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ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan NameACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN
Plan identification number 501

ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

ACOUSTI ENGINEERING COMPANY OF FLORIDA has sponsored the creation of one or more 401k plans.

Company Name:ACOUSTI ENGINEERING COMPANY OF FLORIDA
Employer identification number (EIN):590543535
NAIC Classification:238300

Additional information about ACOUSTI ENGINEERING COMPANY OF FLORIDA

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1946-02-12
Company Identification Number: 145836
Legal Registered Office Address: 4656 S.W. 34TH STREET

ORLANDO

32811

More information about ACOUSTI ENGINEERING COMPANY OF FLORIDA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-04-01STEPHEN LANGSTON2024-10-24
5012022-04-01MELISSA KASPARI2023-10-31
5012021-04-01
5012020-04-01
5012019-04-01
5012018-04-01
5012017-04-01ROBERT CROZIER
5012016-04-01ROBERT CROZIER
5012015-04-01ROBERT CROZIER
5012014-04-01ROBERT CROZIER
5012013-04-01ROBERT CROZIER
5012012-04-01ROBERT CROZIER
5012011-04-01ROBERT CROZIER
5012009-04-01TONYA KELLY

Plan Statistics for ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN

Measure Date Value
2023: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-01479
Total number of active participants reported on line 7a of the Form 55002023-04-01654
Number of retired or separated participants receiving benefits2023-04-010
Number of other retired or separated participants entitled to future benefits2023-04-010
Total of all active and inactive participants2023-04-01654
Number of employers contributing to the scheme2023-04-010
2022: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01934
Total number of active participants reported on line 7a of the Form 55002022-04-01479
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01479
Number of employers contributing to the scheme2022-04-010
2021: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01714
Total number of active participants reported on line 7a of the Form 55002021-04-01934
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01934
2020: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01580
Total number of active participants reported on line 7a of the Form 55002020-04-01556
Number of retired or separated participants receiving benefits2020-04-016
Total of all active and inactive participants2020-04-01562
Total participants2020-04-01562
2019: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01580
Total number of active participants reported on line 7a of the Form 55002019-04-01579
Number of retired or separated participants receiving benefits2019-04-011
Total of all active and inactive participants2019-04-01580
Total participants2019-04-01580
2018: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01569
Total number of active participants reported on line 7a of the Form 55002018-04-01575
Number of retired or separated participants receiving benefits2018-04-015
Total of all active and inactive participants2018-04-01580
Total participants2018-04-01580
2017: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01619
Total number of active participants reported on line 7a of the Form 55002017-04-01564
Number of retired or separated participants receiving benefits2017-04-015
Total of all active and inactive participants2017-04-01569
Total participants2017-04-01569
2016: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01569
Total number of active participants reported on line 7a of the Form 55002016-04-01609
Number of retired or separated participants receiving benefits2016-04-0110
Total of all active and inactive participants2016-04-01619
Total participants2016-04-01619
2015: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01513
Total number of active participants reported on line 7a of the Form 55002015-04-01564
Number of retired or separated participants receiving benefits2015-04-015
Total of all active and inactive participants2015-04-01569
Total participants2015-04-01569
2014: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01542
Total number of active participants reported on line 7a of the Form 55002014-04-01508
Number of retired or separated participants receiving benefits2014-04-015
Total of all active and inactive participants2014-04-01513
Total participants2014-04-01513
2013: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01566
Total number of active participants reported on line 7a of the Form 55002013-04-01534
Number of retired or separated participants receiving benefits2013-04-018
Total of all active and inactive participants2013-04-01542
Total participants2013-04-01542
2012: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01572
Total number of active participants reported on line 7a of the Form 55002012-04-01556
Number of retired or separated participants receiving benefits2012-04-0110
Total of all active and inactive participants2012-04-01566
Total participants2012-04-01566
2011: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01570
Total number of active participants reported on line 7a of the Form 55002011-04-01561
Number of retired or separated participants receiving benefits2011-04-0111
Total of all active and inactive participants2011-04-01572
Total participants2011-04-01572
2009: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01746
Total number of active participants reported on line 7a of the Form 55002009-04-01607
Number of retired or separated participants receiving benefits2009-04-0117
Total of all active and inactive participants2009-04-01624
Total participants2009-04-01624

Form 5500 Responses for ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN

2023: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Plan funding arrangement – General assets of the sponsorYes
2023-04-01Plan benefit arrangement – General assets of the sponsorYes
2022: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2018: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – General assets of the sponsorYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2016: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – General assets of the sponsorYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – General assets of the sponsorYes
2015: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2009: ACOUSTI ENGINEERING CO OF FLORIDA HEALTH INSURANCE & FLEXIBLE BENEFIT PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – General assets of the sponsorYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered512
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $67,284
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,507
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered556
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $72,723
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 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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,723
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered580
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $88,137
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 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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $88,137
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered580
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $73,049
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 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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,049
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered569
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $75,527
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 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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,527
Insurance broker organization code?3
Insurance broker nameJOHN GEER COMPANY
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered569
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $32,585
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,585
Insurance broker nameJOHN GEER COMPANY
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered513
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $32,150
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,150
Insurance broker nameJOHN GEER COMPANY
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered542
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $32,270
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,270
Insurance broker nameJOHN GEER COMPANY
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered566
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $33,835
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,835
Insurance broker nameJOHN GEER COMPANY
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered572
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $32,856
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number09051
Policy instance 1
Insurance contract or identification number09051
Number of Individuals Covered570
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $27,964
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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