GARLAND SALES, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH
401k plan membership statisitcs for GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH
| Measure | Date | Value |
|---|
| 2022: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 261 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 268 |
| Number of retired or separated participants receiving benefits | 2022-07-01 | 88 |
| Number of other retired or separated participants entitled to future benefits | 2022-07-01 | 0 |
| Total of all active and inactive participants | 2022-07-01 | 356 |
| 2021: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 129 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 160 |
| Number of retired or separated participants receiving benefits | 2021-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
| Total of all active and inactive participants | 2021-07-01 | 160 |
| 2020: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 181 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 129 |
| Number of retired or separated participants receiving benefits | 2020-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-07-01 | 0 |
| Total of all active and inactive participants | 2020-07-01 | 129 |
| 2019: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 265 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 181 |
| Number of retired or separated participants receiving benefits | 2019-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-07-01 | 0 |
| Total of all active and inactive participants | 2019-07-01 | 181 |
| 2018: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 212 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 265 |
| Number of retired or separated participants receiving benefits | 2018-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 0 |
| Total of all active and inactive participants | 2018-07-01 | 265 |
| 2017: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 188 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 212 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 212 |
| 2016: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 206 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 188 |
| Number of retired or separated participants receiving benefits | 2016-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 0 |
| Total of all active and inactive participants | 2016-07-01 | 188 |
| 2015: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 206 |
| Number of retired or separated participants receiving benefits | 2015-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-07-01 | 0 |
| Total of all active and inactive participants | 2015-07-01 | 206 |
| 2014: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 185 |
| 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 | 185 |
| 2013: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 163 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 185 |
| Total of all active and inactive participants | 2013-07-01 | 185 |
| 2012: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 162 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 163 |
| Total of all active and inactive participants | 2012-07-01 | 163 |
| 2011: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 173 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 162 |
| Total of all active and inactive participants | 2011-07-01 | 162 |
| 2010: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 149 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 173 |
| Total of all active and inactive participants | 2010-07-01 | 173 |
| 2009: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 165 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 149 |
| Total of all active and inactive participants | 2009-07-01 | 149 |
| 2022: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Submission has been amended | No |
| 2022-07-01 | This submission is the final filing | No |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-07-01 | Plan is a collectively bargained plan | No |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2021 form 5500 responses |
|---|
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2020 form 5500 responses |
|---|
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2019 form 5500 responses |
|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2018 form 5500 responses |
|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2016 form 5500 responses |
|---|
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2015 form 5500 responses |
|---|
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2014 form 5500 responses |
|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2013 form 5500 responses |
|---|
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2012 form 5500 responses |
|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2011 form 5500 responses |
|---|
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2010 form 5500 responses |
|---|
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GARLAND SALES, INC. WELFARE BENEFIT PLAN - HEALTH 2009 form 5500 responses |
|---|
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| ALLIANT HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 11256 ) |
| Policy contract number | A27570002 |
| Policy instance | 4 |
| Insurance contract or identification number | A27570002 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $3,560 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $89,002 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,560 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 |
|
| ALLIANT HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 11256 ) |
| Policy contract number | A27570001 |
| Policy instance | 3 |
| Insurance contract or identification number | A27570001 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $22,968 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $574,199 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,968 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA9770 |
| Policy instance | 2 |
| Insurance contract or identification number | GA9770 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $8,883 | | Total amount of fees paid to insurance company | USD $736 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $60,171 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,883 | | Amount paid for insurance broker fees | 736 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | GA3098 |
| Policy instance | 1 |
| Insurance contract or identification number | GA3098 | | Number of Individuals Covered | 258 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $5,217 | | Total amount of fees paid to insurance company | USD $461 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $25,961 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,217 | | Amount paid for insurance broker fees | 461 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| ALLIANT HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 11256 ) |
| Policy contract number | A27570001 |
| Policy instance | 3 |
| Insurance contract or identification number | A27570001 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $23,462 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $586,545 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,462 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA9770 |
| Policy instance | 2 |
| Insurance contract or identification number | GA9770 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $16,461 | | Total amount of fees paid to insurance company | USD $763 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $109,270 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,461 | | Amount paid for insurance broker fees | 763 | | Insurance broker organization code? | 3 |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | GA3098 |
| Policy instance | 1 |
| Insurance contract or identification number | GA3098 | | Number of Individuals Covered | 227 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $5,633 | | Total amount of fees paid to insurance company | USD $564 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $30,169 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,633 | | Amount paid for insurance broker fees | 564 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA9770 |
| Policy instance | 2 |
| Insurance contract or identification number | GA9770 | | Number of Individuals Covered | 129 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $34,844 | | Total amount of fees paid to insurance company | USD $1,059 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $694,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,844 | | Amount paid for insurance broker fees | 1059 | | Insurance broker organization code? | 3 |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | GA3098 |
| Policy instance | 1 |
| Insurance contract or identification number | GA3098 | | Number of Individuals Covered | 265 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $6,841 | | Total amount of fees paid to insurance company | USD $444 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,787 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,841 | | Amount paid for insurance broker fees | 444 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA9770 |
| Policy instance | 3 |
| Insurance contract or identification number | GA9770 | | Number of Individuals Covered | 101 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $8,800 | | Total amount of fees paid to insurance company | USD $52 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $68,854 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,800 | | Amount paid for insurance broker fees | 52 | | Insurance broker organization code? | 3 |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | GA3098 |
| Policy instance | 2 |
| Insurance contract or identification number | GA3098 | | Number of Individuals Covered | 248 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $5,409 | | Total amount of fees paid to insurance company | USD $1,197 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,378 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,409 | | Amount paid for insurance broker fees | 1197 | | Insurance broker organization code? | 3 |
|
| ALLIANT HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 11256 ) |
| Policy contract number | A21030001 |
| Policy instance | 1 |
| Insurance contract or identification number | A21030001 | | Number of Individuals Covered | 181 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $26,522 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $663,055 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,522 | | Additional information about fees paid to insurance broker | ACCOUNT SERVICE (EMPLOYER & EE) | | Insurance broker organization code? | 3 |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | GA3098 |
| Policy instance | 2 |
| Insurance contract or identification number | GA3098 | | Number of Individuals Covered | 262 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $4,628 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,404 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,628 | | Insurance broker organization code? | 3 |
|
| ALLIANT HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 11256 ) |
| Policy contract number | A21030001 |
| Policy instance | 1 |
| Insurance contract or identification number | A21030001 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $28,979 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $724,474 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $28,979 | | Additional information about fees paid to insurance broker | ACCOUNT SERVICE (EMPLOYER & EE) | | Insurance broker organization code? | 3 |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-041737 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-041737 | | Number of Individuals Covered | 173 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $1,341 | | Total amount of fees paid to insurance company | USD $367 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,934 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $666 | | Amount paid for insurance broker fees | 367 | | Insurance broker name | ADCOCK FINANCIAL GROUP |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00465173 |
| Policy instance | 2 |
| Insurance contract or identification number | 00465173 | | Number of Individuals Covered | 247 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $7,122 | | Total amount of fees paid to insurance company | USD $868 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | OPTIONAL AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $63,271 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,582 | | Amount paid for insurance broker fees | 868 | | Insurance broker name | ADCOCK FINANCIAL GROUP |
|
| ALLIANT HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 11256 ) |
| Policy contract number | A21030001 |
| Policy instance | 1 |
| Insurance contract or identification number | A21030001 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $281,895 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $704,738 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $281,895 | | Additional information about fees paid to insurance broker | ACCOUNT SERVICE (EMPLOYER & EE) | | Insurance broker organization code? | 3 | | Insurance broker name | J. SMITH LANIER, |
|
