401k Plan data: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN plan

GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan Name	GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN
Plan identification number	501

GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

GLOBAL X-RAY & TESTING has sponsored the creation of one or more 401k plans.

Company Name: GLOBAL X-RAY & TESTING

Employer identification number (EIN): 720577122

NAIC Classification: 213110
NAIC Description: Support Activities for Mining

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-10-01 JENNIFER HEBERT JENNIFER HEBERT 2016-06-29
501 2013-10-01 JENNIFER HEBERT JENNIFER HEBERT 2015-07-07
501 2012-10-01 JENNIFER HEBERT JENNIFER HEBERT 2014-04-25
501 2011-10-01 JENNIFER HEBERT JENNIFER HEBERT 2013-06-18
501 2010-10-01 JENNIFER HEBERT JENNIFER HEBERT 2012-06-21
501 2009-10-01 JENNIFER HEBERT JENNIFER HEBERT 2011-05-26

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-10-01	JENNIFER HEBERT	JENNIFER HEBERT	2016-06-29
501	2013-10-01	JENNIFER HEBERT	JENNIFER HEBERT	2015-07-07
501	2012-10-01	JENNIFER HEBERT	JENNIFER HEBERT	2014-04-25
501	2011-10-01	JENNIFER HEBERT	JENNIFER HEBERT	2013-06-18
501	2010-10-01	JENNIFER HEBERT	JENNIFER HEBERT	2012-06-21
501	2009-10-01	JENNIFER HEBERT	JENNIFER HEBERT	2011-05-26

Plan Statistics for GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN

Measure Date Value
2014: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 195
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 192
Number of retired or separated participants receiving benefits 2014-10-01 3
Number of other retired or separated participants entitled to future benefits 2014-10-01 16
Total of all active and inactive participants 2014-10-01 211
2013: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 175
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 191
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 4
Total of all active and inactive participants 2013-10-01 195
2012: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 152
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 160
Number of retired or separated participants receiving benefits 2012-10-01 1
Number of other retired or separated participants entitled to future benefits 2012-10-01 14
Total of all active and inactive participants 2012-10-01 175
2011: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 122
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 145
Number of retired or separated participants receiving benefits 2011-10-01 3
Number of other retired or separated participants entitled to future benefits 2011-10-01 4
Total of all active and inactive participants 2011-10-01 152
2010: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 127
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 112
Number of retired or separated participants receiving benefits 2010-10-01 3
Number of other retired or separated participants entitled to future benefits 2010-10-01 7
Total of all active and inactive participants 2010-10-01 122
2009: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 127
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 125
Number of retired or separated participants receiving benefits 2009-10-01 2
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 127

Measure	Date	Value
2014: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	195
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	192
Number of retired or separated participants receiving benefits	2014-10-01	3
Number of other retired or separated participants entitled to future benefits	2014-10-01	16
Total of all active and inactive participants	2014-10-01	211
2013: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	175
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	191
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	4
Total of all active and inactive participants	2013-10-01	195
2012: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	152
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	160
Number of retired or separated participants receiving benefits	2012-10-01	1
Number of other retired or separated participants entitled to future benefits	2012-10-01	14
Total of all active and inactive participants	2012-10-01	175
2011: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	122
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	145
Number of retired or separated participants receiving benefits	2011-10-01	3
Number of other retired or separated participants entitled to future benefits	2011-10-01	4
Total of all active and inactive participants	2011-10-01	152
2010: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	127
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	112
Number of retired or separated participants receiving benefits	2010-10-01	3
Number of other retired or separated participants entitled to future benefits	2010-10-01	7
Total of all active and inactive participants	2010-10-01	122
2009: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	127
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	125
Number of retired or separated participants receiving benefits	2009-10-01	2
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	127

Form 5500 Responses for GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN

2014: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2010: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2009: GLOBAL X-RAY & TESTING FLEXIBLE BENEFITS PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	This submission is the final filing	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

77534FF2

Policy instance

Insurance contract or identification number	77534FF2
Number of Individuals Covered	379
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $83,366
Total amount of fees paid to insurance company	USD $32,891
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $83,366
Amount paid for insurance broker fees	32891
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3
Insurance broker name	ALFORD STAPLES LAPERE & ROBICHAUX L

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-016645-00

Policy instance

Insurance contract or identification number	01-016645-00
Number of Individuals Covered	183
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $48,846
Total amount of fees paid to insurance company	USD $12,786
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTIAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $48,846
Amount paid for insurance broker fees	12786
Additional information about fees paid to insurance broker	GROUP VOLUME BONUS
Insurance broker organization code?	3
Insurance broker name	ANTHONY J ALFORD INSURANCE AGENCY

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

9671215

Policy instance

Insurance contract or identification number	9671215
Number of Individuals Covered	136
Insurance policy start date	2014-10-10
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $1,747
Total amount of fees paid to insurance company	USD $1,746
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,747
Insurance broker organization code?	3
Amount paid for insurance broker fees	873
Additional information about fees paid to insurance broker	ADMINISTRATIVE FEES
Insurance broker name	CRESCENT DENTAL PLAN

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

D4308

Policy instance

Insurance contract or identification number	D4308
Number of Individuals Covered	177
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $10,053
Total amount of fees paid to insurance company	USD $11,562
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,053
Insurance broker organization code?	3
Amount paid for insurance broker fees	6535
Additional information about fees paid to insurance broker	ADMINISTRATION FEES
Insurance broker name	CRESCENT DENTAL PLAN

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

OST74

Policy instance

Insurance contract or identification number	OST74
Number of Individuals Covered	136
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $28,092
Total amount of fees paid to insurance company	USD $1,027
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY BENEFITS
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,711
Amount paid for insurance broker fees	471
Insurance broker organization code?	3
Insurance broker name	DAVID R ZUNIGA

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

77534FF2

Policy instance

Insurance contract or identification number	77534FF2
Number of Individuals Covered	311
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $75,980
Total amount of fees paid to insurance company	USD $34,907
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $75,980
Amount paid for insurance broker fees	34907
Insurance broker organization code?	3
Insurance broker name	ALFORD STAPLES LAPERE & ROBICHAUX L

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

Policy instance

Number of Individuals Covered	156
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $9,208
Total amount of fees paid to insurance company	USD $10,589
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,208
Insurance broker organization code?	3
Amount paid for insurance broker fees	5985
Additional information about fees paid to insurance broker	ADMINISTRATIVE FEE
Insurance broker name	CRESCENT DENTAL PLAN

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

Policy instance

Number of Individuals Covered	114
Insurance policy start date	2013-10-10
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $1,439
Total amount of fees paid to insurance company	USD $1,438
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,439
Insurance broker organization code?	3
Amount paid for insurance broker fees	719
Additional information about fees paid to insurance broker	ADMINISTRATIVE FEES
Insurance broker name	CRESCENT DENTAL PLAN

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-016645-00

Policy instance

Insurance contract or identification number	01-016645-00
Number of Individuals Covered	204
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
Total amount of commissions paid to insurance broker	USD $71,234
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTIAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $71,234
Insurance broker organization code?	3
Insurance broker name	ANTHONY J ALFORD INSURANCE AGENCY

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

OST74

Policy instance

Insurance contract or identification number	OST74
Number of Individuals Covered	141
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $25,087
Total amount of fees paid to insurance company	USD $1,316
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY BENEFITS
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,304
Amount paid for insurance broker fees	716
Insurance broker organization code?	3
Insurance broker name	DAVID R ZUNIGA

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

77534FF2

Policy instance

Insurance contract or identification number	77534FF2
Number of Individuals Covered	285
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $68,407
Total amount of fees paid to insurance company	USD $23,460
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $68,407
Amount paid for insurance broker fees	23460
Insurance broker organization code?	3
Insurance broker name	ALFORD STAPLES LAPERE & ROBICHAUX L

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	81
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $580
Total amount of fees paid to insurance company	USD $290
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	DEPENDENT VOLUNTARY TERM LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $580
Amount paid for insurance broker fees	290
Insurance broker organization code?	3
Insurance broker name	ANTHONY ALFORD INSURANCE CORP

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	95
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $4,058
Total amount of fees paid to insurance company	USD $2,029
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY TERM LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,058
Amount paid for insurance broker fees	2029
Insurance broker organization code?	3
Insurance broker name	ANTHONY ALFORD INSURANCE CORP

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

OST74

Policy instance

Insurance contract or identification number	OST74
Number of Individuals Covered	135
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $27,282
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY BENEFITS
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,537
Insurance broker organization code?	3
Insurance broker name	DAVID R ZUNIGA

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

Policy instance

Number of Individuals Covered	147
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $7,593
Total amount of fees paid to insurance company	USD $8,733
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,593
Insurance broker organization code?	3
Amount paid for insurance broker fees	4936
Insurance broker name	CRESENT DENTAL PLAN

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

Policy instance

Number of Individuals Covered	106
Insurance policy start date	2012-10-10
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $1,265
Total amount of fees paid to insurance company	USD $1,264
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,265
Insurance broker organization code?	3
Amount paid for insurance broker fees	632
Insurance broker name	CRESENT DENTAL PLAN

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	171
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $970
Total amount of fees paid to insurance company	USD $485
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	BASIC AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $970
Amount paid for insurance broker fees	485
Insurance broker organization code?	3
Insurance broker name	ANTHONY ALFORD INSURANCE CORP

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	95
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $528
Total amount of fees paid to insurance company	USD $264
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY TERM AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $528
Amount paid for insurance broker fees	264
Insurance broker organization code?	3
Insurance broker name	ANTHONY ALFORD INSURANCE CORP

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	31
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $53
Total amount of fees paid to insurance company	USD $27
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	DEPENDENT VOLUNTARY TERM AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53
Amount paid for insurance broker fees	27
Insurance broker organization code?	3
Insurance broker name	ANTHONY ALFORD INSURANCE CORP

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	136
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $14,687
Total amount of fees paid to insurance company	USD $7,344
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,687
Amount paid for insurance broker fees	7344
Insurance broker organization code?	3
Insurance broker name	ANTHONY ALFORD INSURANCE CORP

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	136
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $5,841
Total amount of fees paid to insurance company	USD $2,921
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Temporary Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,841
Amount paid for insurance broker fees	2921
Insurance broker organization code?	3
Insurance broker name	ANTHONY ALFORD INSURANCE CORP

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	171
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $6,314
Total amount of fees paid to insurance company	USD $3,157
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,314
Amount paid for insurance broker fees	3157
Insurance broker organization code?	3
Insurance broker name	ANTHONY ALFORD INSURANCE CORP

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD 120875

Policy instance

Insurance contract or identification number	LTD 120875
Number of Individuals Covered	113
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $11,537
Total amount of fees paid to insurance company	USD $344
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

Policy instance

Number of Individuals Covered	124
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $6,292
Total amount of fees paid to insurance company	USD $6,921
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

Policy instance

Number of Individuals Covered	94
Insurance policy start date	2011-10-10
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $1,075
Total amount of fees paid to insurance company	USD $1,074
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	149
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $548
Total amount of fees paid to insurance company	USD $274
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	BASIC AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	80
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $319
Total amount of fees paid to insurance company	USD $159
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY TERM AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	118
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $8,040
Total amount of fees paid to insurance company	USD $4,020
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	118
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $3,186
Total amount of fees paid to insurance company	USD $1,593
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Temporary Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	149
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $3,543
Total amount of fees paid to insurance company	USD $1,771
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	80
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $2,430
Total amount of fees paid to insurance company	USD $1,215
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY TERM LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	65
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $394
Total amount of fees paid to insurance company	USD $197
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	DEPENDENT VOLUNTARY TERM LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL 147533

Policy instance

Insurance contract or identification number	GL 147533
Number of Individuals Covered	129
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $6,333
Total amount of fees paid to insurance company	USD $186
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	GRP BASIC LIFE & AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

G 161108

Policy instance

Insurance contract or identification number	G 161108
Number of Individuals Covered	113
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $4,604
Total amount of fees paid to insurance company	USD $137
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Temporary Disability Insurance Welfare Benefit	Yes
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 number

OST74

Policy instance

Insurance contract or identification number	OST74
Number of Individuals Covered	134
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $21,977
Total amount of fees paid to insurance company	USD $804
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY BENEFITS
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 number

77534FF2

Policy instance

Insurance contract or identification number	77534FF2
Number of Individuals Covered	257
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $54,017
Total amount of fees paid to insurance company	USD $19,914
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00612029

Policy instance

Insurance contract or identification number	G 00612029
Number of Individuals Covered	25
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $38
Total amount of fees paid to insurance company	USD $19
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	DEPENDENT VOLUNTARY TERM AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

G 161108

Policy instance

Insurance contract or identification number	G 161108
Number of Individuals Covered	102
Insurance policy start date	2011-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $4,238
Total amount of fees paid to insurance company	USD $286
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Temporary Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL 147223

Policy instance

Insurance contract or identification number	GL 147223
Number of Individuals Covered	0
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $4,240
Total amount of fees paid to insurance company	USD $286
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	GRP DEP. & SUPPL. LIFE & AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL 147533

Policy instance

Insurance contract or identification number	GL 147533
Number of Individuals Covered	113
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $5,792
Total amount of fees paid to insurance company	USD $384
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	GRP BASIC LIFE & AD&D
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 number

OST74

Policy instance

Insurance contract or identification number	OST74
Number of Individuals Covered	118
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $16,873
Total amount of fees paid to insurance company	USD $581
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY BENEFITS
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD 120875

Policy instance

Insurance contract or identification number	LTD 120875
Number of Individuals Covered	102
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $10,623
Total amount of fees paid to insurance company	USD $717
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

VAR 204891

Policy instance

Insurance contract or identification number	VAR 204891
Number of Individuals Covered	114
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $28
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

Policy instance

Number of Individuals Covered	103
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $5,356
Total amount of fees paid to insurance company	USD $6,161
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )

Policy contract number

Policy instance

Number of Individuals Covered	76
Insurance policy start date	2010-10-10
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $839
Total amount of fees paid to insurance company	USD $840
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
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 number

77534FF2

Policy instance

Insurance contract or identification number	77534FF2
Number of Individuals Covered	209
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $43,786
Total amount of fees paid to insurance company	USD $17,983
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	GLOBAL X-RAY & TESTING
Employer identification number (EIN):	720577122
NAIC Classification:	213110
NAIC Description:	Support Activities for Mining