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HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 401k Plan overview

Plan NameHIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN
Plan identification number 501

HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

HIT PROMOTIONAL PRODUCTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:HIT PROMOTIONAL PRODUCTS, INC.
Employer identification number (EIN):592095421
NAIC Classification:332900

Additional information about HIT PROMOTIONAL PRODUCTS, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0912474

More information about HIT PROMOTIONAL PRODUCTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-08-01GARY MEADOWS2023-05-10 GARY MEADOWS2023-05-10
5012020-08-01GARY MEADOWS2022-02-09 GARY MEADOWS2022-02-09
5012019-08-01GARY MEADOWS2021-02-04 GARY MEADOWS2021-02-04
5012018-08-01GARY MEADOWS2020-01-13 GARY MEADOWS2020-01-13
5012017-08-01GARY MEADOWS2019-04-17 GARY MEADOWS2019-04-17
5012016-08-01GARY MEADOWS GARY MEADOWS2018-02-08
5012015-08-01GARY MEADOWS GARY MEADOWS2017-05-08
5012014-08-01GARY MEADOWS GARY MEADOWS2016-02-17
5012013-08-01GARY MEADOWS GARY MEADOWS2015-01-19
5012012-08-01GARY MEADOWS GARY MEADOWS2014-02-13
5012011-08-01GARY MEADOWS GARY MEADOWS2013-01-30
5012009-08-01GARY MEADOWS

Plan Statistics for HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN

401k plan membership statisitcs for HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN

Measure Date Value
2021: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01577
Total number of active participants reported on line 7a of the Form 55002021-08-01638
Number of retired or separated participants receiving benefits2021-08-011
Number of other retired or separated participants entitled to future benefits2021-08-011
Total of all active and inactive participants2021-08-01640
2020: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01550
Total number of active participants reported on line 7a of the Form 55002020-08-01575
Number of retired or separated participants receiving benefits2020-08-011
Number of other retired or separated participants entitled to future benefits2020-08-011
Total of all active and inactive participants2020-08-01577
2019: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01563
Total number of active participants reported on line 7a of the Form 55002019-08-01545
Number of retired or separated participants receiving benefits2019-08-012
Number of other retired or separated participants entitled to future benefits2019-08-013
Total of all active and inactive participants2019-08-01550
2018: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01568
Total number of active participants reported on line 7a of the Form 55002018-08-01558
Number of retired or separated participants receiving benefits2018-08-013
Number of other retired or separated participants entitled to future benefits2018-08-012
Total of all active and inactive participants2018-08-01563
2017: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01467
Total number of active participants reported on line 7a of the Form 55002017-08-01566
Number of retired or separated participants receiving benefits2017-08-011
Number of other retired or separated participants entitled to future benefits2017-08-011
Total of all active and inactive participants2017-08-01568
2016: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01458
Total number of active participants reported on line 7a of the Form 55002016-08-01461
Number of retired or separated participants receiving benefits2016-08-013
Number of other retired or separated participants entitled to future benefits2016-08-013
Total of all active and inactive participants2016-08-01467
2015: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01446
Total number of active participants reported on line 7a of the Form 55002015-08-01458
Number of retired or separated participants receiving benefits2015-08-012
Number of other retired or separated participants entitled to future benefits2015-08-012
Total of all active and inactive participants2015-08-01462
2014: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01408
Total number of active participants reported on line 7a of the Form 55002014-08-01446
Number of retired or separated participants receiving benefits2014-08-011
Number of other retired or separated participants entitled to future benefits2014-08-012
Total of all active and inactive participants2014-08-01449
2013: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01370
Total number of active participants reported on line 7a of the Form 55002013-08-01404
Number of retired or separated participants receiving benefits2013-08-012
Number of other retired or separated participants entitled to future benefits2013-08-012
Total of all active and inactive participants2013-08-01408
2012: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01560
Total number of active participants reported on line 7a of the Form 55002012-08-01367
Number of retired or separated participants receiving benefits2012-08-012
Number of other retired or separated participants entitled to future benefits2012-08-011
Total of all active and inactive participants2012-08-01370
2011: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01343
Total number of active participants reported on line 7a of the Form 55002011-08-01560
Number of retired or separated participants receiving benefits2011-08-011
Total of all active and inactive participants2011-08-01561
2009: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01321
Total number of active participants reported on line 7a of the Form 55002009-08-01334
Number of retired or separated participants receiving benefits2009-08-013
Total of all active and inactive participants2009-08-01337

Form 5500 Responses for HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN

2021: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2020: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2009: HIT PROMOTIONAL PRODUCTS, INC. HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205654
Policy instance 6
Insurance contract or identification number10205654
Number of Individuals Covered325
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $20,472
Total amount of fees paid to insurance companyUSD $15,166
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,472
Insurance broker organization code?3
Amount paid for insurance broker fees12436
Additional information about fees paid to insurance brokerOVERRIDES BROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400205653
Policy instance 5
Insurance contract or identification number400205653
Number of Individuals Covered209
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $10,328
Total amount of fees paid to insurance companyUSD $7,708
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,328
Insurance broker organization code?3
Amount paid for insurance broker fees6331
Additional information about fees paid to insurance brokerOVERRIDES BROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205652
Policy instance 4
Insurance contract or identification number10205652
Number of Individuals Covered1036
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $11,126
Total amount of fees paid to insurance companyUSD $8,282
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,126
Insurance broker organization code?3
Amount paid for insurance broker fees6799
Additional information about fees paid to insurance brokerOVERRIDES BROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205651
Policy instance 3
Insurance contract or identification number10205651
Number of Individuals Covered1036
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $14,501
Total amount of fees paid to insurance companyUSD $10,575
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $96,674
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,501
Insurance broker organization code?3
Amount paid for insurance broker fees8642
Additional information about fees paid to insurance brokerOVERRIDES BROKER BONUS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730071
Policy instance 2
Insurance contract or identification number730071
Number of Individuals Covered906
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $14,148
Total amount of fees paid to insurance companyUSD $63,242
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,303,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,144
Amount paid for insurance broker fees63267
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00371511
Policy instance 1
Insurance contract or identification number00371511
Number of Individuals Covered535
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $29,637
Total amount of fees paid to insurance companyUSD $6,139
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $257,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,771
Insurance broker organization code?3
Amount paid for insurance broker fees6139
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00371511
Policy instance 1
Insurance contract or identification number00371511
Number of Individuals Covered480
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $28,329
Total amount of fees paid to insurance companyUSD $11,017
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $246,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,634
Insurance broker organization code?3
Amount paid for insurance broker fees11017
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730071
Policy instance 2
Insurance contract or identification number730071
Number of Individuals Covered853
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $3,725
Total amount of fees paid to insurance companyUSD $56,480
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,219,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,158
Amount paid for insurance broker fees32967
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205651
Policy instance 3
Insurance contract or identification number10205651
Number of Individuals Covered886
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $11,323
Total amount of fees paid to insurance companyUSD $2,574
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,401
Insurance broker organization code?3
Amount paid for insurance broker fees1510
Additional information about fees paid to insurance brokerFEES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205652
Policy instance 4
Insurance contract or identification number10205652
Number of Individuals Covered888
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $9,482
Total amount of fees paid to insurance companyUSD $2,128
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,472
Insurance broker organization code?3
Amount paid for insurance broker fees1264
Additional information about fees paid to insurance brokerCONSULTING
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400205653
Policy instance 5
Insurance contract or identification number400205653
Number of Individuals Covered177
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $8,724
Total amount of fees paid to insurance companyUSD $1,913
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,400
Insurance broker organization code?3
Amount paid for insurance broker fees1163
Additional information about fees paid to insurance brokerFEES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205654
Policy instance 6
Insurance contract or identification number10205654
Number of Individuals Covered293
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $18,251
Total amount of fees paid to insurance companyUSD $3,956
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,963
Insurance broker organization code?3
Amount paid for insurance broker fees2434
Additional information about fees paid to insurance brokerCONSULTING
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205654
Policy instance 6
Insurance contract or identification number10205654
Number of Individuals Covered294
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $15,648
Total amount of fees paid to insurance companyUSD $5,507
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,648
Amount paid for insurance broker fees3421
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400205653
Policy instance 5
Insurance contract or identification number400205653
Number of Individuals Covered175
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $9,330
Total amount of fees paid to insurance companyUSD $3,167
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,330
Amount paid for insurance broker fees1923
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205652
Policy instance 4
Insurance contract or identification number10205652
Number of Individuals Covered798
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $9,507
Total amount of fees paid to insurance companyUSD $3,205
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,507
Amount paid for insurance broker fees1937
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205651
Policy instance 3
Insurance contract or identification number10205651
Number of Individuals Covered799
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $11,279
Total amount of fees paid to insurance companyUSD $3,817
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,279
Amount paid for insurance broker fees2313
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730071
Policy instance 2
Insurance contract or identification number730071
Number of Individuals Covered798
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $3,561
Total amount of fees paid to insurance companyUSD $47,107
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,126,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,561
Amount paid for insurance broker fees47107
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00371511
Policy instance 1
Insurance contract or identification number00371511
Number of Individuals Covered477
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $24,855
Total amount of fees paid to insurance companyUSD $9,195
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $248,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,855
Amount paid for insurance broker fees9195
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number730071
Policy instance 2
Insurance contract or identification number730071
Number of Individuals Covered754
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $4,476
Total amount of fees paid to insurance companyUSD $55,005
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,488,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,476
Amount paid for insurance broker fees55000
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205651
Policy instance 3
Insurance contract or identification number10205651
Number of Individuals Covered847
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $11,168
Total amount of fees paid to insurance companyUSD $3,760
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,168
Amount paid for insurance broker fees3110
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205652
Policy instance 4
Insurance contract or identification number10205652
Number of Individuals Covered846
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $9,496
Total amount of fees paid to insurance companyUSD $3,426
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,496
Amount paid for insurance broker fees2888
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400205653
Policy instance 5
Insurance contract or identification number400205653
Number of Individuals Covered196
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $9,175
Total amount of fees paid to insurance companyUSD $3,269
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,175
Amount paid for insurance broker fees2753
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205654
Policy instance 6
Insurance contract or identification number10205654
Number of Individuals Covered311
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $17,072
Total amount of fees paid to insurance companyUSD $6,062
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $113,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,072
Amount paid for insurance broker fees5115
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00371511
Policy instance 1
Insurance contract or identification number00371511
Number of Individuals Covered521
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $25,598
Total amount of fees paid to insurance companyUSD $10,778
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $255,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,598
Amount paid for insurance broker fees10778
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00371511
Policy instance 1
Insurance contract or identification number00371511
Number of Individuals Covered523
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $24,624
Total amount of fees paid to insurance companyUSD $8,894
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $246,237
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 number730071
Policy instance 2
Insurance contract or identification number730071
Number of Individuals Covered404
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $3,370
Total amount of fees paid to insurance companyUSD $44,902
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,479,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205652
Policy instance 4
Insurance contract or identification number10205652
Number of Individuals Covered777
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $9,960
Total amount of fees paid to insurance companyUSD $-1,008
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400205653
Policy instance 5
Insurance contract or identification number400205653
Number of Individuals Covered207
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $9,787
Total amount of fees paid to insurance companyUSD $-1,059
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205654
Policy instance 6
Insurance contract or identification number10205654
Number of Individuals Covered332
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $17,348
Total amount of fees paid to insurance companyUSD $-1,806
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $115,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10205651
Policy instance 3
Insurance contract or identification number10205651
Number of Individuals Covered777
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $10,061
Total amount of fees paid to insurance companyUSD $-974
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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