401k Plan data: KIRBY CAFETERIA PLAN plan

KIRBY CAFETERIA PLAN 401k Plan overview

Plan Name	KIRBY CAFETERIA PLAN
Plan identification number	505

KIRBY CAFETERIA PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness)

401k Sponsoring company profile

KIRBY CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: KIRBY CORPORATION

Employer identification number (EIN): 741884980

NAIC Classification: 483000
NAIC Description: Water Transportation

Additional information about KIRBY CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1975-02-26

Company Identification Number: 0003720906

Legal Registered Office Address: PO BOX 1745

HOUSTON
United States of America (USA)
77251

More information about KIRBY CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KIRBY CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2022-01-01 JANNA Y'BARBO 2023-10-02 JULIE KRUGER 2023-10-02
505 2021-01-01 JANNA Y'BARBO 2022-10-06 JULIE KRUGER 2022-10-06
505 2020-01-01 JANNA Y'BARBO 2021-10-20 JANNA Y'BARBO 2021-10-20
505 2020-01-01 JANNA Y'BARBO 2021-10-14 JANNA Y'BARBO 2021-10-14
505 2019-01-01 JANNA Y'BARBO 2020-10-12 KIM B. CLARKE 2020-10-12
505 2018-01-01
505 2017-01-01 JANNA Y'BARBO KIM B. CLARKE 2018-10-10
505 2016-01-01 JANNA Y'BARBO KIM CLARKE 2017-11-21
505 2015-01-01 J. CHRIS FOUSHEE J. CHRIS FOUSHEE 2016-10-13
505 2014-01-01 J. CHRIS FOUSHEE J. CHRIS FOUSHEE 2015-10-14
505 2013-01-01 J. CHRIS FOUSHEE J. CHRIS FOUSHEE 2014-10-10
505 2012-01-01 J. CHRIS FOUSHEE J. CHRIS FOUSHEE 2013-10-14
505 2011-01-01 J. CHRIS FOUSHEE J. CHRIS FOUSHEE 2012-10-11
505 2009-01-01 J. CHRIS FOUSHEE J. CHRIS FOUSHEE 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2022-01-01	JANNA Y'BARBO	2023-10-02	JULIE KRUGER	2023-10-02
505	2021-01-01	JANNA Y'BARBO	2022-10-06	JULIE KRUGER	2022-10-06
505	2020-01-01	JANNA Y'BARBO	2021-10-20	JANNA Y'BARBO	2021-10-20
505	2020-01-01	JANNA Y'BARBO	2021-10-14	JANNA Y'BARBO	2021-10-14
505	2019-01-01	JANNA Y'BARBO	2020-10-12	KIM B. CLARKE	2020-10-12
505	2018-01-01
505	2017-01-01	JANNA Y'BARBO		KIM B. CLARKE	2018-10-10
505	2016-01-01	JANNA Y'BARBO		KIM CLARKE	2017-11-21
505	2015-01-01	J. CHRIS FOUSHEE		J. CHRIS FOUSHEE	2016-10-13
505	2014-01-01	J. CHRIS FOUSHEE		J. CHRIS FOUSHEE	2015-10-14
505	2013-01-01	J. CHRIS FOUSHEE		J. CHRIS FOUSHEE	2014-10-10
505	2012-01-01	J. CHRIS FOUSHEE		J. CHRIS FOUSHEE	2013-10-14
505	2011-01-01	J. CHRIS FOUSHEE		J. CHRIS FOUSHEE	2012-10-11
505	2009-01-01	J. CHRIS FOUSHEE		J. CHRIS FOUSHEE	2010-10-13

Plan Statistics for KIRBY CAFETERIA PLAN

401k plan membership statisitcs for KIRBY CAFETERIA PLAN

Measure Date Value
2022: KIRBY CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 10,616
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 7,368
Total of all active and inactive participants 2022-01-01 7,368
2021: KIRBY CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 11,328
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 10,616
Total of all active and inactive participants 2021-01-01 10,616
2020: KIRBY CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 11,575
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 11,328
Total of all active and inactive participants 2020-01-01 11,328
Total participants 2020-01-01 11,328
2019: KIRBY CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 8,124
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 11,575
Total of all active and inactive participants 2019-01-01 11,575
Total participants 2019-01-01 11,575
2018: KIRBY CAFETERIA PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 7,962
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 8,124
Total of all active and inactive participants 2018-01-01 8,124
Total participants 2018-01-01 8,124
2017: KIRBY CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 8,838
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 7,962
Total of all active and inactive participants 2017-01-01 7,962
2016: KIRBY CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 7,375
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 8,838
Total of all active and inactive participants 2016-01-01 8,838
2015: KIRBY CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4,377
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 7,375
Total of all active and inactive participants 2015-01-01 7,375
2014: KIRBY CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4,364
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 4,377
Total of all active and inactive participants 2014-01-01 4,377
2013: KIRBY CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4,214
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4,364
Total of all active and inactive participants 2013-01-01 4,364
2012: KIRBY CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,686
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4,214
Total of all active and inactive participants 2012-01-01 4,214
2011: KIRBY CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,573
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,686
Total of all active and inactive participants 2011-01-01 2,686
2009: KIRBY CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3,100
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,715
Total of all active and inactive participants 2009-01-01 2,715

Measure	Date	Value
2022: KIRBY CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	10,616
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	7,368
Total of all active and inactive participants	2022-01-01	7,368
2021: KIRBY CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	11,328
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	10,616
Total of all active and inactive participants	2021-01-01	10,616
2020: KIRBY CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	11,575
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	11,328
Total of all active and inactive participants	2020-01-01	11,328
Total participants	2020-01-01	11,328
2019: KIRBY CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	8,124
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	11,575
Total of all active and inactive participants	2019-01-01	11,575
Total participants	2019-01-01	11,575
2018: KIRBY CAFETERIA PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	7,962
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	8,124
Total of all active and inactive participants	2018-01-01	8,124
Total participants	2018-01-01	8,124
2017: KIRBY CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	8,838
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	7,962
Total of all active and inactive participants	2017-01-01	7,962
2016: KIRBY CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	7,375
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	8,838
Total of all active and inactive participants	2016-01-01	8,838
2015: KIRBY CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4,377
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	7,375
Total of all active and inactive participants	2015-01-01	7,375
2014: KIRBY CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4,364
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	4,377
Total of all active and inactive participants	2014-01-01	4,377
2013: KIRBY CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,214
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4,364
Total of all active and inactive participants	2013-01-01	4,364
2012: KIRBY CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,686
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4,214
Total of all active and inactive participants	2012-01-01	4,214
2011: KIRBY CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,573
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,686
Total of all active and inactive participants	2011-01-01	2,686
2009: KIRBY CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3,100
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,715
Total of all active and inactive participants	2009-01-01	2,715

Financial Data on KIRBY CAFETERIA PLAN

Measure	Date	Value
2014 : KIRBY CAFETERIA PLAN 2014 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	No
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
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	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No

Form 5500 Responses for KIRBY CAFETERIA PLAN

2022: KIRBY CAFETERIA PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: KIRBY CAFETERIA PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: KIRBY CAFETERIA PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: KIRBY CAFETERIA PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: KIRBY CAFETERIA PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: KIRBY CAFETERIA PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: KIRBY CAFETERIA PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: KIRBY CAFETERIA PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: KIRBY CAFETERIA PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: KIRBY CAFETERIA PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: KIRBY CAFETERIA PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: KIRBY CAFETERIA PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: KIRBY CAFETERIA PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

12270996

Policy instance

Insurance contract or identification number	12270996
Number of Individuals Covered	143
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $27,252
Total amount of fees paid to insurance company	USD $4,084
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $124,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $27,252
Insurance broker organization code?	3
Amount paid for insurance broker fees	4084
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0766071

Policy instance

Insurance contract or identification number	R0766071
Number of Individuals Covered	9
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $436
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GCIEE, GRPACCVOEN
Welfare Benefit Premiums Paid to Carrier	USD $4,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $436
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30078542

Policy instance

Insurance contract or identification number	30078542
Number of Individuals Covered	4115
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

219212

Policy instance

Insurance contract or identification number	219212
Number of Individuals Covered	10238
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $30,000
Other welfare benefits provided	ASO
Welfare Benefit Premiums Paid to Carrier	USD $3,371,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	30000
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0237392

Policy instance

Insurance contract or identification number	0237392
Number of Individuals Covered	7368
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $81,035
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	80972
Additional information about fees paid to insurance broker	PRODUCER SERVICE FEES
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0766071

Policy instance

Insurance contract or identification number	R0766071
Number of Individuals Covered	5614
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $46,077
Total amount of fees paid to insurance company	USD $1,851
Other welfare benefits provided	GCI EE PAY, GRP ACC VOL 11
Welfare Benefit Premiums Paid to Carrier	USD $204,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,077
Amount paid for insurance broker fees	1851
Insurance broker organization code?	3

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )

Policy contract number

50877

Policy instance

Insurance contract or identification number	50877
Number of Individuals Covered	203
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $999,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30078542

Policy instance

Insurance contract or identification number	30078542
Number of Individuals Covered	4215
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
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 number

219212

Policy instance

Insurance contract or identification number	219212
Number of Individuals Covered	10636
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $30,000
Total amount of fees paid to insurance company	USD $67,196
Other welfare benefits provided	ASO
Welfare Benefit Premiums Paid to Carrier	USD $3,047,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $30,000
Amount paid for insurance broker fees	67196
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473432

Policy instance

Insurance contract or identification number	473432
Number of Individuals Covered	5162
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $46,239
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	FLEX ADD, FLEX LIFE
Welfare Benefit Premiums Paid to Carrier	USD $3,699,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,239
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473434

Policy instance

Insurance contract or identification number	473434
Number of Individuals Covered	80
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $328
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	STD
Welfare Benefit Premiums Paid to Carrier	USD $26,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $328
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473435

Policy instance

Insurance contract or identification number	473435
Number of Individuals Covered	121
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $486
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	STD
Welfare Benefit Premiums Paid to Carrier	USD $38,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $486
Insurance broker organization code?	3

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

473436

Policy instance

Insurance contract or identification number	473436
Number of Individuals Covered	437
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,644
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	DBL
Welfare Benefit Premiums Paid to Carrier	USD $211,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,644
Insurance broker organization code?	3

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

12270996

Policy instance

Insurance contract or identification number	12270996
Number of Individuals Covered	145
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $29,470
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $86,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $29,470
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473431

Policy instance

Insurance contract or identification number	473431
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0766071

Policy instance

Insurance contract or identification number	R0766071
Number of Individuals Covered	7322
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $644,212
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GCI EE PAY, GRP ACC VOL 11
Welfare Benefit Premiums Paid to Carrier	USD $2,392,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $644,212
Insurance broker organization code?	3

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )

Policy contract number

50877

Policy instance

Insurance contract or identification number	50877
Number of Individuals Covered	267
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,274,766
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 number

473432

Policy instance

Insurance contract or identification number	473432
Number of Individuals Covered	5294
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $52,152
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	FLEX ADD, FLEX LIFE
Welfare Benefit Premiums Paid to Carrier	USD $3,852,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	52152
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473434

Policy instance

Insurance contract or identification number	473434
Number of Individuals Covered	86
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $373
Other welfare benefits provided	STD
Welfare Benefit Premiums Paid to Carrier	USD $27,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	373
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473435

Policy instance

Insurance contract or identification number	473435
Number of Individuals Covered	118
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $407
Other welfare benefits provided	STD
Welfare Benefit Premiums Paid to Carrier	USD $30,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	407
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )

Policy contract number

LBT

Policy instance

Insurance contract or identification number	LBT
Number of Individuals Covered	1965
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $418,963
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,292,051
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $418,963
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473431

Policy instance

Insurance contract or identification number	473431
Number of Individuals Covered	5318
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $69,622
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,091,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	69622
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30078542

Policy instance

Insurance contract or identification number	30078542
Number of Individuals Covered	4453
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

219212

Policy instance

Insurance contract or identification number	219212
Number of Individuals Covered	11328
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $30,000
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ASO
Welfare Benefit Premiums Paid to Carrier	USD $2,844,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $30,000
Additional information about fees paid to insurance broker	INDIRECT NON MONETARY COMPENSATION
Insurance broker organization code?	3

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

473436

Policy instance

Insurance contract or identification number	473436
Number of Individuals Covered	471
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,490
Other welfare benefits provided	DBL
Welfare Benefit Premiums Paid to Carrier	USD $125,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2490
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473432

Policy instance

Insurance contract or identification number	473432
Number of Individuals Covered	5230
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $91,063
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	FLEX ADD, FLEX LIFE
Welfare Benefit Premiums Paid to Carrier	USD $3,642,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	91063
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID
Insurance broker organization code?	3

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

219212

Policy instance

Insurance contract or identification number	219212
Number of Individuals Covered	11575
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $30,000
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ASO
Welfare Benefit Premiums Paid to Carrier	USD $2,462,905
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $30,000
Additional information about fees paid to insurance broker	INDIRECT NON MONETARY COMPENSATION
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30078542

Policy instance

Insurance contract or identification number	30078542
Number of Individuals Covered	4642
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0766071

Policy instance

Insurance contract or identification number	R0766071
Number of Individuals Covered	4294
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,363,557
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GCI EE PAY, GRP ACC VOL 11
Welfare Benefit Premiums Paid to Carrier	USD $1,903,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,363,557
Insurance broker organization code?	3

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )

Policy contract number

50877

Policy instance

Insurance contract or identification number	50877
Number of Individuals Covered	269
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,016,091
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 number

473434

Policy instance

Insurance contract or identification number	473434
Number of Individuals Covered	85
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $567
Other welfare benefits provided	STD
Welfare Benefit Premiums Paid to Carrier	USD $22,687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	567
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

473435

Policy instance

Insurance contract or identification number	473435
Number of Individuals Covered	125
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $667
Other welfare benefits provided	STD
Welfare Benefit Premiums Paid to Carrier	USD $26,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	667
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID
Insurance broker organization code?	3

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

473436

Policy instance

Insurance contract or identification number	473436
Number of Individuals Covered	495
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,246
Other welfare benefits provided	DBL
Welfare Benefit Premiums Paid to Carrier	USD $49,852
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1246
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 )

Policy contract number

LBT

Policy instance

Insurance contract or identification number	LBT
Number of Individuals Covered	1544
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,004,168
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,116,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,004,168
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0212137

Policy instance

Insurance contract or identification number	0212137
Number of Individuals Covered	537
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $10,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )

Policy contract number

50877

Policy instance

Insurance contract or identification number	50877
Number of Individuals Covered	253
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

677654G

Policy instance

Insurance contract or identification number	677654G
Number of Individuals Covered	1110
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $51,000
Total amount of fees paid to insurance company	USD $9,261
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $604,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $51,000
Insurance broker organization code?	3
Amount paid for insurance broker fees	8418
Additional information about fees paid to insurance broker	BONUS

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30078542

Policy instance

Insurance contract or identification number	30078542
Number of Individuals Covered	4544
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0159052

Policy instance

Insurance contract or identification number	0159052
Number of Individuals Covered	8124
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $93,871
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $93,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	75
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

219212

Policy instance

Insurance contract or identification number	219212
Number of Individuals Covered	11617
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of fees paid to insurance company	USD $275
Other welfare benefits provided	ASO
Welfare Benefit Premiums Paid to Carrier	USD $2,195,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	275
Additional information about fees paid to insurance broker	INDIRECT NON MONETARY COMPENSATION
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0159052

Policy instance

Insurance contract or identification number	0159052
Number of Individuals Covered	6907
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4,215
Total amount of fees paid to insurance company	USD $6,595
Other welfare benefits provided	ADD
Welfare Benefit Premiums Paid to Carrier	USD $420,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	6595
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICE INC

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0159052

Policy instance

Insurance contract or identification number	0159052
Number of Individuals Covered	4577
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,225
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $152,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	2225
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICE INC

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

050460

Policy instance

Insurance contract or identification number	050460
Number of Individuals Covered	263
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $49,501
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $1,596,026
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $49,501
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICE INC

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

ETB112545

Policy instance

Insurance contract or identification number	ETB112545
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $226
Other welfare benefits provided	BUSINESS TRAVEL
Welfare Benefit Premiums Paid to Carrier	USD $6,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	133
Insurance broker organization code?	3
Insurance broker name	HIGGINBOTHAM INSURANCE AGENCY

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )

Policy contract number

50877

Policy instance

Insurance contract or identification number	50877
Number of Individuals Covered	247
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $817,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	HIGGINBOTHAM INSURANCE AGENCY

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

742925

Policy instance

Insurance contract or identification number	742925
Number of Individuals Covered	8620
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $1,476,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	MADISON BENEFITS GROUP INC

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0159052

Policy instance

Insurance contract or identification number	0159052
Number of Individuals Covered	7700
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $47,646
Total amount of fees paid to insurance company	USD $44,123
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,814,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $47,646
Amount paid for insurance broker fees	64
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICE INC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

742925

Policy instance

Insurance contract or identification number	742925
Number of Individuals Covered	8495
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $317,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker name	MADISON BENEFITS GROUP INC

Was this data useful?

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

Information Disclaimer

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

See full terms and conditions

Company Name:	KIRBY CORPORATION
Employer identification number (EIN):	741884980
NAIC Classification:	483000
NAIC Description:	Water Transportation

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1975-02-26
Company Identification Number:	0003720906
Legal Registered Office Address:	PO BOX 1745 HOUSTON United States of America (USA) 77251