API ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan API ENTERPRISES CAFETERIA PLAN
| Measure | Date | Value |
|---|
| 2019: API ENTERPRISES CAFETERIA PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 511 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 566 |
| Total of all active and inactive participants | 2019-01-01 | 566 |
| Total participants | 2019-01-01 | 566 |
| Number of participants with account balances | 2019-01-01 | 0 |
| 2018: API ENTERPRISES CAFETERIA PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 556 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 511 |
| Total of all active and inactive participants | 2018-01-01 | 511 |
| Total participants | 2018-01-01 | 511 |
| 2017: API ENTERPRISES CAFETERIA PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 548 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 556 |
| Total of all active and inactive participants | 2017-01-01 | 556 |
| Total participants | 2017-01-01 | 556 |
| 2016: API ENTERPRISES CAFETERIA PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 521 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 548 |
| Total of all active and inactive participants | 2016-01-01 | 548 |
| Total participants | 2016-01-01 | 548 |
| 2015: API ENTERPRISES CAFETERIA PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 640 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 521 |
| Total of all active and inactive participants | 2015-01-01 | 521 |
| Total participants | 2015-01-01 | 0 |
| 2014: API ENTERPRISES CAFETERIA PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 628 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 640 |
| Total of all active and inactive participants | 2014-01-01 | 640 |
| Total participants | 2014-01-01 | 0 |
| 2013: API ENTERPRISES CAFETERIA PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 878 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 628 |
| Total of all active and inactive participants | 2013-01-01 | 628 |
| Total participants | 2013-01-01 | 0 |
| 2012: API ENTERPRISES CAFETERIA PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 783 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 878 |
| Total of all active and inactive participants | 2012-01-01 | 878 |
| Total participants | 2012-01-01 | 0 |
| 2011: API ENTERPRISES CAFETERIA PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 414 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 783 |
| Total of all active and inactive participants | 2011-01-01 | 783 |
| Total participants | 2011-01-01 | 783 |
| 2010: API ENTERPRISES CAFETERIA PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 368 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 414 |
| Total of all active and inactive participants | 2010-01-01 | 414 |
| Total participants | 2010-01-01 | 414 |
| 2009: API ENTERPRISES CAFETERIA PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 329 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 368 |
| Total of all active and inactive participants | 2009-01-01 | 368 |
| Total participants | 2009-01-01 | 368 |
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 541551 |
| Policy instance | 6 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 380 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $4,427 | | Total amount of fees paid to insurance company | USD $109 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,300 | | Amount paid for insurance broker fees | 109 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | 541551 |
| Policy instance | 1 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 566 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $40,830 | | Total amount of fees paid to insurance company | USD $259,118 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 244502 | | Additional information about fees paid to insurance broker | PLAN AND CLAIMS ADMINISTRATION | | Insurance broker organization code? | 5 | | Commission paid to Insurance Broker | USD $30,456 |
|
| HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 ) |
| Policy contract number | 541551 |
| Policy instance | 2 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 476 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $4,502 | | Total amount of fees paid to insurance company | USD $530 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,125 | | Amount paid for insurance broker fees | 530 | | Additional information about fees paid to insurance broker | BONUS |
|
| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | 850691 |
| Policy instance | 3 |
| Insurance contract or identification number | 850691 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $1,757 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $795 | | Insurance broker organization code? | 3 |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 33758 |
| Policy instance | 4 |
| Insurance contract or identification number | 33758 | | Number of Individuals Covered | 188 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $147,509 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENT, CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $186,366 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $101,440 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 910604 |
| Policy instance | 5 |
| Insurance contract or identification number | 910604 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $3,956 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,868 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,956 | | Insurance broker organization code? | 3 |
|
| COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 ) |
| Policy contract number | 541551 |
| Policy instance | 2 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 296 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $3,738 | | Total amount of fees paid to insurance company | USD $941 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $37,380 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,738 | | Amount paid for insurance broker fees | 941 | | Insurance broker organization code? | 3 |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | 541551 |
| Policy instance | 1 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 511 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $37,842 | | Total amount of fees paid to insurance company | USD $248,050 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 228718 | | Additional information about fees paid to insurance broker | PLAN AND CLAIMS ADMINISTRATION | | Insurance broker organization code? | 5 | | Commission paid to Insurance Broker | USD $37,842 |
|
| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | 850691 |
| Policy instance | 4 |
| Insurance contract or identification number | 850691 | | Number of Individuals Covered | 115 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $20,904 | | Total amount of fees paid to insurance company | USD $2,658 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $109,909 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,827 | | Amount paid for insurance broker fees | 2658 | | Insurance broker organization code? | 3 |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 33758 |
| Policy instance | 5 |
| Insurance contract or identification number | 33758 | | Number of Individuals Covered | 194 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $71,587 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENT, CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $89,805 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $49,238 | | Insurance broker organization code? | 3 |
|
| HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 ) |
| Policy contract number | 541551 |
| Policy instance | 3 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 419 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $4,305 | | Total amount of fees paid to insurance company | USD $4,230 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,305 | | Amount paid for insurance broker fees | 4230 |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | 541551 |
| Policy instance | 1 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 556 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-05-31 | | Total amount of commissions paid to insurance broker | USD $37,308 | | Total amount of fees paid to insurance company | USD $225,535 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 225535 | | Additional information about fees paid to insurance broker | PLAN AND CLAIMS ADMINISTRATION | | Insurance broker organization code? | 5 | | Commission paid to Insurance Broker | USD $37,308 | | Insurance broker name | EUSTIS INSURANCE INC. |
|
| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | 850691 |
| Policy instance | 4 |
| Insurance contract or identification number | 850691 | | Number of Individuals Covered | 116 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-05-31 | | Total amount of commissions paid to insurance broker | USD $14,368 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL CRITICAL ILLNESS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,368 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 ) |
| Policy contract number | 541551 |
| Policy instance | 2 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 331 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-05-31 | | Total amount of commissions paid to insurance broker | USD $3,893 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,893 | | Insurance broker organization code? | 4 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 ) |
| Policy contract number | 541551 |
| Policy instance | 3 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 460 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-05-31 | | Total amount of commissions paid to insurance broker | USD $4,268 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,268 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 ) |
| Policy contract number | 541551 |
| Policy instance | 3 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $4,199 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,199 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 ) |
| Policy contract number | 541551 |
| Policy instance | 2 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 258 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $4,605 | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,605 | | Insurance broker organization code? | 4 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | 541551 |
| Policy instance | 1 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 521 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $42,222 | | Total amount of fees paid to insurance company | USD $211,176 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 211176 | | Additional information about fees paid to insurance broker | PLAN AND CLAIMS ADMINISTRATION | | Insurance broker organization code? | 5 | | Commission paid to Insurance Broker | USD $42,222 | | Insurance broker name | EUSTIS INSURANCE INC. |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 541551 |
| Policy instance | 2 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 640 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $7,935 | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,935 | | Insurance broker organization code? | 4 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 ) |
| Policy contract number | 541551 |
| Policy instance | 3 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 488 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $1,260 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,260 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | 541551 |
| Policy instance | 1 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 534 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $31,416 | | Total amount of fees paid to insurance company | USD $247,638 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 247638 | | Additional information about fees paid to insurance broker | PLAN AND CLAIMS ADMINISTRATION | | Insurance broker organization code? | 5 | | Commission paid to Insurance Broker | USD $31,416 | | Insurance broker name | EUSTIS INSURANCE INC. |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | 541551 |
| Policy instance | 1 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 628 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $43,434 | | Total amount of fees paid to insurance company | USD $234,292 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 234292 | | Additional information about fees paid to insurance broker | PLAN AND CLAIMS ADMINISTRATION | | Insurance broker organization code? | 5 | | Commission paid to Insurance Broker | USD $43,434 | | Insurance broker name | EUSTIS INSURANCE INC. |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 541551 |
| Policy instance | 2 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 617 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $6,192 | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,192 | | Insurance broker organization code? | 4 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 ) |
| Policy contract number | 541551 |
| Policy instance | 3 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 576 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $4,267 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,267 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 541551 |
| Policy instance | 1 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 878 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $11,234 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,234 | | Insurance broker organization code? | 4 | | Insurance broker name | EUSTIS BENEFITS LLC |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | 541551 |
| Policy instance | 2 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 878 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $39,229 | | Total amount of fees paid to insurance company | USD $200,118 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39,229 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 200118 | | Additional information about fees paid to insurance broker | PLAN AND CLAIMS ADMINISTRATION | | Insurance broker name | HUMAN HEALTH PLAN OF TEXAS, INC. |
|
| HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 ) |
| Policy contract number | 541551 |
| Policy instance | 2 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 465 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $3,843 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 541551 |
| Policy instance | 1 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 531 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $5,255 | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 ) |
| Policy contract number | 541551 |
| Policy instance | 3 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 502 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $35,820 | | Total amount of fees paid to insurance company | USD $173,732 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA HEALTH PLAN OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95024 ) |
| Policy contract number | 541551 |
| Policy instance | 3 |
| Insurance contract or identification number | 541551 | | Number of Individuals Covered | 420 | | Insurance policy start date | 2009-06-01 | | Insurance policy end date | 2010-05-31 | | Total amount of commissions paid to insurance broker | USD $12,390 | | Total amount of fees paid to insurance company | USD $139,498 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,390 | | Amount paid for insurance broker fees | 139498 | | Additional information about fees paid to insurance broker | PLAN AND CLAIMS ADMINISTRATION | | Insurance broker organization code? | 5 | | Insurance broker name | HUMAN HEALTH PLAN OF TEXAS, INC. |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 136-002771 |
| Policy instance | 2 |
| Insurance contract or identification number | 136-002771 | | Number of Individuals Covered | 910 | | Insurance policy start date | 2009-06-01 | | Insurance policy end date | 2010-05-31 | | Total amount of commissions paid to insurance broker | USD $4,142 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,142 | | Insurance broker organization code? | 3 | | Insurance broker name | EUSTIS INSURANCE INC. |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 137037 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 137037 | | Number of Individuals Covered | 402 | | Insurance policy start date | 2009-06-01 | | Insurance policy end date | 2010-05-31 | | Total amount of commissions paid to insurance broker | USD $1,910 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,910 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE | | Insurance broker organization code? | 4 | | Insurance broker name | EUSTIS BENEFITS LLC |
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