WYATT JOHNSON AUTOMOTIVE GROUP has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC
| Measure | Date | Value |
|---|
| 2018: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 272 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 293 |
| Total of all active and inactive participants | 2018-10-01 | 293 |
| 2017: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-10-01 | 265 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 272 |
| Total of all active and inactive participants | 2017-10-01 | 272 |
| 2016: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 250 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 265 |
| Total of all active and inactive participants | 2016-10-01 | 265 |
| 2015: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 424 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 250 |
| Total of all active and inactive participants | 2015-10-01 | 250 |
| 2014: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 203 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 424 |
| Total of all active and inactive participants | 2014-10-01 | 424 |
| 2013: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 202 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 203 |
| Total of all active and inactive participants | 2013-10-01 | 203 |
| 2012: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-10-01 | 188 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 202 |
| Total of all active and inactive participants | 2012-10-01 | 202 |
| 2011: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 129 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 188 |
| Total of all active and inactive participants | 2011-10-01 | 188 |
| 2010: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-10-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-10-01 | 129 |
| Total of all active and inactive participants | 2010-10-01 | 129 |
| 2009: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-10-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 127 |
| Total of all active and inactive participants | 2009-10-01 | 127 |
| 2008: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-10-01 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-10-01 | 115 |
| Total of all active and inactive participants | 2008-10-01 | 115 |
| 2007: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-10-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-10-01 | 128 |
| Total of all active and inactive participants | 2007-10-01 | 128 |
| 2006: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-10-01 | 118 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-10-01 | 122 |
| Total of all active and inactive participants | 2006-10-01 | 122 |
| 2005: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2005 401k membership |
|---|
| Total participants, beginning-of-year | 2005-10-01 | 87 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-10-01 | 118 |
| Total of all active and inactive participants | 2005-10-01 | 118 |
| 2018: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Submission has been amended | Yes |
| 2013-10-01 | Plan funding arrangement – Insurance | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2012 form 5500 responses |
|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | Plan funding arrangement – Insurance | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2010 form 5500 responses |
|---|
| 2010-10-01 | Type of plan entity | Single employer plan |
| 2010-10-01 | Plan funding arrangement – Insurance | Yes |
| 2010-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2009 form 5500 responses |
|---|
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | Plan funding arrangement – Insurance | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2008 form 5500 responses |
|---|
| 2008-10-01 | Type of plan entity | Single employer plan |
| 2008-10-01 | Plan funding arrangement – Insurance | Yes |
| 2008-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2007 form 5500 responses |
|---|
| 2007-10-01 | Type of plan entity | Single employer plan |
| 2007-10-01 | Plan funding arrangement – Insurance | Yes |
| 2007-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2006 form 5500 responses |
|---|
| 2006-10-01 | Type of plan entity | Single employer plan |
| 2006-10-01 | Plan funding arrangement – Insurance | Yes |
| 2006-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: WYATT-JOHNSON BUICK PONTIAC GMC TRUCK INC 2005 form 5500 responses |
|---|
| 2005-10-01 | Type of plan entity | Single employer plan |
| 2005-10-01 | First time form 5500 has been submitted | Yes |
| 2005-10-01 | Plan funding arrangement – Insurance | Yes |
| 2005-10-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 260 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $31,595 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $837,450 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $31,595 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 0031657 |
| Policy instance | 2 |
| Insurance contract or identification number | 0031657 | | Number of Individuals Covered | 293 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $15,281 | | Total amount of fees paid to insurance company | USD $7,433 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $208,329 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,281 | | Amount paid for insurance broker fees | 7433 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 0031657 |
| Policy instance | 2 |
| Insurance contract or identification number | 0031657 | | Number of Individuals Covered | 272 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $15,057 | | Total amount of fees paid to insurance company | USD $5,112 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $203,258 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $35,697 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $965,027 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $43,869 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $723,223 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43,869 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK TURNER |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00311657 |
| Policy instance | 2 |
| Insurance contract or identification number | 00311657 | | Number of Individuals Covered | 209 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $9,528 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $121,486 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,528 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK B. TURNER |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 190 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $39,343 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $698,241 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39,343 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK TURNER |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00311657 |
| Policy instance | 2 |
| Insurance contract or identification number | 00311657 | | Number of Individuals Covered | 191 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $9,384 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $116,909 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,384 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK B. TURNER |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00311657 |
| Policy instance | 2 |
| Insurance contract or identification number | 00311657 | | Number of Individuals Covered | 197 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $9,859 | | Total amount of fees paid to insurance company | USD $1,348 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $113,384 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,384 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1348 | | Insurance broker name | THE MATHIS-HILL-ROBERTSON AGENCY |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 151 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $31,995 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $534,340 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $31,995 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK TURNER |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 170 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $34,721 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $534,468 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $30,316 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $458,717 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,316 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK TURNER |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2009-10-01 | | Insurance policy end date | 2010-09-30 | | Total amount of commissions paid to insurance broker | USD $31,946 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $483,796 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $31,946 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK TURNER |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 175 | | Insurance policy start date | 2008-10-01 | | Insurance policy end date | 2009-09-30 | | Total amount of commissions paid to insurance broker | USD $31,815 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $495,525 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $31,815 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK TURNER |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 190 | | Insurance policy start date | 2007-10-01 | | Insurance policy end date | 2008-09-30 | | Total amount of commissions paid to insurance broker | USD $30,872 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $497,263 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,872 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK TURNER |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 179 | | Insurance policy start date | 2006-10-01 | | Insurance policy end date | 2007-09-30 | | Total amount of commissions paid to insurance broker | USD $26,205 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $440,195 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,205 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK B. TURNER & ASSOC. INC. |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 82598 |
| Policy instance | 1 |
| Insurance contract or identification number | 82598 | | Number of Individuals Covered | 181 | | Insurance policy start date | 2005-10-01 | | Insurance policy end date | 2006-09-30 | | Total amount of commissions paid to insurance broker | USD $23,251 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $368,610 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,251 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | JACK TURNER |
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