LEGACY BENEFIT PLANS LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST
Measure | Date | Value |
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2022 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2022 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2022-12-31 | $-3,807,601 |
Total unrealized appreciation/depreciation of assets | 2022-12-31 | $-3,807,601 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $17,186,628 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $18,401,039 |
Expenses. Interest paid | 2022-12-31 | $615,479 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2022-12-31 | $615,479 |
Total income from all sources (including contributions) | 2022-12-31 | $-3,105,865 |
Total of all expenses incurred | 2022-12-31 | $1,667,457 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $114,672 |
Value of total assets at end of year | 2022-12-31 | $45,015,078 |
Value of total assets at beginning of year | 2022-12-31 | $51,002,811 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $937,306 |
Total interest from all sources | 2022-12-31 | $4,142 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
Administrative expenses professional fees incurred | 2022-12-31 | $21,000 |
Was this plan covered by a fidelity bond | 2022-12-31 | No |
If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2022-12-31 | $44,278,811 |
Assets. Other investments not covered elsewhere at beginning of year | 2022-12-31 | $47,001,080 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2022-12-31 | $114,672 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $1,334 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $1,775,505 |
Other income not declared elsewhere | 2022-12-31 | $697,594 |
Administrative expenses (other) incurred | 2022-12-31 | $100,286 |
Liabilities. Value of operating payables at end of year | 2022-12-31 | $704,636 |
Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $1,819,984 |
Total non interest bearing cash at end of year | 2022-12-31 | $298,615 |
Total non interest bearing cash at beginning of year | 2022-12-31 | $2,291,024 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
Value of net income/loss | 2022-12-31 | $-4,773,322 |
Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $27,828,450 |
Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $32,601,772 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
Value of interest in pooled separate accounts at end of year | 2022-12-31 | $0 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $1,472,376 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $1,472,376 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $4,142 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
Employer contributions (assets) at end of year | 2022-12-31 | $436,318 |
Employer contributions (assets) at beginning of year | 2022-12-31 | $238,331 |
Contract administrator fees | 2022-12-31 | $816,020 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-12-31 | No |
Did the plan have assets held for investment | 2022-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
Liabilities. Value of acquisition indebtedness at end of year | 2022-12-31 | $16,481,992 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2022-12-31 | $14,805,550 |
Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Qualified |
Accountancy firm name | 2022-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2022-12-31 | 410746749 |
2021 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2021 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2021-12-31 | $3,016,827 |
Total unrealized appreciation/depreciation of assets | 2021-12-31 | $3,016,827 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $18,401,039 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $14,576,719 |
Expenses. Interest paid | 2021-12-31 | $365,166 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2021-12-31 | $365,166 |
Total income from all sources (including contributions) | 2021-12-31 | $3,141,697 |
Total of all expenses incurred | 2021-12-31 | $1,285,044 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $151,590 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $13,354 |
Value of total assets at end of year | 2021-12-31 | $51,002,811 |
Value of total assets at beginning of year | 2021-12-31 | $45,321,838 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $768,288 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
Administrative expenses professional fees incurred | 2021-12-31 | $24,735 |
Was this plan covered by a fidelity bond | 2021-12-31 | No |
If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2021-12-31 | $47,001,080 |
Assets. Other investments not covered elsewhere at beginning of year | 2021-12-31 | $44,684,314 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2021-12-31 | $131,590 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $1,775,505 |
Other income not declared elsewhere | 2021-12-31 | $111,516 |
Administrative expenses (other) incurred | 2021-12-31 | $61,268 |
Liabilities. Value of operating payables at end of year | 2021-12-31 | $1,819,984 |
Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $1,190,228 |
Total non interest bearing cash at end of year | 2021-12-31 | $2,291,024 |
Total non interest bearing cash at beginning of year | 2021-12-31 | $528,114 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
Value of net income/loss | 2021-12-31 | $1,856,653 |
Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $32,601,772 |
Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $30,745,119 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
Value of interest in pooled separate accounts at end of year | 2021-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $1,472,376 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $6,450 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $6,450 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
Contributions received in cash from employer | 2021-12-31 | $13,354 |
Employer contributions (assets) at end of year | 2021-12-31 | $238,331 |
Employer contributions (assets) at beginning of year | 2021-12-31 | $102,960 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $20,000 |
Contract administrator fees | 2021-12-31 | $682,285 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-12-31 | No |
Did the plan have assets held for investment | 2021-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
Liabilities. Value of acquisition indebtedness at end of year | 2021-12-31 | $14,805,550 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2021-12-31 | $13,386,491 |
Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Qualified |
Accountancy firm name | 2021-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2021-12-31 | 410746749 |
2020 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2020 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2020-12-31 | $2,339,226 |
Total unrealized appreciation/depreciation of assets | 2020-12-31 | $2,339,226 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $14,576,719 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $12,795,514 |
Expenses. Interest paid | 2020-12-31 | $429,132 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2020-12-31 | $429,132 |
Total income from all sources (including contributions) | 2020-12-31 | $2,429,085 |
Total of all expenses incurred | 2020-12-31 | $1,317,441 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $76,420 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $41,854 |
Value of total assets at end of year | 2020-12-31 | $45,321,838 |
Value of total assets at beginning of year | 2020-12-31 | $42,428,989 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $811,889 |
Total interest from all sources | 2020-12-31 | $110 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
Administrative expenses professional fees incurred | 2020-12-31 | $157,242 |
Was this plan covered by a fidelity bond | 2020-12-31 | No |
If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2020-12-31 | $44,684,314 |
Assets. Other investments not covered elsewhere at beginning of year | 2020-12-31 | $41,869,257 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2020-12-31 | $56,420 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $71,860 |
Other income not declared elsewhere | 2020-12-31 | $47,895 |
Administrative expenses (other) incurred | 2020-12-31 | $16,077 |
Liabilities. Value of operating payables at end of year | 2020-12-31 | $1,190,228 |
Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $841,875 |
Total non interest bearing cash at end of year | 2020-12-31 | $528,114 |
Total non interest bearing cash at beginning of year | 2020-12-31 | $23,334 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
Value of net income/loss | 2020-12-31 | $1,111,644 |
Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $30,745,119 |
Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $29,633,475 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
Value of interest in pooled separate accounts at end of year | 2020-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $6,450 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $509,833 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $509,833 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $110 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
Contributions received in cash from employer | 2020-12-31 | $41,854 |
Employer contributions (assets) at end of year | 2020-12-31 | $102,960 |
Employer contributions (assets) at beginning of year | 2020-12-31 | $26,565 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $20,000 |
Contract administrator fees | 2020-12-31 | $638,570 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-12-31 | No |
Did the plan have assets held for investment | 2020-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
Liabilities. Value of acquisition indebtedness at end of year | 2020-12-31 | $13,386,491 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2020-12-31 | $11,881,779 |
Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
Accountancy firm name | 2020-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2020-12-31 | 410746749 |
2019 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2019 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2019-12-31 | $2,331,551 |
Total unrealized appreciation/depreciation of assets | 2019-12-31 | $2,331,551 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $12,795,514 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $12,795,514 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $10,833,133 |
Expenses. Interest paid | 2019-12-31 | $508,785 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2019-12-31 | $508,785 |
Expenses. Interest paid | 2019-12-31 | $508,785 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2019-12-31 | $508,785 |
Total income from all sources (including contributions) | 2019-12-31 | $2,372,184 |
Total income from all sources (including contributions) | 2019-12-31 | $2,372,184 |
Total of all expenses incurred | 2019-12-31 | $3,924,075 |
Total of all expenses incurred | 2019-12-31 | $3,924,075 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $2,435,979 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $2,435,979 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $39,366 |
Value of total assets at end of year | 2019-12-31 | $42,428,989 |
Value of total assets at beginning of year | 2019-12-31 | $42,018,499 |
Value of total assets at beginning of year | 2019-12-31 | $42,018,499 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $979,311 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $979,311 |
Total interest from all sources | 2019-12-31 | $1,267 |
Total interest from all sources | 2019-12-31 | $1,267 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
Administrative expenses professional fees incurred | 2019-12-31 | $238,841 |
Administrative expenses professional fees incurred | 2019-12-31 | $238,841 |
Was this plan covered by a fidelity bond | 2019-12-31 | No |
Was this plan covered by a fidelity bond | 2019-12-31 | No |
If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2019-12-31 | $41,869,257 |
Assets. Other investments not covered elsewhere at beginning of year | 2019-12-31 | $41,166,092 |
Assets. Other investments not covered elsewhere at beginning of year | 2019-12-31 | $41,166,092 |
Income. Received or receivable in cash from other sources (including rollovers) | 2019-12-31 | $26,012 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $71,860 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $71,860 |
Administrative expenses (other) incurred | 2019-12-31 | $98,790 |
Administrative expenses (other) incurred | 2019-12-31 | $98,790 |
Liabilities. Value of operating payables at end of year | 2019-12-31 | $841,875 |
Liabilities. Value of operating payables at end of year | 2019-12-31 | $841,875 |
Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $535,718 |
Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $535,718 |
Total non interest bearing cash at end of year | 2019-12-31 | $23,334 |
Total non interest bearing cash at beginning of year | 2019-12-31 | $537,801 |
Total non interest bearing cash at beginning of year | 2019-12-31 | $537,801 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | 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 | 2019-12-31 | No |
Value of net income/loss | 2019-12-31 | $-1,551,891 |
Value of net income/loss | 2019-12-31 | $-1,551,891 |
Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $29,633,475 |
Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $31,185,366 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
Value of interest in pooled separate accounts at end of year | 2019-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $509,833 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $300,103 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $300,103 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $300,103 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $300,103 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $1,267 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $134,899 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $134,899 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
Contributions received in cash from employer | 2019-12-31 | $13,354 |
Employer contributions (assets) at end of year | 2019-12-31 | $26,565 |
Employer contributions (assets) at end of year | 2019-12-31 | $26,565 |
Employer contributions (assets) at beginning of year | 2019-12-31 | $14,503 |
Employer contributions (assets) at beginning of year | 2019-12-31 | $14,503 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $2,301,080 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $2,301,080 |
Contract administrator fees | 2019-12-31 | $641,680 |
Contract administrator fees | 2019-12-31 | $641,680 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | 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 | 2019-12-31 | No |
Did the plan have assets held for investment | 2019-12-31 | Yes |
Did the plan have assets held for investment | 2019-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | 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 | 2019-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
Liabilities. Value of acquisition indebtedness at end of year | 2019-12-31 | $11,881,779 |
Liabilities. Value of acquisition indebtedness at end of year | 2019-12-31 | $11,881,779 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2019-12-31 | $10,297,415 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
Accountancy firm name | 2019-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm name | 2019-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2019-12-31 | 410746749 |
Accountancy firm EIN | 2019-12-31 | 410746749 |
2018 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2018 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2018-12-31 | $-292,409 |
Total unrealized appreciation/depreciation of assets | 2018-12-31 | $-292,409 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $10,833,133 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $8,865,095 |
Expenses. Interest paid | 2018-12-31 | $415,583 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2018-12-31 | $415,583 |
Total income from all sources (including contributions) | 2018-12-31 | $-212,770 |
Total of all expenses incurred | 2018-12-31 | $1,432,533 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $155,662 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $49,975 |
Value of total assets at end of year | 2018-12-31 | $41,595,613 |
Value of total assets at beginning of year | 2018-12-31 | $41,272,878 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $861,288 |
Total interest from all sources | 2018-12-31 | $11,887 |
Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $17,777 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
Administrative expenses professional fees incurred | 2018-12-31 | $214,788 |
Was this plan covered by a fidelity bond | 2018-12-31 | No |
If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2018-12-31 | $40,743,206 |
Assets. Other investments not covered elsewhere at beginning of year | 2018-12-31 | $39,754,541 |
Income. Received or receivable in cash from other sources (including rollovers) | 2018-12-31 | $10,207 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-12-31 | $145,662 |
Administrative expenses (other) incurred | 2018-12-31 | $29,024 |
Liabilities. Value of operating payables at end of year | 2018-12-31 | $535,718 |
Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $239,073 |
Total non interest bearing cash at end of year | 2018-12-31 | $537,801 |
Total non interest bearing cash at beginning of year | 2018-12-31 | $235,764 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
Value of net income/loss | 2018-12-31 | $-1,645,303 |
Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $30,762,480 |
Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $32,407,783 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $139,670 |
Value of interest in pooled separate accounts at end of year | 2018-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $300,103 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $672,088 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $672,088 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $11,887 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
Contributions received in cash from employer | 2018-12-31 | $39,768 |
Employer contributions (assets) at end of year | 2018-12-31 | $14,503 |
Employer contributions (assets) at beginning of year | 2018-12-31 | $71,827 |
Income. Dividends from common stock | 2018-12-31 | $17,777 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $10,000 |
Contract administrator fees | 2018-12-31 | $617,476 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-12-31 | No |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-12-31 | $398,988 |
Did the plan have assets held for investment | 2018-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
Liabilities. Value of acquisition indebtedness at end of year | 2018-12-31 | $10,297,415 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2018-12-31 | $8,626,022 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Disclaimer |
Accountancy firm name | 2018-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2018-12-31 | 410746749 |
2017 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2017 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $1,924,455 |
Total unrealized appreciation/depreciation of assets | 2017-12-31 | $1,924,455 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $8,865,095 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $8,328,024 |
Expenses. Interest paid | 2017-12-31 | $310,498 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2017-12-31 | $310,498 |
Total income from all sources (including contributions) | 2017-12-31 | $5,538,814 |
Total loss/gain on sale of assets | 2017-12-31 | $492,541 |
Total of all expenses incurred | 2017-12-31 | $9,999,456 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $8,231,026 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $51,708 |
Value of total assets at end of year | 2017-12-31 | $41,272,878 |
Value of total assets at beginning of year | 2017-12-31 | $45,196,449 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $1,457,932 |
Total interest from all sources | 2017-12-31 | $42,541 |
Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $22,253 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
Administrative expenses professional fees incurred | 2017-12-31 | $772,455 |
Was this plan covered by a fidelity bond | 2017-12-31 | No |
If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2017-12-31 | $39,754,541 |
Assets. Other investments not covered elsewhere at beginning of year | 2017-12-31 | $43,041,256 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2017-12-31 | $137,678 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $12,500 |
Other income not declared elsewhere | 2017-12-31 | $3,005,316 |
Administrative expenses (other) incurred | 2017-12-31 | $78,962 |
Liabilities. Value of operating payables at end of year | 2017-12-31 | $239,073 |
Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $225,667 |
Total non interest bearing cash at end of year | 2017-12-31 | $235,764 |
Total non interest bearing cash at beginning of year | 2017-12-31 | $256,231 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
Value of net income/loss | 2017-12-31 | $-4,460,642 |
Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $32,407,783 |
Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $36,868,425 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
Investment advisory and management fees | 2017-12-31 | $5,776 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $139,670 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $287,809 |
Value of interest in common/collective trusts at end of year | 2017-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $672,088 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $28,372 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $28,372 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $42,541 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
Contributions received in cash from employer | 2017-12-31 | $51,708 |
Employer contributions (assets) at end of year | 2017-12-31 | $71,827 |
Employer contributions (assets) at beginning of year | 2017-12-31 | $71,827 |
Income. Dividends from common stock | 2017-12-31 | $22,253 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $8,093,348 |
Contract administrator fees | 2017-12-31 | $600,739 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
Assets. Corporate common stocks other than exployer securities at end of year | 2017-12-31 | $398,988 |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-12-31 | $1,510,954 |
Did the plan have assets held for investment | 2017-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
Aggregate proceeds on sale of assets | 2017-12-31 | $492,541 |
Liabilities. Value of acquisition indebtedness at end of year | 2017-12-31 | $8,626,022 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2017-12-31 | $8,089,857 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Disclaimer |
Accountancy firm name | 2017-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2017-12-31 | 410746749 |
2016 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2016 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $1,265,689 |
Total unrealized appreciation/depreciation of assets | 2016-12-31 | $1,265,689 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $8,328,024 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $8,097,460 |
Expenses. Interest paid | 2016-12-31 | $261,163 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2016-12-31 | $261,163 |
Total income from all sources (including contributions) | 2016-12-31 | $1,538,807 |
Total loss/gain on sale of assets | 2016-12-31 | $84,878 |
Total of all expenses incurred | 2016-12-31 | $1,900,529 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $192,546 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $104,483 |
Value of total assets at end of year | 2016-12-31 | $45,196,449 |
Value of total assets at beginning of year | 2016-12-31 | $45,327,607 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $1,446,820 |
Total interest from all sources | 2016-12-31 | $47,490 |
Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $34,152 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
Administrative expenses professional fees incurred | 2016-12-31 | $553,058 |
Was this plan covered by a fidelity bond | 2016-12-31 | No |
If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2016-12-31 | $43,041,256 |
Assets. Other investments not covered elsewhere at beginning of year | 2016-12-31 | $41,906,824 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-12-31 | $182,546 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $12,500 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $43,099 |
Other income not declared elsewhere | 2016-12-31 | $2,115 |
Administrative expenses (other) incurred | 2016-12-31 | $280,525 |
Liabilities. Value of operating payables at end of year | 2016-12-31 | $225,667 |
Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $185,903 |
Total non interest bearing cash at end of year | 2016-12-31 | $256,231 |
Total non interest bearing cash at beginning of year | 2016-12-31 | $112,360 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
Value of net income/loss | 2016-12-31 | $-361,722 |
Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $36,868,425 |
Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $37,230,147 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
Investment advisory and management fees | 2016-12-31 | $12,491 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $287,809 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $325,562 |
Value of interest in common/collective trusts at end of year | 2016-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $28,372 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $171,664 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $171,664 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $47,490 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
Contributions received in cash from employer | 2016-12-31 | $104,483 |
Employer contributions (assets) at end of year | 2016-12-31 | $71,827 |
Employer contributions (assets) at beginning of year | 2016-12-31 | $76,289 |
Income. Dividends from common stock | 2016-12-31 | $34,152 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $10,000 |
Asset. Corporate debt instrument debt (other) at beginning of year | 2016-12-31 | $1,126,368 |
Contract administrator fees | 2016-12-31 | $600,746 |
Assets. Corporate common stocks other than exployer securities at end of year | 2016-12-31 | $1,510,954 |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2016-12-31 | $1,608,540 |
Did the plan have assets held for investment | 2016-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
Aggregate proceeds on sale of assets | 2016-12-31 | $84,878 |
Liabilities. Value of acquisition indebtedness at end of year | 2016-12-31 | $8,089,857 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2016-12-31 | $7,868,458 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Disclaimer |
Accountancy firm name | 2016-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2016-12-31 | 410746749 |
2015 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2015 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $86,053 |
Total unrealized appreciation/depreciation of assets | 2015-12-31 | $86,053 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $8,097,460 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $7,897,990 |
Expenses. Interest paid | 2015-12-31 | $219,819 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2015-12-31 | $219,819 |
Total income from all sources (including contributions) | 2015-12-31 | $1,621,727 |
Total loss/gain on sale of assets | 2015-12-31 | $53,865 |
Total of all expenses incurred | 2015-12-31 | $2,546,381 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $1,097,685 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $336,455 |
Value of total assets at end of year | 2015-12-31 | $45,327,607 |
Value of total assets at beginning of year | 2015-12-31 | $46,052,791 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $1,228,877 |
Total interest from all sources | 2015-12-31 | $102,457 |
Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $42,897 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
Administrative expenses professional fees incurred | 2015-12-31 | $351,048 |
Was this plan covered by a fidelity bond | 2015-12-31 | No |
If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2015-12-31 | $41,906,824 |
Assets. Other investments not covered elsewhere at beginning of year | 2015-12-31 | $40,996,017 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2015-12-31 | $67,685 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $43,099 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $63,447 |
Other income not declared elsewhere | 2015-12-31 | $1,000,000 |
Administrative expenses (other) incurred | 2015-12-31 | $82,672 |
Liabilities. Value of operating payables at end of year | 2015-12-31 | $185,903 |
Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $179,521 |
Total non interest bearing cash at end of year | 2015-12-31 | $112,360 |
Total non interest bearing cash at beginning of year | 2015-12-31 | $228,962 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
Value of net income/loss | 2015-12-31 | $-924,654 |
Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $37,230,147 |
Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $38,154,801 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
Investment advisory and management fees | 2015-12-31 | $21,028 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $325,562 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $498,198 |
Income. Interest from corporate debt instruments | 2015-12-31 | $102,457 |
Value of interest in common/collective trusts at end of year | 2015-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $171,664 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $59,441 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $59,441 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
Contributions received in cash from employer | 2015-12-31 | $336,455 |
Employer contributions (assets) at end of year | 2015-12-31 | $76,289 |
Employer contributions (assets) at beginning of year | 2015-12-31 | $87,149 |
Income. Dividends from common stock | 2015-12-31 | $42,897 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $1,030,000 |
Asset. Corporate debt instrument debt (other) at end of year | 2015-12-31 | $1,126,368 |
Asset. Corporate debt instrument debt (other) at beginning of year | 2015-12-31 | $2,318,130 |
Contract administrator fees | 2015-12-31 | $774,129 |
Assets. Corporate common stocks other than exployer securities at end of year | 2015-12-31 | $1,608,540 |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2015-12-31 | $1,864,894 |
Did the plan have assets held for investment | 2015-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
Aggregate proceeds on sale of assets | 2015-12-31 | $53,865 |
Liabilities. Value of acquisition indebtedness at end of year | 2015-12-31 | $7,868,458 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2015-12-31 | $7,655,022 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Disclaimer |
Accountancy firm name | 2015-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2015-12-31 | 410746749 |
2014 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2014 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $1,556,675 |
Total unrealized appreciation/depreciation of assets | 2014-12-31 | $1,556,675 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $7,897,990 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $7,728,823 |
Expenses. Interest paid | 2014-12-31 | $214,513 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2014-12-31 | $214,513 |
Total income from all sources (including contributions) | 2014-12-31 | $2,672,136 |
Total of all expenses incurred | 2014-12-31 | $1,752,769 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $104,975 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $518,268 |
Value of total assets at end of year | 2014-12-31 | $46,052,791 |
Value of total assets at beginning of year | 2014-12-31 | $44,964,257 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $1,433,281 |
Total interest from all sources | 2014-12-31 | $162,381 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
Administrative expenses professional fees incurred | 2014-12-31 | $247,666 |
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 |
Assets. Other investments not covered elsewhere at end of year | 2014-12-31 | $40,996,017 |
Assets. Other investments not covered elsewhere at beginning of year | 2014-12-31 | $39,149,422 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-12-31 | $64,064 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $63,447 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $63,795 |
Other income not declared elsewhere | 2014-12-31 | $434,812 |
Administrative expenses (other) incurred | 2014-12-31 | $188,976 |
Liabilities. Value of operating payables at end of year | 2014-12-31 | $179,521 |
Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $174,475 |
Total non interest bearing cash at end of year | 2014-12-31 | $228,962 |
Total non interest bearing cash at beginning of year | 2014-12-31 | $527,855 |
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 |
Value of net income/loss | 2014-12-31 | $919,367 |
Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $38,154,801 |
Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $37,235,434 |
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 |
Investment advisory and management fees | 2014-12-31 | $15,526 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $498,198 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $408,976 |
Income. Interest from corporate debt instruments | 2014-12-31 | $162,381 |
Value of interest in common/collective trusts at end of year | 2014-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $59,441 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $138,730 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $138,730 |
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 |
Contributions received in cash from employer | 2014-12-31 | $518,268 |
Employer contributions (assets) at end of year | 2014-12-31 | $87,149 |
Employer contributions (assets) at beginning of year | 2014-12-31 | $275,358 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $40,911 |
Asset. Corporate debt instrument debt (other) at end of year | 2014-12-31 | $2,318,130 |
Asset. Corporate debt instrument debt (other) at beginning of year | 2014-12-31 | $2,642,842 |
Contract administrator fees | 2014-12-31 | $981,113 |
Assets. Corporate common stocks other than exployer securities at end of year | 2014-12-31 | $1,864,894 |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-12-31 | $1,821,074 |
Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $45,000 |
Did the plan have assets held for investment | 2014-12-31 | Yes |
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 |
Liabilities. Value of acquisition indebtedness at end of year | 2014-12-31 | $7,655,022 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2014-12-31 | $7,445,553 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Disclaimer |
Accountancy firm name | 2014-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2014-12-31 | 410746749 |
2013 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2013 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $249,012 |
Total unrealized appreciation/depreciation of assets | 2013-12-31 | $249,012 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $7,728,823 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $7,701,224 |
Expenses. Interest paid | 2013-12-31 | $210,895 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2013-12-31 | $210,895 |
Total income from all sources (including contributions) | 2013-12-31 | $1,341,073 |
Total of all expenses incurred | 2013-12-31 | $1,676,285 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $-6,529 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $891,724 |
Value of total assets at end of year | 2013-12-31 | $47,877,998 |
Value of total assets at beginning of year | 2013-12-31 | $48,185,611 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $391,626 |
Total interest from all sources | 2013-12-31 | $187,129 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
Administrative expenses professional fees incurred | 2013-12-31 | $85,652 |
Was this plan covered by a fidelity bond | 2013-12-31 | No |
If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2013-12-31 | $42,063,163 |
Assets. Other investments not covered elsewhere at beginning of year | 2013-12-31 | $42,067,800 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $63,795 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $247,090 |
Other income not declared elsewhere | 2013-12-31 | $13,208 |
Administrative expenses (other) incurred | 2013-12-31 | $274,238 |
Liabilities. Value of operating payables at end of year | 2013-12-31 | $174,475 |
Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $176,634 |
Total non interest bearing cash at end of year | 2013-12-31 | $527,855 |
Total non interest bearing cash at beginning of year | 2013-12-31 | $187,447 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
Value of net income/loss | 2013-12-31 | $-335,212 |
Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $40,149,175 |
Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $40,484,387 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
Investment advisory and management fees | 2013-12-31 | $31,736 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $408,976 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $398,708 |
Interest earned on other investments | 2013-12-31 | $187,129 |
Value of interest in common/collective trusts at end of year | 2013-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $138,730 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $981,897 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $981,897 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $-898,980 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
Contributions received in cash from employer | 2013-12-31 | $891,724 |
Employer contributions (assets) at end of year | 2013-12-31 | $275,358 |
Employer contributions (assets) at beginning of year | 2013-12-31 | $311,083 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $892,451 |
Asset. Corporate debt instrument debt (other) at end of year | 2013-12-31 | $2,642,842 |
Asset. Corporate debt instrument debt (other) at beginning of year | 2013-12-31 | $2,760,465 |
Contract administrator fees | 2013-12-31 | $1,080,293 |
Assets. Corporate common stocks other than exployer securities at end of year | 2013-12-31 | $1,821,074 |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-12-31 | $1,478,211 |
Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $45,000 |
Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $45,000 |
Did the plan have assets held for investment | 2013-12-31 | Yes |
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 | 2013-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
Liabilities. Value of acquisition indebtedness at end of year | 2013-12-31 | $7,445,553 |
Liabilities. Value of acquisition indebtedness at beginning of year | 2013-12-31 | $7,232,500 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Disclaimer |
Accountancy firm name | 2013-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2013-12-31 | 410746749 |
2012 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2012 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $217,284 |
Total unrealized appreciation/depreciation of assets | 2012-12-31 | $217,284 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $7,701,224 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $1,439,330 |
Expenses. Interest paid | 2012-12-31 | $176,634 |
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2012-12-31 | $176,634 |
Total income from all sources (including contributions) | 2012-12-31 | $663,096 |
Total of all expenses incurred | 2012-12-31 | $3,607,630 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $1,950,971 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $205,947 |
Value of total assets at end of year | 2012-12-31 | $53,914,934 |
Value of total assets at beginning of year | 2012-12-31 | $50,597,574 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $1,480,025 |
Total interest from all sources | 2012-12-31 | $216,009 |
Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $23,565 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
Administrative expenses professional fees incurred | 2012-12-31 | $106,645 |
Was this plan covered by a fidelity bond | 2012-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2012-12-31 | $47,797,123 |
Assets. Other investments not covered elsewhere at beginning of year | 2012-12-31 | $41,926,577 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $247,090 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $59,684 |
Other income not declared elsewhere | 2012-12-31 | $291 |
Administrative expenses (other) incurred | 2012-12-31 | $280,740 |
Liabilities. Value of operating payables at end of year | 2012-12-31 | $176,634 |
Total non interest bearing cash at end of year | 2012-12-31 | $187,447 |
Total non interest bearing cash at beginning of year | 2012-12-31 | $460,975 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
Value of net income/loss | 2012-12-31 | $-2,944,534 |
Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $46,213,710 |
Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $49,158,244 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
Investment advisory and management fees | 2012-12-31 | $38,271 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $398,708 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $113,960 |
Interest earned on other investments | 2012-12-31 | $216,009 |
Value of interest in common/collective trusts at end of year | 2012-12-31 | $0 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $981,897 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $768,193 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $768,193 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $1,776,991 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
Contributions received in cash from employer | 2012-12-31 | $205,947 |
Employer contributions (assets) at end of year | 2012-12-31 | $311,083 |
Employer contributions (assets) at beginning of year | 2012-12-31 | $1,108,979 |
Income. Dividends from common stock | 2012-12-31 | $23,565 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $173,980 |
Asset. Corporate debt instrument debt (other) at end of year | 2012-12-31 | $2,760,465 |
Asset. Corporate debt instrument debt (other) at beginning of year | 2012-12-31 | $4,888,230 |
Contract administrator fees | 2012-12-31 | $1,054,369 |
Assets. Corporate common stocks other than exployer securities at end of year | 2012-12-31 | $1,478,211 |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2012-12-31 | $1,330,660 |
Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $45,000 |
Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $1,379,646 |
Did the plan have assets held for investment | 2012-12-31 | 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 | 2012-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
Liabilities. Value of acquisition indebtedness at end of year | 2012-12-31 | $7,232,500 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Disclaimer |
Accountancy firm name | 2012-12-31 | CLIFTON LARSON ALLEN, LLP |
Accountancy firm EIN | 2012-12-31 | 410746749 |
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 ) |
Policy contract number | IO584712 |
Policy instance | 8 |
Insurance contract or identification number | IO584712 | Number of Individuals Covered | 25 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $148,064 | 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 $71,579 | Insurance broker organization code? | 3 |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 26 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $5,997 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | Commission paid to Insurance Broker | USD $4,527 | Insurance broker organization code? | 3 |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 2 |
Insurance contract or identification number | BL2165660 | 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 $7,274 | 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 $4,704 | Insurance broker organization code? | 3 |
|
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 ) |
Policy contract number | CM5016339U |
Policy instance | 3 |
Insurance contract or identification number | CM5016339U | Number of Individuals Covered | 1 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $322 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | Commission paid to Insurance Broker | USD $48 | Insurance broker organization code? | 3 |
|
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 ) |
Policy contract number | 1592009400 |
Policy instance | 4 |
Insurance contract or identification number | 1592009400 | Number of Individuals Covered | 4 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $31,970 | 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 $31,970 | Insurance broker organization code? | 3 |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 5 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 22 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $1,099 | 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 $356 | Insurance broker organization code? | 3 |
|
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
Policy contract number | 97007605 |
Policy instance | 6 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 4 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
Policy contract number | 7211782 |
Policy instance | 7 |
Insurance contract or identification number | 7211782 | Number of Individuals Covered | 1 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $205 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | PENSION PLAN | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $205 | Insurance broker organization code? | 3 |
|
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
Policy contract number | 97007605 |
Policy instance | 6 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 4 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 26 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $5,997 | 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 $4,527 | Insurance broker organization code? | 3 |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 2 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 9 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $7,153 | 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 $4,643 | Insurance broker organization code? | 3 |
|
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 ) |
Policy contract number | CM5016339U |
Policy instance | 3 |
Insurance contract or identification number | CM5016339U | Number of Individuals Covered | 1 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $322 | 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 $192 | Insurance broker organization code? | 3 |
|
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 ) |
Policy contract number | 1592009400 |
Policy instance | 4 |
Insurance contract or identification number | 1592009400 | Number of Individuals Covered | 4 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 5 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 22 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $998 | 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 $315 | Insurance broker organization code? | 3 |
|
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
Policy contract number | 7211782 |
Policy instance | 7 |
Insurance contract or identification number | 7211782 | Number of Individuals Covered | 1 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $173 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | PENSION PLAN | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $173 | Insurance broker organization code? | 3 |
|
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 ) |
Policy contract number | IO584712 |
Policy instance | 8 |
Insurance contract or identification number | IO584712 | Number of Individuals Covered | 25 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $121,122 | 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 $72,903 | Insurance broker organization code? | 3 |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 26 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $4,029 | 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 $1,973 | Insurance broker organization code? | 3 |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 2 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 8 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $7,006 | 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 $4,570 | Insurance broker organization code? | 3 |
|
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 ) |
Policy contract number | IO584712 |
Policy instance | 8 |
Insurance contract or identification number | IO584712 | Number of Individuals Covered | 25 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $151,925 | 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 $74,748 | Insurance broker organization code? | 3 |
|
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 ) |
Policy contract number | CM5016339U |
Policy instance | 3 |
Insurance contract or identification number | CM5016339U | Number of Individuals Covered | 1 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $317 | 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 $189 | Insurance broker organization code? | 3 |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 5 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 22 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $1,072 | 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 $315 | Insurance broker organization code? | 3 |
|
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
Policy contract number | 97007605 |
Policy instance | 6 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 4 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
Policy contract number | 7211782 |
Policy instance | 7 |
Insurance contract or identification number | 7211782 | Number of Individuals Covered | 1 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $160 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | PENSION PLAN | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $160 | Insurance broker organization code? | 3 |
|
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 ) |
Policy contract number | 1592009400 |
Policy instance | 4 |
Insurance contract or identification number | 1592009400 | Number of Individuals Covered | 4 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 ) |
Policy contract number | IO584712 |
Policy instance | 8 |
Insurance contract or identification number | IO584712 | Number of Individuals Covered | 25 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $205,923 | 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 $100,442 | Insurance broker organization code? | 3 |
|
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
Policy contract number | 7211782 |
Policy instance | 7 |
Insurance contract or identification number | 7211782 | Number of Individuals Covered | 1 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $154 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | PENSION PLAN | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $154 | Insurance broker organization code? | 3 |
|
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
Policy contract number | 97007605 |
Policy instance | 6 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 4 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $605 | 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 $595 | Insurance broker organization code? | 3 |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 5 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 22 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,496 | 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 $472 | Insurance broker organization code? | 3 |
|
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 ) |
Policy contract number | 1592009400 |
Policy instance | 4 |
Insurance contract or identification number | 1592009400 | Number of Individuals Covered | 4 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 ) |
Policy contract number | CM5016339U |
Policy instance | 3 |
Insurance contract or identification number | CM5016339U | Number of Individuals Covered | 1 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $10,290 | 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 $10,290 | Insurance broker organization code? | 3 |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 2 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 9 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $7,006 | 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 $4,570 | Insurance broker organization code? | 3 |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 26 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $3,950 | 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 $1,884 | Insurance broker organization code? | 3 |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 26 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Life 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 |
|
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
Policy contract number | 7211782 |
Policy instance | 8 |
Insurance contract or identification number | 7211782 | Number of Individuals Covered | 1 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $152 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | PENSION PLAN | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $152 | Insurance broker organization code? | 3 |
|
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
Policy contract number | 97007605 |
Policy instance | 7 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 4 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $605 | 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 $595 | Insurance broker organization code? | 3 |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 6 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 25 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $1,497 | 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 $472 | Insurance broker organization code? | 3 |
|
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 ) |
Policy contract number | 1592009400 |
Policy instance | 5 |
Insurance contract or identification number | 1592009400 | Number of Individuals Covered | 4 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
Policy contract number | 72921990 |
Policy instance | 4 |
Insurance contract or identification number | 72921990 | Number of Individuals Covered | 23 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $363 | 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 $363 | Insurance broker organization code? | 3 |
|
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 ) |
Policy contract number | CM5016339U |
Policy instance | 3 |
Insurance contract or identification number | CM5016339U | Number of Individuals Covered | 1 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 2 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 10 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $5,676 | 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 $4,569 | Insurance broker organization code? | 3 |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 33 | Insurance policy start date | 2016-01-01 | Insurance policy end date | 2016-12-31 | Total amount of commissions paid to insurance broker | USD $5,894 | 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 $2,692 | Insurance broker organization code? | 3 | Insurance broker name | TREVOR SUTTERFIELD |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 2 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 16 | Total amount of commissions paid to insurance broker | USD $7,099 | 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 $4,570 | Insurance broker organization code? | 3 | Insurance broker name | MICHAEL R BERGERON |
|
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 ) |
Policy contract number | CM5016339U |
Policy instance | 3 |
Insurance contract or identification number | CM5016339U | Number of Individuals Covered | 1 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
Policy contract number | 72921990 |
Policy instance | 4 |
Insurance contract or identification number | 72921990 | Number of Individuals Covered | 2 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $509 | 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 $255 | Insurance broker organization code? | 3 | Insurance broker name | PURSHE KAPLAN STERLING INVES |
|
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 ) |
Policy contract number | 1592009400 |
Policy instance | 5 |
Insurance contract or identification number | 1592009400 | Number of Individuals Covered | 4 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 6 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 30 | Total amount of commissions paid to insurance broker | USD $3,335 | 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 $1,287 | Insurance broker organization code? | 3 | Insurance broker name | NICOLE WATSON |
|
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
Policy contract number | 97007605 |
Policy instance | 7 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 7 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $1,224 | 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 $1,139 | Insurance broker organization code? | 3 | Insurance broker name | NANM LLC |
|
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
Policy contract number | 7211782 |
Policy instance | 8 |
Insurance contract or identification number | 7211782 | Number of Individuals Covered | 1 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $140 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | PENSION PLAN | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $140 | Insurance broker organization code? | 3 | Insurance broker name | STEVEN PRUIETT |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 37 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $19,511 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $13,753 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,967 | Insurance broker organization code? | 3 | Insurance broker name | TOUCHSTONE MCDONALD |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 2 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 16 | Total amount of commissions paid to insurance broker | USD $9,755 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $304,764 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,569 | Insurance broker organization code? | 4 | Insurance broker name | MICHAEL R BERGERON |
|
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 ) |
Policy contract number | CM5016339U |
Policy instance | 3 |
Insurance contract or identification number | CM5016339U | Number of Individuals Covered | 2 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $479 | 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 $298 | Insurance broker organization code? | 3 | Insurance broker name | LEWIS MILTON KELLEY, JR |
|
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
Policy contract number | 72921990 |
Policy instance | 4 |
Insurance contract or identification number | 72921990 | Number of Individuals Covered | 2 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $1,320 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $44,000 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,320 | Insurance broker organization code? | 3 | Insurance broker name | PURSHE KAPLAN STERLING INVES |
|
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 ) |
Policy contract number | 1592009400 |
Policy instance | 5 |
Insurance contract or identification number | 1592009400 | Number of Individuals Covered | 4 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 6 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 31 | Total amount of commissions paid to insurance broker | USD $3,393 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $121,796 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $643 | Insurance broker organization code? | 3 | Insurance broker name | JAMES PASSARELLI |
|
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
Policy contract number | 97007605 |
Policy instance | 7 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 9 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $538 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $13,083 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $299 | Insurance broker organization code? | 3 | Insurance broker name | REBECCA MCKEEN |
|
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
Policy contract number | 7211782 |
Policy instance | 8 |
Insurance contract or identification number | 7211782 | Number of Individuals Covered | 1 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $138 | Other welfare benefits provided | PENSION PLAN | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $97 | Insurance broker organization code? | 3 | Insurance broker name | STEVEN PRUIETT |
|
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 47089 |
Policy instance | 9 |
Insurance contract or identification number | 47089 | Number of Individuals Covered | 436 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $13,500 | Other welfare benefits provided | LEGAL SERVICES PLAN MEMBERSHIPS | Welfare Benefit Premiums Paid to Carrier | USD $67,705 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $13,234 | Insurance broker organization code? | 3 | Insurance broker name | SPENCER HALL |
|
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 ) |
Policy contract number | CM5016339U |
Policy instance | 3 |
Insurance contract or identification number | CM5016339U | Number of Individuals Covered | 1 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $126 | 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 $126 | Insurance broker organization code? | 3 | Insurance broker name | MICHAEL P. OMALLEY |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 37 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $21,210 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,952 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,160 | Insurance broker organization code? | 3 | Insurance broker name | TOUCHSTONE MCDONALD |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 2 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 16 | Total amount of commissions paid to insurance broker | USD $9,506 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $302,031 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,128 | Insurance broker organization code? | 3 | Insurance broker name | MICHAEL R BERGERON |
|
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
Policy contract number | 72921990 |
Policy instance | 4 |
Insurance contract or identification number | 72921990 | Number of Individuals Covered | 2 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $1,804 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $44,000 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,804 | Insurance broker organization code? | 3 | Insurance broker name | PURSHE KAPLAN STERLING INVES |
|
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 ) |
Policy contract number | 1592009400 |
Policy instance | 5 |
Insurance contract or identification number | 1592009400 | Number of Individuals Covered | 4 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 6 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 31 | Total amount of commissions paid to insurance broker | USD $2,416 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $62,013 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $643 | Insurance broker organization code? | 3 | Insurance broker name | NICOLE WATSON |
|
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
Policy contract number | 97007605 |
Policy instance | 7 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 9 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $560 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $-5,403 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $311 | Insurance broker organization code? | 3 | Insurance broker name | REBECCA MCKEEN |
|
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
Policy contract number | 7211782 |
Policy instance | 8 |
Insurance contract or identification number | 7211782 | Number of Individuals Covered | 1 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $131 | Other welfare benefits provided | PENSION PLAN | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $131 | Insurance broker organization code? | 3 | Insurance broker name | MICHAEL WAYNE NEWTON |
|
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 47089 |
Policy instance | 9 |
Insurance contract or identification number | 47089 | Number of Individuals Covered | 355 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $10,775 | Other welfare benefits provided | LEGAL SERVICES PLAN MEMBERSHIPS | Welfare Benefit Premiums Paid to Carrier | USD $64,064 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,775 | Insurance broker organization code? | 3 | Insurance broker name | INSIGHT BENEFITS GROUP LLC |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 1 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 34 | Total amount of commissions paid to insurance broker | USD $12,304 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,901 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,503 | Insurance broker name | JEFF ROLCZYNSKI |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VLE050033V |
Policy instance | 2 |
Insurance contract or identification number | VLE050033V | Number of Individuals Covered | 3 | Total amount of commissions paid to insurance broker | USD $16,955 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $289,836 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,373 | Insurance broker name | RANDALL OBRIEN |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 3 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 15 | Total amount of commissions paid to insurance broker | USD $16,163 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $320,446 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,985 | Insurance broker name | INVESTMENT PLANNERS INC |
|
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2204961 |
Policy instance | 4 |
Insurance contract or identification number | BL2204961 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $168 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $19,258 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $140 | Insurance broker name | JAY SITTERUD |
|
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
Policy contract number | 72921990 |
Policy instance | 7 |
Insurance contract or identification number | 72921990 | Number of Individuals Covered | 2 | Total amount of commissions paid to insurance broker | USD $375 | 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 $375 | Insurance broker name | ALLIED BEACON |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 9 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 27 | Total amount of commissions paid to insurance broker | USD $699 | 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 $210 | Insurance broker name | KEITH KILMA |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8166403 |
Policy instance | 10 |
Insurance contract or identification number | 8166403 | Number of Individuals Covered | 4 | Total amount of commissions paid to insurance broker | USD $2,416 | 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 $643 | Insurance broker name | REBECCA MCKEEN |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 97007605 |
Policy instance | 11 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 11 | Total amount of commissions paid to insurance broker | USD $701 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $13,083 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $299 | Insurance broker name | LIFE INVESTORS INSURANCE |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL1009827V |
Policy instance | 99 |
Insurance contract or identification number | VL1009827V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL1009828V |
Policy instance | 100 |
Insurance contract or identification number | VL1009828V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5002000V |
Policy instance | 101 |
Insurance contract or identification number | VL5002000V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0003389V |
Policy instance | 102 |
Insurance contract or identification number | VM0003389V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | X9035461 |
Policy instance | 103 |
Insurance contract or identification number | X9035461 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $1,066 | 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 $139 | Insurance broker name | FRANK WAINSCOTT |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5002005V |
Policy instance | 104 |
Insurance contract or identification number | VL5002005V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000094V |
Policy instance | 106 |
Insurance contract or identification number | VL5000094V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000093V |
Policy instance | 105 |
Insurance contract or identification number | VL5000093V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5002004V |
Policy instance | 107 |
Insurance contract or identification number | VL5002004V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000091V |
Policy instance | 108 |
Insurance contract or identification number | VL5000091V | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $25 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5 | Insurance broker name | RANDALL OBRIEN |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8231463 |
Policy instance | 22 |
Insurance contract or identification number | 8231463 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $4,900 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,470 | Insurance broker name | STEPHEN MONGIE |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL1017986V |
Policy instance | 75 |
Insurance contract or identification number | VL1017986V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0008509V |
Policy instance | 98 |
Insurance contract or identification number | VM0008509V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000045V |
Policy instance | 97 |
Insurance contract or identification number | VL5000045V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155807 |
Policy instance | 43 |
Insurance contract or identification number | 8155807 | Number of Individuals Covered | 1 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8183551 |
Policy instance | 31 |
Insurance contract or identification number | 8183551 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8177498 |
Policy instance | 30 |
Insurance contract or identification number | 8177498 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $171 | 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 | Insurance broker name | THOMAS JOHNSON |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8177502 |
Policy instance | 29 |
Insurance contract or identification number | 8177502 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $151 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $45 | Insurance broker name | THOMAS JOHNSON |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8177921 |
Policy instance | 28 |
Insurance contract or identification number | 8177921 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8177907 |
Policy instance | 27 |
Insurance contract or identification number | 8177907 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8177913 |
Policy instance | 26 |
Insurance contract or identification number | 8177913 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8211519 |
Policy instance | 25 |
Insurance contract or identification number | 8211519 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8188210 |
Policy instance | 24 |
Insurance contract or identification number | 8188210 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $39 | 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 | Insurance broker name | JAMES PASSARELLI |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8574388 |
Policy instance | 32 |
Insurance contract or identification number | 8574388 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8163004 |
Policy instance | 34 |
Insurance contract or identification number | 8163004 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8165381 |
Policy instance | 33 |
Insurance contract or identification number | 8165381 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8176422 |
Policy instance | 42 |
Insurance contract or identification number | 8176422 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $300 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $90 | Insurance broker name | JOHN BIESTEK |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8155805 |
Policy instance | 41 |
Insurance contract or identification number | 8155805 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8455803 |
Policy instance | 40 |
Insurance contract or identification number | 8455803 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8242501 |
Policy instance | 39 |
Insurance contract or identification number | 8242501 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8165382 |
Policy instance | 38 |
Insurance contract or identification number | 8165382 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 9205525 |
Policy instance | 37 |
Insurance contract or identification number | 9205525 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $40 | 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 | Insurance broker name | JOEL GUTHMANN |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8573927 |
Policy instance | 36 |
Insurance contract or identification number | 8573927 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8169108 |
Policy instance | 35 |
Insurance contract or identification number | 8169108 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 9210644 |
Policy instance | 23 |
Insurance contract or identification number | 9210644 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 9205526 |
Policy instance | 21 |
Insurance contract or identification number | 9205526 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 60143681 |
Policy instance | 9 |
Insurance contract or identification number | 60143681 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 97007455 |
Policy instance | 8 |
Insurance contract or identification number | 97007455 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 65146639 |
Policy instance | 7 |
Insurance contract or identification number | 65146639 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 97007632 |
Policy instance | 6 |
Insurance contract or identification number | 97007632 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 97007605 |
Policy instance | 5 |
Insurance contract or identification number | 97007605 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 65131017 |
Policy instance | 4 |
Insurance contract or identification number | 65131017 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 65119758 |
Policy instance | 3 |
Insurance contract or identification number | 65119758 | Number of Individuals Covered | 2 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 65266493 |
Policy instance | 2 |
Insurance contract or identification number | 65266493 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 97007454 |
Policy instance | 11 |
Insurance contract or identification number | 97007454 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 97007531 |
Policy instance | 10 |
Insurance contract or identification number | 97007531 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8177926 |
Policy instance | 12 |
Insurance contract or identification number | 8177926 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $67 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $20 | Insurance broker name | JAMES PASSARELLI |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 9205527 |
Policy instance | 20 |
Insurance contract or identification number | 9205527 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 9205528 |
Policy instance | 19 |
Insurance contract or identification number | 9205528 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 9205529 |
Policy instance | 18 |
Insurance contract or identification number | 9205529 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 9210048 |
Policy instance | 17 |
Insurance contract or identification number | 9210048 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 9210436 |
Policy instance | 16 |
Insurance contract or identification number | 9210436 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8166403 |
Policy instance | 15 |
Insurance contract or identification number | 8166403 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $1,276 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $383 | Insurance broker name | BENJAMIN WILLIAMS |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8207176 |
Policy instance | 14 |
Insurance contract or identification number | 8207176 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $1,409 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $391 | Insurance broker name | JOEL GUTHMANN |
|
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
Policy contract number | 8177919 |
Policy instance | 13 |
Insurance contract or identification number | 8177919 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $154 | 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 | Insurance broker name | JAMES PASSARELLI |
|
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 ) |
Policy contract number | 65266489 |
Policy instance | 1 |
Insurance contract or identification number | 65266489 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
Policy contract number | 72922770 |
Policy instance | 49 |
Insurance contract or identification number | 72922770 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $540 | 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 $270 | Insurance broker name | ALLIED BEACON |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VLE050032V |
Policy instance | 96 |
Insurance contract or identification number | VLE050032V | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $3,191 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $798 | Insurance broker name | MICHAEL GRAMM |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5002100V |
Policy instance | 84 |
Insurance contract or identification number | VL5002100V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL1017987V |
Policy instance | 83 |
Insurance contract or identification number | VL1017987V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | X9035976 |
Policy instance | 82 |
Insurance contract or identification number | X9035976 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL1017989V |
Policy instance | 80 |
Insurance contract or identification number | VL1017989V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VME166509V |
Policy instance | 81 |
Insurance contract or identification number | VME166509V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0005623V |
Policy instance | 79 |
Insurance contract or identification number | VM0005623V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0005622V |
Policy instance | 78 |
Insurance contract or identification number | VM0005622V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000046V |
Policy instance | 77 |
Insurance contract or identification number | VL5000046V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VLE050052V |
Policy instance | 85 |
Insurance contract or identification number | VLE050052V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | UME146811L |
Policy instance | 86 |
Insurance contract or identification number | UME146811L | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $706 | 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 $212 | Insurance broker name | MICHAEL HICKS |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0009066V |
Policy instance | 87 |
Insurance contract or identification number | VM0009066V | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $298 | 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 $298 | Insurance broker name | FRANK WAINSCOTT |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VLE050031V |
Policy instance | 95 |
Insurance contract or identification number | VLE050031V | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $2,914 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $583 | Insurance broker name | FRANK WAINSCOTT |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000092V |
Policy instance | 94 |
Insurance contract or identification number | VL5000092V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | UM0016236L |
Policy instance | 93 |
Insurance contract or identification number | UM0016236L | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0003388V |
Policy instance | 92 |
Insurance contract or identification number | VM0003388V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL1009822V |
Policy instance | 91 |
Insurance contract or identification number | VL1009822V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0005618V |
Policy instance | 90 |
Insurance contract or identification number | VM0005618V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0003327V |
Policy instance | 89 |
Insurance contract or identification number | VM0003327V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VM0005621V |
Policy instance | 88 |
Insurance contract or identification number | VM0005621V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000037V |
Policy instance | 76 |
Insurance contract or identification number | VL5000037V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000047V |
Policy instance | 74 |
Insurance contract or identification number | VL5000047V | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $106 | 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 $106 | Insurance broker name | CHRISTOPHER LUBBERS |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2199060 |
Policy instance | 62 |
Insurance contract or identification number | BL2199060 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2192385 |
Policy instance | 61 |
Insurance contract or identification number | BL2192385 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $190 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $190 | Insurance broker name | INVESTMENT PLANNERS INC |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2192377 |
Policy instance | 60 |
Insurance contract or identification number | BL2192377 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2164833 |
Policy instance | 59 |
Insurance contract or identification number | BL2164833 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2192369 |
Policy instance | 58 |
Insurance contract or identification number | BL2192369 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2192381 |
Policy instance | 57 |
Insurance contract or identification number | BL2192381 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2192373 |
Policy instance | 56 |
Insurance contract or identification number | BL2192373 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2204961 |
Policy instance | 55 |
Insurance contract or identification number | BL2204961 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2184529 |
Policy instance | 63 |
Insurance contract or identification number | BL2184529 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $32 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $32 | Insurance broker name | JOHN DAVID HYMAS |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2199170 |
Policy instance | 64 |
Insurance contract or identification number | BL2199170 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $34,206 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $34 | Insurance broker name | JAY SITTERUD |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2199132 |
Policy instance | 65 |
Insurance contract or identification number | BL2199132 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $256 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $110 | Insurance broker name | BRADLEY G TERRY |
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AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VLE050033V |
Policy instance | 73 |
Insurance contract or identification number | VLE050033V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000043V |
Policy instance | 72 |
Insurance contract or identification number | VL5000043V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2165660 |
Policy instance | 70 |
Insurance contract or identification number | BL2165660 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $1,065 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $380 | Insurance broker name | RICHARD H. BLOOMFIELD |
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AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) |
Policy contract number | VL5000031V |
Policy instance | 71 |
Insurance contract or identification number | VL5000031V | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2170806 |
Policy instance | 69 |
Insurance contract or identification number | BL2170806 | Number of Individuals Covered | 1 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2180813 |
Policy instance | 68 |
Insurance contract or identification number | BL2180813 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $9,188 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $268 | Insurance broker name | JOHN D HYMAS |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2189360 |
Policy instance | 67 |
Insurance contract or identification number | BL2189360 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $252 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $25 | Insurance broker name | INVESTMENT PLANNERS INC |
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BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 ) |
Policy contract number | BL2199056 |
Policy instance | 66 |
Insurance contract or identification number | BL2199056 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $37,740 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $222 | Insurance broker name | BRADLEY G TERRY |
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JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
Policy contract number | 72921990 |
Policy instance | 50 |
Insurance contract or identification number | 72921990 | Number of Individuals Covered | 1 | Total amount of commissions paid to insurance broker | USD $2,100 | 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 $1,050 | Insurance broker name | ALLIED BEACON |
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