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ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 401k Plan overview

Plan NameALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN
Plan identification number 501

ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN
Employer identification number (EIN):467360323
NAIC Classification:446110
NAIC Description:Pharmacies and Drug Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012020-01-01

Plan Statistics for ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN

401k plan membership statisitcs for ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN

Measure Date Value
2023: ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01913
Total number of active participants reported on line 7a of the Form 55002023-01-01892
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01892
2022: ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01932
Total number of active participants reported on line 7a of the Form 55002022-01-01913
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01913
2021: ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,066
Total number of active participants reported on line 7a of the Form 55002021-01-01932
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01932
2020: ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01957
Total number of active participants reported on line 7a of the Form 55002020-01-011,066
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,066

Financial Data on ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN

Measure Date Value
2023 : ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$202,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$876,261
Total income from all sources (including contributions)2023-12-31$9,964,643
Total of all expenses incurred2023-12-31$10,211,365
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$9,332,701
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$9,897,561
Value of total assets at end of year2023-12-31$1,528,544
Value of total assets at beginning of year2023-12-31$2,449,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$878,664
Total interest from all sources2023-12-31$67,082
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31No
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$7,288
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$7,530
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$67,180
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$832,239
Administrative expenses (other) incurred2023-12-31$180,536
Liabilities. Value of operating payables at end of year2023-12-31$134,892
Liabilities. Value of operating payables at beginning of year2023-12-31$44,022
Total non interest bearing cash at end of year2023-12-31$196,110
Total non interest bearing cash at beginning of year2023-12-31$196,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-246,722
Value of net assets at end of year (total assets less liabilities)2023-12-31$1,326,472
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$1,573,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$1,325,146
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$2,245,815
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$2,245,815
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$67,082
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$9,332,701
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$9,897,561
Contract administrator fees2023-12-31$680,128
Did the plan have assets held for investment2023-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31ALDRIDGE, BORDEN & COMPANY, PC
Accountancy firm EIN2023-12-31630781330
2022 : ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$876,261
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$782,462
Total income from all sources (including contributions)2022-12-31$9,401,458
Total of all expenses incurred2022-12-31$9,411,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$8,551,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$9,390,829
Value of total assets at end of year2022-12-31$2,449,455
Value of total assets at beginning of year2022-12-31$2,365,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$859,455
Total interest from all sources2022-12-31$10,629
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$19,000
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$7,530
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$14,379
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$832,239
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$662,945
Administrative expenses (other) incurred2022-12-31$840,455
Liabilities. Value of operating payables at end of year2022-12-31$44,022
Liabilities. Value of operating payables at beginning of year2022-12-31$119,517
Total non interest bearing cash at end of year2022-12-31$196,110
Total non interest bearing cash at beginning of year2022-12-31$2,351,104
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-9,827
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,573,194
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,583,021
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,245,815
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$10,629
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$8,551,830
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$9,390,829
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 name2022-12-31ALDRIDGE, BORDEN & COMPANY, PC
Accountancy firm EIN2022-12-31630781330
2021 : ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$782,462
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$613,062
Total income from all sources (including contributions)2021-12-31$6,787,735
Total of all expenses incurred2021-12-31$6,417,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,580,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$6,787,656
Value of total assets at end of year2021-12-31$2,365,483
Value of total assets at beginning of year2021-12-31$1,826,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$837,729
Total interest from all sources2021-12-31$79
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$18,000
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$14,379
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$451,565
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$662,945
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$562,406
Administrative expenses (other) incurred2021-12-31$819,729
Liabilities. Value of operating payables at end of year2021-12-31$119,517
Liabilities. Value of operating payables at beginning of year2021-12-31$50,656
Total non interest bearing cash at end of year2021-12-31$2,351,104
Total non interest bearing cash at beginning of year2021-12-31$1,374,604
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$369,914
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,583,021
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,213,107
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$79
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$5,580,092
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$6,787,656
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 name2021-12-31ALDRIDGE, BORDEN & COMPANY, PC
Accountancy firm EIN2021-12-31630781330
2020 : ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$613,062
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$734,830
Total income from all sources (including contributions)2020-12-31$7,661,470
Total of all expenses incurred2020-12-31$7,342,671
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$6,669,226
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$7,661,470
Value of total assets at end of year2020-12-31$1,826,169
Value of total assets at beginning of year2020-12-31$1,629,138
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$673,445
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$17,000
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$451,565
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$562,406
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$693,522
Administrative expenses (other) incurred2020-12-31$656,445
Liabilities. Value of operating payables at end of year2020-12-31$50,656
Liabilities. Value of operating payables at beginning of year2020-12-31$41,308
Total non interest bearing cash at end of year2020-12-31$1,374,604
Total non interest bearing cash at beginning of year2020-12-31$1,629,138
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$318,799
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,213,107
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$894,308
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
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$6,669,226
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$7,661,470
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 name2020-12-31ALDRIDGE, BORDEN & COMPANY, PC
Accountancy firm EIN2020-12-31630781330

Form 5500 Responses for ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN

2023: ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2023 form 5500 responses
2023-01-01Type of plan entityMulitple employer plan
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ALABAMA PHARMACY ASSOCIATION HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CANOPY INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSBS0001017
Policy instance 3
Insurance contract or identification numberSBS0001017
Number of Individuals Covered4
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $170
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50012532
Policy instance 2
Insurance contract or identification number50012532
Number of Individuals Covered142
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $1,056
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $7,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number16000
Policy instance 1
Insurance contract or identification number16000
Number of Individuals Covered892
Insurance policy end date2023-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedAIRMED, BABY YOURSELF
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SOUTHLAND NATIONAL INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSBS0001017
Policy instance 3
Insurance contract or identification numberSBS0001017
Number of Individuals Covered6
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $292
Dental 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 $292
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50012532
Policy instance 2
Insurance contract or identification number50012532
Number of Individuals Covered154
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $1,396
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,396
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number16000
Policy instance 1
Insurance contract or identification number16000
Number of Individuals Covered913
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedAIRMED, BABY YOURSELF
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SOUTHLAND NATIONAL INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSBS0001017
Policy instance 3
Insurance contract or identification numberSBS0001017
Number of Individuals Covered9
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $283
Dental 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 $283
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50012532
Policy instance 2
Insurance contract or identification number50012532
Number of Individuals Covered171
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $1,486
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,297
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number16000
Policy instance 1
Insurance contract or identification number16000
Number of Individuals Covered673
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedAIRMED, BABY YOURSELF
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SOUTHLAND NATIONAL INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 79057 )
Policy contract numberSBS0001017
Policy instance 3
Insurance contract or identification numberSBS0001017
Number of Individuals Covered9
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $424
Dental 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 $424
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50012532
Policy instance 2
Insurance contract or identification number50012532
Number of Individuals Covered174
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $1,262
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $902
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number16000
Policy instance 1
Insurance contract or identification number16000
Number of Individuals Covered684
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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