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DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 401k Plan overview

Plan NameDUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN
Plan identification number 501

DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

DUPLANTIER, HRAPMANN, HOGAN & MAHER, LLP has sponsored the creation of one or more 401k plans.

Company Name:DUPLANTIER, HRAPMANN, HOGAN & MAHER, LLP
Employer identification number (EIN):720567396
NAIC Classification:541211
NAIC Description:Offices of Certified Public Accountants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01LINDSAY J. CALUB, CPA, PARTNER LINDSAY J. CALUB, CPA, PARTNER2017-06-15
5012015-01-01LINDSAY J. CALUB, CPA, PARTNER LINDSAY J. CALUB, CPA, PARTNER2016-08-31
5012014-01-01WILLIAM G. STAMM, CPA, PARTNER WILLIAM G. STAMM, CPA, PARTNER2015-07-20
5012013-01-01WILLIAM G. STAMM, CPA, PARTNER WILLIAM G. STAMM, CPA, PARTNER2014-10-13
5012012-01-01WILLIAM G. STAMM, CPA, PARTNER WILLIAM G. STAMM, CPA, PARTNER2013-10-09
5012011-01-01WILLIAM G. STAMM, CPA, PARTNER WILLIAM G. STAMM, CPA, PARTNER2012-12-11
5012010-01-01WILLIAM G. STAMM, CPA, PARTNER WILLIAM G. STAMM, CPA, PARTNER2011-09-26
5012009-01-01MICHAEL J. O'ROURKE, CPA, PARTNER MICHAEL J. O'ROURKE, CPA, PARTNER2010-09-20

Plan Statistics for DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN

401k plan membership statisitcs for DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN

Measure Date Value
2016: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0145
Total number of active participants reported on line 7a of the Form 55002016-01-0149
Total of all active and inactive participants2016-01-0149
2015: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0145
Total number of active participants reported on line 7a of the Form 55002015-01-0145
Total of all active and inactive participants2015-01-0145
2014: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0142
Total number of active participants reported on line 7a of the Form 55002014-01-0145
Total of all active and inactive participants2014-01-0145
2013: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0144
Total number of active participants reported on line 7a of the Form 55002013-01-0142
Total of all active and inactive participants2013-01-0142
2012: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0150
Total number of active participants reported on line 7a of the Form 55002012-01-0144
Total of all active and inactive participants2012-01-0144
2011: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0150
Total number of active participants reported on line 7a of the Form 55002011-01-0150
Total of all active and inactive participants2011-01-0150
2010: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0151
Total number of active participants reported on line 7a of the Form 55002010-01-0150
Total of all active and inactive participants2010-01-0150
2009: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0147
Total number of active participants reported on line 7a of the Form 55002009-01-0151
Total of all active and inactive participants2009-01-0151

Financial Data on DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN

Measure Date Value
2016 : DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2016 401k financial data
Total income from all sources2016-12-31$455,667
Expenses. Total of all expenses incurred2016-12-31$454,905
Benefits paid (including direct rollovers)2016-12-31$454,905
Total plan assets at end of year2016-12-31$8,659
Total plan assets at beginning of year2016-12-31$7,897
Total contributions received or receivable from participants2016-12-31$180,365
Net income (gross income less expenses)2016-12-31$762
Net plan assets at end of year (total assets less liabilities)2016-12-31$8,659
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$7,897
Total contributions received or receivable from employer(s)2016-12-31$275,302
2015 : DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2015 401k financial data
Total income from all sources2015-12-31$377,724
Expenses. Total of all expenses incurred2015-12-31$376,149
Benefits paid (including direct rollovers)2015-12-31$376,149
Total plan assets at end of year2015-12-31$7,897
Total plan assets at beginning of year2015-12-31$6,322
Total contributions received or receivable from participants2015-12-31$141,909
Net income (gross income less expenses)2015-12-31$1,575
Net plan assets at end of year (total assets less liabilities)2015-12-31$7,897
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$6,322
Total contributions received or receivable from employer(s)2015-12-31$235,815
2014 : DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2014 401k financial data
Total income from all sources2014-12-31$336,308
Expenses. Total of all expenses incurred2014-12-31$336,041
Benefits paid (including direct rollovers)2014-12-31$336,041
Total plan assets at end of year2014-12-31$6,322
Total plan assets at beginning of year2014-12-31$6,055
Total contributions received or receivable from participants2014-12-31$138,223
Net income (gross income less expenses)2014-12-31$267
Net plan assets at end of year (total assets less liabilities)2014-12-31$6,322
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$6,055
Total contributions received or receivable from employer(s)2014-12-31$198,085
2013 : DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2013 401k financial data
Total income from all sources2013-12-31$273,293
Expenses. Total of all expenses incurred2013-12-31$273,461
Benefits paid (including direct rollovers)2013-12-31$273,461
Total plan assets at end of year2013-12-31$6,055
Total plan assets at beginning of year2013-12-31$6,223
Total contributions received or receivable from participants2013-12-31$114,198
Net income (gross income less expenses)2013-12-31$-168
Net plan assets at end of year (total assets less liabilities)2013-12-31$6,055
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$6,223
Total contributions received or receivable from employer(s)2013-12-31$159,095
2012 : DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2012 401k financial data
Total income from all sources2012-12-31$288,247
Expenses. Total of all expenses incurred2012-12-31$286,876
Benefits paid (including direct rollovers)2012-12-31$286,876
Total plan assets at end of year2012-12-31$6,223
Total plan assets at beginning of year2012-12-31$4,852
Total contributions received or receivable from participants2012-12-31$107,709
Net income (gross income less expenses)2012-12-31$1,371
Net plan assets at end of year (total assets less liabilities)2012-12-31$6,223
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$4,852
Total contributions received or receivable from employer(s)2012-12-31$180,538
2011 : DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2011 401k financial data
Total income from all sources2011-12-31$262,410
Expenses. Total of all expenses incurred2011-12-31$265,092
Benefits paid (including direct rollovers)2011-12-31$265,092
Total plan assets at end of year2011-12-31$4,852
Total plan assets at beginning of year2011-12-31$7,534
Total contributions received or receivable from participants2011-12-31$93,714
Net income (gross income less expenses)2011-12-31$-2,682
Net plan assets at end of year (total assets less liabilities)2011-12-31$4,852
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$7,534
Total contributions received or receivable from employer(s)2011-12-31$168,696
2010 : DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2010 401k financial data
Total income from all sources2010-12-31$275,493
Expenses. Total of all expenses incurred2010-12-31$273,575
Benefits paid (including direct rollovers)2010-12-31$273,575
Total plan assets at end of year2010-12-31$7,534
Total plan assets at beginning of year2010-12-31$5,616
Total contributions received or receivable from participants2010-12-31$96,016
Net income (gross income less expenses)2010-12-31$1,918
Net plan assets at end of year (total assets less liabilities)2010-12-31$7,534
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$5,616
Total contributions received or receivable from employer(s)2010-12-31$179,477

Form 5500 Responses for DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN

2016: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: DUPLANTIER, HRAPMANN, HOGAN AND MAHER CAFETERIA PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE9869652
Policy instance 1
Insurance contract or identification numberE9869652
Number of Individuals Covered11
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,228
Total amount of fees paid to insurance companyUSD $207
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $8,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $464
Amount paid for insurance broker fees149
Insurance broker organization code?3
Insurance broker nameSTEVEN MULLEN
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05501
Policy instance 3
Insurance contract or identification number05501
Number of Individuals Covered45
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,321
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,321
Insurance broker organization code?3
Insurance broker nameBEST GROUP, INC
HUMANA (National Association of Insurance Commissioners NAIC id number: 95642 )
Policy contract number639974
Policy instance 2
Insurance contract or identification number639974
Number of Individuals Covered45
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $18,795
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $339,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,795
Insurance broker organization code?3
Insurance broker nameBEST GROUP, INC.
HUMANA (National Association of Insurance Commissioners NAIC id number: 95642 )
Policy contract number639974
Policy instance 2
Insurance contract or identification number639974
Number of Individuals Covered36
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $14,390
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $309,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,390
Insurance broker organization code?3
Insurance broker nameBEST GROUP, INC.
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE9869652
Policy instance 1
Insurance contract or identification numberE9869652
Number of Individuals Covered11
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,313
Total amount of fees paid to insurance companyUSD $286
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $9,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $712
Amount paid for insurance broker fees107
Insurance broker organization code?3
Insurance broker nameSTEVEN MULLEN
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05501
Policy instance 3
Insurance contract or identification number05501
Number of Individuals Covered45
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,450
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,498
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,450
Insurance broker organization code?3
Insurance broker nameBEST GROUP, INC
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05501
Policy instance 3
Insurance contract or identification number05501
Number of Individuals Covered20
Insurance policy start date2013-07-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,147
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,147
Insurance broker organization code?3
Insurance broker nameBEST GROUP, INC
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE9869652
Policy instance 1
Insurance contract or identification numberE9869652
Number of Individuals Covered10
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $889
Total amount of fees paid to insurance companyUSD $175
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $8,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $353
Amount paid for insurance broker fees134
Insurance broker organization code?3
Insurance broker nameSTEVEN MULLEN
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number77088FF2
Policy instance 2
Insurance contract or identification number77088FF2
Number of Individuals Covered34
Insurance policy start date2012-02-01
Insurance policy end date2013-02-01
Total amount of commissions paid to insurance brokerUSD $10,042
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $242,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,042
Insurance broker organization code?3
Insurance broker nameJOHN H. THOMAS, BEST GROUP, INC.
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE9869652
Policy instance 1
Insurance contract or identification numberE9869652
Number of Individuals Covered10
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $806
Total amount of fees paid to insurance companyUSD $86
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $8,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $319
Amount paid for insurance broker fees29
Insurance broker organization code?3
Insurance broker nameSTEVEN MULLEN
BROKERS NATIONAL LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 74900 )
Policy contract number82520
Policy instance 5
Insurance contract or identification number82520
Insurance policy start date2012-01-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameBEST GROUP, INC
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05501
Policy instance 3
Insurance contract or identification number05501
Number of Individuals Covered18
Insurance policy start date2012-07-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $933
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $933
Insurance broker organization code?3
Insurance broker nameBEST GROUP, INC
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number77088FF2
Policy instance 2
Insurance contract or identification number77088FF2
Number of Individuals Covered34
Insurance policy start date2011-02-01
Insurance policy end date2012-02-01
Total amount of commissions paid to insurance brokerUSD $12,015
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $242,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,015
Insurance broker organization code?3
Insurance broker nameJOHN H. THOMAS, BEST GROUP, INC.
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number05501
Policy instance 3
Insurance contract or identification number05501
Number of Individuals Covered16
Insurance policy start date2011-07-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $437
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number77088FF2
Policy instance 2
Insurance contract or identification number77088FF2
Number of Individuals Covered44
Insurance policy start date2010-02-01
Insurance policy end date2011-02-01
Total amount of commissions paid to insurance brokerUSD $11,364
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $230,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE9869652
Policy instance 1
Insurance contract or identification numberE9869652
Number of Individuals Covered9
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $511
Total amount of fees paid to insurance companyUSD $47
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $8,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BROKERS NATIONAL LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 74900 )
Policy contract number82520
Policy instance 5
Insurance contract or identification number82520
Number of Individuals Covered15
Insurance policy start date2011-01-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $319
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number77088FF2
Policy instance 2
Insurance contract or identification number77088FF2
Number of Individuals Covered45
Insurance policy start date2009-02-01
Insurance policy end date2010-02-01
Total amount of commissions paid to insurance brokerUSD $12,254
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $245,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,254
Insurance broker organization code?3
Insurance broker nameJOHN H. THOMAS, BEST GROUP, INC.
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE9869652
Policy instance 1
Insurance contract or identification numberE9869652
Number of Individuals Covered13
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,700
Total amount of fees paid to insurance companyUSD $2,902
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedCANCER
Welfare Benefit Premiums Paid to CarrierUSD $11,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,776
Amount paid for insurance broker fees2028
Insurance broker organization code?3
Insurance broker nameSTEVEN MULLEN
BROKERS NATIONAL LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 74900 )
Policy contract number82520
Policy instance 3
Insurance contract or identification number82520
Number of Individuals Covered16
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $864
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $864
Insurance broker organization code?3
Insurance broker nameBEST GROUP, INC

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