OUTSELL CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan OUTSELL CORPORATION ERISA WRAP PLAN
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) |
Policy contract number | 108232 |
Policy instance | 1 |
Insurance contract or identification number | 108232 | Number of Individuals Covered | 104 | Total amount of commissions paid to insurance broker | USD $6,418 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $64,836 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,418 | Insurance broker organization code? | 3 |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00024487 |
Policy instance | 2 |
Insurance contract or identification number | 00024487 | Number of Individuals Covered | 130 | Total amount of commissions paid to insurance broker | USD $6,392 | Total amount of fees paid to insurance company | USD $394 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D; OPT AD&D; OPT LIFE | Welfare Benefit Premiums Paid to Carrier | USD $44,609 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,392 | Amount paid for insurance broker fees | 394 | Additional information about fees paid to insurance broker | FEES | Insurance broker organization code? | 3 |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
Policy contract number | 99443801001 |
Policy instance | 3 |
Insurance contract or identification number | 99443801001 | Number of Individuals Covered | 89 | Total amount of commissions paid to insurance broker | USD $595 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,053 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $595 | Insurance broker organization code? | 3 |
|
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
Policy contract number | 283450 |
Policy instance | 4 |
Insurance contract or identification number | 283450 | Number of Individuals Covered | 118 | Total amount of commissions paid to insurance broker | USD $39,424 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $964,895 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $39,424 | Insurance broker organization code? | 3 |
|
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 ) |
Policy contract number | 4719 |
Policy instance | 1 |
Insurance contract or identification number | 4719 | Number of Individuals Covered | 103 | Total amount of commissions paid to insurance broker | USD $31,460 | Total amount of fees paid to insurance company | USD $55 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $909,437 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $31,460 | Amount paid for insurance broker fees | 55 | Additional information about fees paid to insurance broker | INDIRECT COMPENSSATION | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) |
Policy contract number | 108232 |
Policy instance | 2 |
Insurance contract or identification number | 108232 | Number of Individuals Covered | 84 | Total amount of commissions paid to insurance broker | USD $6,869 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $64,538 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,869 | Insurance broker organization code? | 3 |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00024487 |
Policy instance | 3 |
Insurance contract or identification number | 00024487 | Number of Individuals Covered | 110 | Total amount of commissions paid to insurance broker | USD $1,885 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D; OPT AD&D; OPT LIFE | Welfare Benefit Premiums Paid to Carrier | USD $13,145 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,885 | Insurance broker organization code? | 3 |
|
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
Policy contract number | 99443801001 |
Policy instance | 4 |
Insurance contract or identification number | 99443801001 | Number of Individuals Covered | 74 | Total amount of commissions paid to insurance broker | USD $570 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,013 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $570 | Insurance broker organization code? | 3 |
|
Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.
See full terms and conditions