ARENDS HOGAN WALKER, LLC has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022: ARENDS HOGAN WALKER, LLC 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 500 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 462 |
| Number of retired or separated participants receiving benefits | 2022-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-07-01 | 0 |
| Total of all active and inactive participants | 2022-07-01 | 462 |
| 2021: ARENDS HOGAN WALKER, LLC 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 408 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 500 |
| Number of retired or separated participants receiving benefits | 2021-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
| Total of all active and inactive participants | 2021-07-01 | 500 |
| 2020: ARENDS HOGAN WALKER, LLC 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 401 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 408 |
| Number of retired or separated participants receiving benefits | 2020-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-07-01 | 0 |
| Total of all active and inactive participants | 2020-07-01 | 408 |
| 2019: ARENDS HOGAN WALKER, LLC 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 398 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 401 |
| Number of retired or separated participants receiving benefits | 2019-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-07-01 | 0 |
| Total of all active and inactive participants | 2019-07-01 | 401 |
| 2018: ARENDS HOGAN WALKER, LLC 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 389 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 398 |
| Number of retired or separated participants receiving benefits | 2018-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 0 |
| Total of all active and inactive participants | 2018-07-01 | 398 |
| 2017: ARENDS HOGAN WALKER, LLC 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 389 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 389 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B6V6 |
| Policy instance | 7 |
| Insurance contract or identification number | G000B6V6 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $6,777 | | Welfare Benefit Premiums Paid to Carrier | USD $33,887 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,777 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUC 0B6V6 |
| Policy instance | 1 |
| Insurance contract or identification number | GUC 0B6V6 | | Number of Individuals Covered | 316 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $57,222 | | Welfare Benefit Premiums Paid to Carrier | USD $190,741 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $57,222 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG 0B6V6 |
| Policy instance | 2 |
| Insurance contract or identification number | GUG 0B6V6 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $374 | | Welfare Benefit Premiums Paid to Carrier | USD $1,872 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $374 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B6V6 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B6V6 | | Number of Individuals Covered | 452 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $4,291 | | Welfare Benefit Premiums Paid to Carrier | USD $21,454 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,291 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUD 0B6V6 |
| Policy instance | 4 |
| Insurance contract or identification number | GUD 0B6V6 | | Number of Individuals Covered | 462 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Welfare Benefit Premiums Paid to Carrier | USD $103,823 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 5 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 234 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $22,240 | | Welfare Benefit Premiums Paid to Carrier | USD $111,198 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,240 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 6 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 117 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $5,204 | | Welfare Benefit Premiums Paid to Carrier | USD $26,019 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,204 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUC 0B6V6 |
| Policy instance | 1 |
| Insurance contract or identification number | GUC 0B6V6 | | Number of Individuals Covered | 305 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $54,445 | | Total amount of fees paid to insurance company | USD $5,137 | | Welfare Benefit Premiums Paid to Carrier | USD $181,484 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $54,445 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 5137 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG 0B6V6 |
| Policy instance | 2 |
| Insurance contract or identification number | GUG 0B6V6 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $421 | | Total amount of fees paid to insurance company | USD $69 | | Welfare Benefit Premiums Paid to Carrier | USD $2,106 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $421 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 69 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B6V6 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B6V6 | | Number of Individuals Covered | 500 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $3,730 | | Total amount of fees paid to insurance company | USD $537 | | Welfare Benefit Premiums Paid to Carrier | USD $18,649 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,730 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 537 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUD 0B6V6 |
| Policy instance | 4 |
| Insurance contract or identification number | GUD 0B6V6 | | Number of Individuals Covered | 500 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Welfare Benefit Premiums Paid to Carrier | USD $72,385 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 5 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 240 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $19,704 | | Total amount of fees paid to insurance company | USD $2,933 | | Welfare Benefit Premiums Paid to Carrier | USD $98,520 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,704 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 2933 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 6 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $4,110 | | Total amount of fees paid to insurance company | USD $576 | | Welfare Benefit Premiums Paid to Carrier | USD $20,552 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,110 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 576 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B6V6 |
| Policy instance | 7 |
| Insurance contract or identification number | G000B6V6 | | Number of Individuals Covered | 104 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $4,941 | | Total amount of fees paid to insurance company | USD $693 | | Welfare Benefit Premiums Paid to Carrier | USD $24,707 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,941 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 693 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B6V6 |
| Policy instance | 7 |
| Insurance contract or identification number | G000B6V6 | | Number of Individuals Covered | 81 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $4,242 | | Total amount of fees paid to insurance company | USD $196 | | Welfare Benefit Premiums Paid to Carrier | USD $21,211 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,242 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 196 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 6 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $3,563 | | Total amount of fees paid to insurance company | USD $184 | | Welfare Benefit Premiums Paid to Carrier | USD $17,814 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,563 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 184 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 5 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $20,317 | | Total amount of fees paid to insurance company | USD $2,012 | | Welfare Benefit Premiums Paid to Carrier | USD $101,585 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,317 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 2012 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUD 0B6V6 |
| Policy instance | 4 |
| Insurance contract or identification number | GUD 0B6V6 | | Number of Individuals Covered | 408 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Welfare Benefit Premiums Paid to Carrier | USD $62,663 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B6V6 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B6V6 | | Number of Individuals Covered | 408 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $3,508 | | Total amount of fees paid to insurance company | USD $343 | | Welfare Benefit Premiums Paid to Carrier | USD $17,538 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,508 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 343 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG 0B6V6 |
| Policy instance | 2 |
| Insurance contract or identification number | GUG 0B6V6 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $468 | | Total amount of fees paid to insurance company | USD $47 | | Welfare Benefit Premiums Paid to Carrier | USD $2,340 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $468 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 47 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUC 0B6V6 |
| Policy instance | 1 |
| Insurance contract or identification number | GUC 0B6V6 | | Number of Individuals Covered | 277 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $48,862 | | Total amount of fees paid to insurance company | USD $3,207 | | Welfare Benefit Premiums Paid to Carrier | USD $162,874 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $48,862 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3207 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUC 0B6V6 |
| Policy instance | 1 |
| Insurance contract or identification number | GUC 0B6V6 | | Number of Individuals Covered | 278 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $48,253 | | Total amount of fees paid to insurance company | USD $7,475 | | Welfare Benefit Premiums Paid to Carrier | USD $160,842 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $48,253 | | Amount paid for insurance broker fees | 7475 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG 0B6V6 |
| Policy instance | 2 |
| Insurance contract or identification number | GUG 0B6V6 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $468 | | Total amount of fees paid to insurance company | USD $125 | | Welfare Benefit Premiums Paid to Carrier | USD $2,340 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $468 | | Amount paid for insurance broker fees | 125 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B6V6 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B6V6 | | Number of Individuals Covered | 401 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $3,435 | | Total amount of fees paid to insurance company | USD $850 | | Welfare Benefit Premiums Paid to Carrier | USD $17,174 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,435 | | Amount paid for insurance broker fees | 850 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUD 0B6V6 |
| Policy instance | 4 |
| Insurance contract or identification number | GUD 0B6V6 | | Number of Individuals Covered | 401 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Welfare Benefit Premiums Paid to Carrier | USD $60,406 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 5 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 219 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $19,451 | | Total amount of fees paid to insurance company | USD $4,792 | | Welfare Benefit Premiums Paid to Carrier | USD $97,255 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,451 | | Amount paid for insurance broker fees | 4792 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUC 0B6V6 |
| Policy instance | 1 |
| Insurance contract or identification number | GUC 0B6V6 | | Number of Individuals Covered | 269 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $43,234 | | Total amount of fees paid to insurance company | USD $6,793 | | Welfare Benefit Premiums Paid to Carrier | USD $144,113 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43,234 | | Amount paid for insurance broker fees | 6793 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG 0B6V6 |
| Policy instance | 2 |
| Insurance contract or identification number | GUG 0B6V6 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $562 | | Total amount of fees paid to insurance company | USD $133 | | Welfare Benefit Premiums Paid to Carrier | USD $2,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $562 | | Amount paid for insurance broker fees | 133 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B6V6 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B6V6 | | Number of Individuals Covered | 398 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $3,462 | | Total amount of fees paid to insurance company | USD $768 | | Welfare Benefit Premiums Paid to Carrier | USD $17,309 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,462 | | Amount paid for insurance broker fees | 768 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUD 0B6V6 |
| Policy instance | 4 |
| Insurance contract or identification number | GUD 0B6V6 | | Number of Individuals Covered | 398 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Welfare Benefit Premiums Paid to Carrier | USD $55,539 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 5 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 228 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $19,436 | | Total amount of fees paid to insurance company | USD $4,459 | | Welfare Benefit Premiums Paid to Carrier | USD $97,178 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,436 | | Amount paid for insurance broker fees | 4459 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUG 0B6V6 |
| Policy instance | 2 |
| Insurance contract or identification number | GUG 0B6V6 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $562 | | Welfare Benefit Premiums Paid to Carrier | USD $2,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $281 | | Insurance broker organization code? | 3 | | Insurance broker name | BPA TROXELL |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B6V6 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B6V6 | | Number of Individuals Covered | 389 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $3,024 | | Total amount of fees paid to insurance company | USD $172 | | Welfare Benefit Premiums Paid to Carrier | USD $15,118 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,520 | | Amount paid for insurance broker fees | 172 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BPA TROXELL |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUD 0B6V6 |
| Policy instance | 4 |
| Insurance contract or identification number | GUD 0B6V6 | | Number of Individuals Covered | 383 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of fees paid to insurance company | USD $638 | | Welfare Benefit Premiums Paid to Carrier | USD $55,904 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 638 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT PLANNING ASSOCIATES INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0B6V6 |
| Policy instance | 5 |
| Insurance contract or identification number | GVTL0B6V6 | | Number of Individuals Covered | 227 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $18,392 | | Total amount of fees paid to insurance company | USD $1,118 | | Welfare Benefit Premiums Paid to Carrier | USD $91,963 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,346 | | Amount paid for insurance broker fees | 1118 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BPA TROXELL |
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| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GUC 0B6V6 |
| Policy instance | 1 |
| Insurance contract or identification number | GUC 0B6V6 | | Number of Individuals Covered | 260 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $42,538 | | Total amount of fees paid to insurance company | USD $1,666 | | Welfare Benefit Premiums Paid to Carrier | USD $141,793 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $21,766 | | Amount paid for insurance broker fees | 1666 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BPA TROXELL |
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