BELLEVUE UNIVERSITY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BELLEVUE UNIVERSITY GROUP DENTAL
| Measure | Date | Value |
|---|
| 2023: BELLEVUE UNIVERSITY GROUP DENTAL 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 479 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 480 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 482 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2022: BELLEVUE UNIVERSITY GROUP DENTAL 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 493 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 479 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 485 |
| 2021: BELLEVUE UNIVERSITY GROUP DENTAL 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 526 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 488 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 493 |
| 2020: BELLEVUE UNIVERSITY GROUP DENTAL 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 487 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 521 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 526 |
| 2019: BELLEVUE UNIVERSITY GROUP DENTAL 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 476 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 483 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 487 |
| 2018: BELLEVUE UNIVERSITY GROUP DENTAL 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 457 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 473 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 476 |
| 2017: BELLEVUE UNIVERSITY GROUP DENTAL 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 473 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 450 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 457 |
| 2016: BELLEVUE UNIVERSITY GROUP DENTAL 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 495 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 467 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 473 |
| 2015: BELLEVUE UNIVERSITY GROUP DENTAL 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 506 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 488 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 495 |
| 2014: BELLEVUE UNIVERSITY GROUP DENTAL 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 511 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 496 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 10 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 506 |
| 2013: BELLEVUE UNIVERSITY GROUP DENTAL 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 519 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 504 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 511 |
| 2012: BELLEVUE UNIVERSITY GROUP DENTAL 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 531 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 514 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 519 |
| 2011: BELLEVUE UNIVERSITY GROUP DENTAL 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 528 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 525 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 531 |
| 2009: BELLEVUE UNIVERSITY GROUP DENTAL 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-09-01 | 436 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 501 |
| Number of retired or separated participants receiving benefits | 2009-09-01 | 4 |
| 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 | 505 |
| 2006: BELLEVUE UNIVERSITY GROUP DENTAL 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-09-01 | 296 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-09-01 | 296 |
| Number of retired or separated participants receiving benefits | 2006-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-09-01 | 0 |
| Total of all active and inactive participants | 2006-09-01 | 296 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2006-09-01 | 0 |
| Total participants | 2006-09-01 | 296 |
| Number of participants with account balances | 2006-09-01 | 296 |
| 2004: BELLEVUE UNIVERSITY GROUP DENTAL 2004 401k membership |
|---|
| Total participants, beginning-of-year | 2004-09-01 | 266 |
| Total number of active participants reported on line 7a of the Form 5500 | 2004-09-01 | 266 |
| Number of retired or separated participants receiving benefits | 2004-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2004-09-01 | 0 |
| Total of all active and inactive participants | 2004-09-01 | 266 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2004-09-01 | 0 |
| Total participants | 2004-09-01 | 266 |
| 2002: BELLEVUE UNIVERSITY GROUP DENTAL 2002 401k membership |
|---|
| Total participants, beginning-of-year | 2002-09-01 | 266 |
| Total number of active participants reported on line 7a of the Form 5500 | 2002-09-01 | 266 |
| Number of retired or separated participants receiving benefits | 2002-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2002-09-01 | 0 |
| Total of all active and inactive participants | 2002-09-01 | 266 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2002-09-01 | 0 |
| Total participants | 2002-09-01 | 266 |
| 2001: BELLEVUE UNIVERSITY GROUP DENTAL 2001 401k membership |
|---|
| Total participants, beginning-of-year | 2001-09-01 | 266 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-09-01 | 266 |
| Number of retired or separated participants receiving benefits | 2001-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2001-09-01 | 0 |
| Total of all active and inactive participants | 2001-09-01 | 266 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2001-09-01 | 0 |
| Total participants | 2001-09-01 | 266 |
| 1999: BELLEVUE UNIVERSITY GROUP DENTAL 1999 401k membership |
|---|
| Total participants, beginning-of-year | 1999-09-01 | 266 |
| Total number of active participants reported on line 7a of the Form 5500 | 1999-09-01 | 266 |
| Number of retired or separated participants receiving benefits | 1999-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1999-09-01 | 0 |
| Total of all active and inactive participants | 1999-09-01 | 266 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 1999-09-01 | 0 |
| Total participants | 1999-09-01 | 266 |
| 1993: BELLEVUE UNIVERSITY GROUP DENTAL 1993 401k membership |
|---|
| Total participants, beginning-of-year | 1993-09-01 | 266 |
| Total number of active participants reported on line 7a of the Form 5500 | 1993-09-01 | 266 |
| Number of retired or separated participants receiving benefits | 1993-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1993-09-01 | 0 |
| Total of all active and inactive participants | 1993-09-01 | 266 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 1993-09-01 | 0 |
| Total participants | 1993-09-01 | 266 |
| 1989: BELLEVUE UNIVERSITY GROUP DENTAL 1989 401k membership |
|---|
| Total participants, beginning-of-year | 1989-09-01 | 266 |
| Total number of active participants reported on line 7a of the Form 5500 | 1989-09-01 | 266 |
| Number of retired or separated participants receiving benefits | 1989-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 1989-09-01 | 0 |
| Total of all active and inactive participants | 1989-09-01 | 266 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 1989-09-01 | 0 |
| Total participants | 1989-09-01 | 266 |
| 2023: BELLEVUE UNIVERSITY GROUP DENTAL 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: BELLEVUE UNIVERSITY GROUP DENTAL 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: BELLEVUE UNIVERSITY GROUP DENTAL 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BELLEVUE UNIVERSITY GROUP DENTAL 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BELLEVUE UNIVERSITY GROUP DENTAL 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: BELLEVUE UNIVERSITY GROUP DENTAL 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: BELLEVUE UNIVERSITY GROUP DENTAL 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: BELLEVUE UNIVERSITY GROUP DENTAL 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: BELLEVUE UNIVERSITY GROUP DENTAL 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BELLEVUE UNIVERSITY GROUP DENTAL 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: BELLEVUE UNIVERSITY GROUP DENTAL 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: BELLEVUE UNIVERSITY GROUP DENTAL 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: BELLEVUE UNIVERSITY GROUP DENTAL 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BELLEVUE UNIVERSITY GROUP DENTAL 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 |
| 2006: BELLEVUE UNIVERSITY GROUP DENTAL 2006 form 5500 responses |
|---|
| 2006-09-01 | Type of plan entity | Single employer plan |
| 2006-09-01 | Submission has been amended | Yes |
| 2006-09-01 | This submission is the final filing | No |
| 2006-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2006-09-01 | Plan is a collectively bargained plan | No |
| 2006-09-01 | Plan funding arrangement – Insurance | Yes |
| 2006-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: BELLEVUE UNIVERSITY GROUP DENTAL 2004 form 5500 responses |
|---|
| 2004-09-01 | Type of plan entity | Single employer plan |
| 2004-09-01 | Submission has been amended | Yes |
| 2004-09-01 | This submission is the final filing | No |
| 2004-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2004-09-01 | Plan is a collectively bargained plan | No |
| 2004-09-01 | Plan funding arrangement – Insurance | Yes |
| 2004-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2002: BELLEVUE UNIVERSITY GROUP DENTAL 2002 form 5500 responses |
|---|
| 2002-09-01 | Type of plan entity | Single employer plan |
| 2002-09-01 | Submission has been amended | Yes |
| 2002-09-01 | This submission is the final filing | No |
| 2002-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2002-09-01 | Plan is a collectively bargained plan | No |
| 2002-09-01 | Plan funding arrangement – Insurance | Yes |
| 2002-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: BELLEVUE UNIVERSITY GROUP DENTAL 2001 form 5500 responses |
|---|
| 2001-09-01 | Type of plan entity | Single employer plan |
| 2001-09-01 | Submission has been amended | Yes |
| 2001-09-01 | This submission is the final filing | No |
| 2001-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2001-09-01 | Plan is a collectively bargained plan | No |
| 2001-09-01 | Plan funding arrangement – Insurance | Yes |
| 2001-09-01 | Plan benefit arrangement – Insurance | Yes |
| 1999: BELLEVUE UNIVERSITY GROUP DENTAL 1999 form 5500 responses |
|---|
| 1999-09-01 | Type of plan entity | Single employer plan |
| 1999-09-01 | Submission has been amended | Yes |
| 1999-09-01 | This submission is the final filing | No |
| 1999-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1999-09-01 | Plan is a collectively bargained plan | No |
| 1999-09-01 | Plan funding arrangement – Insurance | Yes |
| 1999-09-01 | Plan benefit arrangement – Insurance | Yes |
| 1993: BELLEVUE UNIVERSITY GROUP DENTAL 1993 form 5500 responses |
|---|
| 1993-09-01 | Type of plan entity | Single employer plan |
| 1993-09-01 | Submission has been amended | Yes |
| 1993-09-01 | This submission is the final filing | No |
| 1993-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1993-09-01 | Plan is a collectively bargained plan | No |
| 1993-09-01 | Plan funding arrangement – Insurance | Yes |
| 1993-09-01 | Plan benefit arrangement – Insurance | Yes |
| 1989: BELLEVUE UNIVERSITY GROUP DENTAL 1989 form 5500 responses |
|---|
| 1989-09-01 | Type of plan entity | Single employer plan |
| 1989-09-01 | Submission has been amended | Yes |
| 1989-09-01 | This submission is the final filing | No |
| 1989-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1989-09-01 | Plan is a collectively bargained plan | No |
| 1989-09-01 | Plan funding arrangement – Insurance | Yes |
| 1989-09-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 518855 |
| Policy instance | 1 |
| Insurance contract or identification number | 518855 | | Number of Individuals Covered | 480 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $10,141 | | Total amount of fees paid to insurance company | USD $11,038 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $338,045 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00518855 |
| Policy instance | 1 |
| Insurance contract or identification number | 00518855 | | Number of Individuals Covered | 1067 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $10,187 | | Total amount of fees paid to insurance company | USD $10,788 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | 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 $367,929 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,187 | | Amount paid for insurance broker fees | 10788 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00518855 |
| Policy instance | 1 |
| Insurance contract or identification number | 00518855 | | Number of Individuals Covered | 1085 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $10,788 | | Total amount of fees paid to insurance company | USD $11,032 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | 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 $359,589 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,788 | | Amount paid for insurance broker fees | 11032 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00518855 |
| Policy instance | 1 |
| Insurance contract or identification number | 00518855 | | Number of Individuals Covered | 1157 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $11,032 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | 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 $367,738 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,032 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00518855 |
| Policy instance | 1 |
| Insurance contract or identification number | 00518855 | | Number of Individuals Covered | 1071 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $10,024 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | 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 $334,125 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,024 | | Insurance broker organization code? | 3 |
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00518855 |
| Policy instance | 1 |
| Insurance contract or identification number | 00518855 | | Number of Individuals Covered | 1047 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $11,969 | | Total amount of fees paid to insurance company | USD $9,244 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | 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 $398,981 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,969 | | Amount paid for insurance broker fees | 9244 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 |
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00518855 |
| Policy instance | 1 |
| Insurance contract or identification number | 00518855 | | Number of Individuals Covered | 1005 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $7,785 | | Total amount of fees paid to insurance company | USD $2,864 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | 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 $259,516 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,785 | | Amount paid for insurance broker fees | 2864 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 | | Insurance broker name | SILVERSTONE GROUP INC |
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