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LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 401k Plan overview

Plan NameLOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN
Plan identification number 502

LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

LOPEZ FOOD, INC. has sponsored the creation of one or more 401k plans.

Company Name:LOPEZ FOOD, INC.
Employer identification number (EIN):731348891
NAIC Classification:311610
NAIC Description: Animal Slaughtering and Processing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01DOUG KONARIK
5022016-01-01DOUG KONARIK
5022015-01-01DOUG KONARIK
5022014-01-01DOUG KONARIK
5022013-01-01DOUG KONARIK
5022012-01-01DOUG KONARIK
5022011-01-01DOUG KONARIK
5022009-01-01DOUG KONARIK

Plan Statistics for LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN

401k plan membership statisitcs for LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN

Measure Date Value
2022: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01586
Total number of active participants reported on line 7a of the Form 55002022-01-01571
Total of all active and inactive participants2022-01-01571
2021: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01589
Total number of active participants reported on line 7a of the Form 55002021-01-01586
Total of all active and inactive participants2021-01-01586
2020: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01563
Total number of active participants reported on line 7a of the Form 55002020-01-01589
Total of all active and inactive participants2020-01-01589
2019: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01540
Total number of active participants reported on line 7a of the Form 55002019-01-01563
Total of all active and inactive participants2019-01-01563
Total participants2019-01-01563
2018: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01714
Total number of active participants reported on line 7a of the Form 55002018-01-01540
Total of all active and inactive participants2018-01-01540
Total participants2018-01-01540
2017: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01401
Total number of active participants reported on line 7a of the Form 55002017-01-01714
Total of all active and inactive participants2017-01-01714
Total participants2017-01-01714
2016: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01397
Total number of active participants reported on line 7a of the Form 55002016-01-01401
Total of all active and inactive participants2016-01-01401
Total participants2016-01-01401
2015: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01355
Total number of active participants reported on line 7a of the Form 55002015-01-01397
Total of all active and inactive participants2015-01-01397
Total participants2015-01-01397
2014: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01380
Total number of active participants reported on line 7a of the Form 55002014-01-01355
Total of all active and inactive participants2014-01-01355
Total participants2014-01-01355
2013: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01442
Total number of active participants reported on line 7a of the Form 55002013-01-01380
Total of all active and inactive participants2013-01-01380
Total participants2013-01-01380
2012: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01210
Total number of active participants reported on line 7a of the Form 55002012-01-01442
Total of all active and inactive participants2012-01-01442
Total participants2012-01-01442
2011: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01196
Total number of active participants reported on line 7a of the Form 55002011-01-01210
Total of all active and inactive participants2011-01-01210
Total participants2011-01-01210
2009: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01193
Total number of active participants reported on line 7a of the Form 55002009-01-01156
Total of all active and inactive participants2009-01-01156
Total participants2009-01-01156

Form 5500 Responses for LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN

2022: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: LOPEZ FOOD, INC. (SAL) WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF026123
Policy instance 4
Insurance contract or identification numberF026123
Number of Individuals Covered609
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,052
Total amount of fees paid to insurance companyUSD $2,477
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,052
Amount paid for insurance broker fees2477
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1203
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $95,774
Total amount of fees paid to insurance companyUSD $14,071
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $492,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $95,774
Amount paid for insurance broker fees14071
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered604
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $33,147
Total amount of fees paid to insurance companyUSD $10,457
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $243,415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,147
Insurance broker organization code?3
Amount paid for insurance broker fees10457
Additional information about fees paid to insurance brokerADMINISTRATION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered25
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $15,001
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered27
Insurance policy start date2021-01-02
Insurance policy end date2021-12-27
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $17,316
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberF026123
Policy instance 4
Insurance contract or identification numberF026123
Number of Individuals Covered565
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,800
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,800
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1292
Insurance policy start date2021-01-02
Insurance policy end date2021-12-27
Total amount of commissions paid to insurance brokerUSD $79,296
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $499,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,296
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered602
Insurance policy start date2021-01-02
Insurance policy end date2021-12-27
Total amount of commissions paid to insurance brokerUSD $35,535
Total amount of fees paid to insurance companyUSD $35,100
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $255,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,535
Amount paid for insurance broker fees35100
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered27
Insurance policy start date2020-01-02
Insurance policy end date2020-12-27
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $17,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered609
Insurance policy start date2020-01-02
Insurance policy end date2020-12-27
Total amount of commissions paid to insurance brokerUSD $35,762
Total amount of fees paid to insurance companyUSD $31,244
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $253,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,762
Amount paid for insurance broker fees31244
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1337
Insurance policy start date2020-01-02
Insurance policy end date2020-12-27
Total amount of commissions paid to insurance brokerUSD $74,950
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $441,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,950
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1290
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $58,012
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $380,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,012
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered564
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $31,291
Total amount of fees paid to insurance companyUSD $24,204
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $203,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,291
Amount paid for insurance broker fees24204
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered27
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $2,676
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $17,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,676
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1257
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $67,934
Total amount of fees paid to insurance companyUSD $342,018
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $373,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,934
Amount paid for insurance broker fees342018
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered534
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $27,034
Total amount of fees paid to insurance companyUSD $37,321
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $183,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,034
Amount paid for insurance broker fees37321
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered25
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $3,341
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $16,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,341
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1577
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $124,818
Total amount of fees paid to insurance companyUSD $489,358
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $374,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $124,818
Amount paid for insurance broker fees489358
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameTHE PLEXUS GROUPE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered751
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $33,777
Total amount of fees paid to insurance companyUSD $34,024
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADMINSITRATIVE SERVICES & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $206,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,777
Amount paid for insurance broker fees34024
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameTHE PLEXUS GROUPE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered29
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $4,179
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $22,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,179
Insurance broker organization code?3
Insurance broker nameTHE PLEXUS GROUPE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered11
Insurance policy start date2015-04-01
Insurance policy end date2016-04-01
Total amount of commissions paid to insurance brokerUSD $1,602
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $7,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,602
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES INC
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1655
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $71,895
Total amount of fees paid to insurance companyUSD $254,125
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $167,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,895
Amount paid for insurance broker fees254125
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered944
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $18,487
Total amount of fees paid to insurance companyUSD $17,248
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADMINSITRATIVE SERVICES & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $97,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,487
Amount paid for insurance broker fees17248
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered15
Insurance policy start date2014-04-01
Insurance policy end date2015-04-01
Total amount of commissions paid to insurance brokerUSD $1,816
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $9,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,816
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered902
Insurance policy start date2014-01-01
Insurance policy end date2015-01-01
Total amount of commissions paid to insurance brokerUSD $19,763
Total amount of fees paid to insurance companyUSD $18,428
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADMINSITRATIVE SERVICES & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $103,710
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,763
Amount paid for insurance broker fees18428
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1647
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $69,255
Total amount of fees paid to insurance companyUSD $229,755
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,255
Amount paid for insurance broker fees229755
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered1026
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $20,911
Total amount of fees paid to insurance companyUSD $19,634
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADMINSITRATIVE SERVICES & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $109,503
Commission paid to Insurance BrokerUSD $20,911
Amount paid for insurance broker fees19634
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered16
Insurance policy start date2013-04-01
Insurance policy end date2014-04-01
Total amount of commissions paid to insurance brokerUSD $2,049
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $9,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,049
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES INC
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1817
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $73,275
Total amount of fees paid to insurance companyUSD $251,410
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,927,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,275
Amount paid for insurance broker fees251410
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number000107
Policy instance 3
Insurance contract or identification number000107
Number of Individuals Covered1010
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $80,700
Total amount of fees paid to insurance companyUSD $233,730
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,609,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,700
Amount paid for insurance broker fees233730
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEES
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered983
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $24,657
Total amount of fees paid to insurance companyUSD $14,043
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADMINSITRATIVE SERVICES & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $113,591
Commission paid to Insurance BrokerUSD $24,657
Amount paid for insurance broker fees14043
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE OR OTHER FEE
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered18
Insurance policy start date2012-04-01
Insurance policy end date2013-04-01
Total amount of commissions paid to insurance brokerUSD $2,015
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $9,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,015
Insurance broker organization code?3
Insurance broker nameCHER A. BUMPS & ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AIIXS
Policy instance 2
Insurance contract or identification numberG000AIIXS
Number of Individuals Covered633
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $9,894
Total amount of fees paid to insurance companyUSD $8,847
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADMINSITRATIVE SERVICES & AD&D
Welfare Benefit Premiums Paid to CarrierUSD $61,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number094995
Policy instance 1
Insurance contract or identification number094995
Number of Individuals Covered13
Insurance policy start date2011-04-01
Insurance policy end date2012-04-01
Total amount of commissions paid to insurance brokerUSD $2,055
Other welfare benefits providedGROUP LONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $10,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number013094
Policy instance 2
Insurance contract or identification number013094
Number of Individuals Covered98
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $22,033
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedSTOP LOSS
Welfare Benefit Premiums Paid to CarrierUSD $107,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number090801
Policy instance 1
Insurance contract or identification number090801
Number of Individuals Covered259
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $7,633
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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