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HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan NameHAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN
Plan identification number 501

HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

HAYWOOD VOCATIONAL OPPORTUNITIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:HAYWOOD VOCATIONAL OPPORTUNITIES, INC.
Employer identification number (EIN):561651554
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01AUDREY GADDIS2024-01-18
5012021-06-01AUDREY GADDIS2022-12-09
5012020-06-01
5012019-06-01
5012018-06-01
5012017-06-01AUDREY GADDIS
5012016-06-01AUDREY GADDIS
5012015-06-01GEORGE M. MARSHALL
5012014-06-01GEORGE M. MARSHALL
5012013-06-01GEORGE M. MARSHALL
5012012-06-01AUDREY GADDIS
5012011-06-01GEORGE MARSHALL
5012010-06-01GEORGE MARSHALL
5012009-06-01GEORGE MARSHALL
5012009-06-01AUDREY GADDIS

Plan Statistics for HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN

Measure Date Value
2022: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01192
Total number of active participants reported on line 7a of the Form 55002022-06-01168
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01168
2021: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01224
Total number of active participants reported on line 7a of the Form 55002021-06-01192
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01192
2020: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01296
Total number of active participants reported on line 7a of the Form 55002020-06-01224
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01224
2019: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01271
Total number of active participants reported on line 7a of the Form 55002019-06-01296
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01296
2018: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-01273
Total number of active participants reported on line 7a of the Form 55002018-06-01271
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-01271
2017: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-01257
Total number of active participants reported on line 7a of the Form 55002017-06-01273
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01273
2016: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01209
Total number of active participants reported on line 7a of the Form 55002016-06-01257
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01257
2015: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01206
Total number of active participants reported on line 7a of the Form 55002015-06-01209
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01209
2014: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01196
Total number of active participants reported on line 7a of the Form 55002014-06-01206
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-01206
2013: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01212
Total number of active participants reported on line 7a of the Form 55002013-06-01196
Total of all active and inactive participants2013-06-01196
2012: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01202
Total number of active participants reported on line 7a of the Form 55002012-06-01212
Number of retired or separated participants receiving benefits2012-06-010
Number of other retired or separated participants entitled to future benefits2012-06-010
Total of all active and inactive participants2012-06-01212
2011: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01197
Total number of active participants reported on line 7a of the Form 55002011-06-01202
Number of retired or separated participants receiving benefits2011-06-010
Number of other retired or separated participants entitled to future benefits2011-06-010
Total of all active and inactive participants2011-06-01202
2010: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-06-01187
Total number of active participants reported on line 7a of the Form 55002010-06-01197
Total of all active and inactive participants2010-06-01197
2009: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-01202
Total number of active participants reported on line 7a of the Form 55002009-06-01187
Total of all active and inactive participants2009-06-01187

Form 5500 Responses for HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN

2022: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – General assets of the sponsorYes
2021: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – General assets of the sponsorYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – General assets of the sponsorYes
2020: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – General assets of the sponsorYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – General assets of the sponsorYes
2019: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – General assets of the sponsorYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – General assets of the sponsorYes
2018: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – General assets of the sponsorYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – General assets of the sponsorYes
2017: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes
2015: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2014: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – General assets of the sponsorYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – General assets of the sponsorYes
2013: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – General assets of the sponsorYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – General assets of the sponsorYes
2012: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – General assets of the sponsorYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – General assets of the sponsorYes
2011: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – General assets of the sponsorYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – General assets of the sponsorYes
2010: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2010 form 5500 responses
2010-06-01Type of plan entitySingle employer plan
2010-06-01First time form 5500 has been submittedYes
2010-06-01Submission has been amendedNo
2010-06-01This submission is the final filingNo
2010-06-01This return/report is a short plan year return/report (less than 12 months)No
2010-06-01Plan is a collectively bargained planNo
2010-06-01Plan funding arrangement – InsuranceYes
2010-06-01Plan funding arrangement – General assets of the sponsorYes
2010-06-01Plan benefit arrangement – InsuranceYes
2010-06-01Plan benefit arrangement – General assets of the sponsorYes
2009: HAYWOOD VOCATIONAL OPPORTUNITIES FLEXIBLE BENEFIT PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedYes
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – General assets of the sponsorYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered192
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $23,780
Total amount of fees paid to insurance companyUSD $1,085
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $155,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,614
Amount paid for insurance broker fees526
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered192
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $21,260
Total amount of fees paid to insurance companyUSD $1,919
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $166,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,177
Amount paid for insurance broker fees1167
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered224
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $30,209
Total amount of fees paid to insurance companyUSD $2,741
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $203,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,783
Amount paid for insurance broker fees1790
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered296
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $40,107
Total amount of fees paid to insurance companyUSD $3,673
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $220,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,222
Amount paid for insurance broker fees2799
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered271
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $33,640
Total amount of fees paid to insurance companyUSD $2,694
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $199,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,731
Amount paid for insurance broker fees1583
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered257
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $32,387
Total amount of fees paid to insurance companyUSD $2,815
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,624
Amount paid for insurance broker fees924
Insurance broker organization code?3
Insurance broker nameMAIDEN BENEFITS GROUP, INC.
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered209
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $21,967
Total amount of fees paid to insurance companyUSD $4,706
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $151,530
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
Amount paid for insurance broker fees3731
Insurance broker organization code?3
Insurance broker nameSLATER CURTIS WOODALL
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered206
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $21,396
Total amount of fees paid to insurance companyUSD $3,666
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $144,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,457
Amount paid for insurance broker fees2742
Insurance broker organization code?3
Insurance broker nameTERI C. JENKINSON
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered196
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $19,263
Total amount of fees paid to insurance companyUSD $1,852
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $134,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,417
Amount paid for insurance broker fees1291
Insurance broker organization code?3
Insurance broker nameTERI C. JENKINSON
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered212
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $24,088
Total amount of fees paid to insurance companyUSD $1,893
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $146,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,259
Amount paid for insurance broker fees1279
Insurance broker organization code?3
Insurance broker nameTERI C. JENKINSON
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered202
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $24,295
Total amount of fees paid to insurance companyUSD $1,867
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $148,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7262421
Policy instance 1
Insurance contract or identification numberE7262421
Number of Individuals Covered197
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $22,660
Total amount of fees paid to insurance companyUSD $1,903
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $140,147

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