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INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 401k Plan overview

Plan NameINDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST
Plan identification number 501

INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • 10 or more employer plan under Code section 419A(f)(6).

401k Sponsoring company profile

INDUSTRIAL MANUFACTURING AND PROFESSIONAL COMMERCIAL TRUST has sponsored the creation of one or more 401k plans.

Company Name:INDUSTRIAL MANUFACTURING AND PROFESSIONAL COMMERCIAL TRUST
Employer identification number (EIN):616096328
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01STEPHANIE COOLEY2018-10-15
5012016-01-01STEPHANIE COOLEY2017-10-15
5012015-01-01STEPHANIE COOLEY STEPHANIE COOLEY2016-10-17
5012014-01-01STEPHANIE COOLEY STEPHANIE COOLEY2015-10-15
5012014-01-01STEPHANIE COOLEY STEPHANIE COOLEY2015-10-15
5012013-01-01STEPHANIE COOLEY2014-10-14
5012012-01-01STEPHANIE COOLEY2013-10-11
5012011-01-01STEPHANIE COOLEY2012-10-15
5012009-01-01STEPHANIE COOLEY2010-10-11

Plan Statistics for INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST

401k plan membership statisitcs for INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST

Measure Date Value
2023: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2023 401k membership
Total participants, beginning-of-year2023-01-014,359
Total number of active participants reported on line 7a of the Form 55002023-01-014,044
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-014,044
2022: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-014,802
Total number of active participants reported on line 7a of the Form 55002022-01-014,359
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-014,359
2021: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-015,374
Total number of active participants reported on line 7a of the Form 55002021-01-014,802
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-014,802
2020: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-015,982
Total number of active participants reported on line 7a of the Form 55002020-01-017,402
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-017,402
2019: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-015,492
Total number of active participants reported on line 7a of the Form 55002019-01-015,982
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-015,982
2018: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-014,794
Total number of active participants reported on line 7a of the Form 55002018-01-015,492
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-015,492
2017: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-014,427
Total number of active participants reported on line 7a of the Form 55002017-01-014,794
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-014,794
2016: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-014,204
Total number of active participants reported on line 7a of the Form 55002016-01-014,427
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-014,427
2015: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-015,786
Total number of active participants reported on line 7a of the Form 55002015-01-014,204
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-014,204
2014: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-016,785
Total number of active participants reported on line 7a of the Form 55002014-01-015,786
Number of retired or separated participants receiving benefits2014-01-015,786
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0111,572
2013: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-019,225
Total number of active participants reported on line 7a of the Form 55002013-01-016,785
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-016,785
2012: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0110,687
Total number of active participants reported on line 7a of the Form 55002012-01-019,225
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-019,225
2011: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0111,012
Total number of active participants reported on line 7a of the Form 55002011-01-0110,687
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0110,687
2009: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0114,981
Total number of active participants reported on line 7a of the Form 55002009-01-0113,902
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0113,902

Financial Data on INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST

Measure Date Value
2023 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-12-31$88,659
Total unrealized appreciation/depreciation of assets2023-12-31$88,659
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$3,237,158
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$3,619,326
Total income from all sources (including contributions)2023-12-31$48,965,037
Total loss/gain on sale of assets2023-12-31$5,717
Total of all expenses incurred2023-12-31$48,992,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$47,555,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$48,582,741
Value of total assets at end of year2023-12-31$7,332,638
Value of total assets at beginning of year2023-12-31$7,742,453
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,437,546
Total interest from all sources2023-12-31$107,992
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$95,878
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$85,094
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$598,218
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$654,521
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$1,362,464
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$1,681,998
Administrative expenses (other) incurred2023-12-31$246,748
Liabilities. Value of operating payables at end of year2023-12-31$307,850
Liabilities. Value of operating payables at beginning of year2023-12-31$97,910
Total non interest bearing cash at end of year2023-12-31$1,126,179
Total non interest bearing cash at beginning of year2023-12-31$1,827,700
Value of net income/loss2023-12-31$-27,647
Value of net assets at end of year (total assets less liabilities)2023-12-31$4,095,480
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$4,123,127
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$31,775
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$1,901,204
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$2,194,394
Income. Interest from corporate debt instruments2023-12-31$26,764
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$1,796,340
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$1,878,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$1,878,652
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$81,228
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$30,470,092
Asset value of US Government securities at end of year2023-12-31$879,765
Asset value of US Government securities at beginning of year2023-12-31$589,742
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$84,050
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$48,582,741
Employer contributions (assets) at end of year2023-12-31$121,460
Employer contributions (assets) at beginning of year2023-12-31$69,723
Income. Dividends from common stock2023-12-31$10,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$17,085,046
Contract administrator fees2023-12-31$1,098,794
Assets. Corporate common stocks other than exployer securities at end of year2023-12-31$909,472
Assets. Corporate common stocks other than exployer securities at beginning of year2023-12-31$527,721
Liabilities. Value of benefit claims payable at end of year2023-12-31$1,566,844
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$1,839,418
Did the plan have assets held for investment2023-12-31Yes
Aggregate proceeds on sale of assets2023-12-31$3,571,599
Aggregate carrying amount (costs) on sale of assets2023-12-31$3,565,882
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2023-12-31611336870
2022 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$106,868
Total unrealized appreciation/depreciation of assets2022-12-31$106,868
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,619,326
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,098,294
Total income from all sources (including contributions)2022-12-31$44,399,748
Total loss/gain on sale of assets2022-12-31$-31,914
Total of all expenses incurred2022-12-31$45,680,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$44,327,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$44,926,884
Value of total assets at end of year2022-12-31$7,742,453
Value of total assets at beginning of year2022-12-31$8,502,513
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,353,344
Total interest from all sources2022-12-31$43,829
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$73,483
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$64,403
Administrative expenses professional fees incurred2022-12-31$168,103
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$654,521
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$706,315
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$1,681,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,576,069
Administrative expenses (other) incurred2022-12-31$493,246
Liabilities. Value of operating payables at end of year2022-12-31$97,910
Liabilities. Value of operating payables at beginning of year2022-12-31$86,159
Total non interest bearing cash at end of year2022-12-31$1,827,700
Total non interest bearing cash at beginning of year2022-12-31$1,942,751
Value of net income/loss2022-12-31$-1,281,092
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,123,127
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,404,219
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$37,928
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$2,194,394
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,230,321
Income. Interest from corporate debt instruments2022-12-31$25,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,878,652
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$155,040
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$155,040
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$18,141
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$29,983,709
Asset value of US Government securities at end of year2022-12-31$589,742
Asset value of US Government securities at beginning of year2022-12-31$704,141
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-719,402
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$44,926,884
Employer contributions (assets) at end of year2022-12-31$69,723
Employer contributions (assets) at beginning of year2022-12-31$40,119
Income. Dividends from common stock2022-12-31$9,080
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$14,343,787
Contract administrator fees2022-12-31$654,067
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$527,721
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$1,723,826
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,839,418
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,436,066
Did the plan have assets held for investment2022-12-31Yes
Aggregate proceeds on sale of assets2022-12-31$5,465,107
Aggregate carrying amount (costs) on sale of assets2022-12-31$5,497,021
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2022-12-31611336870
2021 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$322,059
Total unrealized appreciation/depreciation of assets2021-12-31$322,059
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,098,294
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,806,073
Total income from all sources (including contributions)2021-12-31$50,017,391
Total loss/gain on sale of assets2021-12-31$65,884
Total of all expenses incurred2021-12-31$49,773,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$48,744,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$49,366,988
Value of total assets at end of year2021-12-31$8,502,513
Value of total assets at beginning of year2021-12-31$6,965,901
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,028,564
Total interest from all sources2021-12-31$33,255
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$119,987
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$92,230
Administrative expenses professional fees incurred2021-12-31$43,872
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$706,315
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,367,397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,576,069
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$1,695,968
Administrative expenses (other) incurred2021-12-31$22,308
Liabilities. Value of operating payables at end of year2021-12-31$86,159
Liabilities. Value of operating payables at beginning of year2021-12-31$97,147
Total non interest bearing cash at end of year2021-12-31$1,942,751
Total non interest bearing cash at beginning of year2021-12-31$191,125
Value of net income/loss2021-12-31$244,391
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,404,219
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,159,828
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$35,222
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,230,321
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,866,705
Income. Interest from corporate debt instruments2021-12-31$33,236
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$155,040
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$117,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$117,296
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$19
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$44,965,304
Asset value of US Government securities at end of year2021-12-31$704,141
Asset value of US Government securities at beginning of year2021-12-31$936,123
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$109,218
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$49,366,988
Employer contributions (assets) at end of year2021-12-31$40,119
Employer contributions (assets) at beginning of year2021-12-31$127,402
Income. Dividends from common stock2021-12-31$27,757
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,779,132
Contract administrator fees2021-12-31$927,162
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$1,723,826
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$1,359,853
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,436,066
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$12,958
Did the plan have assets held for investment2021-12-31Yes
Aggregate proceeds on sale of assets2021-12-31$2,779,952
Aggregate carrying amount (costs) on sale of assets2021-12-31$2,714,068
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2021-12-31611336870
2020 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$191,145
Total unrealized appreciation/depreciation of assets2020-12-31$191,145
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,806,073
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,368,651
Total income from all sources (including contributions)2020-12-31$53,749,334
Total loss/gain on sale of assets2020-12-31$-71,014
Total of all expenses incurred2020-12-31$53,403,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$52,446,782
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$53,152,109
Value of total assets at end of year2020-12-31$6,965,901
Value of total assets at beginning of year2020-12-31$7,183,095
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$957,168
Total interest from all sources2020-12-31$35,862
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$105,890
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$84,921
Administrative expenses professional fees incurred2020-12-31$11,000
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,367,397
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$853,690
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,695,968
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1,445,268
Other income not declared elsewhere2020-12-31$182,088
Administrative expenses (other) incurred2020-12-31$31,650
Liabilities. Value of operating payables at end of year2020-12-31$97,147
Liabilities. Value of operating payables at beginning of year2020-12-31$76,381
Total non interest bearing cash at end of year2020-12-31$191,125
Total non interest bearing cash at beginning of year2020-12-31$1,464,222
Value of net income/loss2020-12-31$345,384
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,159,828
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,814,444
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$27,873
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,866,705
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,961,992
Income. Interest from corporate debt instruments2020-12-31$35,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$117,296
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$121,814
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$121,814
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$383
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$52,446,782
Asset value of US Government securities at end of year2020-12-31$936,123
Asset value of US Government securities at beginning of year2020-12-31$1,374,709
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$153,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$53,152,109
Employer contributions (assets) at end of year2020-12-31$127,402
Employer contributions (assets) at beginning of year2020-12-31$168,082
Income. Dividends from common stock2020-12-31$20,969
Contract administrator fees2020-12-31$886,645
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$1,359,853
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$1,238,586
Liabilities. Value of benefit claims payable at end of year2020-12-31$12,958
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$847,002
Did the plan have assets held for investment2020-12-31Yes
Aggregate proceeds on sale of assets2020-12-31$3,682,210
Aggregate carrying amount (costs) on sale of assets2020-12-31$3,753,224
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2020-12-31611336870
2019 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$173,097
Total unrealized appreciation/depreciation of assets2019-12-31$173,097
Total unrealized appreciation/depreciation of assets2019-12-31$173,097
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,368,651
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,368,651
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,120,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,120,704
Total income from all sources (including contributions)2019-12-31$50,948,187
Total income from all sources (including contributions)2019-12-31$50,948,187
Total loss/gain on sale of assets2019-12-31$39,698
Total loss/gain on sale of assets2019-12-31$39,698
Total of all expenses incurred2019-12-31$50,327,248
Total of all expenses incurred2019-12-31$50,327,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$49,423,581
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$49,423,581
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$50,338,526
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$50,338,526
Value of total assets at end of year2019-12-31$7,183,095
Value of total assets at end of year2019-12-31$7,183,095
Value of total assets at beginning of year2019-12-31$6,314,209
Value of total assets at beginning of year2019-12-31$6,314,209
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$903,667
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$903,667
Total interest from all sources2019-12-31$64,384
Total interest from all sources2019-12-31$64,384
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$87,572
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$87,572
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$62,475
Administrative expenses professional fees incurred2019-12-31$10,000
Administrative expenses professional fees incurred2019-12-31$10,000
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$853,690
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$853,690
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,133,751
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,133,751
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,445,268
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,445,268
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,724,534
Other income not declared elsewhere2019-12-31$11,279
Other income not declared elsewhere2019-12-31$11,279
Administrative expenses (other) incurred2019-12-31$28,669
Administrative expenses (other) incurred2019-12-31$28,669
Liabilities. Value of operating payables at end of year2019-12-31$76,381
Liabilities. Value of operating payables at end of year2019-12-31$76,381
Liabilities. Value of operating payables at beginning of year2019-12-31$58,693
Liabilities. Value of operating payables at beginning of year2019-12-31$58,693
Total non interest bearing cash at end of year2019-12-31$1,464,222
Total non interest bearing cash at end of year2019-12-31$1,464,222
Total non interest bearing cash at beginning of year2019-12-31$853,094
Total non interest bearing cash at beginning of year2019-12-31$853,094
Value of net income/loss2019-12-31$620,939
Value of net income/loss2019-12-31$620,939
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,814,444
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,814,444
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,193,505
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,193,505
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$26,942
Investment advisory and management fees2019-12-31$26,942
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,961,992
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,799,478
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,799,478
Income. Interest from corporate debt instruments2019-12-31$59,082
Income. Interest from corporate debt instruments2019-12-31$59,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$121,814
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$902,525
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$902,525
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$902,525
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$902,525
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$5,302
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$5,302
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$49,423,581
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$49,423,581
Asset value of US Government securities at end of year2019-12-31$1,374,709
Asset value of US Government securities at end of year2019-12-31$1,374,709
Asset value of US Government securities at beginning of year2019-12-31$1,207,474
Asset value of US Government securities at beginning of year2019-12-31$1,207,474
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$233,631
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$233,631
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$50,338,526
Contributions received in cash from employer2019-12-31$50,338,526
Employer contributions (assets) at end of year2019-12-31$168,082
Employer contributions (assets) at end of year2019-12-31$168,082
Employer contributions (assets) at beginning of year2019-12-31$164,065
Employer contributions (assets) at beginning of year2019-12-31$164,065
Income. Dividends from common stock2019-12-31$25,097
Income. Dividends from common stock2019-12-31$25,097
Contract administrator fees2019-12-31$838,056
Contract administrator fees2019-12-31$838,056
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$1,238,586
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$1,238,586
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$253,822
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$253,822
Liabilities. Value of benefit claims payable at end of year2019-12-31$847,002
Liabilities. Value of benefit claims payable at end of year2019-12-31$847,002
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$337,477
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$337,477
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Aggregate proceeds on sale of assets2019-12-31$4,735,609
Aggregate proceeds on sale of assets2019-12-31$4,735,609
Aggregate carrying amount (costs) on sale of assets2019-12-31$4,695,911
Aggregate carrying amount (costs) on sale of assets2019-12-31$4,695,911
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2019-12-31611336870
Accountancy firm EIN2019-12-31611336870
2018 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-91,231
Total unrealized appreciation/depreciation of assets2018-12-31$-91,231
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,120,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,875,031
Total income from all sources (including contributions)2018-12-31$44,431,436
Total loss/gain on sale of assets2018-12-31$16,541
Total of all expenses incurred2018-12-31$43,688,991
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$42,879,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$44,200,879
Value of total assets at end of year2018-12-31$6,314,209
Value of total assets at beginning of year2018-12-31$5,326,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$809,376
Total interest from all sources2018-12-31$68,399
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$58,754
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$52,799
Administrative expenses professional fees incurred2018-12-31$11,000
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,133,751
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,017,912
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$1,724,534
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,508,048
Other income not declared elsewhere2018-12-31$303,015
Administrative expenses (other) incurred2018-12-31$53,489
Liabilities. Value of operating payables at end of year2018-12-31$58,693
Liabilities. Value of operating payables at beginning of year2018-12-31$46,998
Total non interest bearing cash at end of year2018-12-31$853,094
Total non interest bearing cash at beginning of year2018-12-31$563,210
Value of net income/loss2018-12-31$742,445
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,193,505
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,451,060
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$23,407
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,799,478
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,862,577
Income. Interest from corporate debt instruments2018-12-31$62,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$902,525
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$264,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$264,680
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$5,943
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$42,879,615
Asset value of US Government securities at end of year2018-12-31$1,207,474
Asset value of US Government securities at beginning of year2018-12-31$1,234,860
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-124,921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$44,200,879
Employer contributions (assets) at end of year2018-12-31$164,065
Employer contributions (assets) at beginning of year2018-12-31$73,712
Income. Dividends from common stock2018-12-31$5,955
Contract administrator fees2018-12-31$721,480
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$253,822
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$309,140
Liabilities. Value of benefit claims payable at end of year2018-12-31$337,477
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$319,985
Did the plan have assets held for investment2018-12-31Yes
Aggregate proceeds on sale of assets2018-12-31$2,573,894
Aggregate carrying amount (costs) on sale of assets2018-12-31$2,557,353
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2018-12-31611336870
2017 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$122,431
Total unrealized appreciation/depreciation of assets2017-12-31$122,431
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,875,031
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,974,567
Total income from all sources (including contributions)2017-12-31$35,567,192
Total loss/gain on sale of assets2017-12-31$5,639
Total of all expenses incurred2017-12-31$35,410,851
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$34,731,349
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$35,290,482
Value of total assets at end of year2017-12-31$5,326,091
Value of total assets at beginning of year2017-12-31$6,269,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$679,502
Total interest from all sources2017-12-31$42,130
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$75,777
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$71,779
Administrative expenses professional fees incurred2017-12-31$12,000
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,017,912
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$952,791
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,508,048
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,210,229
Administrative expenses (other) incurred2017-12-31$26,508
Liabilities. Value of operating payables at end of year2017-12-31$46,998
Liabilities. Value of operating payables at beginning of year2017-12-31$43,795
Total non interest bearing cash at end of year2017-12-31$563,210
Total non interest bearing cash at beginning of year2017-12-31$1,282,352
Value of net income/loss2017-12-31$156,341
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,451,060
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,294,719
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$23,080
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,862,577
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,474,515
Income. Interest from corporate debt instruments2017-12-31$38,672
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$264,680
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,027,672
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,027,672
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3,458
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$34,731,349
Asset value of US Government securities at end of year2017-12-31$1,234,860
Asset value of US Government securities at beginning of year2017-12-31$1,267,617
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$30,733
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$35,290,482
Employer contributions (assets) at end of year2017-12-31$73,712
Employer contributions (assets) at beginning of year2017-12-31$20,918
Income. Dividends from common stock2017-12-31$3,998
Contract administrator fees2017-12-31$617,914
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$309,140
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$243,421
Liabilities. Value of benefit claims payable at end of year2017-12-31$319,985
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$1,720,543
Did the plan have assets held for investment2017-12-31Yes
Aggregate proceeds on sale of assets2017-12-31$3,113,117
Aggregate carrying amount (costs) on sale of assets2017-12-31$3,107,478
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2017-12-31611336870
2016 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-9,589
Total unrealized appreciation/depreciation of assets2016-12-31$-9,589
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,974,567
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,907,692
Total income from all sources (including contributions)2016-12-31$32,635,316
Total loss/gain on sale of assets2016-12-31$-4,691
Total of all expenses incurred2016-12-31$32,596,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$32,014,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$32,524,491
Value of total assets at end of year2016-12-31$6,269,286
Value of total assets at beginning of year2016-12-31$6,163,486
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$581,864
Total interest from all sources2016-12-31$44,596
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$37,778
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$32,950
Administrative expenses professional fees incurred2016-12-31$13,000
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$952,791
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$663,031
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,210,229
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$1,128,615
Administrative expenses (other) incurred2016-12-31$35,828
Liabilities. Value of operating payables at end of year2016-12-31$43,795
Liabilities. Value of operating payables at beginning of year2016-12-31$58,659
Total non interest bearing cash at end of year2016-12-31$1,282,352
Total non interest bearing cash at beginning of year2016-12-31$1,240,852
Value of net income/loss2016-12-31$38,925
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,294,719
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,255,794
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$12,685
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,474,515
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,957,929
Income. Interest from corporate debt instruments2016-12-31$40,694
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,027,672
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,036,519
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,036,519
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$3,902
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$32,014,527
Asset value of US Government securities at end of year2016-12-31$1,267,617
Asset value of US Government securities at beginning of year2016-12-31$969,341
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$42,731
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$32,524,491
Employer contributions (assets) at end of year2016-12-31$20,918
Employer contributions (assets) at beginning of year2016-12-31$64,542
Income. Dividends from common stock2016-12-31$4,828
Contract administrator fees2016-12-31$520,351
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$243,421
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$231,272
Liabilities. Value of benefit claims payable at end of year2016-12-31$1,720,543
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$1,720,418
Did the plan have assets held for investment2016-12-31Yes
Aggregate proceeds on sale of assets2016-12-31$2,801,140
Aggregate carrying amount (costs) on sale of assets2016-12-31$2,805,831
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2016-12-31611336870
2015 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-35,655
Total unrealized appreciation/depreciation of assets2015-12-31$-35,655
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,907,692
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,210,138
Total income from all sources (including contributions)2015-12-31$34,573,429
Total loss/gain on sale of assets2015-12-31$-25,897
Total of all expenses incurred2015-12-31$35,053,238
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$34,228,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$34,476,379
Value of total assets at end of year2015-12-31$6,163,486
Value of total assets at beginning of year2015-12-31$4,945,741
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$824,584
Total interest from all sources2015-12-31$55,239
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$47,881
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$47,881
Administrative expenses professional fees incurred2015-12-31$11,112
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$663,031
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$809,635
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$1,128,615
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$1,105,005
Other income not declared elsewhere2015-12-31$91,641
Administrative expenses (other) incurred2015-12-31$50,244
Liabilities. Value of operating payables at end of year2015-12-31$58,659
Liabilities. Value of operating payables at beginning of year2015-12-31$79,822
Total non interest bearing cash at end of year2015-12-31$1,240,852
Total non interest bearing cash at beginning of year2015-12-31$242,291
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-479,809
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,255,794
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,735,603
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$19,014
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,957,929
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,049,656
Income. Interest from corporate debt instruments2015-12-31$54,356
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,036,519
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,659,997
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,659,997
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$883
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$34,228,654
Asset value of US Government securities at end of year2015-12-31$969,341
Asset value of US Government securities at beginning of year2015-12-31$1,166,334
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-36,159
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$34,476,379
Employer contributions (assets) at end of year2015-12-31$64,542
Employer contributions (assets) at beginning of year2015-12-31$17,828
Contract administrator fees2015-12-31$744,214
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$231,272
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,720,418
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$25,311
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$3,796,877
Aggregate carrying amount (costs) on sale of assets2015-12-31$3,822,774
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2015-12-31611336870
2014 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-25,215
Total unrealized appreciation/depreciation of assets2014-12-31$-25,215
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,210,138
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,331,093
Total income from all sources (including contributions)2014-12-31$1,356,358
Total loss/gain on sale of assets2014-12-31$-5,551
Total of all expenses incurred2014-12-31$1,533,200
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$482,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,318,319
Value of total assets at end of year2014-12-31$4,945,741
Value of total assets at beginning of year2014-12-31$8,243,538
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,050,204
Total interest from all sources2014-12-31$37,953
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$17,499
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$17,499
Administrative expenses professional fees incurred2014-12-31$25,146
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$809,635
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$797,201
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$1,105,005
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,712,409
Administrative expenses (other) incurred2014-12-31$23,759
Liabilities. Value of operating payables at end of year2014-12-31$79,822
Liabilities. Value of operating payables at beginning of year2014-12-31$411,834
Total non interest bearing cash at end of year2014-12-31$242,291
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-176,842
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,735,603
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,912,445
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$15,159
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,049,656
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,521,716
Income. Interest from US Government securities2014-12-31$1,500
Income. Interest from corporate debt instruments2014-12-31$36,083
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,659,997
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,054,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,054,247
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$370
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$482,996
Asset value of US Government securities at end of year2014-12-31$1,166,334
Asset value of US Government securities at beginning of year2014-12-31$2,809,584
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$13,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,318,319
Employer contributions (assets) at end of year2014-12-31$17,828
Employer contributions (assets) at beginning of year2014-12-31$60,790
Contract administrator fees2014-12-31$986,140
Liabilities. Value of benefit claims payable at end of year2014-12-31$25,311
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,206,850
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$4,277,286
Aggregate carrying amount (costs) on sale of assets2014-12-31$4,282,837
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2014-12-31611336870
2013 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-14,405
Total unrealized appreciation/depreciation of assets2013-12-31$-14,405
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$4,331,093
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,340,186
Total income from all sources (including contributions)2013-12-31$53,502,205
Total loss/gain on sale of assets2013-12-31$-4,063
Total of all expenses incurred2013-12-31$54,647,392
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$53,352,289
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$53,485,112
Value of total assets at end of year2013-12-31$8,243,538
Value of total assets at beginning of year2013-12-31$8,397,818
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,295,103
Total interest from all sources2013-12-31$33,757
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$16,062
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$16,062
Administrative expenses professional fees incurred2013-12-31$85,444
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$797,201
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$705,438
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$2,712,409
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$2,676,685
Administrative expenses (other) incurred2013-12-31$12,646
Liabilities. Value of operating payables at end of year2013-12-31$411,834
Liabilities. Value of operating payables at beginning of year2013-12-31$61,038
Total non interest bearing cash at beginning of year2013-12-31$503,023
Value of net income/loss2013-12-31$-1,145,187
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,912,445
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,057,632
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$20,069
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,521,716
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,337,906
Income. Interest from US Government securities2013-12-31$6,500
Income. Interest from corporate debt instruments2013-12-31$25,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,054,247
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$3,056,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$3,056,408
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$1,393
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$53,352,289
Asset value of US Government securities at end of year2013-12-31$2,809,584
Asset value of US Government securities at beginning of year2013-12-31$2,409,192
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-14,258
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$53,485,112
Employer contributions (assets) at end of year2013-12-31$60,790
Employer contributions (assets) at beginning of year2013-12-31$335,851
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$50,000
Contract administrator fees2013-12-31$1,176,944
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,206,850
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$602,463
Did the plan have assets held for investment2013-12-31Yes
Aggregate proceeds on sale of assets2013-12-31$24,196,128
Aggregate carrying amount (costs) on sale of assets2013-12-31$24,200,191
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2013-12-31611336870
2012 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-56
Total unrealized appreciation/depreciation of assets2012-12-31$-56
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,340,186
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$4,380,457
Total income from all sources (including contributions)2012-12-31$56,907,119
Total loss/gain on sale of assets2012-12-31$-2,965
Total of all expenses incurred2012-12-31$56,318,156
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$55,030,221
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$56,893,980
Value of total assets at end of year2012-12-31$8,397,818
Value of total assets at beginning of year2012-12-31$8,849,126
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,287,935
Total interest from all sources2012-12-31$14,757
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$3,129
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$3,129
Administrative expenses professional fees incurred2012-12-31$27,091
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$705,438
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$568,818
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$2,676,685
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$3,041,369
Administrative expenses (other) incurred2012-12-31$12,676
Liabilities. Value of operating payables at end of year2012-12-31$61,038
Liabilities. Value of operating payables at beginning of year2012-12-31$82,164
Total non interest bearing cash at end of year2012-12-31$503,023
Total non interest bearing cash at beginning of year2012-12-31$269,523
Value of net income/loss2012-12-31$588,963
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,057,632
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,468,669
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$25,906
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,337,906
Income. Interest from US Government securities2012-12-31$9,556
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$3,056,408
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$6,163,175
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$6,163,175
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$5,201
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$55,030,221
Asset value of US Government securities at end of year2012-12-31$2,409,192
Asset value of US Government securities at beginning of year2012-12-31$1,569,092
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$-1,726
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$56,893,980
Employer contributions (assets) at end of year2012-12-31$335,851
Employer contributions (assets) at beginning of year2012-12-31$278,518
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$50,000
Contract administrator fees2012-12-31$1,222,262
Liabilities. Value of benefit claims payable at end of year2012-12-31$602,463
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,256,924
Did the plan have assets held for investment2012-12-31Yes
Aggregate proceeds on sale of assets2012-12-31$3,293,892
Aggregate carrying amount (costs) on sale of assets2012-12-31$3,296,857
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2012-12-31611336870
2011 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$2,507
Total unrealized appreciation/depreciation of assets2011-12-31$2,507
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$4,380,457
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$4,870,218
Total income from all sources (including contributions)2011-12-31$59,549,488
Total loss/gain on sale of assets2011-12-31$-10,615
Total of all expenses incurred2011-12-31$58,999,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$57,635,094
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$59,274,155
Value of total assets at end of year2011-12-31$8,849,126
Value of total assets at beginning of year2011-12-31$8,789,279
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,364,786
Total interest from all sources2011-12-31$27,645
Administrative expenses professional fees incurred2011-12-31$16,300
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$568,818
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$827,994
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$3,041,369
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$3,325,985
Other income not declared elsewhere2011-12-31$255,796
Administrative expenses (other) incurred2011-12-31$14,842
Liabilities. Value of operating payables at end of year2011-12-31$82,164
Liabilities. Value of operating payables at beginning of year2011-12-31$59,522
Total non interest bearing cash at end of year2011-12-31$269,523
Total non interest bearing cash at beginning of year2011-12-31$220,982
Value of net income/loss2011-12-31$549,608
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,468,669
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,919,061
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$24,000
Income. Interest from US Government securities2011-12-31$23,875
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$6,163,175
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$5,946,144
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$5,946,144
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3,770
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$57,635,094
Asset value of US Government securities at end of year2011-12-31$1,569,092
Asset value of US Government securities at beginning of year2011-12-31$1,583,648
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$59,274,155
Employer contributions (assets) at end of year2011-12-31$278,518
Employer contributions (assets) at beginning of year2011-12-31$210,511
Contract administrator fees2011-12-31$1,309,644
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,256,924
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,484,711
Did the plan have assets held for investment2011-12-31Yes
Aggregate proceeds on sale of assets2011-12-31$2,604,130
Aggregate carrying amount (costs) on sale of assets2011-12-31$2,614,745
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2011-12-31611336870
2010 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-1,050
Total unrealized appreciation/depreciation of assets2010-12-31$-1,050
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,870,218
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$5,270,898
Total income from all sources (including contributions)2010-12-31$60,574,987
Total of all expenses incurred2010-12-31$61,005,158
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$59,578,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$60,560,725
Value of total assets at end of year2010-12-31$8,789,279
Value of total assets at beginning of year2010-12-31$9,620,130
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,426,822
Total interest from all sources2010-12-31$15,312
Administrative expenses professional fees incurred2010-12-31$22,364
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$827,994
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$1,396,595
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$3,325,985
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$3,525,358
Administrative expenses (other) incurred2010-12-31$21,262
Liabilities. Value of operating payables at end of year2010-12-31$59,522
Liabilities. Value of operating payables at beginning of year2010-12-31$51,341
Total non interest bearing cash at end of year2010-12-31$220,982
Total non interest bearing cash at beginning of year2010-12-31$460,155
Value of net income/loss2010-12-31$-430,171
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,919,061
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,349,232
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$26,531
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$5,946,144
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$6,305,361
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$6,305,361
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$15,312
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$59,578,336
Asset value of US Government securities at end of year2010-12-31$1,583,648
Asset value of US Government securities at beginning of year2010-12-31$1,289,003
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$60,560,725
Employer contributions (assets) at end of year2010-12-31$210,511
Employer contributions (assets) at beginning of year2010-12-31$169,016
Contract administrator fees2010-12-31$1,356,665
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,484,711
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,694,199
Did the plan have assets held for investment2010-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31FRANK N HESTAND CPA PSC
Accountancy firm EIN2010-12-31611336870

Form 5500 Responses for INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST

2023: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2023 form 5500 responses
2023-01-01Type of plan entityDFE (Diect Filing Entity)
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2022 form 5500 responses
2022-01-01Type of plan entityDFE (Diect Filing Entity)
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2021 form 5500 responses
2021-01-01Type of plan entityDFE (Diect Filing Entity)
2021-01-01Submission has been amendedYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2020 form 5500 responses
2020-01-01Type of plan entityDFE (Diect Filing Entity)
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2019 form 5500 responses
2019-01-01Type of plan entityDFE (Diect Filing Entity)
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2018 form 5500 responses
2018-01-01Type of plan entityDFE (Diect Filing Entity)
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2017 form 5500 responses
2017-01-01Type of plan entityDFE (Diect Filing Entity)
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2016 form 5500 responses
2016-01-01Type of plan entityDFE (Diect Filing Entity)
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2013 form 5500 responses
2013-01-01Type of plan entityDFE (Diect Filing Entity)
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2012 form 5500 responses
2012-01-01Type of plan entityDFE (Diect Filing Entity)
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2011 form 5500 responses
2011-01-01Type of plan entityDFE (Diect Filing Entity)
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2009 form 5500 responses
2009-01-01Type of plan entityDFE (Diect Filing Entity)
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 5
Insurance contract or identification numberASGHOME
Number of Individuals Covered1030
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $272,719
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,626,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered1602
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered577
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 3
Insurance contract or identification numberG 34340
Number of Individuals Covered86
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 4
Insurance contract or identification numberG42624
Number of Individuals Covered78
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract numberIMPACT TRUST
Policy instance 17
Insurance contract or identification numberIMPACT TRUST
Number of Individuals Covered62
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYWT
Policy instance 6
Insurance contract or identification numberASGKYWT
Number of Individuals Covered245
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $51,505
Total amount of fees paid to insurance companyUSD $54
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,882,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKRA
Policy instance 7
Insurance contract or identification numberASGKRA
Number of Individuals Covered1433
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $414,772
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,378,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYTHO
Policy instance 8
Insurance contract or identification numberASGKYTHO
Number of Individuals Covered1831
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $281,493
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,509,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKAIH
Policy instance 9
Insurance contract or identification numberASGIKAIH
Number of Individuals Covered67
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $14,838
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $799,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract numberM00027
Policy instance 16
Insurance contract or identification numberM00027
Number of Individuals Covered3
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number169772
Policy instance 15
Insurance contract or identification number169772
Number of Individuals Covered16
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166169
Policy instance 14
Insurance contract or identification number166169
Number of Individuals Covered130
Insurance policy start date2023-07-01
Insurance policy end date2023-08-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 13
Insurance contract or identification number164068
Number of Individuals Covered89
Insurance policy start date2023-01-01
Insurance policy end date2023-08-31
Total amount of commissions paid to insurance brokerUSD $4,133
Total amount of fees paid to insurance companyUSD $2,949
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164796
Policy instance 12
Insurance contract or identification number164796
Number of Individuals Covered15
Insurance policy start date2022-09-01
Insurance policy end date2023-08-31
Total amount of commissions paid to insurance brokerUSD $2,475
Total amount of fees paid to insurance companyUSD $1,456
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKAIH
Policy instance 11
Insurance contract or identification numberASGIKAIH
Number of Individuals Covered105
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIPST
Policy instance 10
Insurance contract or identification numberASGIPST
Number of Individuals Covered371
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,314,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 4
Insurance contract or identification numberG42624
Number of Individuals Covered78
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 3
Insurance contract or identification numberG 34340
Number of Individuals Covered86
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMINISTRATION FEE
Insurance broker organization code?5
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered647
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered1827
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number169772
Policy instance 16
Insurance contract or identification number169772
Number of Individuals Covered16
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,296
Total amount of fees paid to insurance companyUSD $858
Welfare Benefit Premiums Paid to CarrierUSD $12,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,296
Amount paid for insurance broker fees168
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166169
Policy instance 15
Insurance contract or identification number166169
Number of Individuals Covered128
Insurance policy start date2022-07-01
Insurance policy end date2022-08-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 14
Insurance contract or identification number164068
Number of Individuals Covered49
Insurance policy start date2021-07-01
Insurance policy end date2022-08-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 5
Insurance contract or identification numberASGHOME
Number of Individuals Covered1030
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $272,718
Total amount of fees paid to insurance companyUSD $66
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,626,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $272,718
Amount paid for insurance broker fees66
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYWT
Policy instance 6
Insurance contract or identification numberASGKYWT
Number of Individuals Covered245
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $51,505
Total amount of fees paid to insurance companyUSD $54
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,882,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,012
Amount paid for insurance broker fees54
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 13
Insurance contract or identification number164068
Number of Individuals Covered90
Insurance policy start date2022-07-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $657
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $657
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164796
Policy instance 12
Insurance contract or identification number164796
Number of Individuals Covered15
Insurance policy start date2022-07-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $2,027
Total amount of fees paid to insurance companyUSD $1,216
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,027
Amount paid for insurance broker fees327
Insurance broker organization code?3
Additional information about fees paid to insurance brokerADMINISTRATION FEES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKAIH
Policy instance 11
Insurance contract or identification numberASGIKAIH
Number of Individuals Covered105
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIPST
Policy instance 10
Insurance contract or identification numberASGIPST
Number of Individuals Covered407
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $94,706
Total amount of fees paid to insurance companyUSD $1,100
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,614,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,175
Amount paid for insurance broker fees800
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKAIH
Policy instance 9
Insurance contract or identification numberASGIKAIH
Number of Individuals Covered65
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,955
Welfare Benefit Premiums Paid to CarrierUSD $755,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,173
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYTHO
Policy instance 8
Insurance contract or identification numberASGKYTHO
Number of Individuals Covered1831
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $281,493
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,509,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $281,493
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKRA
Policy instance 7
Insurance contract or identification numberASGKRA
Number of Individuals Covered1104
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,907,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKRA
Policy instance 8
Insurance contract or identification numberASGKRA
Number of Individuals Covered1104
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,711,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYWT
Policy instance 7
Insurance contract or identification numberASGKYWT
Number of Individuals Covered253
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,290,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 6
Insurance contract or identification numberASGHOME
Number of Individuals Covered1404
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,001,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 5
Insurance contract or identification numberG42624
Number of Individuals Covered78
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 4
Insurance contract or identification numberG 34340
Number of Individuals Covered86
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMINISTRATION FEE
Insurance broker organization code?5
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 3
Insurance contract or identification number000M00027
Number of Individuals Covered6
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered1898
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYTHO
Policy instance 9
Insurance contract or identification numberASGKYTHO
Number of Individuals Covered1996
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,751,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGI-KAM
Policy instance 10
Insurance contract or identification numberASGI-KAM
Number of Individuals Covered1212
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $6,341,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?4
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered663
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 17
Insurance contract or identification number164068
Number of Individuals Covered49
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 16
Insurance contract or identification number164068
Number of Individuals Covered90
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $469
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $469
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 15
Insurance contract or identification number164068
Number of Individuals Covered49
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 14
Insurance contract or identification number164068
Number of Individuals Covered90
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $189
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $189
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164796
Policy instance 13
Insurance contract or identification number164796
Number of Individuals Covered20
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Additional information about fees paid to insurance brokerADMINISTRATION FEES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKAIH
Policy instance 12
Insurance contract or identification numberASGIKAIH
Number of Individuals Covered105
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $739,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIPST
Policy instance 11
Insurance contract or identification numberASGIPST
Number of Individuals Covered272
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,908,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 6
Insurance contract or identification numberASGHOME
Number of Individuals Covered1404
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $304,239
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,623,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $304,239
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 5
Insurance contract or identification numberG42624
Number of Individuals Covered78
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $903
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,182
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees903
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 4
Insurance contract or identification numberG 34340
Number of Individuals Covered86
Insurance policy start date2020-01-01
Insurance policy end date2020-02-29
Total amount of fees paid to insurance companyUSD $301
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees301
Additional information about fees paid to insurance brokerADMINISTRATION FEE
Insurance broker organization code?5
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 3
Insurance contract or identification number000M00027
Number of Individuals Covered5
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered642
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered1994
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYWT
Policy instance 7
Insurance contract or identification numberASGKYWT
Number of Individuals Covered253
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $52,574
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,927,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,402
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKRA
Policy instance 8
Insurance contract or identification numberASGKRA
Number of Individuals Covered1104
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $363,791
Total amount of fees paid to insurance companyUSD $130
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,934,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $148,385
Insurance broker organization code?3
Amount paid for insurance broker fees30
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 14
Insurance contract or identification number164068
Number of Individuals Covered151
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,161
Total amount of fees paid to insurance companyUSD $1,871
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,161
Insurance broker organization code?3
Amount paid for insurance broker fees1871
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164796
Policy instance 13
Insurance contract or identification number164796
Number of Individuals Covered20
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,243
Total amount of fees paid to insurance companyUSD $3,877
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,243
Insurance broker organization code?3
Amount paid for insurance broker fees3877
Additional information about fees paid to insurance brokerADMINISTRATION FEES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKAIH
Policy instance 12
Insurance contract or identification numberASGIKAIH
Number of Individuals Covered105
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $928,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIPST
Policy instance 11
Insurance contract or identification numberASGIPST
Number of Individuals Covered272
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,637,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGI-KAM
Policy instance 10
Insurance contract or identification numberASGI-KAM
Number of Individuals Covered1212
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $9,711,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYTHO
Policy instance 9
Insurance contract or identification numberASGKYTHO
Number of Individuals Covered1996
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $336,004
Total amount of fees paid to insurance companyUSD $200
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,007,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $335,914
Amount paid for insurance broker fees200
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166169
Policy instance 14
Insurance contract or identification number166169
Number of Individuals Covered143
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,797
Total amount of fees paid to insurance companyUSD $1,797
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1797
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $1,797
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164796
Policy instance 13
Insurance contract or identification number164796
Number of Individuals Covered24
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,048
Total amount of fees paid to insurance companyUSD $356
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,048
Insurance broker organization code?3
Amount paid for insurance broker fees356
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKAIH
Policy instance 12
Insurance contract or identification numberASGIKAIH
Number of Individuals Covered105
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $14,650
Total amount of fees paid to insurance companyUSD $65
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $700,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,005
Insurance broker organization code?3
Amount paid for insurance broker fees65
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIPST
Policy instance 11
Insurance contract or identification numberASGIPST
Number of Individuals Covered272
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $64,215
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,826,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,241
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGI-KAM
Policy instance 10
Insurance contract or identification numberASGI-KAM
Number of Individuals Covered1212
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $204,161
Total amount of fees paid to insurance companyUSD $885
Welfare Benefit Premiums Paid to CarrierUSD $6,876,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $140,128
Insurance broker organization code?4
Amount paid for insurance broker fees885
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKRA
Policy instance 8
Insurance contract or identification numberASGKRA
Number of Individuals Covered1104
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $249,976
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,827,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91,213
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYWT
Policy instance 7
Insurance contract or identification numberASGKYWT
Number of Individuals Covered253
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $44,604
Total amount of fees paid to insurance companyUSD $1,400
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,709,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,240
Amount paid for insurance broker fees1400
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 6
Insurance contract or identification numberASGHOME
Number of Individuals Covered1404
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $300,148
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,066,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $300,148
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 5
Insurance contract or identification numberG42624
Number of Individuals Covered78
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $4,044
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4044
Insurance broker organization code?5
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 3
Insurance contract or identification number000M00027
Number of Individuals Covered5
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered452
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered2168
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number164068
Policy instance 15
Insurance contract or identification number164068
Number of Individuals Covered126
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,962
Total amount of fees paid to insurance companyUSD $1,598
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,962
Insurance broker organization code?3
Amount paid for insurance broker fees1598
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 4
Insurance contract or identification numberG 34340
Number of Individuals Covered86
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $7,344
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,758
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7344
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYTHO
Policy instance 9
Insurance contract or identification numberASGKYTHO
Number of Individuals Covered1996
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $353,890
Total amount of fees paid to insurance companyUSD $41,044
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,105,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $353,890
Amount paid for insurance broker fees41044
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGI-KAM
Policy instance 15
Insurance contract or identification numberASGI-KAM
Number of Individuals Covered620
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $94,555
Total amount of fees paid to insurance companyUSD $5,927
Welfare Benefit Premiums Paid to CarrierUSD $3,761,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,823
Amount paid for insurance broker fees4409
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYTHO
Policy instance 14
Insurance contract or identification numberASGKYTHO
Number of Individuals Covered1930
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $281,782
Total amount of fees paid to insurance companyUSD $12,626
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,395,985
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $281,782
Amount paid for insurance broker fees12626
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIHOME
Policy instance 10
Insurance contract or identification numberASGIHOME
Number of Individuals Covered1333
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $332,962
Total amount of fees paid to insurance companyUSD $24,352
Welfare Benefit Premiums Paid to CarrierUSD $9,690,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $332,962
Amount paid for insurance broker fees24352
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIPST
Policy instance 16
Insurance contract or identification numberASGIPST
Number of Individuals Covered288
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $55,064
Total amount of fees paid to insurance companyUSD $3,200
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,759,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,070
Amount paid for insurance broker fees2400
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKRA
Policy instance 13
Insurance contract or identification numberASGKRA
Number of Individuals Covered1001
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $176,581
Total amount of fees paid to insurance companyUSD $125,166
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,992,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees120583
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $42,039
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYLUM
Policy instance 12
Insurance contract or identification numberASGIKYLUM
Number of Individuals Covered8
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYWT
Policy instance 11
Insurance contract or identification numberASGKYWT
Number of Individuals Covered253
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $44,603
Total amount of fees paid to insurance companyUSD $1,400
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,658,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,240
Amount paid for insurance broker fees1400
Insurance broker organization code?3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 3
Insurance contract or identification number000M00027
Number of Individuals Covered4
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 5
Insurance contract or identification numberOK 811025
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered322
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered2064
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 4
Insurance contract or identification numberG 34340
Number of Individuals Covered86
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 6
Insurance contract or identification numberG42624
Number of Individuals Covered78
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $3,943
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3943
Insurance broker organization code?5
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG0034340
Policy instance 7
Insurance contract or identification numberG0034340
Number of Individuals Covered86
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $7,529
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7529
Insurance broker organization code?5
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 8
Insurance contract or identification numberASGHOME
Number of Individuals Covered3
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?4
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 9
Insurance contract or identification numberASGHOME
Number of Individuals Covered963
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIPST
Policy instance 18
Insurance contract or identification numberASGIPST
Number of Individuals Covered73
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGICPA
Policy instance 17
Insurance contract or identification numberASGICPA
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYTHO
Policy instance 16
Insurance contract or identification numberASGIKYTHO
Number of Individuals Covered11
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameROBBINS TRUITT & ASSOCIATES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYTHO
Policy instance 15
Insurance contract or identification numberASGKYTHO
Number of Individuals Covered1930
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $164,614
Total amount of fees paid to insurance companyUSD $14,930
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,311,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $164,614
Amount paid for insurance broker fees14930
Insurance broker organization code?3
Insurance broker nameBENEFIT INSURANCE MARKETING INC.
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKRA
Policy instance 14
Insurance contract or identification numberASGIKRA
Number of Individuals Covered7
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameFOSTER INSURANCE SERVICES
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered2064
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered307
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 3
Insurance contract or identification number000M00027
Number of Individuals Covered4
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 4
Insurance contract or identification numberG 34340
Number of Individuals Covered86
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameUMR
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 5
Insurance contract or identification numberOK 811025
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 6
Insurance contract or identification numberG42624
Number of Individuals Covered78
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $4,330
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4330
Insurance broker organization code?5
Insurance broker nameUMR
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG0034340
Policy instance 7
Insurance contract or identification numberG0034340
Number of Individuals Covered86
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $7,360
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7360
Insurance broker organization code?5
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 8
Insurance contract or identification numberASGHOME
Number of Individuals Covered3
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,020
Welfare Benefit Premiums Paid to CarrierUSD $30,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,020
Insurance broker organization code?4
Insurance broker nameLOGAN LAVELLE HUNT
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKRA
Policy instance 13
Insurance contract or identification numberASGKRA
Number of Individuals Covered963
Insurance policy start date2016-12-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $165,513
Total amount of fees paid to insurance companyUSD $3,645
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,873,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,454
Insurance broker organization code?3
Amount paid for insurance broker fees500
Insurance broker nameHATFIELD LOUISVILLE LLC
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYLUM
Policy instance 12
Insurance contract or identification numberASGIKYLUM
Number of Individuals Covered8
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT INSURANCE AGENCY
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYWT
Policy instance 11
Insurance contract or identification numberASGKYWT
Number of Individuals Covered221
Insurance policy start date2016-06-01
Insurance policy end date2017-05-31
Total amount of commissions paid to insurance brokerUSD $31,924
Total amount of fees paid to insurance companyUSD $2,845
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,685,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,539
Amount paid for insurance broker fees2020
Insurance broker organization code?3
Insurance broker nameHOUCHENS INSURANCE
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIHOME
Policy instance 10
Insurance contract or identification numberASGIHOME
Number of Individuals Covered4
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT INSURANCE AGENCY
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 9
Insurance contract or identification numberASGHOME
Number of Individuals Covered963
Insurance policy start date2016-10-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $221,402
Total amount of fees paid to insurance companyUSD $6,500
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,887,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $221,146
Amount paid for insurance broker fees6500
Insurance broker organization code?3
Insurance broker nameHIRAM D SNOWDEN & ASSOCIATES
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG58039
Policy instance 7
Insurance contract or identification numberG58039
Number of Individuals Covered142
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $1
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 8
Insurance contract or identification numberASGHOME
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $282
Welfare Benefit Premiums Paid to CarrierUSD $9,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $282
Insurance broker organization code?4
Insurance broker nameLOGAN LAVELLE HUNT
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYWT
Policy instance 11
Insurance contract or identification numberASGKYWT
Number of Individuals Covered7
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,229
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,229
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT INSURANCE AGENCY
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYLUM
Policy instance 12
Insurance contract or identification numberASGIKYLUM
Number of Individuals Covered8
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,376
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,376
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT INSURANCE AGENCY
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKRA
Policy instance 13
Insurance contract or identification numberASGKRA
Number of Individuals Covered27
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,611
Total amount of fees paid to insurance companyUSD $1,220
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $185,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,029
Amount paid for insurance broker fees500
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT INSURANCE AGENCY
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKRA
Policy instance 14
Insurance contract or identification numberASGIKRA
Number of Individuals Covered7
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $721
Insurance broker organization code?3
Insurance broker nameFOSTER INSURANCE SERVICES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGKYTHO
Policy instance 15
Insurance contract or identification numberASGKYTHO
Number of Individuals Covered3
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $204
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60
Insurance broker organization code?3
Insurance broker nameROBBINS TRUITT AND ASSOCIATES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYTHO
Policy instance 16
Insurance contract or identification numberASGIKYTHO
Number of Individuals Covered13
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $951
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $351
Insurance broker organization code?3
Insurance broker nameROBBINS TRUITT & ASSOCIATES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGICPA
Policy instance 17
Insurance contract or identification numberASGICPA
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Welfare Benefit Premiums Paid to CarrierUSD $1,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIHOME
Policy instance 10
Insurance contract or identification numberASGIHOME
Number of Individuals Covered4
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,075
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT INSURANCE AGENCY
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 6
Insurance contract or identification numberG42624
Number of Individuals Covered76
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $1,830
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1830
Insurance broker organization code?5
Insurance broker nameUMR
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 5
Insurance contract or identification numberOK 811025
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 4
Insurance contract or identification numberG 34340
Number of Individuals Covered86
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $7,619
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7619
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGHOME
Policy instance 9
Insurance contract or identification numberASGHOME
Number of Individuals Covered44
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $12,344
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $257,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,344
Insurance broker organization code?4
Insurance broker nameLOGAN LAVELLE HUNT INSURANCE
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIPST
Policy instance 18
Insurance contract or identification numberASGIPST
Number of Individuals Covered3
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $755
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $755
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered1485
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered239
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 3
Insurance contract or identification number000M00027
Number of Individuals Covered13
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 5
Insurance contract or identification numberOK 811025
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG58039
Policy instance 7
Insurance contract or identification numberG58039
Number of Individuals Covered470
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $26,268
Total amount of fees paid to insurance companyUSD $4,461
Welfare Benefit Premiums Paid to CarrierUSD $148,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,268
Amount paid for insurance broker fees4461
Insurance broker nameHCBA SERVICES
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 4
Insurance contract or identification numberG 34340
Number of Individuals Covered120
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,576
Total amount of fees paid to insurance companyUSD $3,192
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,576
Amount paid for insurance broker fees3192
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameUMR
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 3
Insurance contract or identification number000M00027
Number of Individuals Covered13
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 2
Insurance contract or identification number000M0028
Number of Individuals Covered247
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 1
Insurance contract or identification number000M00050
Number of Individuals Covered1617
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 6
Insurance contract or identification numberG42624
Number of Individuals Covered571
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,374
Total amount of fees paid to insurance companyUSD $2,000
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,374
Amount paid for insurance broker fees2000
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKCTRF
Policy instance 12
Insurance contract or identification numberASGIKCTRF
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $18,144
Welfare Benefit Premiums Paid to CarrierUSD $507,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,626
Insurance broker nameBENEFIT INSURANCE MARKETING
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberKRF
Policy instance 3
Insurance contract or identification numberKRF
Number of Individuals Covered1333
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $262,025
Total amount of fees paid to insurance companyUSD $8,029
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,697,086
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $2,105
Amount paid for insurance broker fees1000
Additional information about fees paid to insurance broker4
Insurance broker nameZINSER BENEFIT SERVICE INC
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYWT
Policy instance 2
Insurance contract or identification numberASGIKYWT
Number of Individuals Covered2546
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $294,668
Total amount of fees paid to insurance companyUSD $5,510
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,227,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $650
Insurance broker organization code?3
Amount paid for insurance broker fees1638
Insurance broker nameBENEFIT INSURANCE MARKETING
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYLUM
Policy instance 8
Insurance contract or identification numberASGIKYLUM
Number of Individuals Covered80
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $11,869
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $553,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,869
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberKTOB
Policy instance 4
Insurance contract or identification numberKTOB
Number of Individuals Covered2226
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $269,009
Total amount of fees paid to insurance companyUSD $1,000
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,341,096
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $268,061
Amount paid for insurance broker fees1000
Insurance broker nameBENEFIT INSURANCE MARKETING
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 5
Insurance contract or identification number000M00050
Number of Individuals Covered1777
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 7
Insurance contract or identification number000M00027
Number of Individuals Covered43
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 6
Insurance contract or identification number000M0028
Number of Individuals Covered261
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 13
Insurance contract or identification numberOK 811025
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 9
Insurance contract or identification numberG 34340
Number of Individuals Covered154
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $10,320
Total amount of fees paid to insurance companyUSD $3,440
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,320
Amount paid for insurance broker fees3440
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGICPA
Policy instance 10
Insurance contract or identification numberASGICPA
Number of Individuals Covered1239
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $114,589
Total amount of fees paid to insurance companyUSD $500
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,316,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11
Additional information about fees paid to insurance broker3
Amount paid for insurance broker fees500
Insurance broker organization code?4
Insurance broker nameFOWLER SECURITIES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGILBA
Policy instance 11
Insurance contract or identification numberASGILBA
Number of Individuals Covered578
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $77,385
Total amount of fees paid to insurance companyUSD $1,000
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,611,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,385
Amount paid for insurance broker fees1000
Additional information about fees paid to insurance broker3
Insurance broker nameFOWLER SECURITES AND BENEFITS
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG58039
Policy instance 16
Insurance contract or identification numberG58039
Number of Individuals Covered465
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $25,985
Total amount of fees paid to insurance companyUSD $4,408
Welfare Benefit Premiums Paid to CarrierUSD $146,935
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4408
Commission paid to Insurance BrokerUSD $25,985
Insurance broker nameHCBA SERVICES
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG42624
Policy instance 15
Insurance contract or identification numberG42624
Number of Individuals Covered571
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of fees paid to insurance companyUSD $6,721
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6721
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGPSTCPALBA
Policy instance 14
Insurance contract or identification numberASGPSTCPALBA
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameJOHN SPARROW
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberPST
Policy instance 1
Insurance contract or identification numberPST
Number of Individuals Covered578
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $84,038
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,193,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,480
Additional information about fees paid to insurance broker3
Insurance broker organization code?3
Insurance broker nameSTRATEGIC EMPLOYEE BENEFITS
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYWT
Policy instance 17
Insurance contract or identification numberASGIKYWT
Number of Individuals Covered1568
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,682,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG58039
Policy instance 16
Insurance contract or identification numberG58039
Number of Individuals Covered465
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of fees paid to insurance companyUSD $14,668
Welfare Benefit Premiums Paid to CarrierUSD $70,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14668
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberHBAK
Policy instance 2
Insurance contract or identification numberHBAK
Number of Individuals Covered1979
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $6,033
Total amount of fees paid to insurance companyUSD $867
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,016,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,953
Amount paid for insurance broker fees800
Insurance broker organization code?3
Insurance broker nameARISON INSURANCE
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberKRF
Policy instance 3
Insurance contract or identification numberKRF
Number of Individuals Covered1075
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $289,416
Total amount of fees paid to insurance companyUSD $5,103
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,120,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $103,775
Insurance broker organization code?3
Additional information about fees paid to insurance broker4
Amount paid for insurance broker fees610
Insurance broker nameCUMBERLAND VALLEY INS
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberKTOB
Policy instance 4
Insurance contract or identification numberKTOB
Number of Individuals Covered2226
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $298,332
Total amount of fees paid to insurance companyUSD $2,928
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,550,741
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,547
Insurance broker organization code?3
Amount paid for insurance broker fees2928
Insurance broker nameBENEFIT INSURANCE MARKETING
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 5
Insurance contract or identification number000M00050
Number of Individuals Covered1591
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 6
Insurance contract or identification number000M0028
Number of Individuals Covered83
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 7
Insurance contract or identification number000M00027
Number of Individuals Covered60
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 9
Insurance contract or identification numberG 34340
Number of Individuals Covered471
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of fees paid to insurance companyUSD $10,732
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,974
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees10732
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGICPA
Policy instance 10
Insurance contract or identification numberASGICPA
Number of Individuals Covered1534
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance broker3
Insurance broker nameARISON INSURANCE SERVICES
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGILBA
Policy instance 11
Insurance contract or identification numberASGILBA
Number of Individuals Covered969
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $87,871
Total amount of fees paid to insurance companyUSD $2,795
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,788,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $87,871
Amount paid for insurance broker fees2795
Additional information about fees paid to insurance broker3
Insurance broker nameFOWLER SECURITES AND BENEFITS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 13
Insurance contract or identification numberOK 811025
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGPSTCPALBA
Policy instance 14
Insurance contract or identification numberASGPSTCPALBA
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $92,156
Total amount of fees paid to insurance companyUSD $1,390
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,378,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,505
Amount paid for insurance broker fees825
Insurance broker organization code?3
Insurance broker nameJOHN SPARROW
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG34340
Policy instance 15
Insurance contract or identification numberG34340
Number of Individuals Covered199
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of fees paid to insurance companyUSD $11,977
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11977
Insurance broker nameUMR
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKCTRF
Policy instance 12
Insurance contract or identification numberASGIKCTRF
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $21,138
Welfare Benefit Premiums Paid to CarrierUSD $615,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,074
Insurance broker nameBENEFIT INSURANCE MARKETING
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKYLUM
Policy instance 8
Insurance contract or identification numberASGIKYLUM
Number of Individuals Covered2053
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $13,983
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $602,710
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,983
Insurance broker organization code?3
Insurance broker nameLOGAN LAVELLE HUNT
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberPST
Policy instance 1
Insurance contract or identification numberPST
Number of Individuals Covered628
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $118,996
Total amount of fees paid to insurance companyUSD $34,941
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,440,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance broker3
Commission paid to Insurance BrokerUSD $790
Insurance broker organization code?3
Amount paid for insurance broker fees100
Insurance broker nameARISON INSURANCE
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberPST
Policy instance 1
Insurance contract or identification numberPST
Number of Individuals Covered628
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $68,700
Total amount of fees paid to insurance companyUSD $14,527
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,422,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberHBAK
Policy instance 2
Insurance contract or identification numberHBAK
Number of Individuals Covered1979
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $417,193
Total amount of fees paid to insurance companyUSD $4,946
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,735,964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberKRF
Policy instance 3
Insurance contract or identification numberKRF
Number of Individuals Covered1075
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $283,894
Total amount of fees paid to insurance companyUSD $9,024
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,547,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberKTOB
Policy instance 4
Insurance contract or identification numberKTOB
Number of Individuals Covered2226
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 6
Insurance contract or identification number000M0028
Number of Individuals Covered73
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 5
Insurance contract or identification number000M00050
Number of Individuals Covered1591
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 7
Insurance contract or identification number000M00027
Number of Individuals Covered84
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberWTT
Policy instance 8
Insurance contract or identification numberWTT
Number of Individuals Covered2053
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 34340
Policy instance 9
Insurance contract or identification numberG 34340
Number of Individuals Covered477
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $12,858
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 14
Insurance contract or identification numberOK 811025
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGIKCTRF
Policy instance 13
Insurance contract or identification numberASGIKCTRF
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $22,200
Welfare Benefit Premiums Paid to CarrierUSD $529,508
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGILBA
Policy instance 12
Insurance contract or identification numberASGILBA
Number of Individuals Covered969
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $78,417
Total amount of fees paid to insurance companyUSD $4,547
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,411,106
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGPSTCPALBA
Policy instance 15
Insurance contract or identification numberASGPSTCPALBA
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $235,857
Total amount of fees paid to insurance companyUSD $20,754
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,494,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGICPA
Policy instance 11
Insurance contract or identification numberASGICPA
Number of Individuals Covered1534
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $86,740
Total amount of fees paid to insurance companyUSD $1,690
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,660,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 10
Insurance contract or identification numberOK 811025
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $13,325
Total amount of fees paid to insurance companyUSD $4,439
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberPST
Policy instance 1
Insurance contract or identification numberPST
Number of Individuals Covered628
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $102,356
Total amount of fees paid to insurance companyUSD $12,006
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,374,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberKRF
Policy instance 3
Insurance contract or identification numberKRF
Number of Individuals Covered1075
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $22,200
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $529,508
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00050
Policy instance 5
Insurance contract or identification number000M00050
Number of Individuals Covered1591
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M0028
Policy instance 6
Insurance contract or identification number000M0028
Number of Individuals Covered73
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number000M00027
Policy instance 7
Insurance contract or identification number000M00027
Number of Individuals Covered112
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberWTT
Policy instance 8
Insurance contract or identification numberWTT
Number of Individuals Covered2053
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG 58039
Policy instance 9
Insurance contract or identification numberG 58039
Number of Individuals Covered477
Insurance policy start date2009-02-01
Insurance policy end date2010-01-31
Welfare Benefit Premiums Paid to CarrierUSD $139,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811025
Policy instance 10
Insurance contract or identification numberOK 811025
Insurance policy start date2009-05-01
Insurance policy end date2010-04-01
Total amount of fees paid to insurance companyUSD $38
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $184
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGICPA
Policy instance 11
Insurance contract or identification numberASGICPA
Number of Individuals Covered1534
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $135,728
Total amount of fees paid to insurance companyUSD $3,885
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,965,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberASGILBA
Policy instance 12
Insurance contract or identification numberASGILBA
Number of Individuals Covered969
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $118,658
Total amount of fees paid to insurance companyUSD $3,755
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,406,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberKTOB
Policy instance 4
Insurance contract or identification numberKTOB
Number of Individuals Covered2226
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberHBAK
Policy instance 2
Insurance contract or identification numberHBAK
Number of Individuals Covered1979
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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