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WACHTER HEALTH INSURANCE PLAN 401k Plan overview

Plan NameWACHTER HEALTH INSURANCE PLAN
Plan identification number 502

WACHTER HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

WACHTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:WACHTER, INC.
Employer identification number (EIN):481238438
NAIC Classification:811210
NAIC Description: Electronic and Precision Equipment Repair and Maintenance

Additional information about WACHTER, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3384966

More information about WACHTER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WACHTER HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-02-01
5022021-02-01
5022020-02-01
5022019-02-01
5022018-02-01
5022017-02-01DEANNA GILLETT
5022016-02-01DEANNA GILLETT
5022015-02-01DEANNA GILLETT
5022014-02-01DEANNA GILLETT
5022013-02-01DEANNA GILLETT
5022012-02-01DEANNA GILLETT
5022011-02-01DEANNA GILLETT

Plan Statistics for WACHTER HEALTH INSURANCE PLAN

401k plan membership statisitcs for WACHTER HEALTH INSURANCE PLAN

Measure Date Value
2022: WACHTER HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-02-011,200
Total number of active participants reported on line 7a of the Form 55002022-02-011,202
Number of retired or separated participants receiving benefits2022-02-012
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-011,204
2021: WACHTER HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-011,048
Total number of active participants reported on line 7a of the Form 55002021-02-011,194
Number of retired or separated participants receiving benefits2021-02-016
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-011,200
2020: WACHTER HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01949
Total number of active participants reported on line 7a of the Form 55002020-02-011,048
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-011,048
2019: WACHTER HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-011,092
Total number of active participants reported on line 7a of the Form 55002019-02-01949
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01949
2018: WACHTER HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-011,045
Total number of active participants reported on line 7a of the Form 55002018-02-011,092
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-011,092
2017: WACHTER HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-011,033
Total number of active participants reported on line 7a of the Form 55002017-02-011,045
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-011,045
2016: WACHTER HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01929
Total number of active participants reported on line 7a of the Form 55002016-02-011,033
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-011,033
2015: WACHTER HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01908
Total number of active participants reported on line 7a of the Form 55002015-02-01929
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01929
2014: WACHTER HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01772
Total number of active participants reported on line 7a of the Form 55002014-02-01908
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01908
2013: WACHTER HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01715
Total number of active participants reported on line 7a of the Form 55002013-02-01772
Total of all active and inactive participants2013-02-01772
2012: WACHTER HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01720
Total number of active participants reported on line 7a of the Form 55002012-02-01715
Total of all active and inactive participants2012-02-01715
2011: WACHTER HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01613
Total number of active participants reported on line 7a of the Form 55002011-02-01720
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-010
Total of all active and inactive participants2011-02-01720

Form 5500 Responses for WACHTER HEALTH INSURANCE PLAN

2022: WACHTER HEALTH INSURANCE PLAN 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan funding arrangement – General assets of the sponsorYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – General assets of the sponsorYes
2021: WACHTER HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – General assets of the sponsorYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: WACHTER HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: WACHTER HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: WACHTER HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: WACHTER HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – General assets of the sponsorYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – General assets of the sponsorYes
2016: WACHTER HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – General assets of the sponsorYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – General assets of the sponsorYes
2015: WACHTER HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – General assets of the sponsorYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: WACHTER HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – General assets of the sponsorYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: WACHTER HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedYes
2013-02-01Plan funding arrangement – General assets of the sponsorYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: WACHTER HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes
2011: WACHTER HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – General assets of the sponsorYes
2011-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BX45
Policy instance 5
Insurance contract or identification numberG000BX45
Number of Individuals Covered1255
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $111,800
Total amount of fees paid to insurance companyUSD $27,340
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedLIFE & AD&D VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $710,076
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $111,800
Insurance broker organization code?3
Amount paid for insurance broker fees27340
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number56177
Policy instance 4
Insurance contract or identification number56177
Number of Individuals Covered407
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $49,663
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedOTHER CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $401,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,663
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number633581D
Policy instance 3
Insurance contract or identification number633581D
Number of Individuals Covered13
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $89
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $89
Insurance broker organization code?3
HARTFORD LIFE & ACCIDENT (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number480141C
Policy instance 2
Insurance contract or identification number480141C
Number of Individuals Covered12
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number299600P
Policy instance 1
Insurance contract or identification number299600P
Number of Individuals Covered1
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number633581D
Policy instance 5
Insurance contract or identification number633581D
Number of Individuals Covered10
Insurance policy start date2021-04-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $79
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number56177
Policy instance 6
Insurance contract or identification number56177
Number of Individuals Covered423
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $17,456
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $140,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,456
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number97879
Policy instance 7
Insurance contract or identification number97879
Number of Individuals Covered259
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $6,015
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,609
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BX45
Policy instance 8
Insurance contract or identification numberG000BX45
Number of Individuals Covered1194
Insurance policy start date2021-08-01
Insurance policy end date2022-02-01
Total amount of commissions paid to insurance brokerUSD $55,772
Total amount of fees paid to insurance companyUSD $22,625
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedLIFE AD & D
Welfare Benefit Premiums Paid to CarrierUSD $352,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,106
Amount paid for insurance broker fees7712
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69426-6
Policy instance 1
Insurance contract or identification number69426-6
Number of Individuals Covered1087
Insurance policy start date2021-02-01
Insurance policy end date2021-08-01
Total amount of commissions paid to insurance brokerUSD $37,478
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $249,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,478
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberLJ73100002
Policy instance 2
Insurance contract or identification numberLJ73100002
Number of Individuals Covered282
Insurance policy start date2021-02-01
Insurance policy end date2021-07-03
Total amount of commissions paid to insurance brokerUSD $15,552
Total amount of fees paid to insurance companyUSD $21
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $123,938
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,552
Amount paid for insurance broker fees21
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number299600P
Policy instance 3
Insurance contract or identification number299600P
Number of Individuals Covered1
Insurance policy start date2021-04-01
Insurance policy end date2022-01-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE & ACCIDENT (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number480141C
Policy instance 4
Insurance contract or identification number480141C
Number of Individuals Covered12
Insurance policy start date2021-04-01
Insurance policy end date2022-01-31
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number
Policy instance 3
Number of Individuals Covered21
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $70
Total amount of fees paid to insurance companyUSD $14
Temporary Disability 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 $70
Amount paid for insurance broker fees14
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberLJ73100002
Policy instance 2
Insurance contract or identification numberLJ73100002
Number of Individuals Covered281
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $37,742
Total amount of fees paid to insurance companyUSD $2,433
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $293,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,742
Amount paid for insurance broker fees2433
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69426-6
Policy instance 1
Insurance contract or identification number69426-6
Number of Individuals Covered1048
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $72,304
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $482,028
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,304
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberLJ73100002
Policy instance 2
Insurance contract or identification numberLJ73100002
Number of Individuals Covered295
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $52,620
Total amount of fees paid to insurance companyUSD $1,610
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $340,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,620
Amount paid for insurance broker fees1610
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69426-6
Policy instance 1
Insurance contract or identification number69426-6
Number of Individuals Covered949
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $60,236
Total amount of fees paid to insurance companyUSD $276,666
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $366,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,203
Amount paid for insurance broker fees276666
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69426-6
Policy instance 1
Insurance contract or identification number69426-6
Number of Individuals Covered1092
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $61,750
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $361,007
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,750
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberLJ731
Policy instance 2
Insurance contract or identification numberLJ731
Number of Individuals Covered338
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $64,572
Total amount of fees paid to insurance companyUSD $4,309
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $408,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,572
Amount paid for insurance broker fees4309
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0839483
Policy instance 3
Insurance contract or identification number0839483
Number of Individuals Covered956
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $6,183
Welfare Benefit Premiums Paid to CarrierUSD $65,361
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,183
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number50631
Policy instance 4
Insurance contract or identification number50631
Number of Individuals Covered961
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of fees paid to insurance companyUSD $41,952
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees41952
MEDTRAK SERVICES LLC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number10001087
Policy instance 5
Insurance contract or identification number10001087
Number of Individuals Covered956
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of fees paid to insurance companyUSD $4,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4645
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL32197
Policy instance 6
Insurance contract or identification numberHCL32197
Number of Individuals Covered956
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $101,820
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $732,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,543
Insurance broker organization code?3
NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )
Policy contract number
Policy instance 7
Number of Individuals Covered700
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Other welfare benefits providedOTHER (EMPLOYEE ASSISTANCE)
Welfare Benefit Premiums Paid to CarrierUSD $14,028
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberLJ731
Policy instance 3
Insurance contract or identification numberLJ731
Number of Individuals Covered386
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $94,037
Total amount of fees paid to insurance companyUSD $4,958
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CANCER & HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $449,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,907
Insurance broker organization code?3
Amount paid for insurance broker fees1808
Additional information about fees paid to insurance brokerFEES
Insurance broker nameDEBORAH WITHEY
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000003223
Policy instance 2
Insurance contract or identification number0000003223
Number of Individuals Covered15
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $119
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CANCER & HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $1,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19
Insurance broker organization code?3
Insurance broker nameCONSTANCE I LAGER
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69426-6
Policy instance 1
Insurance contract or identification number69426-6
Number of Individuals Covered1193
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $69,842
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $358,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,842
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9902230
Policy instance 1
Insurance contract or identification number9902230
Insurance policy start date2015-01-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $2,271
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,411
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,271
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9902230
Policy instance 1
Insurance contract or identification number9902230
Number of Individuals Covered2485
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $12,955
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $140,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,955
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC

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