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HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 401k Plan overview

Plan NameHUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN
Plan identification number 503

HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

HUGG & HALL EQUIPMENT CO. has sponsored the creation of one or more 401k plans.

Company Name:HUGG & HALL EQUIPMENT CO.
Employer identification number (EIN):710416379
NAIC Classification:811310
NAIC Description:Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-04-01
5032021-04-01
5032020-04-01
5032019-06-01

Plan Statistics for HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN

401k plan membership statisitcs for HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN

Measure Date Value
2022: HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01489
Total number of active participants reported on line 7a of the Form 55002022-04-01670
Total of all active and inactive participants2022-04-01670
2021: HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01465
Total number of active participants reported on line 7a of the Form 55002021-04-01489
Total of all active and inactive participants2021-04-01489
2020: HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01486
Total number of active participants reported on line 7a of the Form 55002020-04-01465
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01465
2019: HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-010
Total number of active participants reported on line 7a of the Form 55002019-06-01486
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01486

Form 5500 Responses for HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN

2022: HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: HUGG & HALL EQUIPMENT WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01First time form 5500 has been submittedYes
2019-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – General assets of the sponsorYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberCI961036
Policy instance 8
Insurance contract or identification numberCI961036
Number of Individuals Covered304
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $10,224
Total amount of fees paid to insurance companyUSD $1,014
Other welfare benefits providedVOL CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $68,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,224
Amount paid for insurance broker fees1014
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number000001854
Policy instance 1
Insurance contract or identification number000001854
Number of Individuals Covered1181
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $17,277
Total amount of fees paid to insurance companyUSD $0
Dental 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 $17,277
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number00001854V
Policy instance 2
Insurance contract or identification number00001854V
Number of Individuals Covered950
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $9,147
Total amount of fees paid to insurance companyUSD $0
Vision 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 $9,147
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964709
Policy instance 3
Insurance contract or identification numberFLX964709
Number of Individuals Covered783
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $35,499
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL TERM LIFE
Welfare Benefit Premiums Paid to CarrierUSD $221,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,499
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961158
Policy instance 4
Insurance contract or identification numberVDT961158
Number of Individuals Covered410
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $20,822
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL LONG TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $130,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,822
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961157
Policy instance 5
Insurance contract or identification numberVDT961157
Number of Individuals Covered444
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $26,641
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL SHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $166,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,641
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK970430
Policy instance 6
Insurance contract or identification numberOK970430
Number of Individuals Covered478
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $2,990
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL AD&D
Welfare Benefit Premiums Paid to CarrierUSD $18,687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,990
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberAI961080
Policy instance 7
Insurance contract or identification numberAI961080
Number of Individuals Covered486
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $6,110
Total amount of fees paid to insurance companyUSD $455
Other welfare benefits providedACCIDENTAL INJURY
Welfare Benefit Premiums Paid to CarrierUSD $40,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,110
Amount paid for insurance broker fees455
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number000001854
Policy instance 2
Insurance contract or identification number000001854
Number of Individuals Covered995
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $14,838
Total amount of fees paid to insurance companyUSD $0
Dental 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 $14,838
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number00001854V
Policy instance 3
Insurance contract or identification number00001854V
Number of Individuals Covered810
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $7,831
Total amount of fees paid to insurance companyUSD $0
Vision 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 $7,831
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964709
Policy instance 4
Insurance contract or identification numberFLX964709
Number of Individuals Covered689
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $28,063
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL TERM LIFE
Welfare Benefit Premiums Paid to CarrierUSD $175,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,233
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961158
Policy instance 5
Insurance contract or identification numberVDT961158
Number of Individuals Covered354
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $15,183
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL LONG TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $94,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,429
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961157
Policy instance 6
Insurance contract or identification numberVDT961157
Number of Individuals Covered379
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $18,861
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL SHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $117,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,567
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK970430
Policy instance 7
Insurance contract or identification numberOK970430
Number of Individuals Covered322
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $2,045
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL AD&D
Welfare Benefit Premiums Paid to CarrierUSD $12,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,144
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberAI961080
Policy instance 8
Insurance contract or identification numberAI961080
Number of Individuals Covered332
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $3,857
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL INJURY
Welfare Benefit Premiums Paid to CarrierUSD $25,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,226
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberCI961036
Policy instance 9
Insurance contract or identification numberCI961036
Number of Individuals Covered225
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $8,393
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedVOL CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $55,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,104
Insurance broker organization code?3
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number83470
Policy instance 1
Insurance contract or identification number83470
Number of Individuals Covered489
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health 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 numberCI961036
Policy instance 9
Insurance contract or identification numberCI961036
Number of Individuals Covered92
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $5,523
Total amount of fees paid to insurance companyUSD $620
Other welfare benefits providedVOL CRITICAL ILNESS
Welfare Benefit Premiums Paid to CarrierUSD $36,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,965
Amount paid for insurance broker fees620
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberAI961080
Policy instance 8
Insurance contract or identification numberAI961080
Number of Individuals Covered103
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $2,418
Total amount of fees paid to insurance companyUSD $239
Other welfare benefits providedACCIDENTAL INJURY
Welfare Benefit Premiums Paid to CarrierUSD $16,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,295
Amount paid for insurance broker fees239
Insurance broker organization code?3
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number010640
Policy instance 1
Insurance contract or identification number010640
Number of Individuals Covered465
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Health 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 numberVDT961157
Policy instance 2
Insurance contract or identification numberVDT961157
Number of Individuals Covered344
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $16,398
Total amount of fees paid to insurance companyUSD $2,258
Other welfare benefits providedSTD
Welfare Benefit Premiums Paid to CarrierUSD $102,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,918
Amount paid for insurance broker fees2258
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964709
Policy instance 3
Insurance contract or identification numberFLX964709
Number of Individuals Covered376
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $24,000
Total amount of fees paid to insurance companyUSD $3,075
Other welfare benefits providedSUPP LIFE/ DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $149,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,557
Amount paid for insurance broker fees3075
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number000001854
Policy instance 4
Insurance contract or identification number000001854
Number of Individuals Covered430
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $14,612
Dental 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 $7,413
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961158
Policy instance 5
Insurance contract or identification numberVDT961158
Number of Individuals Covered330
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $13,276
Total amount of fees paid to insurance companyUSD $1,952
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,971
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,028
Amount paid for insurance broker fees1952
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number00001854V
Policy instance 6
Insurance contract or identification number00001854V
Number of Individuals Covered352
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $6,281
Vision 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 $3,186
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK970430
Policy instance 7
Insurance contract or identification numberOK970430
Number of Individuals Covered133
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,431
Total amount of fees paid to insurance companyUSD $142
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $8,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $846
Amount paid for insurance broker fees142
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961157
Policy instance 2
Insurance contract or identification numberVDT961157
Number of Individuals Covered352
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $16,645
Other welfare benefits providedSTD
Welfare Benefit Premiums Paid to CarrierUSD $96,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,645
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964709
Policy instance 3
Insurance contract or identification numberFLX964709
Number of Individuals Covered384
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $24,610
Other welfare benefits providedSUPP LIFE/ DEPEND LIFE
Welfare Benefit Premiums Paid to CarrierUSD $140,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,610
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number000001854
Policy instance 4
Insurance contract or identification number000001854
Number of Individuals Covered443
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $12,113
Dental 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 $12,113
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT961158
Policy instance 5
Insurance contract or identification numberVDT961158
Number of Individuals Covered337
Insurance policy start date2009-06-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $14,350
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,350
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number00001854V
Policy instance 6
Insurance contract or identification number00001854V
Number of Individuals Covered351
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $4,975
Vision 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 $4,975
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK970430
Policy instance 7
Insurance contract or identification numberOK970430
Number of Individuals Covered117
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $1,028
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $6,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,028
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberAI961080
Policy instance 8
Insurance contract or identification numberAI961080
Number of Individuals Covered53
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $1,598
Other welfare benefits providedACCIDENTAL INJURY
Welfare Benefit Premiums Paid to CarrierUSD $10,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,598
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberCI961036
Policy instance 9
Insurance contract or identification numberCI961036
Number of Individuals Covered42
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $3,759
Other welfare benefits providedVOL CRITICAL ILNESS
Welfare Benefit Premiums Paid to CarrierUSD $25,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,759
Insurance broker organization code?3
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number83470
Policy instance 1
Insurance contract or identification number83470
Number of Individuals Covered486
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
Health 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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