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LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameLEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN
Plan identification number 501

LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

LEDWELL & SON ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name:LEDWELL & SON ENTERPRISES, INC.
Employer identification number (EIN):751090276
NAIC Classification:336990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01MARK VAN HERPEN
5012016-05-01MARK VAN HERPEN
5012015-05-01MARK VAN HERPEN
5012014-05-01MARK VAN HERPEN
5012007-05-01MARK VAN HERPEN
5012005-05-01MARK VAN HERPEN
5012003-05-01MARK VAN HERPEN
5012002-05-01MARK VAN HERPEN

Plan Statistics for LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01488
Total number of active participants reported on line 7a of the Form 55002022-05-01501
Total of all active and inactive participants2022-05-01501
2021: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01447
Total number of active participants reported on line 7a of the Form 55002021-05-01488
Total of all active and inactive participants2021-05-01488
2020: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01475
Total number of active participants reported on line 7a of the Form 55002020-05-01447
Total of all active and inactive participants2020-05-01447
2019: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01454
Total number of active participants reported on line 7a of the Form 55002019-05-01475
Total of all active and inactive participants2019-05-01475
2018: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01437
Total number of active participants reported on line 7a of the Form 55002018-05-01454
Total of all active and inactive participants2018-05-01454
2017: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01443
Total number of active participants reported on line 7a of the Form 55002017-05-01437
Total of all active and inactive participants2017-05-01437
2016: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01454
Total number of active participants reported on line 7a of the Form 55002016-05-01443
Total of all active and inactive participants2016-05-01443
2015: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01439
Total number of active participants reported on line 7a of the Form 55002015-05-01454
Total of all active and inactive participants2015-05-01454
2014: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01394
Total number of active participants reported on line 7a of the Form 55002014-05-01439
Total of all active and inactive participants2014-05-01439
2007: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year2007-05-01285
Total number of active participants reported on line 7a of the Form 55002007-05-01285
Total of all active and inactive participants2007-05-01285
Total participants2007-05-01285
2005: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2005 401k membership
Total participants, beginning-of-year2005-05-01231
Number of retired or separated participants receiving benefits2005-05-01272
Total of all active and inactive participants2005-05-01272
Total participants2005-05-01272
2003: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2003 401k membership
Total participants, beginning-of-year2003-05-01178
Number of retired or separated participants receiving benefits2003-05-01178
Total of all active and inactive participants2003-05-01178
Total participants2003-05-01178
2002: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2002 401k membership
Total participants, beginning-of-year2002-05-01177
Number of retired or separated participants receiving benefits2002-05-01177
Total of all active and inactive participants2002-05-01177
Total participants2002-05-01177

Financial Data on LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2015 : LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$36,238
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$0
Total income from all sources (including contributions)2015-04-30$3,829,615
Total of all expenses incurred2015-04-30$3,443,671
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$3,203,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$3,287,201
Value of total assets at end of year2015-04-30$422,182
Value of total assets at beginning of year2015-04-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$239,725
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Was this plan covered by a fidelity bond2015-04-30No
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$720,199
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$403,112
Other income not declared elsewhere2015-04-30$542,414
Administrative expenses (other) incurred2015-04-30$112,410
Total non interest bearing cash at end of year2015-04-30$19,070
Total non interest bearing cash at beginning of year2015-04-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$385,944
Value of net assets at end of year (total assets less liabilities)2015-04-30$385,944
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$366,297
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30No
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$2,567,002
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$2,837,649
Contract administrator fees2015-04-30$127,315
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-04-30No
Liabilities. Value of benefit claims payable at end of year2015-04-30$36,238
Liabilities. Value of benefit claims payable at beginning of year2015-04-30$0
Did the plan have assets held for investment2015-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30BROUSSARD & COMPANY CPA'S, LLC
Accountancy firm EIN2015-04-30721447940

Form 5500 Responses for LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN

2022: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – General assets of the sponsorYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – General assets of the sponsorYes
2021: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – General assets of the sponsorYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – General assets of the sponsorYes
2020: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – General assets of the sponsorYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – General assets of the sponsorYes
2019: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – General assets of the sponsorYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – General assets of the sponsorYes
2018: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – General assets of the sponsorYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – General assets of the sponsorYes
2017: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – General assets of the sponsorYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – General assets of the sponsorYes
2016: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – General assets of the sponsorYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – General assets of the sponsorYes
2015: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – General assets of the sponsorYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – General assets of the sponsorYes
2014: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01First time form 5500 has been submittedYes
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2007: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2007 form 5500 responses
2007-05-01Type of plan entitySingle employer plan
2007-05-01Submission has been amendedNo
2007-05-01This submission is the final filingNo
2007-05-01This return/report is a short plan year return/report (less than 12 months)No
2007-05-01Plan is a collectively bargained planNo
2007-05-01Plan funding arrangement – InsuranceYes
2007-05-01Plan funding arrangement – General assets of the sponsorYes
2007-05-01Plan benefit arrangement – InsuranceYes
2007-05-01Plan benefit arrangement – General assets of the sponsorYes
2005: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2005 form 5500 responses
2005-05-01Type of plan entitySingle employer plan
2005-05-01Submission has been amendedNo
2005-05-01This submission is the final filingNo
2005-05-01This return/report is a short plan year return/report (less than 12 months)No
2005-05-01Plan is a collectively bargained planNo
2005-05-01Plan funding arrangement – InsuranceYes
2005-05-01Plan funding arrangement – General assets of the sponsorYes
2005-05-01Plan benefit arrangement – InsuranceYes
2005-05-01Plan benefit arrangement – General assets of the sponsorYes
2003: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2003 form 5500 responses
2003-05-01Type of plan entitySingle employer plan
2003-05-01Submission has been amendedNo
2003-05-01This submission is the final filingNo
2003-05-01This return/report is a short plan year return/report (less than 12 months)No
2003-05-01Plan is a collectively bargained planNo
2003-05-01Plan funding arrangement – InsuranceYes
2003-05-01Plan funding arrangement – General assets of the sponsorYes
2003-05-01Plan benefit arrangement – InsuranceYes
2003-05-01Plan benefit arrangement – General assets of the sponsorYes
2002: LEDWELL & SON ENTERPRISES, INC. EMPLOYEE BENEFIT PLAN 2002 form 5500 responses
2002-05-01Type of plan entitySingle employer plan
2002-05-01Submission has been amendedNo
2002-05-01This submission is the final filingNo
2002-05-01This return/report is a short plan year return/report (less than 12 months)No
2002-05-01Plan is a collectively bargained planNo
2002-05-01Plan funding arrangement – InsuranceYes
2002-05-01Plan funding arrangement – General assets of the sponsorYes
2002-05-01Plan benefit arrangement – InsuranceYes
2002-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered501
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $376,815
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered488
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $363,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberNOT AVAILABLE
Policy instance 2
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered447
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $342,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered447
Insurance policy start date2020-05-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered475
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $347,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberNOT AVAILABLE
Policy instance 2
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered454
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $311,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered454
Insurance policy start date2018-05-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered437
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $256,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberHCH-ISU-1000
Policy instance 1
Insurance contract or identification numberHCH-ISU-1000
Number of Individuals Covered454
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $317,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered439
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $47,753
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $318,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,753
Insurance broker organization code?5
Insurance broker nameIMA, INC.
IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 2
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered398
Insurance policy start date2014-05-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $437
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedPRECERTIFICATION
Welfare Benefit Premiums Paid to CarrierUSD $2,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $437
Insurance broker organization code?5
Insurance broker nameIMA, INC.
PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 4
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered439
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $4,981
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $34,867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,981
Insurance broker organization code?5
Insurance broker nameIMA, INC.
MERITAIN HEALTH (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberGR1470
Policy instance 1
Insurance contract or identification numberGR1470
Number of Individuals Covered285
Insurance policy start date2007-05-01
Insurance policy end date2008-04-30
Total amount of fees paid to insurance companyUSD $112,925
Health Insurance Welfare BenefitYes
Amount paid for insurance broker fees112925
Additional information about fees paid to insurance brokerADMINISTRATIVE EXPENSE
Insurance broker organization code?5
Insurance broker nameMERITAIN HEALTH
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP08084
Policy instance 2
Insurance contract or identification numberUP08084
Number of Individuals Covered285
Insurance policy start date2007-05-01
Insurance policy end date2008-04-30
Total amount of commissions paid to insurance brokerUSD $12,839
Total amount of fees paid to insurance companyUSD $3,575
Commission paid to Insurance BrokerUSD $12,839
Insurance broker organization code?3
Amount paid for insurance broker fees3575
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameEBS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number671721
Policy instance 3
Insurance contract or identification number671721
Number of Individuals Covered294
Insurance policy start date2007-05-01
Insurance policy end date2008-04-30
Total amount of commissions paid to insurance brokerUSD $4,856
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $4,856
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SRVC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010029473
Policy instance 4
Insurance contract or identification number000010029473
Number of Individuals Covered286
Insurance policy start date2007-05-01
Insurance policy end date2008-04-30
Total amount of commissions paid to insurance brokerUSD $3,095
Long Term Disability Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $3,095
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SVCS
EMPLOYEE BENEFIT SERVICES OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberGR1470
Policy instance 1
Insurance contract or identification numberGR1470
Number of Individuals Covered298
Insurance policy start date2006-05-01
Insurance policy end date2007-04-30
Total amount of fees paid to insurance companyUSD $108,845
Health Insurance Welfare BenefitYes
Amount paid for insurance broker fees108845
Additional information about fees paid to insurance brokerADMINISTRATIVE EXP
Insurance broker organization code?5
Insurance broker nameEBS
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP08084
Policy instance 2
Insurance contract or identification numberUP08084
Number of Individuals Covered291
Insurance policy start date2006-05-01
Insurance policy end date2007-04-30
Total amount of commissions paid to insurance brokerUSD $18,479
Commission paid to Insurance BrokerUSD $18,479
Insurance broker organization code?3
Amount paid for insurance broker fees8158
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameEBS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG71721
Policy instance 3
Insurance contract or identification numberG71721
Number of Individuals Covered303
Insurance policy start date2006-05-01
Insurance policy end date2007-04-30
Total amount of commissions paid to insurance brokerUSD $11,764
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $11,764
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE AND FINANCIAL
JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )
Policy contract number000010029473
Policy instance 4
Insurance contract or identification number000010029473
Number of Individuals Covered303
Insurance policy start date2006-05-01
Insurance policy end date2007-04-30
Total amount of commissions paid to insurance brokerUSD $2,576
Long Term Disability Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $2,576
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SVCS
JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )
Policy contract number000010029473
Policy instance 4
Insurance contract or identification number000010029473
Number of Individuals Covered282
Insurance policy start date2005-05-01
Insurance policy end date2006-04-30
Total amount of commissions paid to insurance brokerUSD $2,451
Long Term Disability Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $2,451
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SRVCS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG71721
Policy instance 3
Insurance contract or identification numberG71721
Number of Individuals Covered282
Insurance policy start date2005-05-01
Insurance policy end date2006-04-30
Total amount of commissions paid to insurance brokerUSD $5,412
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $5,412
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SRVCS
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP8054
Policy instance 2
Insurance contract or identification numberUP8054
Number of Individuals Covered272
Insurance policy start date2005-05-01
Insurance policy end date2006-04-30
Total amount of commissions paid to insurance brokerUSD $18,116
Total amount of fees paid to insurance companyUSD $7,642
Commission paid to Insurance BrokerUSD $18,116
Insurance broker organization code?3
Amount paid for insurance broker fees7642
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameEBS
EMPLOYEE BENEFIT SERVICES OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberGR#1470
Policy instance 1
Insurance contract or identification numberGR#1470
Number of Individuals Covered272
Insurance policy start date2005-05-01
Insurance policy end date2006-04-30
Total amount of fees paid to insurance companyUSD $90,440
Health Insurance Welfare BenefitYes
Amount paid for insurance broker fees90440
Additional information about fees paid to insurance brokerADMINISTRATIVE EXP
Insurance broker organization code?5
Insurance broker nameEBS
EMPLOYEE BENEFIT SERVICES OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberGR#1470
Policy instance 1
Insurance contract or identification numberGR#1470
Number of Individuals Covered217
Insurance policy start date2004-05-01
Insurance policy end date2005-04-30
Total amount of fees paid to insurance companyUSD $64,628
Health Insurance Welfare BenefitYes
Amount paid for insurance broker fees64628
Additional information about fees paid to insurance brokerADMINISTRATIVE EXP
Insurance broker organization code?5
Insurance broker nameEBS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG71721
Policy instance 3
Insurance contract or identification numberG71721
Number of Individuals Covered231
Insurance policy start date2004-05-01
Insurance policy end date2004-04-30
Total amount of commissions paid to insurance brokerUSD $4,776
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $4,776
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SRVCS
JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )
Policy contract number000010029473
Policy instance 4
Insurance contract or identification number000010029473
Number of Individuals Covered231
Insurance policy start date2004-05-01
Insurance policy end date2005-04-30
Total amount of commissions paid to insurance brokerUSD $2,120
Long Term Disability Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $2,120
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SRVCS
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP8054
Policy instance 2
Insurance contract or identification numberUP8054
Number of Individuals Covered217
Insurance policy start date2004-05-01
Insurance policy end date2005-04-30
Total amount of commissions paid to insurance brokerUSD $20,621
Total amount of fees paid to insurance companyUSD $6,302
Commission paid to Insurance BrokerUSD $20,621
Insurance broker organization code?3
Amount paid for insurance broker fees6302
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker nameEBS
EMPLOYEE BENEFIT SERVICES OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberGR#1470
Policy instance 1
Insurance contract or identification numberGR#1470
Number of Individuals Covered178
Insurance policy start date2003-05-01
Insurance policy end date2004-04-30
Total amount of fees paid to insurance companyUSD $60,855
Health 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 $60,855
Additional information about fees paid to insurance brokerADMINISTRATIVE EXP
Insurance broker organization code?5
Insurance broker nameEBS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG71721
Policy instance 3
Insurance contract or identification numberG71721
Number of Individuals Covered184
Insurance policy start date2003-05-01
Insurance policy end date2004-04-30
Total amount of commissions paid to insurance brokerUSD $4,095
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $4,095
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SERVCS
JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )
Policy contract number000010029473
Policy instance 4
Insurance contract or identification number000010029473
Number of Individuals Covered184
Insurance policy start date2003-05-01
Insurance policy end date2004-04-30
Total amount of commissions paid to insurance brokerUSD $1,854
Long Term Disability Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $1,854
Insurance broker organization code?3
Insurance broker nameDAINES INSURANCE & FINANCIAL SVCS
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP8054
Policy instance 2
Insurance contract or identification numberUP8054
Number of Individuals Covered178
Insurance policy start date2003-05-01
Insurance policy end date2004-04-30
Total amount of commissions paid to insurance brokerUSD $17,302
Commission paid to Insurance BrokerUSD $17,302
Insurance broker organization code?3
Insurance broker nameOFFENHAUSER FINANCIAL
UNITED OF OMAHA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG80S4
Policy instance 1
Insurance contract or identification numberGUG80S4
Number of Individuals Covered177
Insurance policy start date2002-05-01
Insurance policy end date2003-04-30
Total amount of commissions paid to insurance brokerUSD $14,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,157
Insurance broker organization code?3
Insurance broker nameOFFENHAUSER FINANCIAL

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