FLORIDA PEST CONTROL & CHEMICAL CO. has sponsored the creation of one or more 401k plans.
Additional information about FLORIDA PEST CONTROL & CHEMICAL CO.
Submission information for form 5500 for 401k plan FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN
401k plan membership statisitcs for FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN
Measure | Date | Value |
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2019: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-06-01 | 538 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-06-01 | 0 |
Total of all active and inactive participants | 2019-06-01 | 0 |
Total participants | 2019-06-01 | 0 |
2018: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-06-01 | 539 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-06-01 | 538 |
Number of retired or separated participants receiving benefits | 2018-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-06-01 | 0 |
Total of all active and inactive participants | 2018-06-01 | 538 |
Total participants | 2018-06-01 | 538 |
2017: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-06-01 | 526 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 539 |
Number of retired or separated participants receiving benefits | 2017-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-06-01 | 0 |
Total of all active and inactive participants | 2017-06-01 | 539 |
Total participants | 2017-06-01 | 539 |
2016: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-06-01 | 499 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-06-01 | 526 |
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 | 526 |
Total participants | 2016-06-01 | 526 |
2015: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-06-01 | 478 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-06-01 | 499 |
Number of retired or separated participants receiving benefits | 2015-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-06-01 | 0 |
Total of all active and inactive participants | 2015-06-01 | 499 |
Total participants | 2015-06-01 | 499 |
2014: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-06-01 | 328 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 478 |
Number of retired or separated participants receiving benefits | 2014-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-06-01 | 0 |
Total of all active and inactive participants | 2014-06-01 | 478 |
Total participants | 2014-06-01 | 478 |
2013: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-06-01 | 373 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-06-01 | 328 |
Number of retired or separated participants receiving benefits | 2013-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2013-06-01 | 0 |
Total of all active and inactive participants | 2013-06-01 | 328 |
Total participants | 2013-06-01 | 328 |
2012: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-06-01 | 346 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 373 |
Number of retired or separated participants receiving benefits | 2012-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2012-06-01 | 0 |
Total of all active and inactive participants | 2012-06-01 | 373 |
Total participants | 2012-06-01 | 373 |
2011: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-06-01 | 383 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-06-01 | 346 |
Total of all active and inactive participants | 2011-06-01 | 346 |
Total participants | 2011-06-01 | 346 |
2010: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-07-01 | 385 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 383 |
Total of all active and inactive participants | 2010-07-01 | 383 |
Total participants | 2010-07-01 | 383 |
2009: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-06-01 | 390 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-06-01 | 392 |
Total of all active and inactive participants | 2009-06-01 | 392 |
Total participants | 2009-06-01 | 392 |
Total participants, beginning-of-year | 2009-05-01 | 400 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 390 |
Total of all active and inactive participants | 2009-05-01 | 390 |
Total participants | 2009-05-01 | 390 |
2008: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2008 401k membership |
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Total participants, beginning-of-year | 2008-05-01 | 400 |
Total number of active participants reported on line 7a of the Form 5500 | 2008-05-01 | 400 |
Total of all active and inactive participants | 2008-05-01 | 400 |
Total participants | 2008-05-01 | 400 |
2007: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2007 401k membership |
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Total participants, beginning-of-year | 2007-05-01 | 395 |
Total number of active participants reported on line 7a of the Form 5500 | 2007-05-01 | 400 |
Total of all active and inactive participants | 2007-05-01 | 400 |
Total participants | 2007-05-01 | 400 |
2006: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2006 401k membership |
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Total participants, beginning-of-year | 2006-05-01 | 359 |
Total number of active participants reported on line 7a of the Form 5500 | 2006-05-01 | 395 |
Total of all active and inactive participants | 2006-05-01 | 395 |
Total participants | 2006-05-01 | 395 |
2005: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2005 401k membership |
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Total participants, beginning-of-year | 2005-05-01 | 379 |
Total number of active participants reported on line 7a of the Form 5500 | 2005-05-01 | 359 |
Total of all active and inactive participants | 2005-05-01 | 359 |
Total participants | 2005-05-01 | 359 |
2004: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2004 401k membership |
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Total participants, beginning-of-year | 2004-05-01 | 365 |
Total number of active participants reported on line 7a of the Form 5500 | 2004-05-01 | 379 |
Total of all active and inactive participants | 2004-05-01 | 379 |
Total participants | 2004-05-01 | 379 |
2003: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2003 401k membership |
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Total participants, beginning-of-year | 2003-05-01 | 357 |
Total number of active participants reported on line 7a of the Form 5500 | 2003-05-01 | 365 |
Total of all active and inactive participants | 2003-05-01 | 365 |
Total participants | 2003-05-01 | 365 |
2002: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2002 401k membership |
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Total participants, beginning-of-year | 2002-05-01 | 348 |
Total number of active participants reported on line 7a of the Form 5500 | 2002-05-01 | 357 |
Total of all active and inactive participants | 2002-05-01 | 357 |
Total participants | 2002-05-01 | 357 |
2001: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2001 401k membership |
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Total participants, beginning-of-year | 2001-05-01 | 351 |
Total number of active participants reported on line 7a of the Form 5500 | 2001-05-01 | 348 |
Total of all active and inactive participants | 2001-05-01 | 348 |
Total participants | 2001-05-01 | 348 |
2019: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2019 form 5500 responses |
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2019-06-01 | Type of plan entity | Single employer plan |
2019-06-01 | Submission has been amended | No |
2019-06-01 | This submission is the final filing | Yes |
2019-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2019-06-01 | Plan is a collectively bargained plan | No |
2019-06-01 | Plan funding arrangement – Insurance | Yes |
2019-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-06-01 | Plan benefit arrangement – Insurance | Yes |
2019-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2018 form 5500 responses |
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2018-06-01 | Type of plan entity | Single employer plan |
2018-06-01 | Plan funding arrangement – Insurance | Yes |
2018-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-06-01 | Plan benefit arrangement – Insurance | Yes |
2018-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2017 form 5500 responses |
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2017-06-01 | Type of plan entity | Single employer plan |
2017-06-01 | Plan funding arrangement – Insurance | Yes |
2017-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-06-01 | Plan benefit arrangement – Insurance | Yes |
2017-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2016 form 5500 responses |
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2016-06-01 | Type of plan entity | Single employer plan |
2016-06-01 | Plan funding arrangement – Insurance | Yes |
2016-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-06-01 | Plan benefit arrangement – Insurance | Yes |
2016-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2015 form 5500 responses |
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2015-06-01 | Type of plan entity | Single employer plan |
2015-06-01 | Plan funding arrangement – Insurance | Yes |
2015-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-06-01 | Plan benefit arrangement – Insurance | Yes |
2015-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2014 form 5500 responses |
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2014-06-01 | Type of plan entity | Single employer plan |
2014-06-01 | Plan funding arrangement – Insurance | Yes |
2014-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-06-01 | Plan benefit arrangement – Insurance | Yes |
2014-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2013 form 5500 responses |
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2013-06-01 | Type of plan entity | Single employer plan |
2013-06-01 | Plan funding arrangement – Insurance | Yes |
2013-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-06-01 | Plan benefit arrangement – Insurance | Yes |
2013-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2012 form 5500 responses |
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2012-06-01 | Type of plan entity | Single employer plan |
2012-06-01 | Plan funding arrangement – Insurance | Yes |
2012-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-06-01 | Plan benefit arrangement – Insurance | Yes |
2012-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2011 form 5500 responses |
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2011-06-01 | Type of plan entity | Single employer plan |
2011-06-01 | Submission has been amended | No |
2011-06-01 | This submission is the final filing | No |
2011-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-06-01 | Plan is a collectively bargained plan | No |
2011-06-01 | Plan funding arrangement – Insurance | Yes |
2011-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-06-01 | Plan benefit arrangement – Insurance | Yes |
2011-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2010: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2010 form 5500 responses |
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2010-07-01 | Type of plan entity | Single employer plan |
2010-07-01 | Submission has been amended | No |
2010-07-01 | This submission is the final filing | No |
2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2010-07-01 | Plan is a collectively bargained plan | No |
2010-07-01 | Plan funding arrangement – Insurance | Yes |
2010-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2010-07-01 | Plan benefit arrangement – Insurance | Yes |
2010-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2009 form 5500 responses |
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2009-06-01 | Type of plan entity | Single employer plan |
2009-06-01 | Submission has been amended | No |
2009-06-01 | This submission is the final filing | No |
2009-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-06-01 | Plan is a collectively bargained plan | No |
2009-06-01 | Plan funding arrangement – Insurance | Yes |
2009-06-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-06-01 | Plan benefit arrangement – Insurance | Yes |
2009-06-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009-05-01 | Type of plan entity | Single employer plan |
2009-05-01 | Submission has been amended | No |
2009-05-01 | This submission is the final filing | No |
2009-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2009-05-01 | Plan is a collectively bargained plan | No |
2009-05-01 | Plan funding arrangement – Insurance | Yes |
2009-05-01 | Plan benefit arrangement – Insurance | Yes |
2008: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2008 form 5500 responses |
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2008-05-01 | Type of plan entity | Single employer plan |
2008-05-01 | Submission has been amended | No |
2008-05-01 | This submission is the final filing | No |
2008-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2008-05-01 | Plan is a collectively bargained plan | No |
2008-05-01 | Plan funding arrangement – Insurance | Yes |
2008-05-01 | Plan benefit arrangement – Insurance | Yes |
2007: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2007 form 5500 responses |
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2007-05-01 | Type of plan entity | Single employer plan |
2007-05-01 | Submission has been amended | No |
2007-05-01 | This submission is the final filing | No |
2007-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2007-05-01 | Plan is a collectively bargained plan | No |
2007-05-01 | Plan funding arrangement – Insurance | Yes |
2007-05-01 | Plan benefit arrangement – Insurance | Yes |
2006: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2006 form 5500 responses |
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2006-05-01 | Type of plan entity | Single employer plan |
2006-05-01 | Submission has been amended | No |
2006-05-01 | This submission is the final filing | No |
2006-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2006-05-01 | Plan is a collectively bargained plan | No |
2006-05-01 | Plan funding arrangement – Insurance | Yes |
2006-05-01 | Plan benefit arrangement – Insurance | Yes |
2005: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2005 form 5500 responses |
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2005-05-01 | Type of plan entity | Single employer plan |
2005-05-01 | Submission has been amended | No |
2005-05-01 | This submission is the final filing | No |
2005-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2005-05-01 | Plan is a collectively bargained plan | No |
2005-05-01 | Plan funding arrangement – Insurance | Yes |
2005-05-01 | Plan benefit arrangement – Insurance | Yes |
2004: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2004 form 5500 responses |
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2004-05-01 | Type of plan entity | Single employer plan |
2004-05-01 | Submission has been amended | No |
2004-05-01 | This submission is the final filing | No |
2004-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2004-05-01 | Plan is a collectively bargained plan | No |
2004-05-01 | Plan funding arrangement – Insurance | Yes |
2004-05-01 | Plan benefit arrangement – Insurance | Yes |
2003: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2003 form 5500 responses |
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2003-05-01 | Type of plan entity | Single employer plan |
2003-05-01 | Submission has been amended | No |
2003-05-01 | This submission is the final filing | No |
2003-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2003-05-01 | Plan is a collectively bargained plan | No |
2003-05-01 | Plan funding arrangement – Insurance | Yes |
2003-05-01 | Plan benefit arrangement – Insurance | Yes |
2002: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2002 form 5500 responses |
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2002-05-01 | Type of plan entity | Single employer plan |
2002-05-01 | Submission has been amended | No |
2002-05-01 | This submission is the final filing | No |
2002-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2002-05-01 | Plan is a collectively bargained plan | No |
2002-05-01 | Plan funding arrangement – Insurance | Yes |
2002-05-01 | Plan benefit arrangement – Insurance | Yes |
2001: FLORIDA PEST CONTROL & CHEMICAL CO. PREMIUM CONVERSION PLAN 2001 form 5500 responses |
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2001-05-01 | Type of plan entity | Single employer plan |
2001-05-01 | Submission has been amended | No |
2001-05-01 | This submission is the final filing | No |
2001-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2001-05-01 | Plan is a collectively bargained plan | No |
2001-05-01 | Plan funding arrangement – Insurance | Yes |
2001-05-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 1 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 345 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-03-31 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $0 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 15472 |
Policy instance | 2 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 543 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-03-31 | Total amount of commissions paid to insurance broker | USD $3,207 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $21,471 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 700 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 76031 |
Policy instance | 3 |
Insurance contract or identification number | 76031 | Number of Individuals Covered | 403 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-03-31 | Total amount of commissions paid to insurance broker | USD $7,757 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $17,982 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 7757 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 |
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FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 15472 |
Policy instance | 4 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 543 | Insurance policy start date | 2019-06-01 | Insurance policy end date | 2020-03-31 | Total amount of commissions paid to insurance broker | USD $3,853 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $29,610 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 3853 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 15472 |
Policy instance | 4 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 538 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of fees paid to insurance company | USD $7,031 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $41,417 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 6919 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 58936 |
Policy instance | 3 |
Insurance contract or identification number | 58936 | Number of Individuals Covered | 2 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of fees paid to insurance company | USD $83 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $875 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 75 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 |
|
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 1 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 353 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of fees paid to insurance company | USD $55,000 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 55000 | Additional information about fees paid to insurance broker | SERVICE FEE AGREEMENT | Insurance broker organization code? | 3 |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 15472 |
Policy instance | 2 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 538 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-05-31 | Total amount of fees paid to insurance company | USD $4,408 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $28,802 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 4325 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 15472 |
Policy instance | 2 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 539 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of fees paid to insurance company | USD $4,435 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $28,928 | 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 number | 15472 |
Policy instance | 1 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 338 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of fees paid to insurance company | USD $55,000 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 58936 |
Policy instance | 3 |
Insurance contract or identification number | 58936 | Number of Individuals Covered | 2 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of fees paid to insurance company | USD $123 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,002 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 15472 |
Policy instance | 4 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 539 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of fees paid to insurance company | USD $4,864 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $38,364 | 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 number | 15472 |
Policy instance | 1 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 342 | Insurance policy start date | 2015-06-01 | Insurance policy end date | 2016-05-31 | Total amount of fees paid to insurance company | USD $68,750 | Health Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 68750 | Additional information about fees paid to insurance broker | SERVICE FEE AGREEMENT | Insurance broker organization code? | 3 | Insurance broker name | WILLIS TOWERS WATSON/ERIC PARKER |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 15472 |
Policy instance | 2 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 499 | Insurance policy start date | 2015-06-01 | Insurance policy end date | 2016-05-31 | Total amount of fees paid to insurance company | USD $10,171 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $59,536 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 10171 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | WILLIS OF FLORIDA, INC. |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 58936 |
Policy instance | 3 |
Insurance contract or identification number | 58936 | Number of Individuals Covered | 6 | Insurance policy start date | 2015-06-01 | Insurance policy end date | 2016-05-31 | Total amount of fees paid to insurance company | USD $132 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,342 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 132 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | WILLIS OF FLORIDA, INC. |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 58936 |
Policy instance | 3 |
Insurance contract or identification number | 58936 | Number of Individuals Covered | 5 | Insurance policy start date | 2014-06-01 | Insurance policy end date | 2015-05-31 | Total amount of fees paid to insurance company | USD $325 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,886 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 32 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | WILLIS OF FLORIDA, INC. |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 15472 |
Policy instance | 2 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 478 | Insurance policy start date | 2014-06-01 | Insurance policy end date | 2015-05-31 | Total amount of fees paid to insurance company | USD $8,883 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $60,663 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 8883 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | WILLIS OF FLORIDA, INC. |
|
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 1 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 324 | Insurance policy start date | 2014-06-01 | Insurance policy end date | 2015-05-30 | Total amount of fees paid to insurance company | USD $55,000 | Health Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 55000 | Additional information about fees paid to insurance broker | SERVICE FEE AGREEMENT | Insurance broker organization code? | 3 | Insurance broker name | WILLIS OF FLORIDA, INC. |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 714178 |
Policy instance | 2 |
Insurance contract or identification number | 714178 | Number of Individuals Covered | 328 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $19,617 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | S BARRETT & SONS INC |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 58936 |
Policy instance | 3 |
Insurance contract or identification number | 58936 | Number of Individuals Covered | 13 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Total amount of fees paid to insurance company | USD $377 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,097 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 377 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | S BARRETT & SONS |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 714178 |
Policy instance | 1 |
Insurance contract or identification number | 714178 | Number of Individuals Covered | 328 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Total amount of commissions paid to insurance broker | USD $5,960 | Total amount of fees paid to insurance company | USD $57,357 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,850,750 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,960 | Amount paid for insurance broker fees | 57357 | Additional information about fees paid to insurance broker | SERVICE FEE AGREEMENT | Insurance broker organization code? | 3 | Insurance broker name | S BARRETT & SONS INC |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 58936 |
Policy instance | 3 |
Insurance contract or identification number | 58936 | Number of Individuals Covered | 9 | Insurance policy start date | 2012-06-01 | Insurance policy end date | 2013-05-31 | Total amount of fees paid to insurance company | USD $290 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,905 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 290 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | S BARRETT & SONS |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 714178 |
Policy instance | 1 |
Insurance contract or identification number | 714178 | Number of Individuals Covered | 373 | Insurance policy start date | 2012-06-01 | Insurance policy end date | 2013-05-31 | Total amount of commissions paid to insurance broker | USD $48,449 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,366,784 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $48,449 | Insurance broker organization code? | 3 | Insurance broker name | S BARRETT & SONS INC |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 714178 |
Policy instance | 2 |
Insurance contract or identification number | 714178 | Number of Individuals Covered | 373 | Insurance policy start date | 2012-06-01 | Insurance policy end date | 2013-05-31 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,127 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | S BARRETT & SONS INC |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0714178 |
Policy instance | 1 |
Insurance contract or identification number | 0714178 | Number of Individuals Covered | 707 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $48,454 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,288,687 | 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 | 0714178 |
Policy instance | 2 |
Insurance contract or identification number | 0714178 | Number of Individuals Covered | 346 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,558 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 3 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 13 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of fees paid to insurance company | USD $429 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,574 | 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 | 0714178 |
Policy instance | 3 |
Insurance contract or identification number | 0714178 | Number of Individuals Covered | 383 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $18,652 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 2 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 17 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-05-31 | Total amount of fees paid to insurance company | USD $514 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,614 | 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 | 0714178 |
Policy instance | 1 |
Insurance contract or identification number | 0714178 | Number of Individuals Covered | 707 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $56,921 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,631,198 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 3 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 16 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2010-06-30 | Total amount of fees paid to insurance company | USD $44 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $474 | 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 | 0714178 |
Policy instance | 2 |
Insurance contract or identification number | 0714178 | Number of Individuals Covered | 385 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2010-06-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,654 | 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 | 0714178 |
Policy instance | 1 |
Insurance contract or identification number | 0714178 | Number of Individuals Covered | 756 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2010-06-30 | Total amount of commissions paid to insurance broker | USD $4,743 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $219,267 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 25-D0064 |
Policy instance | 3 |
Insurance contract or identification number | 25-D0064 | Number of Individuals Covered | 368 | Insurance policy start date | 2008-05-01 | Insurance policy end date | 2009-04-30 | Total amount of fees paid to insurance company | USD $25,517 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 25517 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | ADAMS BENEFIT CORP |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0714178 |
Policy instance | 1 |
Insurance contract or identification number | 0714178 | Number of Individuals Covered | 771 | Insurance policy start date | 2008-05-01 | Insurance policy end date | 2009-04-30 | Total amount of commissions paid to insurance broker | USD $75,353 | Health Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Welfare Benefit Premiums Paid to Carrier | USD $2,439,831 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $75,353 | Insurance broker organization code? | 3 | Insurance broker name | ADAMS BENEFIT CORP |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0714178 |
Policy instance | 4 |
Insurance contract or identification number | 0714178 | Number of Individuals Covered | 400 | Insurance policy start date | 2008-05-01 | Insurance policy end date | 2009-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $17,565 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 0 | Insurance broker name | ADAMS BENEFIT CORP |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 2 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 16 | Insurance policy start date | 2008-05-01 | Insurance policy end date | 2009-04-30 | Total amount of fees paid to insurance company | USD $528 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,414 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 528 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | ADAMS BENEFIT CORP |
|
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 3 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 400 | Insurance policy start date | 2007-05-01 | Insurance policy end date | 2008-04-30 | Total amount of commissions paid to insurance broker | USD $61,523 | Health Insurance Welfare Benefit | Yes | Life 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 $61,523 | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 25-D0064 |
Policy instance | 2 |
Insurance contract or identification number | 25-D0064 | Number of Individuals Covered | 370 | Insurance policy start date | 2007-05-01 | Insurance policy end date | 2008-04-30 | Total amount of fees paid to insurance company | USD $22,682 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 22682 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 1 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 17 | Insurance policy start date | 2007-05-01 | Insurance policy end date | 2008-04-30 | Total amount of fees paid to insurance company | USD $551 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,794 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 551 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 3 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 395 | Insurance policy start date | 2006-05-01 | Insurance policy end date | 2007-04-30 | Total amount of commissions paid to insurance broker | USD $48,811 | Health Insurance Welfare Benefit | Yes | Life 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 $48,811 | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 25-D0064 |
Policy instance | 2 |
Insurance contract or identification number | 25-D0064 | Number of Individuals Covered | 351 | Insurance policy start date | 2006-05-01 | Insurance policy end date | 2007-04-30 | Total amount of fees paid to insurance company | USD $20,161 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 20161 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 1 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 15 | Insurance policy start date | 2006-05-01 | Insurance policy end date | 2007-04-30 | Total amount of fees paid to insurance company | USD $486 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,092 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 486 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 25-D0064 |
Policy instance | 3 |
Insurance contract or identification number | 25-D0064 | Number of Individuals Covered | 331 | Insurance policy start date | 2005-05-01 | Insurance policy end date | 2006-04-30 | Total amount of fees paid to insurance company | USD $17,921 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 17921 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 2 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 359 | Insurance policy start date | 2005-05-01 | Insurance policy end date | 2006-04-30 | Total amount of commissions paid to insurance broker | USD $45,721 | Health Insurance Welfare Benefit | Yes | Life 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 $45,721 | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 1 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 15 | Insurance policy start date | 2005-05-01 | Insurance policy end date | 2006-04-30 | Total amount of fees paid to insurance company | USD $486 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,924 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 486 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 2 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 17 | Insurance policy start date | 2004-05-01 | Insurance policy end date | 2005-04-30 | Total amount of fees paid to insurance company | USD $551 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,751 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 551 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 1 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 379 | Insurance policy start date | 2004-05-01 | Insurance policy end date | 2005-04-30 | Total amount of commissions paid to insurance broker | USD $41,844 | Health Insurance Welfare Benefit | Yes | Life 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 $41,844 | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 25-D0064 |
Policy instance | 3 |
Insurance contract or identification number | 25-D0064 | Number of Individuals Covered | 346 | Insurance policy start date | 2004-05-01 | Insurance policy end date | 2005-04-30 | Total amount of fees paid to insurance company | USD $15,930 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 15930 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 2 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 365 | Insurance policy start date | 2003-05-01 | Insurance policy end date | 2004-04-30 | Total amount of commissions paid to insurance broker | USD $34,914 | Health Insurance Welfare Benefit | Yes | Life 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 $34,914 | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 1 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 21 | Insurance policy start date | 2003-05-01 | Insurance policy end date | 2004-04-30 | Total amount of fees paid to insurance company | USD $680 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,115 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 680 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 25-D0064 |
Policy instance | 3 |
Insurance contract or identification number | 25-D0064 | Number of Individuals Covered | 331 | Insurance policy start date | 2003-05-01 | Insurance policy end date | 2004-04-30 | Total amount of fees paid to insurance company | USD $14,160 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 14160 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
|
FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 2 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 20 | Insurance policy start date | 2002-05-01 | Insurance policy end date | 2003-04-30 | Total amount of fees paid to insurance company | USD $648 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,809 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 648 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
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BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 1 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 357 | Insurance policy start date | 2002-05-01 | Insurance policy end date | 2003-04-30 | Total amount of commissions paid to insurance broker | USD $30,559 | Health Insurance Welfare Benefit | Yes | Life 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 $30,559 | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
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FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 25-D0064 |
Policy instance | 3 |
Insurance contract or identification number | 25-D0064 | Number of Individuals Covered | 314 | Insurance policy start date | 2002-05-01 | Insurance policy end date | 2003-04-30 | Total amount of fees paid to insurance company | USD $12,587 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 12587 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
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FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 26411 |
Policy instance | 3 |
Insurance contract or identification number | 26411 | Number of Individuals Covered | 23 | Insurance policy start date | 2001-05-01 | Insurance policy end date | 2002-04-30 | Total amount of fees paid to insurance company | USD $745 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,801 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 745 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
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FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 ) |
Policy contract number | 25-D0064 |
Policy instance | 2 |
Insurance contract or identification number | 25-D0064 | Number of Individuals Covered | 296 | Insurance policy start date | 2001-05-01 | Insurance policy end date | 2002-04-30 | Total amount of fees paid to insurance company | USD $11,188 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 11188 | Additional information about fees paid to insurance broker | SERVICE FEES | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
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BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) |
Policy contract number | 15472 |
Policy instance | 1 |
Insurance contract or identification number | 15472 | Number of Individuals Covered | 348 | Insurance policy start date | 2001-05-01 | Insurance policy end date | 2002-04-30 | Total amount of commissions paid to insurance broker | USD $26,204 | Health Insurance Welfare Benefit | Yes | Life 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 $26,204 | Insurance broker organization code? | 3 | Insurance broker name | HILB ROGAL HAMILTON COMPANY OF GNV |
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