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VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 401k Plan overview

Plan NameVIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER
Plan identification number 502

VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER Benefits

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

401k Sponsoring company profile

VIRGINIA TRUCK CENTER, INC. DBA EXCEL TRUCK GROUP has sponsored the creation of one or more 401k plans.

Company Name:VIRGINIA TRUCK CENTER, INC. DBA EXCEL TRUCK GROUP
Employer identification number (EIN):540481876
NAIC Classification:441228
NAIC Description:Motorcycle, ATV, and All Other Motor Vehicle Dealers

Additional information about VIRGINIA TRUCK CENTER, INC. DBA EXCEL TRUCK GROUP

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1947-12-17
Company Identification Number: 0056466
Legal Registered Office Address: 267 LEE HWY
P.O. BOX 14125
ROANOKE
United States of America (USA)
24019

More information about VIRGINIA TRUCK CENTER, INC. DBA EXCEL TRUCK GROUP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-02-01TROY COFFEY
5022016-02-01TROY COFFEY
5022016-02-01
5022015-02-01TROY COFFEY
5022014-02-01TROY COFFEY
5022013-02-01TROY COFFEY
5022012-02-01TROY COFFEY
5022011-02-01TROY COFFEY
5022010-02-01TROY COFFEY
5022009-02-01TROY COFFEY

Plan Statistics for VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER

401k plan membership statisitcs for VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER

Measure Date Value
2017: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2017 401k membership
Total participants, beginning-of-year2017-02-01433
Total number of active participants reported on line 7a of the Form 55002017-02-01462
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 participants2017-02-01462
2016: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2016 401k membership
Total participants, beginning-of-year2016-02-01451
Total number of active participants reported on line 7a of the Form 55002016-02-01433
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 participants2016-02-01433
2015: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2015 401k membership
Total participants, beginning-of-year2015-02-01450
Total number of active participants reported on line 7a of the Form 55002015-02-01451
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 participants2015-02-01451
2014: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2014 401k membership
Total participants, beginning-of-year2014-02-01442
Total number of active participants reported on line 7a of the Form 55002014-02-01450
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 participants2014-02-01450
2013: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2013 401k membership
Total participants, beginning-of-year2013-02-01437
Total number of active participants reported on line 7a of the Form 55002013-02-01442
Total of all active and inactive participants2013-02-01442
2012: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2012 401k membership
Total participants, beginning-of-year2012-02-01433
Total number of active participants reported on line 7a of the Form 55002012-02-01437
Total of all active and inactive participants2012-02-01437
2011: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2011 401k membership
Total participants, beginning-of-year2011-02-01406
Total number of active participants reported on line 7a of the Form 55002011-02-01433
Total of all active and inactive participants2011-02-01433
2010: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2010 401k membership
Total participants, beginning-of-year2010-02-01426
Total number of active participants reported on line 7a of the Form 55002010-02-01406
Total of all active and inactive participants2010-02-01406
2009: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2009 401k membership
Total participants, beginning-of-year2009-02-01465
Total number of active participants reported on line 7a of the Form 55002009-02-01426
Total of all active and inactive participants2009-02-01426

Form 5500 Responses for VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER

2017: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Submission has been amendedYes
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedYes
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: VIRGINIA TRUCK CENTER GROUP LIFE AND AD&D COMMON CARRIER 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number29601
Policy instance 7
Insurance contract or identification number29601
Number of Individuals Covered212
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $50,355
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $83,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,186
Additional information about fees paid to insurance brokerAGENT COMMISSION
Insurance broker organization code?3
Insurance broker nameTHE BENEFIT COMPANY INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 154559
Policy instance 1
Insurance contract or identification numberGL 154559
Number of Individuals Covered462
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $20,174
Total amount of fees paid to insurance companyUSD $4,035
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,087
Amount paid for insurance broker fees4035
Additional information about fees paid to insurance brokerAGENT COMMISSION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 154677
Policy instance 2
Insurance contract or identification numberGL 154677
Number of Individuals Covered198
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $27,223
Total amount of fees paid to insurance companyUSD $7,720
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,926
Amount paid for insurance broker fees5719
Additional information about fees paid to insurance brokerAGENT COMMISSION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 206841
Policy instance 3
Insurance contract or identification numberVAR 206841
Number of Individuals Covered189
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $1,250
Total amount of fees paid to insurance companyUSD $397
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $625
Amount paid for insurance broker fees250
Additional information about fees paid to insurance brokerAGENT COMMISSION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPL 688986
Policy instance 4
Insurance contract or identification numberVPL 688986
Number of Individuals Covered241
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $28,722
Total amount of fees paid to insurance companyUSD $7,258
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $151,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,361
Amount paid for insurance broker fees4535
Additional information about fees paid to insurance brokerAGENT COMMISSION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVPS 326835
Policy instance 5
Insurance contract or identification numberVPS 326835
Number of Individuals Covered147
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $3,218
Total amount of fees paid to insurance companyUSD $2,934
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,609
Amount paid for insurance broker fees1003
Additional information about fees paid to insurance brokerAGENT COMMISSION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number29601
Policy instance 6
Insurance contract or identification number29601
Number of Individuals Covered234
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $39,334
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,678
Additional information about fees paid to insurance brokerAGENT COMMISSION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SVCS INC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberT0589
Policy instance 3
Insurance contract or identification numberT0589
Number of Individuals Covered35
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $3,477
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,881
Insurance broker organization code?3
Insurance broker nameROY MANGUM
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5466610
Policy instance 2
Insurance contract or identification number5466610
Number of Individuals Covered451
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $50,424
Total amount of fees paid to insurance companyUSD $23,288
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $350,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,212
Amount paid for insurance broker fees14289
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberR5399
Policy instance 1
Insurance contract or identification numberR5399
Number of Individuals Covered54
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $4,734
Total amount of fees paid to insurance companyUSD $23
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,932
Amount paid for insurance broker fees15
Insurance broker organization code?3
Insurance broker nameJEANNE SPATH
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberT0589
Policy instance 3
Insurance contract or identification numberT0589
Number of Individuals Covered40
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $3,572
Total amount of fees paid to insurance companyUSD $279
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,858
Amount paid for insurance broker fees87
Insurance broker organization code?3
Insurance broker nameROY MANGUM
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5466610
Policy instance 2
Insurance contract or identification number5466610
Number of Individuals Covered450
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $46,181
Total amount of fees paid to insurance companyUSD $13,102
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $323,589
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,091
Amount paid for insurance broker fees12934
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberR5399
Policy instance 1
Insurance contract or identification numberR5399
Number of Individuals Covered60
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $4,370
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,773
Insurance broker organization code?3
Insurance broker nameRODNEY BALLANCE JR
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberR5399
Policy instance 1
Insurance contract or identification numberR5399
Number of Individuals Covered71
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $8,054
Total amount of fees paid to insurance companyUSD $51
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,507
Amount paid for insurance broker fees33
Insurance broker organization code?3
Insurance broker nameDAVID MORNINGSTAR
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5466610
Policy instance 2
Insurance contract or identification number5466610
Number of Individuals Covered442
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $45,097
Total amount of fees paid to insurance companyUSD $24,060
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $315,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,551
Amount paid for insurance broker fees12847
Insurance broker organization code?3
Insurance broker nameBB&T - BLUE RIDGE BURKE
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberT0589
Policy instance 3
Insurance contract or identification numberT0589
Number of Individuals Covered55
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $7,487
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,492
Insurance broker organization code?3
Insurance broker nameREBECCA NEWSOME
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberT0589
Policy instance 4
Insurance contract or identification numberT0589
Number of Individuals Covered48
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $5,906
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,637
Insurance broker organization code?3
Insurance broker nameKEITH BUMP
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF009997
Policy instance 3
Insurance contract or identification numberF009997
Number of Individuals Covered437
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $24,203
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $161,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,009
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberR5399
Policy instance 1
Insurance contract or identification numberR5399
Number of Individuals Covered81
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $10,393
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,859
Insurance broker organization code?3
Insurance broker nameDAVID MORNINGSTAR
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number585526
Policy instance 2
Insurance contract or identification number585526
Number of Individuals Covered258
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $5,385
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,792
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES INC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberT0589
Policy instance 4
Insurance contract or identification numberT0589
Number of Individuals Covered51
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $6,005
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,274
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number585526
Policy instance 2
Insurance contract or identification number585526
Number of Individuals Covered265
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $5,202
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,204
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 numberR5399
Policy instance 1
Insurance contract or identification numberR5399
Number of Individuals Covered74
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $10,120
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF009997
Policy instance 3
Insurance contract or identification numberF009997
Number of Individuals Covered433
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $23,931
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $157,413
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 numberR5399
Policy instance 1
Insurance contract or identification numberR5399
Number of Individuals Covered68
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $6,619
Total amount of fees paid to insurance companyUSD $16
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,574
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 numberT0589
Policy instance 4
Insurance contract or identification numberT0589
Number of Individuals Covered60
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $5,661
Total amount of fees paid to insurance companyUSD $98
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF009997
Policy instance 3
Insurance contract or identification numberF009997
Number of Individuals Covered406
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $22,528
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $148,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number585526
Policy instance 2
Insurance contract or identification number585526
Number of Individuals Covered269
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $5,235
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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