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ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN
Plan identification number 501

ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

ALLIANT ENERGY CORPORATE SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:ALLIANT ENERGY CORPORATE SERVICES, INC.
Employer identification number (EIN):391914946
NAIC Classification:221100

Additional information about ALLIANT ENERGY CORPORATE SERVICES, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1997-12-08
Company Identification Number: 212193
Legal Registered Office Address: 505 5TH AVE STE 729

DES MOINES
United States of America (USA)
50309

More information about ALLIANT ENERGY CORPORATE SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01L. DIANE COOKE2023-10-05 L. DIANE COOKE2023-10-05
5012021-01-01L. DIANE COOKE2022-10-11 L. DIANE COOKE2022-10-11
5012020-01-01L. DIANE COOKE2021-10-11 L. DIANE COOKE2021-10-11
5012019-01-01L. DIANE COOKE2020-10-12 L. DIANE COOKE2020-10-12
5012018-01-01L. DIANE COOKE2019-10-07 L. DIANE COOKE2019-10-07
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01WAYNE RESCHKE WAYNE RESCHKE2013-10-10
5012011-01-01WAYNE RESCHKE WAYNE RESCHKE2012-10-08
5012010-01-01WAYNE RESCHKE WAYNE RESCHKE2011-10-12
5012009-01-01WAYNE RESCHKE WAYNE RESCHKE2010-10-08

Plan Statistics for ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2022: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,050
Total number of active participants reported on line 7a of the Form 55002022-01-012,757
Number of retired or separated participants receiving benefits2022-01-01176
Total of all active and inactive participants2022-01-012,933
Total participants2022-01-012,933
2021: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,819
Total number of active participants reported on line 7a of the Form 55002021-01-012,892
Number of other retired or separated participants entitled to future benefits2021-01-01158
Total of all active and inactive participants2021-01-013,050
2020: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013,053
Total number of active participants reported on line 7a of the Form 55002020-01-012,751
Number of other retired or separated participants entitled to future benefits2020-01-0168
Total of all active and inactive participants2020-01-012,819
2019: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,281
Total number of active participants reported on line 7a of the Form 55002019-01-013,027
Number of other retired or separated participants entitled to future benefits2019-01-0126
Total of all active and inactive participants2019-01-013,053
2018: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,339
Total number of active participants reported on line 7a of the Form 55002018-01-013,254
Number of other retired or separated participants entitled to future benefits2018-01-0127
Total of all active and inactive participants2018-01-013,281
2017: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013,379
Total number of active participants reported on line 7a of the Form 55002017-01-013,317
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0122
Total of all active and inactive participants2017-01-013,339
2016: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,493
Total number of active participants reported on line 7a of the Form 55002016-01-013,355
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0124
Total of all active and inactive participants2016-01-013,379
2015: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,647
Total number of active participants reported on line 7a of the Form 55002015-01-013,473
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0120
Total of all active and inactive participants2015-01-013,493
2014: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,429
Total number of active participants reported on line 7a of the Form 55002014-01-013,632
Number of other retired or separated participants entitled to future benefits2014-01-0115
Total of all active and inactive participants2014-01-013,647
2013: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,456
Total number of active participants reported on line 7a of the Form 55002013-01-013,415
Number of other retired or separated participants entitled to future benefits2013-01-0114
Total of all active and inactive participants2013-01-013,429
2012: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,977
Total number of active participants reported on line 7a of the Form 55002012-01-013,441
Number of retired or separated participants receiving benefits2012-01-0115
Total of all active and inactive participants2012-01-013,456
2011: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-017,322
Total number of active participants reported on line 7a of the Form 55002011-01-013,944
Number of retired or separated participants receiving benefits2011-01-0133
Total of all active and inactive participants2011-01-013,977
2010: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-017,521
Total number of active participants reported on line 7a of the Form 55002010-01-014,177
Number of retired or separated participants receiving benefits2010-01-013,145
Total of all active and inactive participants2010-01-017,322
2009: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-017,810
Total number of active participants reported on line 7a of the Form 55002009-01-014,296
Number of retired or separated participants receiving benefits2009-01-013,225
Total of all active and inactive participants2009-01-017,521

Financial Data on ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2022 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,532,590
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$4,716,108
Total income from all sources (including contributions)2022-12-31$51,159,703
Total of all expenses incurred2022-12-31$51,573,953
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$48,350,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$51,159,703
Value of total assets at end of year2022-12-31$4,256,195
Value of total assets at beginning of year2022-12-31$5,853,963
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$3,223,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$176,931
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$11,808,978
Assets. Other investments not covered elsewhere at end of year2022-12-31$2,993,689
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$4,630,944
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$2,462,647
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$3,683,953
Liabilities. Value of operating payables at end of year2022-12-31$472,417
Liabilities. Value of operating payables at beginning of year2022-12-31$371,449
Total non interest bearing cash at end of year2022-12-31$192,563
Total non interest bearing cash at beginning of year2022-12-31$190,864
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-414,250
Value of net assets at end of year (total assets less liabilities)2022-12-31$723,605
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,137,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$48,350,298
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$39,350,725
Employer contributions (assets) at end of year2022-12-31$1,069,943
Employer contributions (assets) at beginning of year2022-12-31$1,032,155
Contract administrator fees2022-12-31$3,046,724
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$597,526
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$660,706
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31COLEMAN & WILLIAMS LTD
Accountancy firm EIN2022-12-31391658905
2021 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$4,716,108
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,704,450
Total income from all sources (including contributions)2021-12-31$53,402,646
Total of all expenses incurred2021-12-31$56,977,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$53,625,430
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$53,402,646
Value of total assets at end of year2021-12-31$5,853,963
Value of total assets at beginning of year2021-12-31$8,416,804
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$3,351,715
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$177,171
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$12,549,948
Assets. Other investments not covered elsewhere at end of year2021-12-31$4,630,944
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$6,985,372
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$3,683,953
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$2,432,748
Liabilities. Value of operating payables at end of year2021-12-31$371,449
Liabilities. Value of operating payables at beginning of year2021-12-31$699,908
Total non interest bearing cash at end of year2021-12-31$190,864
Total non interest bearing cash at beginning of year2021-12-31$159,730
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-3,574,499
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,137,855
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,712,354
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$285,933
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$53,625,430
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$40,852,698
Employer contributions (assets) at end of year2021-12-31$1,032,155
Employer contributions (assets) at beginning of year2021-12-31$1,271,702
Contract administrator fees2021-12-31$2,888,611
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$660,706
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$571,794
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31COLEMAN & WILLIAMS LTD.
Accountancy firm EIN2021-12-31391658905
2020 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$3,704,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$6,235,329
Total income from all sources (including contributions)2020-12-31$49,226,192
Total of all expenses incurred2020-12-31$47,797,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$44,525,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$49,226,192
Value of total assets at end of year2020-12-31$8,416,804
Value of total assets at beginning of year2020-12-31$9,518,853
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,272,260
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$180,004
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$15,178,509
Assets. Other investments not covered elsewhere at end of year2020-12-31$6,985,372
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$7,582,810
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$2,432,748
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$4,494,578
Liabilities. Value of operating payables at end of year2020-12-31$699,908
Liabilities. Value of operating payables at beginning of year2020-12-31$617,373
Total non interest bearing cash at end of year2020-12-31$159,730
Total non interest bearing cash at beginning of year2020-12-31$195,292
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,428,830
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,712,354
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,283,524
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$322,982
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$44,525,102
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$34,047,683
Employer contributions (assets) at end of year2020-12-31$1,271,702
Employer contributions (assets) at beginning of year2020-12-31$1,740,751
Contract administrator fees2020-12-31$2,769,274
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$571,794
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,123,378
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31COLEMAN & WILLIAMS LTD
Accountancy firm EIN2020-12-31391658905
2019 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,235,329
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,421,590
Total income from all sources (including contributions)2019-12-31$49,122,995
Total of all expenses incurred2019-12-31$53,327,469
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$50,439,240
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$49,122,995
Value of total assets at end of year2019-12-31$9,518,853
Value of total assets at beginning of year2019-12-31$12,909,588
Value of total assets at beginning of year2019-12-31$12,909,588
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,888,229
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$174,171
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$14,418,550
Assets. Other investments not covered elsewhere at end of year2019-12-31$7,582,810
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$11,048,787
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$11,048,787
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$4,494,578
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$3,724,872
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$3,724,872
Liabilities. Value of operating payables at end of year2019-12-31$617,373
Liabilities. Value of operating payables at beginning of year2019-12-31$488,433
Liabilities. Value of operating payables at beginning of year2019-12-31$488,433
Total non interest bearing cash at end of year2019-12-31$195,292
Total non interest bearing cash at beginning of year2019-12-31$164,083
Total non interest bearing cash at beginning of year2019-12-31$164,083
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-4,204,474
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,283,524
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,487,998
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$301,552
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$50,439,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$34,704,445
Employer contributions (assets) at end of year2019-12-31$1,740,751
Employer contributions (assets) at beginning of year2019-12-31$1,696,718
Employer contributions (assets) at beginning of year2019-12-31$1,696,718
Contract administrator fees2019-12-31$2,412,506
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,123,378
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,208,285
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,208,285
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31COLEMAN AND WILLIAMS LTD
Accountancy firm EIN2019-12-31391658905
2018 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$5,421,590
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$5,104,050
Total income from all sources (including contributions)2018-12-31$61,834,349
Total of all expenses incurred2018-12-31$56,307,267
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$53,316,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$61,834,349
Value of total assets at end of year2018-12-31$12,909,588
Value of total assets at beginning of year2018-12-31$7,064,966
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,990,274
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$172,840
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$15,178,509
Assets. Other investments not covered elsewhere at end of year2018-12-31$11,048,787
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$5,900,489
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$3,724,872
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$4,117,557
Liabilities. Value of operating payables at end of year2018-12-31$488,433
Liabilities. Value of operating payables at beginning of year2018-12-31$391,412
Total non interest bearing cash at end of year2018-12-31$164,083
Total non interest bearing cash at beginning of year2018-12-31$177,984
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$5,527,082
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,487,998
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,960,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$317,339
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$53,316,993
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$46,655,840
Employer contributions (assets) at end of year2018-12-31$1,696,718
Employer contributions (assets) at beginning of year2018-12-31$986,493
Contract administrator fees2018-12-31$2,500,095
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,208,285
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$595,081
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31COLEMAN & WILLIAMS LTD
Accountancy firm EIN2018-12-31391658905
2017 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$5,104,050
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$5,171,221
Total income from all sources (including contributions)2017-12-31$59,422,456
Total of all expenses incurred2017-12-31$59,556,144
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$56,627,183
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$59,422,456
Value of total assets at end of year2017-12-31$7,064,966
Value of total assets at beginning of year2017-12-31$7,265,825
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,928,961
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$127,750
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$14,481,889
Assets. Other investments not covered elsewhere at end of year2017-12-31$5,900,489
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$6,017,284
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$4,117,557
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$4,068,866
Liabilities. Value of operating payables at end of year2017-12-31$391,412
Liabilities. Value of operating payables at beginning of year2017-12-31$519,275
Total non interest bearing cash at end of year2017-12-31$177,984
Total non interest bearing cash at beginning of year2017-12-31$146,186
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-133,688
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,960,916
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,094,604
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$343,331
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$56,627,183
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$44,940,567
Employer contributions (assets) at end of year2017-12-31$986,493
Employer contributions (assets) at beginning of year2017-12-31$1,102,355
Contract administrator fees2017-12-31$2,457,880
Liabilities. Value of benefit claims payable at end of year2017-12-31$595,081
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$583,080
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31COLEMAN & WILLIAMS LTD
Accountancy firm EIN2017-12-31391658905
2016 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$5,171,221
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,706,155
Total income from all sources (including contributions)2016-12-31$55,559,343
Total of all expenses incurred2016-12-31$56,146,567
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$53,302,879
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$55,559,343
Value of total assets at end of year2016-12-31$7,265,825
Value of total assets at beginning of year2016-12-31$7,387,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,843,688
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$118,398
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$13,169,244
Assets. Other investments not covered elsewhere at end of year2016-12-31$6,017,284
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$6,203,315
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$4,068,866
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$3,657,467
Liabilities. Value of operating payables at end of year2016-12-31$519,275
Liabilities. Value of operating payables at beginning of year2016-12-31$366,692
Total non interest bearing cash at end of year2016-12-31$146,186
Total non interest bearing cash at beginning of year2016-12-31$135,980
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-587,224
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,094,604
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,681,828
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$335,638
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$53,302,879
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$42,390,099
Employer contributions (assets) at end of year2016-12-31$1,102,355
Employer contributions (assets) at beginning of year2016-12-31$1,048,688
Contract administrator fees2016-12-31$2,389,652
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$583,080
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$681,996
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31COLEMAN & WILLIAMS LTD.
Accountancy firm EIN2016-12-31391658905
2015 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,706,155
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,231,958
Total income from all sources (including contributions)2015-12-31$52,997,029
Total of all expenses incurred2015-12-31$53,943,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$50,795,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$52,997,029
Value of total assets at end of year2015-12-31$7,387,983
Value of total assets at beginning of year2015-12-31$7,860,677
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,148,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$153,676
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$12,817,015
Assets. Other investments not covered elsewhere at end of year2015-12-31$6,203,315
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$6,743,534
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$3,657,467
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$3,256,267
Liabilities. Value of operating payables at end of year2015-12-31$366,692
Liabilities. Value of operating payables at beginning of year2015-12-31$334,637
Total non interest bearing cash at end of year2015-12-31$135,980
Total non interest bearing cash at beginning of year2015-12-31$141,452
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-946,891
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,681,828
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,628,719
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$480,971
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$50,795,911
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$40,180,014
Employer contributions (assets) at end of year2015-12-31$1,048,688
Employer contributions (assets) at beginning of year2015-12-31$975,691
Contract administrator fees2015-12-31$2,513,362
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$681,996
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$641,054
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31COLEMAN & WILLIAMS, LTD.
Accountancy firm EIN2015-12-31391658905
2014 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,231,958
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,901,725
Total income from all sources (including contributions)2014-12-31$53,692,896
Total of all expenses incurred2014-12-31$51,933,644
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$49,342,807
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$53,692,896
Value of total assets at end of year2014-12-31$7,860,677
Value of total assets at beginning of year2014-12-31$6,771,192
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,590,837
Total interest from all sources2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$124,943
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$12,010,211
Assets. Other investments not covered elsewhere at end of year2014-12-31$6,743,534
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$5,071,533
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$3,256,267
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$3,368,140
Liabilities. Value of operating payables at end of year2014-12-31$334,637
Liabilities. Value of operating payables at beginning of year2014-12-31$312,342
Total non interest bearing cash at end of year2014-12-31$141,452
Total non interest bearing cash at beginning of year2014-12-31$166,074
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,759,252
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,628,719
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,869,467
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$0
Interest earned on other investments2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$49,342,807
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$41,682,685
Employer contributions (assets) at end of year2014-12-31$975,691
Employer contributions (assets) at beginning of year2014-12-31$1,533,585
Contract administrator fees2014-12-31$2,465,894
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$641,054
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,221,243
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31COLEMAN & WILLIAMS, LTD.
Accountancy firm EIN2014-12-31391658905
2013 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$4,901,725
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,282,324
Total income from all sources (including contributions)2013-12-31$48,638,973
Total of all expenses incurred2013-12-31$50,688,156
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$48,175,193
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$48,636,990
Value of total assets at end of year2013-12-31$6,771,192
Value of total assets at beginning of year2013-12-31$9,200,974
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,512,963
Total interest from all sources2013-12-31$1,983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$150,404
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$14,634,951
Assets. Other investments not covered elsewhere at end of year2013-12-31$5,071,533
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$4,662,308
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$143
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$3,368,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$3,709,693
Liabilities. Value of operating payables at end of year2013-12-31$312,342
Liabilities. Value of operating payables at beginning of year2013-12-31$296,195
Total non interest bearing cash at end of year2013-12-31$166,074
Total non interest bearing cash at beginning of year2013-12-31$169,107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-2,049,183
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,869,467
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,918,650
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Interest earned on other investments2013-12-31$1,983
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$3,397,132
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$3,397,132
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$48,175,193
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$34,002,039
Employer contributions (assets) at end of year2013-12-31$1,533,585
Employer contributions (assets) at beginning of year2013-12-31$972,284
Contract administrator fees2013-12-31$2,362,559
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,221,243
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,276,436
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31COLEMAN & WILLIAMS, LTD.
Accountancy firm EIN2013-12-31391658905
2012 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$5,282,324
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$5,529,770
Total income from all sources (including contributions)2012-12-31$52,395,518
Total of all expenses incurred2012-12-31$51,371,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$48,932,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$52,391,641
Value of total assets at end of year2012-12-31$9,200,974
Value of total assets at beginning of year2012-12-31$8,424,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,439,819
Total interest from all sources2012-12-31$3,877
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$166,214
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$13,824,551
Assets. Other investments not covered elsewhere at end of year2012-12-31$4,662,308
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$4,569,256
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$143
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$63
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$3,709,693
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$4,678,329
Liabilities. Value of operating payables at end of year2012-12-31$296,195
Liabilities. Value of operating payables at beginning of year2012-12-31$293,708
Total non interest bearing cash at end of year2012-12-31$169,107
Total non interest bearing cash at beginning of year2012-12-31$97,811
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,023,633
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,918,650
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,895,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Interest earned on other investments2012-12-31$3,877
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$3,397,132
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$3,197,836
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$3,197,836
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$48,932,066
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$38,567,090
Employer contributions (assets) at end of year2012-12-31$972,284
Employer contributions (assets) at beginning of year2012-12-31$559,821
Contract administrator fees2012-12-31$2,273,605
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,276,436
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$557,733
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31COLEMAN & WILLIAMS, LTD
Accountancy firm EIN2012-12-31391658905
2011 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2011 401k financial data
Total transfer of assets from this plan2011-12-31$101,139,971
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$5,529,770
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$6,431,103
Total income from all sources (including contributions)2011-12-31$51,347,035
Total of all expenses incurred2011-12-31$53,173,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$50,636,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$51,343,446
Value of total assets at end of year2011-12-31$8,424,787
Value of total assets at beginning of year2011-12-31$112,292,514
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,536,924
Total interest from all sources2011-12-31$3,589
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$251,726
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$277,225
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$13,762,758
Assets. Other investments not covered elsewhere at end of year2011-12-31$4,569,256
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$4,977,140
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$63
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$73,246
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$4,678,329
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$4,843,673
Liabilities. Value of operating payables at end of year2011-12-31$293,708
Liabilities. Value of operating payables at beginning of year2011-12-31$631,378
Total non interest bearing cash at end of year2011-12-31$97,811
Total non interest bearing cash at beginning of year2011-12-31$3,656,999
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,826,423
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,895,017
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$105,861,411
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$74,143,171
Interest earned on other investments2011-12-31$3,589
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$3,197,836
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$17,364,994
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$17,364,994
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$50,636,534
Asset value of US Government securities at beginning of year2011-12-31$2,103,138
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$37,580,688
Employer contributions (assets) at end of year2011-12-31$559,821
Employer contributions (assets) at beginning of year2011-12-31$757,647
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$5,398,978
Contract administrator fees2011-12-31$2,285,198
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$3,539,976
Liabilities. Value of benefit claims payable at end of year2011-12-31$557,733
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$956,052
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31COLEMAN & WILLIAMS, LTD
Accountancy firm EIN2011-12-31391658905
2010 : ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$9,670,800
Total unrealized appreciation/depreciation of assets2010-12-31$9,670,800
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$6,431,103
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$10,681,539
Total income from all sources (including contributions)2010-12-31$93,482,498
Total of all expenses incurred2010-12-31$72,850,114
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$68,617,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$81,993,532
Value of total assets at end of year2010-12-31$112,292,514
Value of total assets at beginning of year2010-12-31$95,910,566
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$4,232,259
Total interest from all sources2010-12-31$1,818,166
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$436,206
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$277,225
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$594,996
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$19,596,660
Assets. Other investments not covered elsewhere at end of year2010-12-31$4,977,140
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$4,650,352
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$73,246
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$73,900
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$4,843,673
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$5,741,417
Administrative expenses (other) incurred2010-12-31$28,600
Liabilities. Value of operating payables at end of year2010-12-31$631,378
Liabilities. Value of operating payables at beginning of year2010-12-31$324,779
Total non interest bearing cash at end of year2010-12-31$3,656,999
Total non interest bearing cash at beginning of year2010-12-31$4,330,701
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$20,632,384
Value of net assets at end of year (total assets less liabilities)2010-12-31$105,861,411
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$85,229,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$124,856
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$74,143,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$61,178,228
Interest earned on other investments2010-12-31$1,818,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$17,364,994
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$11,894,432
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$11,894,432
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$68,617,855
Asset value of US Government securities at end of year2010-12-31$2,103,138
Asset value of US Government securities at beginning of year2010-12-31$1,843,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$62,396,872
Employer contributions (assets) at end of year2010-12-31$757,647
Employer contributions (assets) at beginning of year2010-12-31$1,821,905
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$5,398,978
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$5,432,610
Contract administrator fees2010-12-31$3,642,597
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$3,539,976
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$4,090,027
Liabilities. Value of benefit claims payable at end of year2010-12-31$956,052
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$4,615,343
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31COLEMAN & WILLIAMS, LTD
Accountancy firm EIN2010-12-31391658905

Form 5500 Responses for ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN

2022: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ALLIANT ENERGY HEALTH & WELFARE BENEFIT 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 funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ALLIANT ENERGY HEALTH & WELFARE BENEFIT 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 funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ALLIANT ENERGY HEALTH & WELFARE BENEFIT 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 funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ALLIANT ENERGY HEALTH & WELFARE BENEFIT 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 funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ALLIANT ENERGY HEALTH & WELFARE BENEFIT 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 funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ALLIANT ENERGY HEALTH & WELFARE BENEFIT 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 funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ALLIANT ENERGY HEALTH & WELFARE BENEFIT 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 funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: ALLIANT ENERGY HEALTH & WELFARE BENEFIT 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 funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ALLIANT ENERGY HEALTH & WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 3
Insurance contract or identification number34262
Number of Individuals Covered3013
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12,620
Total amount of fees paid to insurance companyUSD $7,131
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $315,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,476
Amount paid for insurance broker fees5357
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30100103
Policy instance 8
Insurance contract or identification number30100103
Number of Individuals Covered2996
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,635
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $562,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,635
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGF386006650301
Policy instance 7
Insurance contract or identification numberGF386006650301
Number of Individuals Covered3024
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $34,923
Total amount of fees paid to insurance companyUSD $17,513
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,164,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,490
Amount paid for insurance broker fees17513
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL661867
Policy instance 6
Insurance contract or identification numberABL661867
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $14
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $7,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 5
Insurance contract or identification number34263
Number of Individuals Covered3946
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,488
Total amount of fees paid to insurance companyUSD $4,224
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $187,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,681
Amount paid for insurance broker fees3206
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered7700
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $196,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number210025
Policy instance 1
Insurance contract or identification number210025
Number of Individuals Covered3139
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $979,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 2
Insurance contract or identification number34262
Number of Individuals Covered4044
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $61,850
Total amount of fees paid to insurance companyUSD $34,949
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,546,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,195
Amount paid for insurance broker fees26682
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 2
Insurance contract or identification number34262
Number of Individuals Covered4450
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $63,016
Total amount of fees paid to insurance companyUSD $35,365
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,575,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,016
Amount paid for insurance broker fees35365
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number210025
Policy instance 1
Insurance contract or identification number210025
Number of Individuals Covered3304
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,036,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL661867
Policy instance 6
Insurance contract or identification numberABL661867
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $39
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $7,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees39
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 3
Insurance contract or identification number34262
Number of Individuals Covered3232
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $12,853
Total amount of fees paid to insurance companyUSD $7,213
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $321,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,853
Amount paid for insurance broker fees7213
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered8098
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $215,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 5
Insurance contract or identification number34263
Number of Individuals Covered4471
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,821
Total amount of fees paid to insurance companyUSD $4,360
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $195,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,821
Amount paid for insurance broker fees4360
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGF386006650301
Policy instance 7
Insurance contract or identification numberGF386006650301
Number of Individuals Covered2465
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $30,140
Total amount of fees paid to insurance companyUSD $15,848
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,004,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,140
Amount paid for insurance broker fees15848
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30100103
Policy instance 8
Insurance contract or identification number30100103
Number of Individuals Covered3038
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $25,937
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $565,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,937
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 2
Insurance contract or identification number34262
Number of Individuals Covered4445
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $67,042
Total amount of fees paid to insurance companyUSD $38,277
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,676,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,042
Amount paid for insurance broker fees38277
Additional information about fees paid to insurance brokerSUPLEMENTAL COMMISSIONS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 1
Insurance contract or identification number003325575
Number of Individuals Covered3468
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $923,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 5
Insurance contract or identification number34263
Number of Individuals Covered4293
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,656
Total amount of fees paid to insurance companyUSD $4,328
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $191,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,656
Amount paid for insurance broker fees4328
Additional information about fees paid to insurance brokerSUPPLEMNENTAL COMMISSIONS
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 3
Insurance contract or identification number34262
Number of Individuals Covered3268
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $12,991
Total amount of fees paid to insurance companyUSD $7,417
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $324,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,991
Amount paid for insurance broker fees7417
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered8417
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL661867
Policy instance 6
Insurance contract or identification numberABL661867
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $1,231
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $7,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,231
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberG5386006650301
Policy instance 7
Insurance contract or identification numberG5386006650301
Number of Individuals Covered2695
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $31,281
Total amount of fees paid to insurance companyUSD $15,520
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,042,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,281
Amount paid for insurance broker fees15520
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL661867
Policy instance 6
Insurance contract or identification numberABL661867
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,177
Total amount of fees paid to insurance companyUSD $52
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $7,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,125
Amount paid for insurance broker fees52
Additional information about fees paid to insurance brokerSUPPLEMENTARY COMMISSION
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 5
Insurance contract or identification number34263
Number of Individuals Covered4412
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,724
Total amount of fees paid to insurance companyUSD $4,347
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $193,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,724
Amount paid for insurance broker fees4347
Additional information about fees paid to insurance brokerSPECIAL COMMISIONS
Insurance broker organization code?3
NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered9040
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 3
Insurance contract or identification number34262
Number of Individuals Covered3535
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $13,436
Total amount of fees paid to insurance companyUSD $7,546
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $335,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,436
Amount paid for insurance broker fees7546
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISIONS
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 2
Insurance contract or identification number34262
Number of Individuals Covered4638
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $71,017
Total amount of fees paid to insurance companyUSD $39,886
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,775,421
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,017
Amount paid for insurance broker fees39886
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISIONS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 1
Insurance contract or identification number003325575
Number of Individuals Covered3705
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
Welfare Benefit Premiums Paid to CarrierUSD $280,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberG5386006650301
Policy instance 7
Insurance contract or identification numberG5386006650301
Number of Individuals Covered4025
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $24,857
Total amount of fees paid to insurance companyUSD $16,086
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $828,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,857
Amount paid for insurance broker fees11092
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPESATION
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL661867
Policy instance 1
Insurance contract or identification numberABL661867
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $1,875
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $7,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,875
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 2
Insurance contract or identification number003325575
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-860-066503-
Policy instance 3
Insurance contract or identification numberGF3-860-066503-
Number of Individuals Covered4213
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $26,633
Total amount of fees paid to insurance companyUSD $15,747
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $886,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,050
Insurance broker organization code?3
Amount paid for insurance broker fees15747
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 4
Insurance contract or identification number34262
Number of Individuals Covered3764
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $13,620
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $340,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,087
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 5
Insurance contract or identification number34262
Number of Individuals Covered4756
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $69,656
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,741,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,597
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 6
Insurance contract or identification number34263
Number of Individuals Covered4476
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $7,528
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $188,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,062
Insurance broker organization code?3
NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 7
Number of Individuals Covered10515
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $239,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 7
Number of Individuals Covered10005
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $258,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees258242
Insurance broker name
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 6
Insurance contract or identification number34263
Number of Individuals Covered4451
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,314
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,314
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERV NATIONAL INC
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 5
Insurance contract or identification number34262
Number of Individuals Covered5002
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $73,144
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,828,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,144
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERV NATIONAL INC
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 4
Insurance contract or identification number34262
Number of Individuals Covered5121
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $27,617
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $690,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,617
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERV NATIONAL INC
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-860-066503-
Policy instance 3
Insurance contract or identification numberGF3-860-066503-
Number of Individuals Covered4381
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $29,559
Total amount of fees paid to insurance companyUSD $16,844
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $894,384
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,559
Insurance broker organization code?3
Amount paid for insurance broker fees16844
Insurance broker nameWELLS FARGO
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 2
Insurance contract or identification number003325575
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL661867
Policy instance 1
Insurance contract or identification numberABL661867
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $1,125
Total amount of fees paid to insurance companyUSD $750
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $7,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,125
Amount paid for insurance broker fees750
Insurance broker nameRUBEN WARNER ASSOCIATES
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 6
Insurance contract or identification number34263
Number of Individuals Covered4492
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,132
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $178,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,132
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 5
Insurance contract or identification number34262
Number of Individuals Covered5207
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $80,400
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,010,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,400
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 4
Insurance contract or identification number34262
Number of Individuals Covered5361
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $28,579
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $714,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,579
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-860-066503-
Policy instance 3
Insurance contract or identification numberGF3-860-066503-
Number of Individuals Covered4113
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $29,368
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $978,950
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,368
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS. SERVICES USA INC
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 2
Insurance contract or identification number003325575
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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 nameN/A
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL661867
Policy instance 1
Insurance contract or identification numberABL661867
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $1,427
Total amount of fees paid to insurance companyUSD $951
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $9,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,427
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerSALES & SERVICE OVERRIDE
Insurance broker nameREUBEN WARNER ASSOCIATES
NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 7
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 nameN/A
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 7
Insurance contract or identification number34263
Number of Individuals Covered4029
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,085
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $152,128
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,085
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 1
Number of Individuals Covered10699
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL 661867
Policy instance 2
Insurance contract or identification numberABL 661867
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,427
Total amount of fees paid to insurance companyUSD $951
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $9,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,427
Additional information about fees paid to insurance brokerSALES & SERVICE
Amount paid for insurance broker fees951
Insurance broker nameREUBEN WARNER ASSOCIATES
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 3
Insurance contract or identification number003325575
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-860-066503-
Policy instance 4
Insurance contract or identification numberGF3-860-066503-
Number of Individuals Covered4086
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $30,417
Total amount of fees paid to insurance companyUSD $3,317
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $939,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,417
Insurance broker organization code?3
Amount paid for insurance broker fees3317
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 5
Insurance contract or identification number34262
Number of Individuals Covered5423
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $28,774
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $719,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,774
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 6
Insurance contract or identification number34262
Number of Individuals Covered5234
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $76,686
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,917,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,686
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34263
Policy instance 7
Insurance contract or identification number34263
Number of Individuals Covered3836
Insurance policy start date2013-09-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,910
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,910
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 5
Insurance contract or identification number34262
Number of Individuals Covered5195
Insurance policy start date2013-09-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $9,310
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $232,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,310
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number673570G
Policy instance 8
Insurance contract or identification number673570G
Number of Individuals Covered4902
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $59,324
Total amount of fees paid to insurance companyUSD $32,684
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,918,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,324
Insurance broker organization code?3
Amount paid for insurance broker fees32684
Insurance broker nameACORDIA OF THE SOUTH INC
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-860-066503-
Policy instance 4
Insurance contract or identification numberGF3-860-066503-
Number of Individuals Covered3896
Insurance policy start date2013-09-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $6,688
Total amount of fees paid to insurance companyUSD $1,149
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $297,674
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,688
Insurance broker organization code?3
Amount paid for insurance broker fees1149
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker nameWELLS FARGO
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 3
Insurance contract or identification number003325575
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL 661867
Policy instance 2
Insurance contract or identification numberABL 661867
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $1,574
Total amount of fees paid to insurance companyUSD $1,049
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $10,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,574
Additional information about fees paid to insurance brokerSALES & SERVICE
Amount paid for insurance broker fees1049
Insurance broker nameREUBEN WARNER ASSOCIATES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S05172
Policy instance 1
Insurance contract or identification numberADD-S05172
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $16,310
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $108,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,310
Insurance broker organization code?3
Insurance broker nameACORDIA OF THE SOUTH INC
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34262
Policy instance 6
Insurance contract or identification number34262
Number of Individuals Covered4658
Insurance policy start date2013-09-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $24,485
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $612,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,485
Insurance broker organization code?3
Insurance broker nameWELSS FARGO INS SERVICES USA INC.
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number673570G
Policy instance 4
Insurance contract or identification number673570G
Number of Individuals Covered5139
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $80,201
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,326,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,201
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S05172
Policy instance 3
Insurance contract or identification numberADD-S05172
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $22,890
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $152,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,890
Insurance broker organization code?3
Insurance broker nameACORDIA OF THE SOUTH INC
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 1
Insurance contract or identification number003325575
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL 661867
Policy instance 2
Insurance contract or identification numberABL 661867
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,574
Total amount of fees paid to insurance companyUSD $1,049
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $10,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,574
Additional information about fees paid to insurance brokerSALES & SERVICE OVERRIDE
Amount paid for insurance broker fees1049
Insurance broker nameREUBEN WARNER ASSOCIATES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S05172
Policy instance 3
Insurance contract or identification numberADD-S05172
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $19,593
Total amount of fees paid to insurance companyUSD $885
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $130,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 1
Insurance contract or identification number003325575
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL 661867
Policy instance 2
Insurance contract or identification numberABL 661867
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,573
Total amount of fees paid to insurance companyUSD $1,049
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH
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 number673570G
Policy instance 4
Insurance contract or identification number673570G
Number of Individuals Covered5265
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $78,194
Total amount of fees paid to insurance companyUSD $21,615
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,643,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number003325575
Policy instance 1
Insurance contract or identification number003325575
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL 661867
Policy instance 3
Insurance contract or identification numberABL 661867
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,266
Total amount of fees paid to insurance companyUSD $1,511
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,266
Additional information about fees paid to insurance brokerSALES & SERVICE OVERRIDE
Insurance broker organization code?3
Amount paid for insurance broker fees1511
Insurance broker nameREUBEN WARNER ASSOCIATES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADD-S05172
Policy instance 4
Insurance contract or identification numberADD-S05172
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $21,153
Total amount of fees paid to insurance companyUSD $820
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $141,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,153
Amount paid for insurance broker fees820
Insurance broker organization code?3
Insurance broker nameACORDIA OF THE SOUTH INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number673570G
Policy instance 5
Insurance contract or identification number673570G
Number of Individuals Covered5354
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $76,886
Total amount of fees paid to insurance companyUSD $21,679
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,844,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,886
Amount paid for insurance broker fees21679
Insurance broker organization code?3
Insurance broker nameACORDIA OF THE SOUTH INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number060646
Policy instance 2
Insurance contract or identification number060646
Number of Individuals Covered4607
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $59,240
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
Welfare Benefit Premiums Paid to CarrierUSD $380,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,100
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC

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