SCTG HOLDINGS LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC
| Measure | Date | Value |
|---|
| 2018: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-06-01 | 267 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-06-01 | 286 |
| Number of retired or separated participants receiving benefits | 2018-06-01 | 5 |
| Total of all active and inactive participants | 2018-06-01 | 291 |
| 2017: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-06-01 | 239 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 265 |
| Number of retired or separated participants receiving benefits | 2017-06-01 | 2 |
| Total of all active and inactive participants | 2017-06-01 | 267 |
| 2016: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-06-01 | 216 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-06-01 | 239 |
| Number of retired or separated participants receiving benefits | 2016-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-06-01 | 0 |
| Total of all active and inactive participants | 2016-06-01 | 239 |
| 2015: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-06-01 | 180 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-06-01 | 216 |
| Number of retired or separated participants receiving benefits | 2015-06-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2015-06-01 | 3 |
| Total of all active and inactive participants | 2015-06-01 | 220 |
| 2014: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-06-01 | 173 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 174 |
| Number of retired or separated participants receiving benefits | 2014-06-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2014-06-01 | 2 |
| Total of all active and inactive participants | 2014-06-01 | 180 |
| 2013: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-06-01 | 166 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-06-01 | 168 |
| Number of retired or separated participants receiving benefits | 2013-06-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2013-06-01 | 3 |
| Total of all active and inactive participants | 2013-06-01 | 173 |
| 2012: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-06-01 | 159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 163 |
| Number of retired or separated participants receiving benefits | 2012-06-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2012-06-01 | 1 |
| Total of all active and inactive participants | 2012-06-01 | 166 |
| 2011: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-06-01 | 129 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-06-01 | 153 |
| Number of retired or separated participants receiving benefits | 2011-06-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2011-06-01 | 2 |
| Total of all active and inactive participants | 2011-06-01 | 159 |
| 2009: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-06-01 | 152 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-06-01 | 137 |
| Number of retired or separated participants receiving benefits | 2009-06-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2009-06-01 | 1 |
| Total of all active and inactive participants | 2009-06-01 | 139 |
| 2018: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2018 form 5500 responses |
|---|
| 2018-06-01 | Type of plan entity | Single employer plan |
| 2018-06-01 | Submission has been amended | Yes |
| 2018-06-01 | This submission is the final filing | Yes |
| 2018-06-01 | Plan funding arrangement – Insurance | Yes |
| 2018-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2017 form 5500 responses |
|---|
| 2017-06-01 | Type of plan entity | Single employer plan |
| 2017-06-01 | Plan funding arrangement – Insurance | Yes |
| 2017-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2016 form 5500 responses |
|---|
| 2016-06-01 | Type of plan entity | Single employer plan |
| 2016-06-01 | Plan funding arrangement – Insurance | Yes |
| 2016-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2015 form 5500 responses |
|---|
| 2015-06-01 | Type of plan entity | Single employer plan |
| 2015-06-01 | Plan funding arrangement – Insurance | Yes |
| 2015-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2014 form 5500 responses |
|---|
| 2014-06-01 | Type of plan entity | Single employer plan |
| 2014-06-01 | Plan funding arrangement – Insurance | Yes |
| 2014-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2013 form 5500 responses |
|---|
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | Plan funding arrangement – Insurance | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2012 form 5500 responses |
|---|
| 2012-06-01 | Type of plan entity | Single employer plan |
| 2012-06-01 | Plan funding arrangement – Insurance | Yes |
| 2012-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2011 form 5500 responses |
|---|
| 2011-06-01 | Type of plan entity | Single employer plan |
| 2011-06-01 | Plan funding arrangement – Insurance | Yes |
| 2011-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP HEALTH PLAN OF SCTG HOLDINGS, LLC 2009 form 5500 responses |
|---|
| 2009-06-01 | Type of plan entity | Single employer plan |
| 2009-06-01 | This submission is the final filing | No |
| 2009-06-01 | Plan funding arrangement – Insurance | Yes |
| 2009-06-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-85516-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 70-85516-00 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $142,163 | | Total amount of fees paid to insurance company | USD $0 | | 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 $142,163 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5941666 |
| Policy instance | 2 |
| Insurance contract or identification number | 5941666 | | Number of Individuals Covered | 729 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $47,926 | | Total amount of fees paid to insurance company | USD $23,015 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $467,347 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,955 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 22964 | | Additional information about fees paid to insurance broker | SERVICE FEES, NON-MONETARY COMPENSATION |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5941666 |
| Policy instance | 2 |
| Insurance contract or identification number | 5941666 | | Number of Individuals Covered | 645 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $50,696 | | Total amount of fees paid to insurance company | USD $275 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $411,592 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 910325 |
| Policy instance | 1 |
| Insurance contract or identification number | 910325 | | Number of Individuals Covered | 522 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $70,694 | | Total amount of fees paid to insurance company | USD $1,688 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,356,475 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-53202-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 70-53202-00 | | Number of Individuals Covered | 193 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2016-01-01 | | Total amount of commissions paid to insurance broker | USD $84,345 | | Total amount of fees paid to insurance company | USD $0 | | 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 $84,345 | | Insurance broker organization code? | 3 | | Insurance broker name | BB&T INSURANCE SERVICES, INC. |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5299472 |
| Policy instance | 2 |
| Insurance contract or identification number | 5299472 | | Number of Individuals Covered | 217 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $55,482 | | Total amount of fees paid to insurance company | USD $24,816 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $535,108 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $55,482 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 20872 | | Additional information about fees paid to insurance broker | PRODUCER PROGRAM PAYMENT FOR THE PRIOR CALENDAR YEAR | | Insurance broker name | BB&T - BLUE RIDGE BURKE |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-53202-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 70-53202-00 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2015-01-01 | | Total amount of commissions paid to insurance broker | USD $63,660 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 $63,660 | | Insurance broker organization code? | 3 | | Insurance broker name | BB&T INSURANCE SERVICES, INC. |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5299472 |
| Policy instance | 2 |
| Insurance contract or identification number | 5299472 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $17,365 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $441,681 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 17155 | | Additional information about fees paid to insurance broker | PRODUCER PROGRAM PAYMENT FOR THE PRIOR CALENDAR YEAR | | Insurance broker organization code? | 3 | | Insurance broker name | BB&T - BLUE RIDGE BURKE |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-53202-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 70-53202-00 | | Number of Individuals Covered | 156 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-01-01 | | Total amount of commissions paid to insurance broker | USD $64,920 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 $64,920 | | Insurance broker organization code? | 3 | | Insurance broker name | BB&T INSURANCE SERVICES, INC. |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5299472 |
| Policy instance | 2 |
| Insurance contract or identification number | 5299472 | | Number of Individuals Covered | 173 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $25,050 | | Total amount of fees paid to insurance company | USD $21,759 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $241,409 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,050 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 21664 | | Additional information about fees paid to insurance broker | PRODUCER PROGRAM PAYMENT FOR THE PRIOR CALENDAR YEAR | | Insurance broker name | BB&T - BLUE RIDGE BURKE |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30003677 |
| Policy instance | 3 |
| Insurance contract or identification number | 30003677 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-01-01 | | Total amount of commissions paid to insurance broker | USD $1,036 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,038 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,036 | | Insurance broker organization code? | 3 | | Insurance broker name | BB&T INSURANCE SERVICES, INC. |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-53202-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 70-53202-00 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $62,267 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 $62,267 | | Insurance broker organization code? | 3 | | Insurance broker name | BB&T INSURANCE SERVICES, INC. |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30003677 |
| Policy instance | 3 |
| Insurance contract or identification number | 30003677 | | Number of Individuals Covered | 157 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $1,354 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,268 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,354 | | Insurance broker organization code? | 3 | | Insurance broker name | BB&T INSURANCE SERVICES, INC. |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5299472 |
| Policy instance | 2 |
| Insurance contract or identification number | 5299472 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $40,420 | | Total amount of fees paid to insurance company | USD $14,620 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $390,271 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $40,420 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 14620 | | Additional information about fees paid to insurance broker | PRODUCER PROGRAM PAYMENT FOR THE PRIOR CALENDAR YEAR | | Insurance broker name | BB&T - BLUE RIDGE BURKE |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-53202-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 70-53202-00 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $53,883 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5299472 |
| Policy instance | 2 |
| Insurance contract or identification number | 5299472 | | Number of Individuals Covered | 148 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $34,007 | | Total amount of fees paid to insurance company | USD $9,704 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $331,495 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30003677 |
| Policy instance | 3 |
| Insurance contract or identification number | 30003677 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $1,231 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,169 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5299472 |
| Policy instance | 2 |
| Insurance contract or identification number | 5299472 | | Number of Individuals Covered | 120 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $31,050 | | Total amount of fees paid to insurance company | USD $11,522 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $302,513 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30003677 |
| Policy instance | 3 |
| Insurance contract or identification number | 30003677 | | Number of Individuals Covered | 129 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $1,189 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,770 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-53202-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 70-53202-00 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $49,643 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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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