R&D SYSTEMS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS
401k plan membership statisitcs for R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS
| Measure | Date | Value |
|---|
| 2022: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 2,117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 1,764 |
| Number of retired or separated participants receiving benefits | 2022-07-01 | 22 |
| Total of all active and inactive participants | 2022-07-01 | 1,786 |
| Total participants | 2022-07-01 | 1,786 |
| 2021: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 2,006 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 2,106 |
| Number of retired or separated participants receiving benefits | 2021-07-01 | 11 |
| Total of all active and inactive participants | 2021-07-01 | 2,117 |
| Total participants | 2021-07-01 | 2,117 |
| 2020: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 909 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 995 |
| Number of retired or separated participants receiving benefits | 2020-07-01 | 9 |
| Total of all active and inactive participants | 2020-07-01 | 1,004 |
| Total participants | 2020-07-01 | 1,004 |
| 2019: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 989 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 902 |
| Number of retired or separated participants receiving benefits | 2019-07-01 | 7 |
| Total of all active and inactive participants | 2019-07-01 | 909 |
| Total participants | 2019-07-01 | 909 |
| 2018: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 821 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 987 |
| Number of retired or separated participants receiving benefits | 2018-07-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 62 |
| Total of all active and inactive participants | 2018-07-01 | 1,051 |
| Total participants | 2018-07-01 | 1,051 |
| 2017: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 977 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 792 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 24 |
| Total of all active and inactive participants | 2017-07-01 | 821 |
| Total participants | 2017-07-01 | 821 |
| 2016: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-09-01 | 691 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 977 |
| Number of retired or separated participants receiving benefits | 2016-09-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 31 |
| Total of all active and inactive participants | 2016-09-01 | 1,015 |
| Total participants | 2016-09-01 | 1,015 |
| 2015: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 666 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 691 |
| Number of retired or separated participants receiving benefits | 2015-09-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 9 |
| Total of all active and inactive participants | 2015-09-01 | 708 |
| Total participants | 2015-09-01 | 0 |
| 2014: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 667 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 666 |
| Number of retired or separated participants receiving benefits | 2014-09-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2014-09-01 | 8 |
| Total of all active and inactive participants | 2014-09-01 | 680 |
| Total participants | 2014-09-01 | 680 |
| 2013: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 671 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 675 |
| Number of retired or separated participants receiving benefits | 2013-09-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2013-09-01 | 5 |
| Total of all active and inactive participants | 2013-09-01 | 683 |
| Total participants | 2013-09-01 | 683 |
| 2012: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-09-01 | 661 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 671 |
| Number of retired or separated participants receiving benefits | 2012-09-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2012-09-01 | 6 |
| Total of all active and inactive participants | 2012-09-01 | 678 |
| Total participants | 2012-09-01 | 678 |
| Total participants, beginning-of-year | 2012-07-01 | 661 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 671 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 6 |
| Total of all active and inactive participants | 2012-07-01 | 678 |
| Total participants | 2012-07-01 | 678 |
| 2011: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-09-01 | 636 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 661 |
| Number of retired or separated participants receiving benefits | 2011-09-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2011-09-01 | 4 |
| Total of all active and inactive participants | 2011-09-01 | 669 |
| Total participants | 2011-09-01 | 669 |
| 2009: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-09-01 | 625 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 627 |
| Number of retired or separated participants receiving benefits | 2009-09-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2009-09-01 | 0 |
| Total of all active and inactive participants | 2009-09-01 | 628 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-09-01 | 0 |
| Total participants | 2009-09-01 | 628 |
| 2022: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2021 form 5500 responses |
|---|
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2020 form 5500 responses |
|---|
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2019 form 5500 responses |
|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2018 form 5500 responses |
|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2016 form 5500 responses |
|---|
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | Submission has been amended | No |
| 2014-09-01 | This submission is the final filing | No |
| 2014-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-09-01 | Plan is a collectively bargained plan | No |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | Single employer plan |
| 2013-09-01 | Submission has been amended | No |
| 2013-09-01 | This submission is the final filing | No |
| 2013-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-09-01 | Plan is a collectively bargained plan | No |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2012 form 5500 responses |
|---|
| 2012-09-01 | Type of plan entity | Single employer plan |
| 2012-09-01 | Submission has been amended | Yes |
| 2012-09-01 | This submission is the final filing | No |
| 2012-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-09-01 | Plan is a collectively bargained plan | No |
| 2012-09-01 | Plan funding arrangement – Insurance | Yes |
| 2012-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | No |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-01 | Plan is a collectively bargained plan | No |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2011 form 5500 responses |
|---|
| 2011-09-01 | Type of plan entity | Single employer plan |
| 2011-09-01 | Submission has been amended | No |
| 2011-09-01 | This submission is the final filing | No |
| 2011-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011-09-01 | Plan is a collectively bargained plan | No |
| 2011-09-01 | Plan funding arrangement – Insurance | Yes |
| 2011-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: R&D SYSTEMS, INC. GROUP WELFARE BENEFIT PLANS 2009 form 5500 responses |
|---|
| 2009-09-01 | Type of plan entity | Single employer plan |
| 2009-09-01 | Submission has been amended | No |
| 2009-09-01 | This submission is the final filing | No |
| 2009-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-09-01 | Plan is a collectively bargained plan | No |
| 2009-09-01 | Plan funding arrangement – Insurance | Yes |
| 2009-09-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 1764 | | Total amount of commissions paid to insurance broker | USD $23,472 | | Total amount of fees paid to insurance company | USD $29,191 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D; PAID FAMILY LEAVE | | Welfare Benefit Premiums Paid to Carrier | USD $290,504 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,472 | | Amount paid for insurance broker fees | 29191 | | Additional information about fees paid to insurance broker | BONUS AMOUNT | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 2106 | | Total amount of commissions paid to insurance broker | USD $89,875 | | Total amount of fees paid to insurance company | USD $25,743 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,031,189 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $89,875 | | Amount paid for insurance broker fees | 25743 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 995 | | Total amount of commissions paid to insurance broker | USD $94,094 | | Total amount of fees paid to insurance company | USD $4,381 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,011,027 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $94,094 | | Amount paid for insurance broker fees | 4381 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 902 | | Total amount of commissions paid to insurance broker | USD $126,987 | | Total amount of fees paid to insurance company | USD $20,748 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,262,396 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $126,987 | | Amount paid for insurance broker fees | 20748 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 987 | | Total amount of commissions paid to insurance broker | USD $125,350 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,213,023 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $125,350 | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Total amount of commissions paid to insurance broker | USD $50,240 | | Total amount of fees paid to insurance company | USD $2,042 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $518,988 | | 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 number | FLX966164 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX966164 | | Number of Individuals Covered | 691 | | Total amount of commissions paid to insurance broker | USD $63,310 | | Total amount of fees paid to insurance company | USD $14,992 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $652,527 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $63,310 | | Amount paid for insurance broker fees | 14992 | | Additional information about fees paid to insurance broker | OVERRIDE FEES | | Insurance broker organization code? | 3 | | Insurance broker name | CHRISTENSEN GROUP INC |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX966164 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX966164 | | Number of Individuals Covered | 666 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $27,965 | | Total amount of fees paid to insurance company | USD $16,306 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $343,502 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,965 | | Insurance broker organization code? | 3 | | Insurance broker name | CHRISTENSEN GROUP INC. |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 219920 |
| Policy instance | 1 |
| Insurance contract or identification number | 219920 | | Number of Individuals Covered | 675 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $27,126 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $401,882 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,126 | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD B SCHRIEFLES ASSOCIATES |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 219920 |
| Policy instance | 1 |
| Insurance contract or identification number | 219920 | | Number of Individuals Covered | 671 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $21,169 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $380,948 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $21,169 | | Insurance broker organization code? | 3 | | Insurance broker name | SCHREIFELS DONALD B ASSOC, INC |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 219920 |
| Policy instance | 1 |
| Insurance contract or identification number | 219920 | | Number of Individuals Covered | 671 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $379,839 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 219920 |
| Policy instance | 1 |
| Insurance contract or identification number | 219920 | | Number of Individuals Covered | 661 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $19,439 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $313,547 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | H39078 |
| Policy instance | 1 |
| Insurance contract or identification number | H39078 | | Number of Individuals Covered | 636 | | Insurance policy start date | 2010-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $30,476 | | Total amount of fees paid to insurance company | USD $12,263 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $419,644 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
