurance broker nameROBERTSON RYAN & ASSOC AN AFFILIATE
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Number of Individuals Covered4945
Total amount of commissions paid to insurance brokerUSD $4,180
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $27,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number9906-36-46
Policy instance 1
Insurance contract or identification number9906-36-46
Number of Individuals Covered4922
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,297
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRAVEL ACCIDENT PLAN
Welfare Benefit Premiums Paid to CarrierUSD $28,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,297
Insurance broker organization code?4
Insurance broker nameFITZGERALD, CLAYTON & KASTEN

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