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LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 401k Plan overview

Plan NameLEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST
Plan identification number 503

LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Prepaid legal
  • Long-term disability cover
  • Other welfare benefit cover
  • 10 or more employer plan under Code section 419A(f)(6).

401k Sponsoring company profile

LEGACY BENEFIT PLANS LLC has sponsored the creation of one or more 401k plans.

Company Name:LEGACY BENEFIT PLANS LLC
Employer identification number (EIN):800113411
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032021-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01
5032017-01-01JAY JENSEN
5032016-01-01JAY JENSEN
5032015-01-01JAY JENSEN
5032014-01-01JAY JENSEN
5032014-01-01JAY JENSEN
5032014-01-01JAY JENSEN
5032014-01-01JAY JENSEN
5032013-01-01JAY JENSEN
5032012-01-01JAY JENSEN
5032012-01-01JAY JENSEN

Plan Statistics for LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST

401k plan membership statisitcs for LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST

Measure Date Value
2022: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01788
Total number of active participants reported on line 7a of the Form 55002022-01-01788
Total of all active and inactive participants2022-01-01788
Total participants2022-01-01788
2021: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01788
Total number of active participants reported on line 7a of the Form 55002021-01-01788
Total of all active and inactive participants2021-01-01788
Total participants2021-01-01788
2020: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01528
Total number of active participants reported on line 7a of the Form 55002020-01-01788
Total of all active and inactive participants2020-01-01788
Total participants2020-01-01788
2019: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01466
Total number of active participants reported on line 7a of the Form 55002019-01-01528
Total of all active and inactive participants2019-01-01528
Total participants2019-01-01528
2018: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01459
Total number of active participants reported on line 7a of the Form 55002018-01-01466
Total of all active and inactive participants2018-01-01466
Total participants2018-01-01466
2017: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01493
Total number of active participants reported on line 7a of the Form 55002017-01-01459
Total of all active and inactive participants2017-01-01459
Total participants2017-01-01459
2016: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01496
Total number of active participants reported on line 7a of the Form 55002016-01-01493
Number of retired or separated participants receiving benefits2016-01-016
Total of all active and inactive participants2016-01-01499
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01500
2015: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01414
Total number of active participants reported on line 7a of the Form 55002015-01-01496
Number of retired or separated participants receiving benefits2015-01-015
Total of all active and inactive participants2015-01-01501
Total participants2015-01-010
2014: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01373
Total number of active participants reported on line 7a of the Form 55002014-01-01414
Total of all active and inactive participants2014-01-01414
Total participants2014-01-010
2013: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01385
Total number of active participants reported on line 7a of the Form 55002013-01-01373
Total of all active and inactive participants2013-01-01373
Total participants2013-01-010
2012: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01417
Total number of active participants reported on line 7a of the Form 55002012-01-01385
Total of all active and inactive participants2012-01-01385
Total participants2012-01-010

Financial Data on LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST

Measure Date Value
2022 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-3,807,601
Total unrealized appreciation/depreciation of assets2022-12-31$-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 paid2022-12-31$615,479
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$615,479
Total income from all sources (including contributions)2022-12-31$-3,105,865
Total of all expenses incurred2022-12-31$1,667,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$114,672
Value of total assets at end of year2022-12-31$45,015,078
Value of total assets at beginning of year2022-12-31$51,002,811
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$937,306
Total interest from all sources2022-12-31$4,142
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$21,000
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Assets. Other investments not covered elsewhere at end of year2022-12-31$44,278,811
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$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 year2022-12-31$1,334
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,775,505
Other income not declared elsewhere2022-12-31$697,594
Administrative expenses (other) incurred2022-12-31$100,286
Liabilities. Value of operating payables at end of year2022-12-31$704,636
Liabilities. Value of operating payables at beginning of year2022-12-31$1,819,984
Total non interest bearing cash at end of year2022-12-31$298,615
Total non interest bearing cash at beginning of year2022-12-31$2,291,024
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-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)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,472,376
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$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 assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Employer contributions (assets) at end of year2022-12-31$436,318
Employer contributions (assets) at beginning of year2022-12-31$238,331
Contract administrator fees2022-12-31$816,020
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$16,481,992
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$14,805,550
Opinion of an independent qualified public accountant for this plan2022-12-31Qualified
Accountancy firm name2022-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2022-12-31410746749
2021 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$3,016,827
Total unrealized appreciation/depreciation of assets2021-12-31$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 paid2021-12-31$365,166
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022021-12-31$365,166
Total income from all sources (including contributions)2021-12-31$3,141,697
Total of all expenses incurred2021-12-31$1,285,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$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 year2021-12-31$51,002,811
Value of total assets at beginning of year2021-12-31$45,321,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$768,288
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$24,735
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Assets. Other investments not covered elsewhere at end of year2021-12-31$47,001,080
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$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 year2021-12-31$1,775,505
Other income not declared elsewhere2021-12-31$111,516
Administrative expenses (other) incurred2021-12-31$61,268
Liabilities. Value of operating payables at end of year2021-12-31$1,819,984
Liabilities. Value of operating payables at beginning of year2021-12-31$1,190,228
Total non interest bearing cash at end of year2021-12-31$2,291,024
Total non interest bearing cash at beginning of year2021-12-31$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 appraiser2021-12-31No
Value of net income/loss2021-12-31$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)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,472,376
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$6,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$6,450
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$13,354
Employer contributions (assets) at end of year2021-12-31$238,331
Employer contributions (assets) at beginning of year2021-12-31$102,960
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$20,000
Contract administrator fees2021-12-31$682,285
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Liabilities. Value of acquisition indebtedness at end of year2021-12-31$14,805,550
Liabilities. Value of acquisition indebtedness at beginning of year2021-12-31$13,386,491
Opinion of an independent qualified public accountant for this plan2021-12-31Qualified
Accountancy firm name2021-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2021-12-31410746749
2020 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$2,339,226
Total unrealized appreciation/depreciation of assets2020-12-31$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 paid2020-12-31$429,132
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$429,132
Total income from all sources (including contributions)2020-12-31$2,429,085
Total of all expenses incurred2020-12-31$1,317,441
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$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 year2020-12-31$45,321,838
Value of total assets at beginning of year2020-12-31$42,428,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$811,889
Total interest from all sources2020-12-31$110
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$157,242
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Assets. Other investments not covered elsewhere at end of year2020-12-31$44,684,314
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$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 year2020-12-31$71,860
Other income not declared elsewhere2020-12-31$47,895
Administrative expenses (other) incurred2020-12-31$16,077
Liabilities. Value of operating payables at end of year2020-12-31$1,190,228
Liabilities. Value of operating payables at beginning of year2020-12-31$841,875
Total non interest bearing cash at end of year2020-12-31$528,114
Total non interest bearing cash at beginning of year2020-12-31$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 appraiser2020-12-31No
Value of net income/loss2020-12-31$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)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$6,450
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$509,833
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$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 assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$41,854
Employer contributions (assets) at end of year2020-12-31$102,960
Employer contributions (assets) at beginning of year2020-12-31$26,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$20,000
Contract administrator fees2020-12-31$638,570
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Liabilities. Value of acquisition indebtedness at end of year2020-12-31$13,386,491
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$11,881,779
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2020-12-31410746749
2019 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$2,331,551
Total unrealized appreciation/depreciation of assets2019-12-31$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 paid2019-12-31$508,785
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$508,785
Expenses. Interest paid2019-12-31$508,785
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$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 incurred2019-12-31$3,924,075
Total of all expenses incurred2019-12-31$3,924,075
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,435,979
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$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 year2019-12-31$42,428,989
Value of total assets at beginning of year2019-12-31$42,018,499
Value of total assets at beginning of year2019-12-31$42,018,499
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$979,311
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$979,311
Total interest from all sources2019-12-31$1,267
Total interest from all sources2019-12-31$1,267
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$238,841
Administrative expenses professional fees incurred2019-12-31$238,841
Was this plan covered by a fidelity bond2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Assets. Other investments not covered elsewhere at end of year2019-12-31$41,869,257
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$41,166,092
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$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 year2019-12-31$71,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$71,860
Administrative expenses (other) incurred2019-12-31$98,790
Administrative expenses (other) incurred2019-12-31$98,790
Liabilities. Value of operating payables at end of year2019-12-31$841,875
Liabilities. Value of operating payables at end of year2019-12-31$841,875
Liabilities. Value of operating payables at beginning of year2019-12-31$535,718
Liabilities. Value of operating payables at beginning of year2019-12-31$535,718
Total non interest bearing cash at end of year2019-12-31$23,334
Total non interest bearing cash at beginning of year2019-12-31$537,801
Total non interest bearing cash at beginning of year2019-12-31$537,801
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-1,551,891
Value of net income/loss2019-12-31$-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)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$509,833
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$300,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$300,103
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$300,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$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 benefits2019-12-31$134,899
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$134,899
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$13,354
Employer contributions (assets) at end of year2019-12-31$26,565
Employer contributions (assets) at end of year2019-12-31$26,565
Employer contributions (assets) at beginning of year2019-12-31$14,503
Employer contributions (assets) at beginning of year2019-12-31$14,503
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,301,080
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,301,080
Contract administrator fees2019-12-31$641,680
Contract administrator fees2019-12-31$641,680
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$11,881,779
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$11,881,779
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$10,297,415
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm name2019-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2019-12-31410746749
Accountancy firm EIN2019-12-31410746749
2018 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-292,409
Total unrealized appreciation/depreciation of assets2018-12-31$-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 paid2018-12-31$415,583
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-12-31$415,583
Total income from all sources (including contributions)2018-12-31$-212,770
Total of all expenses incurred2018-12-31$1,432,533
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$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 year2018-12-31$41,595,613
Value of total assets at beginning of year2018-12-31$41,272,878
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$861,288
Total interest from all sources2018-12-31$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 year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$214,788
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Assets. Other investments not covered elsewhere at end of year2018-12-31$40,743,206
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$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) incurred2018-12-31$29,024
Liabilities. Value of operating payables at end of year2018-12-31$535,718
Liabilities. Value of operating payables at beginning of year2018-12-31$239,073
Total non interest bearing cash at end of year2018-12-31$537,801
Total non interest bearing cash at beginning of year2018-12-31$235,764
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-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)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$139,670
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$300,103
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$672,088
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$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 assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$39,768
Employer contributions (assets) at end of year2018-12-31$14,503
Employer contributions (assets) at beginning of year2018-12-31$71,827
Income. Dividends from common stock2018-12-31$17,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$10,000
Contract administrator fees2018-12-31$617,476
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$398,988
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Liabilities. Value of acquisition indebtedness at end of year2018-12-31$10,297,415
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$8,626,022
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2018-12-31410746749
2017 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,924,455
Total unrealized appreciation/depreciation of assets2017-12-31$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 paid2017-12-31$310,498
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-12-31$310,498
Total income from all sources (including contributions)2017-12-31$5,538,814
Total loss/gain on sale of assets2017-12-31$492,541
Total of all expenses incurred2017-12-31$9,999,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$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 year2017-12-31$41,272,878
Value of total assets at beginning of year2017-12-31$45,196,449
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,457,932
Total interest from all sources2017-12-31$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 year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$772,455
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Assets. Other investments not covered elsewhere at end of year2017-12-31$39,754,541
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$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 year2017-12-31$12,500
Other income not declared elsewhere2017-12-31$3,005,316
Administrative expenses (other) incurred2017-12-31$78,962
Liabilities. Value of operating payables at end of year2017-12-31$239,073
Liabilities. Value of operating payables at beginning of year2017-12-31$225,667
Total non interest bearing cash at end of year2017-12-31$235,764
Total non interest bearing cash at beginning of year2017-12-31$256,231
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-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)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$5,776
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$139,670
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$287,809
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$672,088
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$28,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$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 assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$51,708
Employer contributions (assets) at end of year2017-12-31$71,827
Employer contributions (assets) at beginning of year2017-12-31$71,827
Income. Dividends from common stock2017-12-31$22,253
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$8,093,348
Contract administrator fees2017-12-31$600,739
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$398,988
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$1,510,954
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$492,541
Liabilities. Value of acquisition indebtedness at end of year2017-12-31$8,626,022
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$8,089,857
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2017-12-31410746749
2016 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$1,265,689
Total unrealized appreciation/depreciation of assets2016-12-31$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 paid2016-12-31$261,163
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022016-12-31$261,163
Total income from all sources (including contributions)2016-12-31$1,538,807
Total loss/gain on sale of assets2016-12-31$84,878
Total of all expenses incurred2016-12-31$1,900,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$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 year2016-12-31$45,196,449
Value of total assets at beginning of year2016-12-31$45,327,607
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,446,820
Total interest from all sources2016-12-31$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 year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$553,058
Was this plan covered by a fidelity bond2016-12-31No
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Assets. Other investments not covered elsewhere at end of year2016-12-31$43,041,256
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$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 year2016-12-31$12,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$43,099
Other income not declared elsewhere2016-12-31$2,115
Administrative expenses (other) incurred2016-12-31$280,525
Liabilities. Value of operating payables at end of year2016-12-31$225,667
Liabilities. Value of operating payables at beginning of year2016-12-31$185,903
Total non interest bearing cash at end of year2016-12-31$256,231
Total non interest bearing cash at beginning of year2016-12-31$112,360
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-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)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$12,491
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$287,809
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$325,562
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$28,372
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$171,664
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$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 assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$104,483
Employer contributions (assets) at end of year2016-12-31$71,827
Employer contributions (assets) at beginning of year2016-12-31$76,289
Income. Dividends from common stock2016-12-31$34,152
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$10,000
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$1,126,368
Contract administrator fees2016-12-31$600,746
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$1,510,954
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$1,608,540
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$84,878
Liabilities. Value of acquisition indebtedness at end of year2016-12-31$8,089,857
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$7,868,458
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2016-12-31410746749
2015 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$86,053
Total unrealized appreciation/depreciation of assets2015-12-31$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 paid2015-12-31$219,819
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-12-31$219,819
Total income from all sources (including contributions)2015-12-31$1,621,727
Total loss/gain on sale of assets2015-12-31$53,865
Total of all expenses incurred2015-12-31$2,546,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$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 year2015-12-31$45,327,607
Value of total assets at beginning of year2015-12-31$46,052,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,228,877
Total interest from all sources2015-12-31$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 year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$351,048
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at end of year2015-12-31$41,906,824
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$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 year2015-12-31$43,099
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$63,447
Other income not declared elsewhere2015-12-31$1,000,000
Administrative expenses (other) incurred2015-12-31$82,672
Liabilities. Value of operating payables at end of year2015-12-31$185,903
Liabilities. Value of operating payables at beginning of year2015-12-31$179,521
Total non interest bearing cash at end of year2015-12-31$112,360
Total non interest bearing cash at beginning of year2015-12-31$228,962
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-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)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$21,028
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$325,562
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$498,198
Income. Interest from corporate debt instruments2015-12-31$102,457
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$171,664
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$59,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$59,441
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$336,455
Employer contributions (assets) at end of year2015-12-31$76,289
Employer contributions (assets) at beginning of year2015-12-31$87,149
Income. Dividends from common stock2015-12-31$42,897
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,030,000
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$1,126,368
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$2,318,130
Contract administrator fees2015-12-31$774,129
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$1,608,540
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$1,864,894
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$53,865
Liabilities. Value of acquisition indebtedness at end of year2015-12-31$7,868,458
Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$7,655,022
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2015-12-31410746749
2014 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$1,556,675
Total unrealized appreciation/depreciation of assets2014-12-31$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 paid2014-12-31$214,513
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-12-31$214,513
Total income from all sources (including contributions)2014-12-31$2,672,136
Total of all expenses incurred2014-12-31$1,752,769
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$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 year2014-12-31$46,052,791
Value of total assets at beginning of year2014-12-31$44,964,257
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,433,281
Total interest from all sources2014-12-31$162,381
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$247,666
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Assets. Other investments not covered elsewhere at end of year2014-12-31$40,996,017
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$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 year2014-12-31$63,447
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$63,795
Other income not declared elsewhere2014-12-31$434,812
Administrative expenses (other) incurred2014-12-31$188,976
Liabilities. Value of operating payables at end of year2014-12-31$179,521
Liabilities. Value of operating payables at beginning of year2014-12-31$174,475
Total non interest bearing cash at end of year2014-12-31$228,962
Total non interest bearing cash at beginning of year2014-12-31$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 appraiser2014-12-31No
Value of net income/loss2014-12-31$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)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$15,526
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$498,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$408,976
Income. Interest from corporate debt instruments2014-12-31$162,381
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$59,441
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$138,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$138,730
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$518,268
Employer contributions (assets) at end of year2014-12-31$87,149
Employer contributions (assets) at beginning of year2014-12-31$275,358
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$40,911
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$2,318,130
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$2,642,842
Contract administrator fees2014-12-31$981,113
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$1,864,894
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$1,821,074
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$45,000
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Liabilities. Value of acquisition indebtedness at end of year2014-12-31$7,655,022
Liabilities. Value of acquisition indebtedness at beginning of year2014-12-31$7,445,553
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2014-12-31410746749
2013 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$249,012
Total unrealized appreciation/depreciation of assets2013-12-31$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 paid2013-12-31$210,895
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$210,895
Total income from all sources (including contributions)2013-12-31$1,341,073
Total of all expenses incurred2013-12-31$1,676,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$-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 year2013-12-31$47,877,998
Value of total assets at beginning of year2013-12-31$48,185,611
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$391,626
Total interest from all sources2013-12-31$187,129
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$85,652
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Assets. Other investments not covered elsewhere at end of year2013-12-31$42,063,163
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$42,067,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$63,795
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$247,090
Other income not declared elsewhere2013-12-31$13,208
Administrative expenses (other) incurred2013-12-31$274,238
Liabilities. Value of operating payables at end of year2013-12-31$174,475
Liabilities. Value of operating payables at beginning of year2013-12-31$176,634
Total non interest bearing cash at end of year2013-12-31$527,855
Total non interest bearing cash at beginning of year2013-12-31$187,447
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-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)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$31,736
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$408,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$398,708
Interest earned on other investments2013-12-31$187,129
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$138,730
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$981,897
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$981,897
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$-898,980
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$891,724
Employer contributions (assets) at end of year2013-12-31$275,358
Employer contributions (assets) at beginning of year2013-12-31$311,083
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$892,451
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$2,642,842
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$2,760,465
Contract administrator fees2013-12-31$1,080,293
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$1,821,074
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,478,211
Liabilities. Value of benefit claims payable at end of year2013-12-31$45,000
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$45,000
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Liabilities. Value of acquisition indebtedness at end of year2013-12-31$7,445,553
Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$7,232,500
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2013-12-31410746749
2012 : LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$217,284
Total unrealized appreciation/depreciation of assets2012-12-31$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 paid2012-12-31$176,634
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-12-31$176,634
Total income from all sources (including contributions)2012-12-31$663,096
Total of all expenses incurred2012-12-31$3,607,630
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$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 year2012-12-31$53,914,934
Value of total assets at beginning of year2012-12-31$50,597,574
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,480,025
Total interest from all sources2012-12-31$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 year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$106,645
Was this plan covered by a fidelity bond2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$47,797,123
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$41,926,577
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$247,090
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$59,684
Other income not declared elsewhere2012-12-31$291
Administrative expenses (other) incurred2012-12-31$280,740
Liabilities. Value of operating payables at end of year2012-12-31$176,634
Total non interest bearing cash at end of year2012-12-31$187,447
Total non interest bearing cash at beginning of year2012-12-31$460,975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-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)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$38,271
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$398,708
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$113,960
Interest earned on other investments2012-12-31$216,009
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$981,897
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$768,193
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$768,193
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,776,991
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$205,947
Employer contributions (assets) at end of year2012-12-31$311,083
Employer contributions (assets) at beginning of year2012-12-31$1,108,979
Income. Dividends from common stock2012-12-31$23,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$173,980
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$2,760,465
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$4,888,230
Contract administrator fees2012-12-31$1,054,369
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,478,211
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,330,660
Liabilities. Value of benefit claims payable at end of year2012-12-31$45,000
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,379,646
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Liabilities. Value of acquisition indebtedness at end of year2012-12-31$7,232,500
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN2012-12-31410746749

Form 5500 Responses for LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST

2022: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LEGACY EMPLOYEE WELFARE BENEFIT PLAN & TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 )
Policy contract numberIO584712
Policy instance 8
Insurance contract or identification numberIO584712
Number of Individuals Covered25
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $148,064
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,579
Insurance broker organization code?3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered26
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,997
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,527
Insurance broker organization code?3
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2165660
Policy instance 2
Insurance contract or identification numberBL2165660
Number of Individuals Covered9
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,274
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,704
Insurance broker organization code?3
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 )
Policy contract numberCM5016339U
Policy instance 3
Insurance contract or identification numberCM5016339U
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $322
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $48
Insurance broker organization code?3
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 )
Policy contract number1592009400
Policy instance 4
Insurance contract or identification number1592009400
Number of Individuals Covered4
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $31,970
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,970
Insurance broker organization code?3
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8155807
Policy instance 5
Insurance contract or identification number8155807
Number of Individuals Covered22
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,099
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $356
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number97007605
Policy instance 6
Insurance contract or identification number97007605
Number of Individuals Covered4
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Life Insurance Welfare BenefitYes
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 number7211782
Policy instance 7
Insurance contract or identification number7211782
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $205
Life Insurance Welfare BenefitYes
Other welfare benefits providedPENSION PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $205
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number97007605
Policy instance 6
Insurance contract or identification number97007605
Number of Individuals Covered4
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
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 numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered26
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,997
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,527
Insurance broker organization code?3
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2165660
Policy instance 2
Insurance contract or identification numberBL2165660
Number of Individuals Covered9
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,153
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,643
Insurance broker organization code?3
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 )
Policy contract numberCM5016339U
Policy instance 3
Insurance contract or identification numberCM5016339U
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $322
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $192
Insurance broker organization code?3
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 )
Policy contract number1592009400
Policy instance 4
Insurance contract or identification number1592009400
Number of Individuals Covered4
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
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 number8155807
Policy instance 5
Insurance contract or identification number8155807
Number of Individuals Covered22
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $998
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $315
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number7211782
Policy instance 7
Insurance contract or identification number7211782
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $173
Life Insurance Welfare BenefitYes
Other welfare benefits providedPENSION PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $173
Insurance broker organization code?3
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 )
Policy contract numberIO584712
Policy instance 8
Insurance contract or identification numberIO584712
Number of Individuals Covered25
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $121,122
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,903
Insurance broker organization code?3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered26
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,029
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,973
Insurance broker organization code?3
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2165660
Policy instance 2
Insurance contract or identification numberBL2165660
Number of Individuals Covered8
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,006
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,570
Insurance broker organization code?3
NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66680 )
Policy contract numberIO584712
Policy instance 8
Insurance contract or identification numberIO584712
Number of Individuals Covered25
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $151,925
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,748
Insurance broker organization code?3
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 )
Policy contract numberCM5016339U
Policy instance 3
Insurance contract or identification numberCM5016339U
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $317
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $189
Insurance broker organization code?3
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8155807
Policy instance 5
Insurance contract or identification number8155807
Number of Individuals Covered22
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,072
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $315
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number97007605
Policy instance 6
Insurance contract or identification number97007605
Number of Individuals Covered4
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Life Insurance Welfare BenefitYes
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 number7211782
Policy instance 7
Insurance contract or identification number7211782
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $160
Life Insurance Welfare BenefitYes
Other welfare benefits providedPENSION PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $160
Insurance broker organization code?3
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 )
Policy contract number1592009400
Policy instance 4
Insurance contract or identification number1592009400
Number of Individuals Covered4
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Life Insurance Welfare BenefitYes
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 numberIO584712
Policy instance 8
Insurance contract or identification numberIO584712
Number of Individuals Covered25
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $205,923
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100,442
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number7211782
Policy instance 7
Insurance contract or identification number7211782
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $154
Life Insurance Welfare BenefitYes
Other welfare benefits providedPENSION PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $154
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number97007605
Policy instance 6
Insurance contract or identification number97007605
Number of Individuals Covered4
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $605
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $595
Insurance broker organization code?3
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8155807
Policy instance 5
Insurance contract or identification number8155807
Number of Individuals Covered22
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,496
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $472
Insurance broker organization code?3
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 )
Policy contract number1592009400
Policy instance 4
Insurance contract or identification number1592009400
Number of Individuals Covered4
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
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 numberCM5016339U
Policy instance 3
Insurance contract or identification numberCM5016339U
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $10,290
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,290
Insurance broker organization code?3
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2165660
Policy instance 2
Insurance contract or identification numberBL2165660
Number of Individuals Covered9
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,006
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,570
Insurance broker organization code?3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered26
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,950
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,884
Insurance broker organization code?3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered26
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
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 number7211782
Policy instance 8
Insurance contract or identification number7211782
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $152
Life Insurance Welfare BenefitYes
Other welfare benefits providedPENSION PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $152
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number97007605
Policy instance 7
Insurance contract or identification number97007605
Number of Individuals Covered4
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $605
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $595
Insurance broker organization code?3
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8155807
Policy instance 6
Insurance contract or identification number8155807
Number of Individuals Covered25
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,497
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $472
Insurance broker organization code?3
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 )
Policy contract number1592009400
Policy instance 5
Insurance contract or identification number1592009400
Number of Individuals Covered4
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
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 number72921990
Policy instance 4
Insurance contract or identification number72921990
Number of Individuals Covered23
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $363
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $363
Insurance broker organization code?3
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 )
Policy contract numberCM5016339U
Policy instance 3
Insurance contract or identification numberCM5016339U
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
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 numberBL2165660
Policy instance 2
Insurance contract or identification numberBL2165660
Number of Individuals Covered10
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,676
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,569
Insurance broker organization code?3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered33
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $5,894
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,692
Insurance broker organization code?3
Insurance broker nameTREVOR SUTTERFIELD
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2165660
Policy instance 2
Insurance contract or identification numberBL2165660
Number of Individuals Covered16
Total amount of commissions paid to insurance brokerUSD $7,099
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,570
Insurance broker organization code?3
Insurance broker nameMICHAEL R BERGERON
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 )
Policy contract numberCM5016339U
Policy instance 3
Insurance contract or identification numberCM5016339U
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life Insurance Welfare BenefitYes
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 number72921990
Policy instance 4
Insurance contract or identification number72921990
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $509
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $255
Insurance broker organization code?3
Insurance broker namePURSHE KAPLAN STERLING INVES
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 )
Policy contract number1592009400
Policy instance 5
Insurance contract or identification number1592009400
Number of Individuals Covered4
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life Insurance Welfare BenefitYes
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 number8155807
Policy instance 6
Insurance contract or identification number8155807
Number of Individuals Covered30
Total amount of commissions paid to insurance brokerUSD $3,335
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,287
Insurance broker organization code?3
Insurance broker nameNICOLE WATSON
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number97007605
Policy instance 7
Insurance contract or identification number97007605
Number of Individuals Covered7
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,224
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,139
Insurance broker organization code?3
Insurance broker nameNANM LLC
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number7211782
Policy instance 8
Insurance contract or identification number7211782
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $140
Life Insurance Welfare BenefitYes
Other welfare benefits providedPENSION PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $140
Insurance broker organization code?3
Insurance broker nameSTEVEN PRUIETT
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered37
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $19,511
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,967
Insurance broker organization code?3
Insurance broker nameTOUCHSTONE MCDONALD
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2165660
Policy instance 2
Insurance contract or identification numberBL2165660
Number of Individuals Covered16
Total amount of commissions paid to insurance brokerUSD $9,755
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $304,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,569
Insurance broker organization code?4
Insurance broker nameMICHAEL R BERGERON
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 )
Policy contract numberCM5016339U
Policy instance 3
Insurance contract or identification numberCM5016339U
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $479
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $298
Insurance broker organization code?3
Insurance broker nameLEWIS MILTON KELLEY, JR
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number72921990
Policy instance 4
Insurance contract or identification number72921990
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,320
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,320
Insurance broker organization code?3
Insurance broker namePURSHE KAPLAN STERLING INVES
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 )
Policy contract number1592009400
Policy instance 5
Insurance contract or identification number1592009400
Number of Individuals Covered4
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Life Insurance Welfare BenefitYes
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 number8155807
Policy instance 6
Insurance contract or identification number8155807
Number of Individuals Covered31
Total amount of commissions paid to insurance brokerUSD $3,393
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $643
Insurance broker organization code?3
Insurance broker nameJAMES PASSARELLI
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number97007605
Policy instance 7
Insurance contract or identification number97007605
Number of Individuals Covered9
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $538
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $299
Insurance broker organization code?3
Insurance broker nameREBECCA MCKEEN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number7211782
Policy instance 8
Insurance contract or identification number7211782
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $138
Other welfare benefits providedPENSION PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $97
Insurance broker organization code?3
Insurance broker nameSTEVEN PRUIETT
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number47089
Policy instance 9
Insurance contract or identification number47089
Number of Individuals Covered436
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,500
Other welfare benefits providedLEGAL SERVICES PLAN MEMBERSHIPS
Welfare Benefit Premiums Paid to CarrierUSD $67,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,234
Insurance broker organization code?3
Insurance broker nameSPENCER HALL
COLUMBUS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 99937 )
Policy contract numberCM5016339U
Policy instance 3
Insurance contract or identification numberCM5016339U
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $126
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $126
Insurance broker organization code?3
Insurance broker nameMICHAEL P. OMALLEY
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered37
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $21,210
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,160
Insurance broker organization code?3
Insurance broker nameTOUCHSTONE MCDONALD
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2165660
Policy instance 2
Insurance contract or identification numberBL2165660
Number of Individuals Covered16
Total amount of commissions paid to insurance brokerUSD $9,506
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $302,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,128
Insurance broker organization code?3
Insurance broker nameMICHAEL R BERGERON
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number72921990
Policy instance 4
Insurance contract or identification number72921990
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,804
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,804
Insurance broker organization code?3
Insurance broker namePURSHE KAPLAN STERLING INVES
MIDLAND NATIONAL LIFE (National Association of Insurance Commissioners NAIC id number: 66044 )
Policy contract number1592009400
Policy instance 5
Insurance contract or identification number1592009400
Number of Individuals Covered4
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
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 number8155807
Policy instance 6
Insurance contract or identification number8155807
Number of Individuals Covered31
Total amount of commissions paid to insurance brokerUSD $2,416
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $643
Insurance broker organization code?3
Insurance broker nameNICOLE WATSON
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number97007605
Policy instance 7
Insurance contract or identification number97007605
Number of Individuals Covered9
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $560
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $-5,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $311
Insurance broker organization code?3
Insurance broker nameREBECCA MCKEEN
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number7211782
Policy instance 8
Insurance contract or identification number7211782
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $131
Other welfare benefits providedPENSION PLAN
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $131
Insurance broker organization code?3
Insurance broker nameMICHAEL WAYNE NEWTON
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number47089
Policy instance 9
Insurance contract or identification number47089
Number of Individuals Covered355
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,775
Other welfare benefits providedLEGAL SERVICES PLAN MEMBERSHIPS
Welfare Benefit Premiums Paid to CarrierUSD $64,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,775
Insurance broker organization code?3
Insurance broker nameINSIGHT BENEFITS GROUP LLC
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000091V
Policy instance 1
Insurance contract or identification numberVL5000091V
Number of Individuals Covered34
Total amount of commissions paid to insurance brokerUSD $12,304
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,503
Insurance broker nameJEFF ROLCZYNSKI
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVLE050033V
Policy instance 2
Insurance contract or identification numberVLE050033V
Number of Individuals Covered3
Total amount of commissions paid to insurance brokerUSD $16,955
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $289,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,373
Insurance broker nameRANDALL OBRIEN
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2165660
Policy instance 3
Insurance contract or identification numberBL2165660
Number of Individuals Covered15
Total amount of commissions paid to insurance brokerUSD $16,163
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $320,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,985
Insurance broker nameINVESTMENT PLANNERS INC
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2204961
Policy instance 4
Insurance contract or identification numberBL2204961
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $168
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $140
Insurance broker nameJAY SITTERUD
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number72921990
Policy instance 7
Insurance contract or identification number72921990
Number of Individuals Covered2
Total amount of commissions paid to insurance brokerUSD $375
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $375
Insurance broker nameALLIED BEACON
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8155807
Policy instance 9
Insurance contract or identification number8155807
Number of Individuals Covered27
Total amount of commissions paid to insurance brokerUSD $699
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $210
Insurance broker nameKEITH KILMA
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8166403
Policy instance 10
Insurance contract or identification number8166403
Number of Individuals Covered4
Total amount of commissions paid to insurance brokerUSD $2,416
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $643
Insurance broker nameREBECCA MCKEEN
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 )
Policy contract number97007605
Policy instance 11
Insurance contract or identification number97007605
Number of Individuals Covered11
Total amount of commissions paid to insurance brokerUSD $701
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $299
Insurance broker nameLIFE INVESTORS INSURANCE
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL1009827V
Policy instance 99
Insurance contract or identification numberVL1009827V
Number of Individuals Covered1
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 numberVL1009828V
Policy instance 100
Insurance contract or identification numberVL1009828V
Number of Individuals Covered1
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 numberVL5002000V
Policy instance 101
Insurance contract or identification numberVL5002000V
Number of Individuals Covered1
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 numberVM0003389V
Policy instance 102
Insurance contract or identification numberVM0003389V
Number of Individuals Covered1
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 numberX9035461
Policy instance 103
Insurance contract or identification numberX9035461
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $1,066
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $139
Insurance broker nameFRANK WAINSCOTT
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5002005V
Policy instance 104
Insurance contract or identification numberVL5002005V
Number of Individuals Covered1
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 numberVL5000094V
Policy instance 106
Insurance contract or identification numberVL5000094V
Number of Individuals Covered1
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 numberVL5000093V
Policy instance 105
Insurance contract or identification numberVL5000093V
Number of Individuals Covered1
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 numberVL5002004V
Policy instance 107
Insurance contract or identification numberVL5002004V
Number of Individuals Covered1
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 numberVL5000091V
Policy instance 108
Insurance contract or identification numberVL5000091V
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $25
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5
Insurance broker nameRANDALL OBRIEN
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8231463
Policy instance 22
Insurance contract or identification number8231463
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $4,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,470
Insurance broker nameSTEPHEN MONGIE
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL1017986V
Policy instance 75
Insurance contract or identification numberVL1017986V
Number of Individuals Covered1
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 numberVM0008509V
Policy instance 98
Insurance contract or identification numberVM0008509V
Number of Individuals Covered1
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 numberVL5000045V
Policy instance 97
Insurance contract or identification numberVL5000045V
Number of Individuals Covered1
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 number8155807
Policy instance 43
Insurance contract or identification number8155807
Number of Individuals Covered1
Life Insurance Welfare BenefitYes
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 number8183551
Policy instance 31
Insurance contract or identification number8183551
Number of Individuals Covered1
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 number8177498
Policy instance 30
Insurance contract or identification number8177498
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51
Insurance broker nameTHOMAS JOHNSON
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8177502
Policy instance 29
Insurance contract or identification number8177502
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45
Insurance broker nameTHOMAS JOHNSON
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8177921
Policy instance 28
Insurance contract or identification number8177921
Number of Individuals Covered1
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 number8177907
Policy instance 27
Insurance contract or identification number8177907
Number of Individuals Covered1
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 number8177913
Policy instance 26
Insurance contract or identification number8177913
Number of Individuals Covered1
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 number8211519
Policy instance 25
Insurance contract or identification number8211519
Number of Individuals Covered1
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 number8188210
Policy instance 24
Insurance contract or identification number8188210
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $39
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39
Insurance broker nameJAMES PASSARELLI
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8574388
Policy instance 32
Insurance contract or identification number8574388
Number of Individuals Covered1
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 number8163004
Policy instance 34
Insurance contract or identification number8163004
Number of Individuals Covered1
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 number8165381
Policy instance 33
Insurance contract or identification number8165381
Number of Individuals Covered1
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 number8176422
Policy instance 42
Insurance contract or identification number8176422
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $90
Insurance broker nameJOHN BIESTEK
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8155805
Policy instance 41
Insurance contract or identification number8155805
Number of Individuals Covered1
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 number8455803
Policy instance 40
Insurance contract or identification number8455803
Number of Individuals Covered1
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 number8242501
Policy instance 39
Insurance contract or identification number8242501
Number of Individuals Covered1
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 number8165382
Policy instance 38
Insurance contract or identification number8165382
Number of Individuals Covered1
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 number9205525
Policy instance 37
Insurance contract or identification number9205525
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $40
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12
Insurance broker nameJOEL GUTHMANN
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8573927
Policy instance 36
Insurance contract or identification number8573927
Number of Individuals Covered1
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 number8169108
Policy instance 35
Insurance contract or identification number8169108
Number of Individuals Covered1
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 number9210644
Policy instance 23
Insurance contract or identification number9210644
Number of Individuals Covered1
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 number9205526
Policy instance 21
Insurance contract or identification number9205526
Number of Individuals Covered1
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 number60143681
Policy instance 9
Insurance contract or identification number60143681
Number of Individuals Covered1
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 number97007455
Policy instance 8
Insurance contract or identification number97007455
Number of Individuals Covered1
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 number65146639
Policy instance 7
Insurance contract or identification number65146639
Number of Individuals Covered1
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 number97007632
Policy instance 6
Insurance contract or identification number97007632
Number of Individuals Covered1
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 number97007605
Policy instance 5
Insurance contract or identification number97007605
Number of Individuals Covered1
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 number65131017
Policy instance 4
Insurance contract or identification number65131017
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 number65119758
Policy instance 3
Insurance contract or identification number65119758
Number of Individuals Covered2
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 number65266493
Policy instance 2
Insurance contract or identification number65266493
Number of Individuals Covered1
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 number97007454
Policy instance 11
Insurance contract or identification number97007454
Number of Individuals Covered1
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 number97007531
Policy instance 10
Insurance contract or identification number97007531
Number of Individuals Covered1
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 number8177926
Policy instance 12
Insurance contract or identification number8177926
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $67
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20
Insurance broker nameJAMES PASSARELLI
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number9205527
Policy instance 20
Insurance contract or identification number9205527
Number of Individuals Covered1
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 number9205528
Policy instance 19
Insurance contract or identification number9205528
Number of Individuals Covered1
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 number9205529
Policy instance 18
Insurance contract or identification number9205529
Number of Individuals Covered1
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 number9210048
Policy instance 17
Insurance contract or identification number9210048
Number of Individuals Covered1
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 number9210436
Policy instance 16
Insurance contract or identification number9210436
Number of Individuals Covered1
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 number8166403
Policy instance 15
Insurance contract or identification number8166403
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $1,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $383
Insurance broker nameBENJAMIN WILLIAMS
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8207176
Policy instance 14
Insurance contract or identification number8207176
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $1,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $391
Insurance broker nameJOEL GUTHMANN
PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
Policy contract number8177919
Policy instance 13
Insurance contract or identification number8177919
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46
Insurance broker nameJAMES PASSARELLI
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67121 )
Policy contract number65266489
Policy instance 1
Insurance contract or identification number65266489
Number of Individuals Covered1
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 number72922770
Policy instance 49
Insurance contract or identification number72922770
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $540
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $270
Insurance broker nameALLIED BEACON
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVLE050032V
Policy instance 96
Insurance contract or identification numberVLE050032V
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $3,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $798
Insurance broker nameMICHAEL GRAMM
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5002100V
Policy instance 84
Insurance contract or identification numberVL5002100V
Number of Individuals Covered1
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 numberVL1017987V
Policy instance 83
Insurance contract or identification numberVL1017987V
Number of Individuals Covered1
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 numberX9035976
Policy instance 82
Insurance contract or identification numberX9035976
Number of Individuals Covered1
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 numberVL1017989V
Policy instance 80
Insurance contract or identification numberVL1017989V
Number of Individuals Covered1
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 numberVME166509V
Policy instance 81
Insurance contract or identification numberVME166509V
Number of Individuals Covered1
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 numberVM0005623V
Policy instance 79
Insurance contract or identification numberVM0005623V
Number of Individuals Covered1
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 numberVM0005622V
Policy instance 78
Insurance contract or identification numberVM0005622V
Number of Individuals Covered1
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 numberVL5000046V
Policy instance 77
Insurance contract or identification numberVL5000046V
Number of Individuals Covered1
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 numberVLE050052V
Policy instance 85
Insurance contract or identification numberVLE050052V
Number of Individuals Covered1
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 numberUME146811L
Policy instance 86
Insurance contract or identification numberUME146811L
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $706
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $212
Insurance broker nameMICHAEL HICKS
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVM0009066V
Policy instance 87
Insurance contract or identification numberVM0009066V
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $298
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $298
Insurance broker nameFRANK WAINSCOTT
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVLE050031V
Policy instance 95
Insurance contract or identification numberVLE050031V
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $2,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $583
Insurance broker nameFRANK WAINSCOTT
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000092V
Policy instance 94
Insurance contract or identification numberVL5000092V
Number of Individuals Covered1
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 numberUM0016236L
Policy instance 93
Insurance contract or identification numberUM0016236L
Number of Individuals Covered1
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 numberVM0003388V
Policy instance 92
Insurance contract or identification numberVM0003388V
Number of Individuals Covered1
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 numberVL1009822V
Policy instance 91
Insurance contract or identification numberVL1009822V
Number of Individuals Covered1
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 numberVM0005618V
Policy instance 90
Insurance contract or identification numberVM0005618V
Number of Individuals Covered1
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 numberVM0003327V
Policy instance 89
Insurance contract or identification numberVM0003327V
Number of Individuals Covered1
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 numberVM0005621V
Policy instance 88
Insurance contract or identification numberVM0005621V
Number of Individuals Covered1
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 numberVL5000037V
Policy instance 76
Insurance contract or identification numberVL5000037V
Number of Individuals Covered1
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 numberVL5000047V
Policy instance 74
Insurance contract or identification numberVL5000047V
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $106
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $106
Insurance broker nameCHRISTOPHER LUBBERS
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2199060
Policy instance 62
Insurance contract or identification numberBL2199060
Number of Individuals Covered1
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 numberBL2192385
Policy instance 61
Insurance contract or identification numberBL2192385
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $190
Insurance broker nameINVESTMENT PLANNERS INC
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2192377
Policy instance 60
Insurance contract or identification numberBL2192377
Number of Individuals Covered1
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 numberBL2164833
Policy instance 59
Insurance contract or identification numberBL2164833
Number of Individuals Covered1
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 numberBL2192369
Policy instance 58
Insurance contract or identification numberBL2192369
Number of Individuals Covered1
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 numberBL2192381
Policy instance 57
Insurance contract or identification numberBL2192381
Number of Individuals Covered1
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 numberBL2192373
Policy instance 56
Insurance contract or identification numberBL2192373
Number of Individuals Covered1
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 numberBL2204961
Policy instance 55
Insurance contract or identification numberBL2204961
Number of Individuals Covered1
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 numberBL2184529
Policy instance 63
Insurance contract or identification numberBL2184529
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $32
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32
Insurance broker nameJOHN DAVID HYMAS
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2199170
Policy instance 64
Insurance contract or identification numberBL2199170
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $34,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34
Insurance broker nameJAY SITTERUD
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2199132
Policy instance 65
Insurance contract or identification numberBL2199132
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $110
Insurance broker nameBRADLEY G TERRY
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVLE050033V
Policy instance 73
Insurance contract or identification numberVLE050033V
Number of Individuals Covered1
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 numberVL5000043V
Policy instance 72
Insurance contract or identification numberVL5000043V
Number of Individuals Covered1
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 numberBL2165660
Policy instance 70
Insurance contract or identification numberBL2165660
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $1,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $380
Insurance broker nameRICHARD H. BLOOMFIELD
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberVL5000031V
Policy instance 71
Insurance contract or identification numberVL5000031V
Number of Individuals Covered1
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 numberBL2170806
Policy instance 69
Insurance contract or identification numberBL2170806
Number of Individuals Covered1
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 numberBL2180813
Policy instance 68
Insurance contract or identification numberBL2180813
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $9,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $268
Insurance broker nameJOHN D HYMAS
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2189360
Policy instance 67
Insurance contract or identification numberBL2189360
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25
Insurance broker nameINVESTMENT PLANNERS INC
BENEFICIAL FINANCIAL GROUP (National Association of Insurance Commissioners NAIC id number: 61395 )
Policy contract numberBL2199056
Policy instance 66
Insurance contract or identification numberBL2199056
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $37,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $222
Insurance broker nameBRADLEY G TERRY
JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 )
Policy contract number72921990
Policy instance 50
Insurance contract or identification number72921990
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $2,100
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,050
Insurance broker nameALLIED BEACON

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