CENTRAL MANAGEMENT COMPANY, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST
401k plan membership statisitcs for CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST
| Measure | Date | Value |
|---|
| 2022 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-08-31 | $103,311 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-08-31 | $171,602 |
| Total income from all sources (including contributions) | 2022-08-31 | $4,387,109 |
| Total of all expenses incurred | 2022-08-31 | $5,331,648 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-08-31 | $5,157,638 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-08-31 | $4,366,954 |
| Value of total assets at end of year | 2022-08-31 | $1,831,889 |
| Value of total assets at beginning of year | 2022-08-31 | $2,844,719 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-08-31 | $174,010 |
| Total interest from all sources | 2022-08-31 | $1,210 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-08-31 | No |
| Was this plan covered by a fidelity bond | 2022-08-31 | Yes |
| Value of fidelity bond cover | 2022-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-08-31 | No |
| Contributions received from participants | 2022-08-31 | $2,361,082 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-08-31 | $18,945 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-08-31 | $135,000 |
| Other income not declared elsewhere | 2022-08-31 | $18,945 |
| Administrative expenses (other) incurred | 2022-08-31 | $174,010 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-08-31 | No |
| Value of net income/loss | 2022-08-31 | $-944,539 |
| Value of net assets at end of year (total assets less liabilities) | 2022-08-31 | $1,728,578 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-08-31 | $2,673,117 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-08-31 | $1,812,944 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-08-31 | $2,709,719 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-08-31 | $2,709,719 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-08-31 | $1,210 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-08-31 | $2,054,795 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-08-31 | No |
| Contributions received in cash from employer | 2022-08-31 | $2,005,872 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-08-31 | $3,102,843 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2022-08-31 | $103,311 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-08-31 | $171,602 |
| Did the plan have assets held for investment | 2022-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-08-31 | Unqualified |
| Accountancy firm name | 2022-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2022-08-31 | 721447940 |
| 2021 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-08-31 | $171,602 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-08-31 | $78,536 |
| Total income from all sources (including contributions) | 2021-08-31 | $5,760,606 |
| Total of all expenses incurred | 2021-08-31 | $4,732,957 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-08-31 | $4,567,622 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-08-31 | $5,624,558 |
| Value of total assets at end of year | 2021-08-31 | $2,844,719 |
| Value of total assets at beginning of year | 2021-08-31 | $1,724,004 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-08-31 | $165,335 |
| Total interest from all sources | 2021-08-31 | $1,048 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-08-31 | No |
| Was this plan covered by a fidelity bond | 2021-08-31 | Yes |
| Value of fidelity bond cover | 2021-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-08-31 | No |
| Contributions received from participants | 2021-08-31 | $2,253,471 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-08-31 | $135,000 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-08-31 | $111,799 |
| Other income not declared elsewhere | 2021-08-31 | $135,000 |
| Administrative expenses (other) incurred | 2021-08-31 | $165,335 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-08-31 | No |
| Value of net income/loss | 2021-08-31 | $1,027,649 |
| Value of net assets at end of year (total assets less liabilities) | 2021-08-31 | $2,673,117 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-08-31 | $1,645,468 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-08-31 | $2,709,719 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-08-31 | $1,612,205 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-08-31 | $1,612,205 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-08-31 | $1,048 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-08-31 | $2,028,736 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-08-31 | No |
| Contributions received in cash from employer | 2021-08-31 | $3,371,087 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-08-31 | $2,538,886 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2021-08-31 | $171,602 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-08-31 | $78,536 |
| Did the plan have assets held for investment | 2021-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-08-31 | Unqualified |
| Accountancy firm name | 2021-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2021-08-31 | 721447940 |
| 2020 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-08-31 | $78,536 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-08-31 | $89,702 |
| Total income from all sources (including contributions) | 2020-08-31 | $5,293,778 |
| Total of all expenses incurred | 2020-08-31 | $5,124,156 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-08-31 | $4,972,338 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-08-31 | $5,165,161 |
| Value of total assets at end of year | 2020-08-31 | $1,724,004 |
| Value of total assets at beginning of year | 2020-08-31 | $1,565,548 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-08-31 | $151,818 |
| Total interest from all sources | 2020-08-31 | $732 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-08-31 | No |
| Was this plan covered by a fidelity bond | 2020-08-31 | Yes |
| Value of fidelity bond cover | 2020-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2020-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-08-31 | No |
| Contributions received from participants | 2020-08-31 | $2,344,250 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-08-31 | $111,799 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-08-31 | $43,337 |
| Other income not declared elsewhere | 2020-08-31 | $127,885 |
| Administrative expenses (other) incurred | 2020-08-31 | $151,818 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-08-31 | No |
| Value of net income/loss | 2020-08-31 | $169,622 |
| Value of net assets at end of year (total assets less liabilities) | 2020-08-31 | $1,645,468 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-08-31 | $1,475,846 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-08-31 | $1,612,205 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-08-31 | $1,522,211 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-08-31 | $1,522,211 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-08-31 | $732 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-08-31 | $2,210,771 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-08-31 | No |
| Contributions received in cash from employer | 2020-08-31 | $2,820,911 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-08-31 | $2,761,567 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2020-08-31 | $78,536 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-08-31 | $89,702 |
| Did the plan have assets held for investment | 2020-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-08-31 | Unqualified |
| Accountancy firm name | 2020-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2020-08-31 | 721447940 |
| 2019 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-08-31 | $89,702 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-08-31 | $151,118 |
| Total income from all sources (including contributions) | 2019-08-31 | $5,127,623 |
| Total of all expenses incurred | 2019-08-31 | $4,645,042 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-08-31 | $4,430,262 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-08-31 | $4,824,901 |
| Value of total assets at end of year | 2019-08-31 | $1,565,548 |
| Value of total assets at beginning of year | 2019-08-31 | $1,144,383 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-08-31 | $214,780 |
| Total interest from all sources | 2019-08-31 | $554 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-08-31 | No |
| Was this plan covered by a fidelity bond | 2019-08-31 | Yes |
| Value of fidelity bond cover | 2019-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-08-31 | No |
| Contributions received from participants | 2019-08-31 | $2,121,656 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-08-31 | $43,337 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-08-31 | $110 |
| Other income not declared elsewhere | 2019-08-31 | $302,168 |
| Administrative expenses (other) incurred | 2019-08-31 | $214,780 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-08-31 | No |
| Value of net income/loss | 2019-08-31 | $482,581 |
| Value of net assets at end of year (total assets less liabilities) | 2019-08-31 | $1,475,846 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-08-31 | $993,265 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-08-31 | $1,522,211 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-08-31 | $1,144,273 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-08-31 | $1,144,273 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-08-31 | $554 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-08-31 | $1,974,111 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-08-31 | No |
| Contributions received in cash from employer | 2019-08-31 | $2,703,245 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-08-31 | $2,456,151 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2019-08-31 | $89,702 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-08-31 | $151,118 |
| Did the plan have assets held for investment | 2019-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-08-31 | Unqualified |
| Accountancy firm name | 2019-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2019-08-31 | 721447940 |
| 2018 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-08-31 | $151,118 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-08-31 | $104,284 |
| Total income from all sources (including contributions) | 2018-08-31 | $4,984,679 |
| Total of all expenses incurred | 2018-08-31 | $4,840,339 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-08-31 | $4,609,200 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-08-31 | $3,970,074 |
| Value of total assets at end of year | 2018-08-31 | $1,144,383 |
| Value of total assets at beginning of year | 2018-08-31 | $953,209 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-08-31 | $231,139 |
| Total interest from all sources | 2018-08-31 | $461 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-08-31 | No |
| Was this plan covered by a fidelity bond | 2018-08-31 | Yes |
| Value of fidelity bond cover | 2018-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-08-31 | No |
| Contributions received from participants | 2018-08-31 | $1,640,334 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-08-31 | $110 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-08-31 | $121,478 |
| Other income not declared elsewhere | 2018-08-31 | $1,014,144 |
| Administrative expenses (other) incurred | 2018-08-31 | $231,139 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-08-31 | No |
| Value of net income/loss | 2018-08-31 | $144,340 |
| Value of net assets at end of year (total assets less liabilities) | 2018-08-31 | $993,265 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-08-31 | $848,925 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-08-31 | $1,144,273 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-08-31 | $831,731 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-08-31 | $831,731 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-08-31 | $461 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-08-31 | $1,590,993 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-08-31 | No |
| Contributions received in cash from employer | 2018-08-31 | $2,329,740 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-08-31 | $3,018,207 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2018-08-31 | $151,118 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-08-31 | $104,284 |
| Did the plan have assets held for investment | 2018-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-08-31 | Unqualified |
| Accountancy firm name | 2018-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2018-08-31 | 721447940 |
| 2017 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-08-31 | $104,284 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-08-31 | $167,244 |
| Total income from all sources (including contributions) | 2017-08-31 | $3,735,682 |
| Total of all expenses incurred | 2017-08-31 | $3,662,168 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-08-31 | $3,540,767 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-08-31 | $3,610,682 |
| Value of total assets at end of year | 2017-08-31 | $953,209 |
| Value of total assets at beginning of year | 2017-08-31 | $942,655 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-08-31 | $121,401 |
| Total interest from all sources | 2017-08-31 | $361 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-08-31 | No |
| Was this plan covered by a fidelity bond | 2017-08-31 | Yes |
| Value of fidelity bond cover | 2017-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-08-31 | No |
| Contributions received from participants | 2017-08-31 | $1,490,709 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-08-31 | $121,478 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-08-31 | $59,691 |
| Other income not declared elsewhere | 2017-08-31 | $124,639 |
| Administrative expenses (other) incurred | 2017-08-31 | $121,401 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-08-31 | No |
| Value of net income/loss | 2017-08-31 | $73,514 |
| Value of net assets at end of year (total assets less liabilities) | 2017-08-31 | $848,925 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-08-31 | $775,411 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-08-31 | $831,731 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-08-31 | $882,964 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-08-31 | $882,964 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-08-31 | $361 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-08-31 | $1,559,326 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-08-31 | No |
| Contributions received in cash from employer | 2017-08-31 | $2,119,973 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-08-31 | $1,981,441 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2017-08-31 | $104,284 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-08-31 | $167,244 |
| Did the plan have assets held for investment | 2017-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-08-31 | Unqualified |
| Accountancy firm name | 2017-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2017-08-31 | 721447940 |
| 2016 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-08-31 | $167,244 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-08-31 | $75,505 |
| Total income from all sources (including contributions) | 2016-08-31 | $4,184,455 |
| Total of all expenses incurred | 2016-08-31 | $3,744,771 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-08-31 | $3,626,051 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-08-31 | $3,767,183 |
| Value of total assets at end of year | 2016-08-31 | $942,655 |
| Value of total assets at beginning of year | 2016-08-31 | $411,232 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-08-31 | $118,720 |
| Total interest from all sources | 2016-08-31 | $277 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-08-31 | No |
| Was this plan covered by a fidelity bond | 2016-08-31 | Yes |
| Value of fidelity bond cover | 2016-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-08-31 | No |
| Contributions received from participants | 2016-08-31 | $1,434,744 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-08-31 | $59,691 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-08-31 | $159,281 |
| Other income not declared elsewhere | 2016-08-31 | $416,995 |
| Administrative expenses (other) incurred | 2016-08-31 | $118,720 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-08-31 | No |
| Value of net income/loss | 2016-08-31 | $439,684 |
| Value of net assets at end of year (total assets less liabilities) | 2016-08-31 | $775,411 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-08-31 | $335,727 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-08-31 | $882,964 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-08-31 | $251,951 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-08-31 | $251,951 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-08-31 | $277 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-08-31 | $1,501,206 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-08-31 | No |
| Contributions received in cash from employer | 2016-08-31 | $2,332,439 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-08-31 | $2,124,845 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-08-31 | $167,244 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-08-31 | $75,505 |
| Did the plan have assets held for investment | 2016-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-08-31 | Unqualified |
| Accountancy firm name | 2016-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2016-08-31 | 721447940 |
| 2015 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-08-31 | $75,505 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-08-31 | $69,237 |
| Total income from all sources (including contributions) | 2015-08-31 | $2,973,239 |
| Total of all expenses incurred | 2015-08-31 | $2,718,769 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-08-31 | $2,611,340 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-08-31 | $2,807,834 |
| Value of total assets at end of year | 2015-08-31 | $411,232 |
| Value of total assets at beginning of year | 2015-08-31 | $150,494 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-08-31 | $107,429 |
| Total interest from all sources | 2015-08-31 | $120 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-08-31 | No |
| Was this plan covered by a fidelity bond | 2015-08-31 | Yes |
| Value of fidelity bond cover | 2015-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-08-31 | No |
| Contributions received from participants | 2015-08-31 | $1,135,204 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-08-31 | $159,281 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-08-31 | $23,425 |
| Other income not declared elsewhere | 2015-08-31 | $165,285 |
| Administrative expenses (other) incurred | 2015-08-31 | $107,429 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-08-31 | No |
| Value of net income/loss | 2015-08-31 | $254,470 |
| Value of net assets at end of year (total assets less liabilities) | 2015-08-31 | $335,727 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-08-31 | $81,257 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-08-31 | $251,951 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-08-31 | $127,069 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-08-31 | $127,069 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-08-31 | $120 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-08-31 | $1,418,707 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-08-31 | No |
| Contributions received in cash from employer | 2015-08-31 | $1,672,630 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-08-31 | $1,192,633 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-08-31 | $75,505 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-08-31 | $69,237 |
| Did the plan have assets held for investment | 2015-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-08-31 | Unqualified |
| Accountancy firm name | 2015-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2015-08-31 | 721447940 |
| 2014 : CENTRAL MANAGEMENT CO., L.L.C. EMPLOYEE BENEFIT PLAN & TRUST 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-08-31 | $69,237 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-08-31 | $6,481 |
| Total income from all sources (including contributions) | 2014-08-31 | $2,064,146 |
| Total of all expenses incurred | 2014-08-31 | $2,318,206 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-08-31 | $2,246,582 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-08-31 | $2,035,062 |
| Value of total assets at end of year | 2014-08-31 | $150,494 |
| Value of total assets at beginning of year | 2014-08-31 | $341,798 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-08-31 | $71,624 |
| Total interest from all sources | 2014-08-31 | $120 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-08-31 | No |
| Was this plan covered by a fidelity bond | 2014-08-31 | Yes |
| Value of fidelity bond cover | 2014-08-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-08-31 | No |
| Contributions received from participants | 2014-08-31 | $288,650 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-08-31 | $23,425 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-08-31 | $56,514 |
| Other income not declared elsewhere | 2014-08-31 | $28,964 |
| Administrative expenses (other) incurred | 2014-08-31 | $71,624 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-08-31 | No |
| Value of net income/loss | 2014-08-31 | $-254,060 |
| Value of net assets at end of year (total assets less liabilities) | 2014-08-31 | $81,257 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-08-31 | $335,317 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-08-31 | $127,069 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-08-31 | $285,284 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-08-31 | $285,284 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-08-31 | $120 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-08-31 | $1,195,460 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-08-31 | No |
| Contributions received in cash from employer | 2014-08-31 | $1,746,412 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-08-31 | $1,051,122 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-08-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2014-08-31 | $69,237 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-08-31 | $6,481 |
| Did the plan have assets held for investment | 2014-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-08-31 | Unqualified |
| Accountancy firm name | 2014-08-31 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2014-08-31 | 721447940 |
| VERITY HEALTHNET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 7 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 439 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $11,160 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $39,060 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,160 | | Insurance broker organization code? | 5 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 6 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 439 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $165,322 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $1,039,357 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $165,322 | | Insurance broker organization code? | 5 |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 439 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $25,456 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENT, CRITICAL, HOSPITAL | | Welfare Benefit Premiums Paid to Carrier | USD $253,546 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,456 | | Insurance broker organization code? | 5 |
|
| CINCINNATI LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 76236 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 439 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $5,221 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | INDIVIDUAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $48,294 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,221 | | Insurance broker organization code? | 5 |
|
| PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 2 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 439 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $13,950 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $64,170 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,950 | | Insurance broker organization code? | 5 |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 439 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $56,254 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $374,998 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $56,254 | | Insurance broker organization code? | 5 |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 428 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $54,995 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $366,726 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $54,995 | | Insurance broker organization code? | 5 |
|
| PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 2 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 428 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $13,088 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $60,203 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,088 | | Insurance broker organization code? | 5 |
|
| CINCINNATI LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 76236 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 428 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $5,016 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | INDIVIDUAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $46,405 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,016 | | Insurance broker organization code? | 5 |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 428 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $28,620 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENT, CRITICAL, HOSPITAL | | Welfare Benefit Premiums Paid to Carrier | USD $285,059 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $28,620 | | Insurance broker organization code? | 5 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 6 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 428 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $189,277 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $1,019,660 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $189,277 | | Insurance broker organization code? | 5 |
|
| VERITY HEALTHNET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 7 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 428 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $10,470 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $36,645 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,470 | | Insurance broker organization code? | 5 |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 430 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $71,342 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $475,557 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $71,342 | | Insurance broker organization code? | 5 |
|
| PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 2 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 430 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $10,568 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $56,903 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,568 | | Insurance broker organization code? | 5 |
|
| CINCINNATI LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 76236 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 430 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $7,196 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | INDIVIDUAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $66,565 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,196 | | Insurance broker organization code? | 5 |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 430 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $32,629 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENT, CRITICAL, HOSPITAL | | Welfare Benefit Premiums Paid to Carrier | USD $324,992 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $32,629 | | Insurance broker organization code? | 5 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 6 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 430 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $157,380 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $1,030,444 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $157,380 | | Insurance broker organization code? | 5 |
|
| VERITY HEALTHNET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 7 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 430 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $13,210 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $39,223 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,210 | | Insurance broker organization code? | 5 |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09124 |
| Policy instance | 2 |
| Insurance contract or identification number | 09124 | | Number of Individuals Covered | 421 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $199 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,021 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $199 | | Insurance broker organization code? | 5 |
|
| PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 421 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $9,868 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $39,436 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,868 | | Insurance broker organization code? | 5 |
|
| CINCINNATI LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 76236 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 421 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $8,980 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | INDIVIDUAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $83,071 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,980 | | Insurance broker organization code? | 5 |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 5 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 421 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $27,859 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENT, CRITICAL, HOSPITAL | | Welfare Benefit Premiums Paid to Carrier | USD $277,481 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,859 | | Insurance broker organization code? | 5 |
|
| AMERICAN HEALTH HOLDINGS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 6 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 421 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $7,591 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | PRECERTIFICATION | | Welfare Benefit Premiums Paid to Carrier | USD $20,453 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,591 | | Insurance broker organization code? | 5 |
|
| VERITY HEALTHNET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 10 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 421 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $12,320 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $32,032 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,320 | | Insurance broker organization code? | 5 |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 421 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $70,446 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $469,503 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $70,446 | | Insurance broker organization code? | 5 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 8 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 421 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $140,332 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $947,914 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $140,332 | | Insurance broker organization code? | 5 |
|
| VERITY HEALTHNET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 11 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 345 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $7,174 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $21,890 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09124 |
| Policy instance | 2 |
| Insurance contract or identification number | 09124 | | Number of Individuals Covered | 345 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $2,222 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,188 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 345 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $57,472 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $383,309 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 345 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $3,972 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $27,804 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CINCINNATI LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 76236 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 345 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $7,888 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | INDIVIDUAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $72,970 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 5 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 345 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $22,828 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENT, CRITICAL, HOSPITAL | | Welfare Benefit Premiums Paid to Carrier | USD $227,374 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ACTIVENET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 8 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 302 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2017-09-30 | | Total amount of commissions paid to insurance broker | USD $280 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $520 | | 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 number | NOT AVAILABLE |
| Policy instance | 9 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 345 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $116,525 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $579,709 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $72,822 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $516,266 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $72,822 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09124 |
| Policy instance | 2 |
| Insurance contract or identification number | 09124 | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $2,038 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $9,877 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,038 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $2,790 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $19,530 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,790 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| CINCINNATI LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 76236 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $12,957 | | 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 | INDIVIDUAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $95,917 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,957 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 5 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $5,894 | | 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 | ACCIDENT, CRITICAL, HOSPITAL | | Welfare Benefit Premiums Paid to Carrier | USD $135,480 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,894 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| UNITED CONCORDIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 7 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $7,482 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $74,796 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,482 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| ACTIVENET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 9 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $3,199 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $5,941 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,199 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 10 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $86,506 | | 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 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL PRODUCTS | | Welfare Benefit Premiums Paid to Carrier | USD $470,289 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $86,506 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09124 |
| Policy instance | 2 |
| Insurance contract or identification number | 09124 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $1,457 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $7,342 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,457 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 3 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 0 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $845 | | 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 | PRECERTIFICATION | | Welfare Benefit Premiums Paid to Carrier | USD $4,073 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $845 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 4 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 0 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $2,064 | | 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 | HEALTH BENEFIT MANAGEMENT | | Welfare Benefit Premiums Paid to Carrier | USD $7,568 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,064 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 5 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 163 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $4,414 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $17,218 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,414 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 6 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 163 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | 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 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPP LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $450,062 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | IMA, INC. |
|
| CINCINNATI LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 76236 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 7 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 163 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $13,539 | | 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 | SUPPLEMENTAL | | Welfare Benefit Premiums Paid to Carrier | USD $105,229 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,539 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 8 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 163 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $12,505 | | 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 | ACCIDENT, CRITICAL, HOSPITAL | | Welfare Benefit Premiums Paid to Carrier | USD $96,354 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,505 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| UNITED CONCORDIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 10 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 163 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $7,457 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $74,455 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,457 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| Insurance contract or identification number | NOT AVAILABLE | | Number of Individuals Covered | 163 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $56,713 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $378,112 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $56,713 | | Insurance broker organization code? | 5 | | Insurance broker name | IMA, INC. |
|
