EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
401k plan membership statisitcs for EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
| Measure | Date | Value |
|---|
| 2014: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 1,078 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 919 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
| Total of all active and inactive participants | 2014-07-01 | 919 |
| 2013: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 1,052 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 1,078 |
| Total of all active and inactive participants | 2013-07-01 | 1,078 |
| 2012: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 1,099 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 1,052 |
| Total of all active and inactive participants | 2012-07-01 | 1,052 |
| 2011: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 768 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 1,099 |
| Total of all active and inactive participants | 2011-07-01 | 1,099 |
| 2010: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 1,108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 768 |
| Total of all active and inactive participants | 2010-07-01 | 768 |
| 2009: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 1,268 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 1,108 |
| Total of all active and inactive participants | 2009-07-01 | 1,108 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 50020650 |
| Policy instance | 2 |
| Insurance contract or identification number | 50020650 | | Number of Individuals Covered | 919 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $13,496 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,997 | | Insurance broker organization code? | 3 | | Insurance broker name | MOSAIC GROUP |
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| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | 4283800 |
| Policy instance | 4 |
| Insurance contract or identification number | 4283800 | | Number of Individuals Covered | 386 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $103,580 | | Total amount of fees paid to insurance company | USD $24,653 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | GROUP TERM LIFE, ADD & CRITICAL | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 175 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker name | TRUE PATRIOT BENEFITS INC. |
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30040157 |
| Policy instance | 3 |
| Insurance contract or identification number | 30040157 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 047043 |
| Policy instance | 1 |
| Insurance contract or identification number | 047043 | | Number of Individuals Covered | 536 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $57,424 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $57,424 | | Insurance broker organization code? | 3 | | Insurance broker name | JOHN BURROWS |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 209594 |
| Policy instance | 4 |
| Insurance contract or identification number | 209594 | | Number of Individuals Covered | 272 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $10,636 | | Total amount of fees paid to insurance company | USD $260 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,636 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 260 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker name | BENEFIT CONTROLS OF SC INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0356758 |
| Policy instance | 2 |
| Insurance contract or identification number | R0356758 | | Number of Individuals Covered | 170 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $2,742 | | Total amount of fees paid to insurance company | USD $38 | | Other welfare benefits provided | GROUP CRITICAL ILLNESS AND ACCIDENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 38 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $2,742 | | Insurance broker name | BENEFIT CONTROLS OF THE CAROLINAS |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 209595 |
| Policy instance | 3 |
| Insurance contract or identification number | 209595 | | Number of Individuals Covered | 1078 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $6,447 | | Total amount of fees paid to insurance company | USD $241 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,447 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 241 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker name | BENEFIT CONTROLS OF SC INC. |
|
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 047043 |
| Policy instance | 1 |
| Insurance contract or identification number | 047043 | | Number of Individuals Covered | 580 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $5,090 | | Total amount of fees paid to insurance company | USD $60,891 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 60891 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $5,090 | | Insurance broker name | JOHN BURROWS |
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30040157 |
| Policy instance | 6 |
| Insurance contract or identification number | 30040157 | | Number of Individuals Covered | 407 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0009116817 |
| Policy instance | 7 |
| Insurance contract or identification number | 0009116817 | | Number of Individuals Covered | 292 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $3,508 | | Other welfare benefits provided | VB ACCIDENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,508 | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT CONTROLS OF THE CAROLINAS |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212757 |
| Policy instance | 5 |
| Insurance contract or identification number | 212757 | | Number of Individuals Covered | 247 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $10,296 | | Total amount of fees paid to insurance company | USD $379 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,296 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 379 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker name | BENEFIT CONTROLS OF SC INC. |
|
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 047043 |
| Policy instance | 1 |
| Insurance contract or identification number | 047043 | | Number of Individuals Covered | 616 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $69,753 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $69,753 | | Insurance broker organization code? | 3 | | Insurance broker name | WILLIAM JACKSON JR |
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| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0009116817 |
| Policy instance | 7 |
| Insurance contract or identification number | 0009116817 | | Number of Individuals Covered | 338 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $10,376 | | Other welfare benefits provided | VB ACCIDENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,376 | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT CONTROLS OF THE CAROLINAS |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TS05721308 |
| Policy instance | 2 |
| Insurance contract or identification number | TS05721308 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-10-31 | | Total amount of commissions paid to insurance broker | USD $2,364 | | Total amount of fees paid to insurance company | USD $1,109 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,105 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,364 | | Amount paid for insurance broker fees | 1109 | | Additional information about fees paid to insurance broker | GROSS DEALER CONCESSION | | Insurance broker organization code? | 3 | | Insurance broker name | WILLIAM JACKSON |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0356758 |
| Policy instance | 3 |
| Insurance contract or identification number | R0356758 | | Number of Individuals Covered | 189 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $5,832 | | Total amount of fees paid to insurance company | USD $12 | | Other welfare benefits provided | GROUP CRITICAL ILLNESS & ACCIDENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,832 | | Amount paid for insurance broker fees | 12 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT CONTROLS OF THE CAROLINAS |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 209595 |
| Policy instance | 4 |
| Insurance contract or identification number | 209595 | | Number of Individuals Covered | 1052 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $7,293 | | Total amount of fees paid to insurance company | USD $108 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,293 | | Amount paid for insurance broker fees | 108 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT CONTROLS OF THE CAROLINAS |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 209594 |
| Policy instance | 5 |
| Insurance contract or identification number | 209594 | | Number of Individuals Covered | 315 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $13,614 | | Total amount of fees paid to insurance company | USD $89 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,614 | | Amount paid for insurance broker fees | 89 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT CONTROLS OF THE CAROLINAS |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212757 |
| Policy instance | 6 |
| Insurance contract or identification number | 212757 | | Number of Individuals Covered | 303 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $11,890 | | Total amount of fees paid to insurance company | USD $129 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,890 | | Amount paid for insurance broker fees | 129 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT CONTROLS OF THE CAROLINA |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 209594 |
| Policy instance | 5 |
| Insurance contract or identification number | 209594 | | Number of Individuals Covered | 256 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $10,724 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 209595 |
| Policy instance | 4 |
| Insurance contract or identification number | 209595 | | Number of Individuals Covered | 1099 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $7,892 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0356758 |
| Policy instance | 3 |
| Insurance contract or identification number | R0356758 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $7,267 | | Other welfare benefits provided | GROUP CRITICAL ILLNESS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TS05721308 |
| Policy instance | 2 |
| Insurance contract or identification number | TS05721308 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2011-11-01 | | Insurance policy end date | 2012-10-31 | | Total amount of commissions paid to insurance broker | USD $3,302 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,139 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 047043 |
| Policy instance | 1 |
| Insurance contract or identification number | 047043 | | Number of Individuals Covered | 699 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $82,467 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212757 |
| Policy instance | 6 |
| Insurance contract or identification number | 212757 | | Number of Individuals Covered | 260 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $10,049 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 50000001 |
| Policy instance | 6 |
| Insurance contract or identification number | 50000001 | | Number of Individuals Covered | 303 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $49,101 | | Other welfare benefits provided | VOLUNTARY INCOME PROTECTION | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 50000001 |
| Policy instance | 5 |
| Insurance contract or identification number | 50000001 | | Number of Individuals Covered | 638 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $27,257 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 200952901 |
| Policy instance | 3 |
| Insurance contract or identification number | 200952901 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $4,144 | | Other welfare benefits provided | CRITICAL CARE | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TS05721308 |
| Policy instance | 2 |
| Insurance contract or identification number | TS05721308 | | Number of Individuals Covered | 104 | | Insurance policy start date | 2010-11-01 | | Insurance policy end date | 2011-10-31 | | Total amount of commissions paid to insurance broker | USD $3,236 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,381 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 047043 |
| Policy instance | 1 |
| Insurance contract or identification number | 047043 | | Number of Individuals Covered | 768 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $84,899 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 200952901 |
| Policy instance | 4 |
| Insurance contract or identification number | 200952901 | | Number of Individuals Covered | 291 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $14,528 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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