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BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 401k Plan overview

Plan NameBRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158
Plan identification number 501

BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 Benefits

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

401k Sponsoring company profile

BRIAR HILL MANAGEMENT, LLC has sponsored the creation of one or more 401k plans.

Company Name:BRIAR HILL MANAGEMENT, LLC
Employer identification number (EIN):680533641
NAIC Classification:561110
NAIC Description:Office Administrative Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01
5012020-09-01
5012019-09-01
5012018-09-01
5012017-09-01DAVID ROTOLO DAVID ROTOLO2019-02-18
5012016-09-01DAVID ROTOLO DAVID ROTOLO2018-03-30
5012015-09-01DAVID ROTOLO DAVID ROTOLO2017-03-28
5012015-02-01DAVID ROTOLO DAVID ROTOLO2016-03-14
5012014-02-01DAVID ROTOLO DAVID ROTOLO2015-08-12
5012013-02-01DAVID ROTOLO DAVID ROTOLO2014-06-19
5012012-02-01DAVID ROTOLO DAVID ROTOLO2013-08-16
5012011-02-01DAVID ROTOLO DAVID ROTOLO2012-08-30
5012010-02-01DAVID ROTOLO DAVID ROTOLO2011-08-11
5012009-02-01DAVID ROTOLO DAVID ROTOLO2010-10-20

Plan Statistics for BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158

401k plan membership statisitcs for BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158

Measure Date Value
2021: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2021 401k membership
Total participants, beginning-of-year2021-09-01303
Total number of active participants reported on line 7a of the Form 55002021-09-01315
Number of retired or separated participants receiving benefits2021-09-010
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-01315
2020: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2020 401k membership
Total participants, beginning-of-year2020-09-01309
Total number of active participants reported on line 7a of the Form 55002020-09-01303
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01303
2019: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2019 401k membership
Total participants, beginning-of-year2019-09-01373
Total number of active participants reported on line 7a of the Form 55002019-09-01309
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01309
2018: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2018 401k membership
Total participants, beginning-of-year2018-09-01387
Total number of active participants reported on line 7a of the Form 55002018-09-01373
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01373
2017: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2017 401k membership
Total participants, beginning-of-year2017-09-01487
Total number of active participants reported on line 7a of the Form 55002017-09-01387
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01387
2016: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2016 401k membership
Total participants, beginning-of-year2016-09-01487
Total number of active participants reported on line 7a of the Form 55002016-09-010
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-010
2015: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2015 401k membership
Total participants, beginning-of-year2015-09-010
Total number of active participants reported on line 7a of the Form 55002015-09-01487
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01487
Total participants, beginning-of-year2015-02-010
Total number of active participants reported on line 7a of the Form 55002015-02-01487
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01487
2014: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2014 401k membership
Total participants, beginning-of-year2014-02-010
Total number of active participants reported on line 7a of the Form 55002014-02-010
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-010
2013: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2013 401k membership
Total participants, beginning-of-year2013-02-01484
Total of all active and inactive participants2013-02-010
2012: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2012 401k membership
Total participants, beginning-of-year2012-02-01524
Total number of active participants reported on line 7a of the Form 55002012-02-01484
Total of all active and inactive participants2012-02-01484
2011: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2011 401k membership
Total participants, beginning-of-year2011-02-01524
Total of all active and inactive participants2011-02-010
2010: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2010 401k membership
Total participants, beginning-of-year2010-02-01447
Total number of active participants reported on line 7a of the Form 55002010-02-01524
Total of all active and inactive participants2010-02-01524
2009: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2009 401k membership
Total participants, beginning-of-year2009-02-01463
Total number of active participants reported on line 7a of the Form 55002009-02-01447
Total of all active and inactive participants2009-02-01447

Form 5500 Responses for BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158

2021: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-02-01Type of plan entitySingle employer plan
2015-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: BRIAR HILL MANAGEMENT, LLC PO BOX 2712 RIDGELAND, MS 39158 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Number of Individuals Covered182
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $17,995
Total amount of fees paid to insurance companyUSD $435
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,142
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Amount paid for insurance broker fees227
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number041977, ET AL
Policy instance 2
Insurance contract or identification number041977, ET AL
Number of Individuals Covered280
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $64,450
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,450
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered315
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $14,867
Total amount of fees paid to insurance companyUSD $1,140
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $172,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,867
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Amount paid for insurance broker fees1140
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered303
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $11,475
Total amount of fees paid to insurance companyUSD $6,587
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $137,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,475
Amount paid for insurance broker fees6587
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number041977, ET AL
Policy instance 2
Insurance contract or identification number041977, ET AL
Number of Individuals Covered280
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $66,397
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,397
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Number of Individuals Covered101
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $14,692
Total amount of fees paid to insurance companyUSD $732
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,108
Amount paid for insurance broker fees414
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Number of Individuals Covered87
Insurance policy end date2020-08-31
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $95,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered309
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $13,139
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $159,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,139
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered300
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $73,328
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,328
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered373
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $86,025
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $86,025
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered429
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $15,564
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $190,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,564
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Number of Individuals Covered157
Insurance policy end date2019-08-31
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $140,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered425
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $16,259
Total amount of fees paid to insurance companyUSD $7,677
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $199,766
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Number of Individuals Covered171
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $25,057
Total amount of fees paid to insurance companyUSD $5,232
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $147,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number0041977, ET AL
Policy instance 2
Insurance contract or identification number0041977, ET AL
Number of Individuals Covered387
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $90,514
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number41977 AND 49101
Policy instance 2
Insurance contract or identification number41977 AND 49101
Number of Individuals Covered371
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $94,584
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94,584
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameCHRISSY CULLINANE
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered477
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of fees paid to insurance companyUSD $15,314
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $191,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15314
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICES, INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered487
Insurance policy start date2015-02-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $10,186
Total amount of fees paid to insurance companyUSD $5,341
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,186
Amount paid for insurance broker fees5341
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICES, INC
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number41977 AND 49101
Policy instance 2
Insurance contract or identification number41977 AND 49101
Number of Individuals Covered361
Insurance policy start date2015-02-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $51,650
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,650
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCORPSOUTH INS SERVICES
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number41977 AND 49101
Policy instance 2
Insurance contract or identification number41977 AND 49101
Number of Individuals Covered354
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $76,275
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,275
Additional information about fees paid to insurance brokerFIND INSURANCE 4
Insurance broker organization code?3
Insurance broker nameMICHELLE FULLER
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered491
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $15,001
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $190,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,024
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICES, INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered462
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $15,248
Total amount of fees paid to insurance companyUSD $8,227
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $196,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,248
Amount paid for insurance broker fees8227
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICES, INC
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number41977 AND 49101
Policy instance 2
Insurance contract or identification number41977 AND 49101
Number of Individuals Covered329
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $62,161
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,161
Additional information about fees paid to insurance brokerFIND INSURANCE 4
Insurance broker nameMICHELLE FULLER
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141321
Policy instance 3
Insurance contract or identification number141321
Number of Individuals Covered16
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $3,545
Total amount of fees paid to insurance companyUSD $133
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,545
Amount paid for insurance broker fees133
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICE
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered484
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $16,624
Total amount of fees paid to insurance companyUSD $9,505
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $215,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,624
Amount paid for insurance broker fees9505
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICES, INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141321
Policy instance 3
Insurance contract or identification number141321
Number of Individuals Covered22
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $3,511
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,511
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICE
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number41977 AND 49101
Policy instance 2
Insurance contract or identification number41977 AND 49101
Number of Individuals Covered360
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $65,430
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65,430
Additional information about fees paid to insurance brokerFIND INSURANCE 4
Insurance broker nameMICHELLE FULLER
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141321
Policy instance 3
Insurance contract or identification number141321
Number of Individuals Covered20
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $3,240
Total amount of fees paid to insurance companyUSD $155
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered510
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $16,707
Total amount of fees paid to insurance companyUSD $6,180
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $212,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number41977 AND 49101
Policy instance 2
Insurance contract or identification number41977 AND 49101
Number of Individuals Covered531
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $75,217
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number141321
Policy instance 3
Insurance contract or identification number141321
Number of Individuals Covered19
Insurance policy start date2010-05-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $2,648
Total amount of fees paid to insurance companyUSD $199
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,648
Amount paid for insurance broker fees199
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICE
BLUE CROSS BLUE SHIELD OF MS, INC. (National Association of Insurance Commissioners NAIC id number: 60111 )
Policy contract number41977 AND 49101
Policy instance 2
Insurance contract or identification number41977 AND 49101
Number of Individuals Covered524
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $79,991
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,991
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?4
Insurance broker nameMICHELLE FULLER
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00405302
Policy instance 1
Insurance contract or identification number00405302
Number of Individuals Covered476
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $14,580
Total amount of fees paid to insurance companyUSD $4,470
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $188,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,580
Amount paid for insurance broker fees4470
Additional information about fees paid to insurance brokerFIND INSURANCE
Insurance broker organization code?3
Insurance broker nameBANCOPRSOUTH INS SERVICES, INC

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