STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST
401k plan membership statisitcs for STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST
Measure | Date | Value |
---|
2019 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2019 401k financial data |
---|
Total unrealized appreciation/depreciation of assets | 2019-12-31 | $0 |
Total unrealized appreciation/depreciation of assets | 2019-12-31 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $15,651 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $15,651 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $33,161 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $33,161 |
Total income from all sources (including contributions) | 2019-12-31 | $0 |
Total income from all sources (including contributions) | 2019-12-31 | $0 |
Total loss/gain on sale of assets | 2019-12-31 | $0 |
Total loss/gain on sale of assets | 2019-12-31 | $0 |
Total of all expenses incurred | 2019-12-31 | $0 |
Total of all expenses incurred | 2019-12-31 | $0 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $0 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $0 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $0 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $0 |
Value of total assets at end of year | 2019-12-31 | $91,136 |
Value of total assets at end of year | 2019-12-31 | $91,136 |
Value of total assets at beginning of year | 2019-12-31 | $108,646 |
Value of total assets at beginning of year | 2019-12-31 | $108,646 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $0 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $0 |
Total interest from all sources | 2019-12-31 | $0 |
Total interest from all sources | 2019-12-31 | $0 |
Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $0 |
Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | Yes |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | Yes |
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2019-12-31 | $0 |
Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $75,485 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $15,651 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $15,651 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $33,161 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $33,161 |
Total non interest bearing cash at end of year | 2019-12-31 | $91,136 |
Total non interest bearing cash at end of year | 2019-12-31 | $91,136 |
Total non interest bearing cash at beginning of year | 2019-12-31 | $108,646 |
Total non interest bearing cash at beginning of year | 2019-12-31 | $108,646 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
Value of net income/loss | 2019-12-31 | $0 |
Value of net income/loss | 2019-12-31 | $0 |
Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $75,485 |
Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $75,485 |
Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $75,485 |
Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $75,485 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
Did the plan have assets held for investment | 2019-12-31 | No |
Did the plan have assets held for investment | 2019-12-31 | No |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
Accountancy firm name | 2019-12-31 | WIPFLI, LLP |
Accountancy firm name | 2019-12-31 | WIPFLI, LLP |
Accountancy firm EIN | 2019-12-31 | 390758449 |
Accountancy firm EIN | 2019-12-31 | 390758449 |
2018 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2018 401k financial data |
---|
Total unrealized appreciation/depreciation of assets | 2018-12-31 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $33,161 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $54,272 |
Total income from all sources (including contributions) | 2018-12-31 | $0 |
Total loss/gain on sale of assets | 2018-12-31 | $0 |
Total of all expenses incurred | 2018-12-31 | $0 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $0 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $0 |
Value of total assets at end of year | 2018-12-31 | $108,646 |
Value of total assets at beginning of year | 2018-12-31 | $129,757 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $0 |
Total interest from all sources | 2018-12-31 | $0 |
Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | Yes |
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2018-12-31 | $0 |
Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
Value of fidelity bond cover | 2018-12-31 | $1,000,000 |
Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $33,161 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $54,272 |
Total non interest bearing cash at end of year | 2018-12-31 | $108,646 |
Total non interest bearing cash at beginning of year | 2018-12-31 | $129,757 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
Value of net income/loss | 2018-12-31 | $0 |
Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $75,485 |
Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $75,485 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
Did the plan have assets held for investment | 2018-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Disclaimer |
Accountancy firm name | 2018-12-31 | WIPFLI, LLP |
Accountancy firm EIN | 2018-12-31 | 390758449 |
2017 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2017 401k financial data |
---|
Total unrealized appreciation/depreciation of assets | 2017-12-31 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $26,608 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $2,083,803 |
Total income from all sources (including contributions) | 2017-12-31 | $578,756 |
Total loss/gain on sale of assets | 2017-12-31 | $0 |
Total of all expenses incurred | 2017-12-31 | $21,852 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $0 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $578,054 |
Value of total assets at end of year | 2017-12-31 | $129,757 |
Value of total assets at beginning of year | 2017-12-31 | $1,630,048 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $21,852 |
Total interest from all sources | 2017-12-31 | $702 |
Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2017-12-31 | $0 |
Administrative expenses professional fees incurred | 2017-12-31 | $21,550 |
Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
Value of fidelity bond cover | 2017-12-31 | $1,000,000 |
Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
Income. Received or receivable in cash from other sources (including rollovers) | 2017-12-31 | $578,054 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2017-12-31 | $8,046 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $0 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $33,345 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $26,608 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $232,062 |
Administrative expenses (other) incurred | 2017-12-31 | $302 |
Total non interest bearing cash at end of year | 2017-12-31 | $129,757 |
Total non interest bearing cash at beginning of year | 2017-12-31 | $1,084,428 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
Value of net income/loss | 2017-12-31 | $556,904 |
Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $103,149 |
Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $-453,755 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $0 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $512,275 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $512,275 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $702 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $27,724 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $0 |
Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $1,851,741 |
Did the plan have assets held for investment | 2017-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Disclaimer |
Accountancy firm name | 2017-12-31 | WIPFLI, LLP |
Accountancy firm EIN | 2017-12-31 | 390758449 |
2016 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2016 401k financial data |
---|
Total unrealized appreciation/depreciation of assets | 2016-12-31 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $2,083,803 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $2,309,129 |
Total income from all sources (including contributions) | 2016-12-31 | $12,147,809 |
Total loss/gain on sale of assets | 2016-12-31 | $0 |
Total of all expenses incurred | 2016-12-31 | $12,266,009 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $10,945,136 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $12,141,697 |
Value of total assets at end of year | 2016-12-31 | $1,630,048 |
Value of total assets at beginning of year | 2016-12-31 | $1,973,574 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $1,320,873 |
Total interest from all sources | 2016-12-31 | $6,112 |
Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
Administrative expenses professional fees incurred | 2016-12-31 | $333,602 |
Was this plan covered by a fidelity bond | 2016-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $33,345 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $251,221 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $232,062 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $132,176 |
Administrative expenses (other) incurred | 2016-12-31 | $583,271 |
Total non interest bearing cash at end of year | 2016-12-31 | $1,084,428 |
Total non interest bearing cash at beginning of year | 2016-12-31 | $167,670 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
Value of net income/loss | 2016-12-31 | $-118,200 |
Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $-453,755 |
Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $-335,555 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $512,275 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $1,554,683 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $1,554,683 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $6,112 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $10,945,136 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
Contributions received in cash from employer | 2016-12-31 | $12,141,697 |
Contract administrator fees | 2016-12-31 | $404,000 |
Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $1,851,741 |
Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $2,176,953 |
Did the plan have assets held for investment | 2016-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Disclaimer |
Accountancy firm name | 2016-12-31 | WIPFLI, LLP |
Accountancy firm EIN | 2016-12-31 | 390758449 |
2015 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2015 401k financial data |
---|
Total unrealized appreciation/depreciation of assets | 2015-12-31 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $2,309,129 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $1,813,582 |
Total income from all sources (including contributions) | 2015-12-31 | $13,385,159 |
Total loss/gain on sale of assets | 2015-12-31 | $0 |
Total of all expenses incurred | 2015-12-31 | $15,501,083 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $13,929,851 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $13,376,593 |
Value of total assets at end of year | 2015-12-31 | $1,973,574 |
Value of total assets at beginning of year | 2015-12-31 | $3,593,951 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $1,571,232 |
Total interest from all sources | 2015-12-31 | $8,566 |
Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
Administrative expenses professional fees incurred | 2015-12-31 | $351,878 |
Was this plan covered by a fidelity bond | 2015-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $251,221 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $336,492 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $132,176 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $225,162 |
Administrative expenses (other) incurred | 2015-12-31 | $703,354 |
Total non interest bearing cash at end of year | 2015-12-31 | $167,670 |
Total non interest bearing cash at beginning of year | 2015-12-31 | $1,189,108 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
Value of net income/loss | 2015-12-31 | $-2,115,924 |
Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $-335,555 |
Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $1,780,369 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $1,554,683 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $2,068,351 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $2,068,351 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $8,566 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $13,929,851 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
Contributions received in cash from employer | 2015-12-31 | $13,376,593 |
Contract administrator fees | 2015-12-31 | $516,000 |
Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $2,176,953 |
Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $1,588,420 |
Did the plan have assets held for investment | 2015-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
Accountancy firm name | 2015-12-31 | WIPFLI, LLP |
Accountancy firm EIN | 2015-12-31 | 390758449 |
2014 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2014 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $1,813,582 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $1,494,438 |
Total income from all sources (including contributions) | 2014-12-31 | $14,091,328 |
Total of all expenses incurred | 2014-12-31 | $15,790,919 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $14,135,574 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $14,078,619 |
Value of total assets at end of year | 2014-12-31 | $3,593,951 |
Value of total assets at beginning of year | 2014-12-31 | $4,974,398 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $1,655,345 |
Total interest from all sources | 2014-12-31 | $12,709 |
Administrative expenses professional fees incurred | 2014-12-31 | $340,629 |
Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $336,492 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $346,825 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $225,162 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $29,797 |
Administrative expenses (other) incurred | 2014-12-31 | $798,716 |
Total non interest bearing cash at end of year | 2014-12-31 | $1,189,108 |
Total non interest bearing cash at beginning of year | 2014-12-31 | $399,353 |
Value of net income/loss | 2014-12-31 | $-1,699,591 |
Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $1,780,369 |
Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $3,479,960 |
Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $2,068,351 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $4,228,220 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $4,228,220 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $12,709 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $14,135,574 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | Yes |
Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
Contributions received in cash from employer | 2014-12-31 | $14,078,619 |
Contract administrator fees | 2014-12-31 | $516,000 |
Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $1,588,420 |
Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $1,464,641 |
Did the plan have assets held for investment | 2014-12-31 | Yes |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
Accountancy firm name | 2014-12-31 | WIPFLI, LLP |
Accountancy firm EIN | 2014-12-31 | 390758449 |
2013 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2013 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $1,494,438 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $1,410,542 |
Total income from all sources (including contributions) | 2013-12-31 | $13,901,949 |
Total of all expenses incurred | 2013-12-31 | $15,033,433 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $13,283,771 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $13,882,133 |
Value of total assets at end of year | 2013-12-31 | $4,974,398 |
Value of total assets at beginning of year | 2013-12-31 | $6,021,986 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $1,749,662 |
Total interest from all sources | 2013-12-31 | $19,816 |
Administrative expenses professional fees incurred | 2013-12-31 | $398,088 |
Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $346,825 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $619,528 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $29,797 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $52,695 |
Administrative expenses (other) incurred | 2013-12-31 | $835,574 |
Total non interest bearing cash at end of year | 2013-12-31 | $399,353 |
Total non interest bearing cash at beginning of year | 2013-12-31 | $1,193,678 |
Value of net income/loss | 2013-12-31 | $-1,131,484 |
Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $3,479,960 |
Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $4,611,444 |
Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $4,228,220 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $4,208,780 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $4,208,780 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $19,816 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $13,283,771 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
Contributions received in cash from employer | 2013-12-31 | $13,882,133 |
Contract administrator fees | 2013-12-31 | $516,000 |
Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $1,464,641 |
Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $1,357,847 |
Did the plan have assets held for investment | 2013-12-31 | Yes |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
Accountancy firm name | 2013-12-31 | GALUSHA, HIGGINS & GALUSHA, P.C. |
Accountancy firm EIN | 2013-12-31 | 810272932 |
2012 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2012 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $1,410,542 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $1,392,123 |
Total income from all sources (including contributions) | 2012-12-31 | $14,188,392 |
Total of all expenses incurred | 2012-12-31 | $14,028,498 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $12,542,390 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $14,170,035 |
Value of total assets at end of year | 2012-12-31 | $6,021,986 |
Value of total assets at beginning of year | 2012-12-31 | $5,843,673 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $1,486,108 |
Total interest from all sources | 2012-12-31 | $18,357 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
Administrative expenses professional fees incurred | 2012-12-31 | $414,761 |
Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
Value of fidelity bond cover | 2012-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $619,528 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $143,856 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $52,695 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $35,215 |
Administrative expenses (other) incurred | 2012-12-31 | $555,347 |
Total non interest bearing cash at end of year | 2012-12-31 | $1,193,678 |
Total non interest bearing cash at beginning of year | 2012-12-31 | $1,515,604 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
Value of net income/loss | 2012-12-31 | $159,894 |
Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $4,611,444 |
Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $4,451,550 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $4,208,780 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $4,184,213 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $4,184,213 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $18,357 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $12,542,390 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
Contributions received in cash from employer | 2012-12-31 | $14,170,035 |
Contract administrator fees | 2012-12-31 | $516,000 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $1,357,847 |
Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $1,356,908 |
Did the plan have assets held for investment | 2012-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
Accountancy firm name | 2012-12-31 | GALUSHA, HIGGINS & GALUSHA, P.C. |
Accountancy firm EIN | 2012-12-31 | 810272932 |
2011 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2011 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $1,392,123 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $1,906,530 |
Total income from all sources (including contributions) | 2011-12-31 | $15,844,656 |
Total of all expenses incurred | 2011-12-31 | $15,431,798 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $14,244,488 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $15,570,124 |
Value of total assets at end of year | 2011-12-31 | $5,843,673 |
Value of total assets at beginning of year | 2011-12-31 | $5,945,222 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $1,187,310 |
Total interest from all sources | 2011-12-31 | $51,776 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
Administrative expenses professional fees incurred | 2011-12-31 | $248,436 |
Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
Value of fidelity bond cover | 2011-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
Assets. Other investments not covered elsewhere at beginning of year | 2011-12-31 | $83,714 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $143,856 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $12,121 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-12-31 | $35,215 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $1,009,252 |
Other income not declared elsewhere | 2011-12-31 | $222,756 |
Administrative expenses (other) incurred | 2011-12-31 | $422,874 |
Total non interest bearing cash at end of year | 2011-12-31 | $1,515,604 |
Total non interest bearing cash at beginning of year | 2011-12-31 | $1,629,373 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
Value of net income/loss | 2011-12-31 | $412,858 |
Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $4,451,550 |
Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $4,038,692 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $4,184,213 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $4,220,014 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $4,220,014 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $51,776 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $14,244,488 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
Contributions received in cash from employer | 2011-12-31 | $15,570,124 |
Contract administrator fees | 2011-12-31 | $516,000 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $1,356,908 |
Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $897,278 |
Did the plan have assets held for investment | 2011-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
Accountancy firm name | 2011-12-31 | GALUSHA, HIGGINS & GALUSHA, PC |
Accountancy firm EIN | 2011-12-31 | 810272932 |
2010 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2010 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $1,906,530 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $2,623,260 |
Total income from all sources (including contributions) | 2010-12-31 | $14,684,585 |
Total of all expenses incurred | 2010-12-31 | $14,684,663 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $13,727,931 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $14,626,706 |
Value of total assets at end of year | 2010-12-31 | $5,945,222 |
Value of total assets at beginning of year | 2010-12-31 | $6,662,030 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $956,732 |
Total interest from all sources | 2010-12-31 | $57,879 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
Administrative expenses professional fees incurred | 2010-12-31 | $196,703 |
Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
Value of fidelity bond cover | 2010-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2010-12-31 | $83,714 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $12,121 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $40,191 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $1,009,252 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $1,647,718 |
Administrative expenses (other) incurred | 2010-12-31 | $280,029 |
Total non interest bearing cash at end of year | 2010-12-31 | $1,629,373 |
Total non interest bearing cash at beginning of year | 2010-12-31 | $2,568,321 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
Value of net income/loss | 2010-12-31 | $-78 |
Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $4,038,692 |
Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $4,038,770 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $4,220,014 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $4,053,518 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $4,053,518 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $57,879 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $13,727,931 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
Contributions received in cash from employer | 2010-12-31 | $14,626,706 |
Contract administrator fees | 2010-12-31 | $480,000 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $897,278 |
Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $975,542 |
Did the plan have assets held for investment | 2010-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
Accountancy firm name | 2010-12-31 | GALUSHA, HIGGINS & GALUSHA, PC |
Accountancy firm EIN | 2010-12-31 | 810272932 |
2008 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2008 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2008-12-31 | $2,852,116 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2008-12-31 | $2,339,617 |
Total income from all sources (including contributions) | 2008-12-31 | $15,037,762 |
Total of all expenses incurred | 2008-12-31 | $15,054,735 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2008-12-31 | $14,248,740 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2008-12-31 | $14,901,621 |
Value of total assets at end of year | 2008-12-31 | $6,805,980 |
Value of total assets at beginning of year | 2008-12-31 | $6,310,454 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2008-12-31 | $805,995 |
Total interest from all sources | 2008-12-31 | $134,765 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2008-12-31 | No |
Administrative expenses professional fees incurred | 2008-12-31 | $188,688 |
Was this plan covered by a fidelity bond | 2008-12-31 | Yes |
Value of fidelity bond cover | 2008-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2008-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2008-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2008-12-31 | $33,273 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2008-12-31 | $104,943 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2008-12-31 | $1,501,531 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2008-12-31 | $1,292,652 |
Other income not declared elsewhere | 2008-12-31 | $1,376 |
Administrative expenses (other) incurred | 2008-12-31 | $167,867 |
Total non interest bearing cash at end of year | 2008-12-31 | $4,927,976 |
Total non interest bearing cash at beginning of year | 2008-12-31 | $3,660,823 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2008-12-31 | No |
Value of net income/loss | 2008-12-31 | $-16,973 |
Value of net assets at end of year (total assets less liabilities) | 2008-12-31 | $3,953,864 |
Value of net assets at beginning of year (total assets less liabilities) | 2008-12-31 | $3,970,837 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2008-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2008-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2008-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2008-12-31 | $1,844,731 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2008-12-31 | $2,544,688 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2008-12-31 | $2,544,688 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2008-12-31 | $134,765 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2008-12-31 | $14,248,740 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2008-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2008-12-31 | Yes |
Has the plan failed to provide any benefit when due under the plan | 2008-12-31 | No |
Contributions received in cash from employer | 2008-12-31 | $14,901,621 |
Contract administrator fees | 2008-12-31 | $449,440 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2008-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2008-12-31 | $1,350,585 |
Liabilities. Value of benefit claims payable at beginning of year | 2008-12-31 | $1,046,965 |
Did the plan have assets held for investment | 2008-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2008-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2008-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2008-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2008-12-31 | Unqualified |
Accountancy firm name | 2008-12-31 | JCCS, PC |
Accountancy firm EIN | 2008-12-31 | 810348775 |
2007 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2007 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2007-12-31 | $2,339,617 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2007-12-31 | $2,079,624 |
Total income from all sources (including contributions) | 2007-12-31 | $14,567,908 |
Total of all expenses incurred | 2007-12-31 | $13,097,335 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2007-12-31 | $12,408,409 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2007-12-31 | $14,313,132 |
Value of total assets at end of year | 2007-12-31 | $6,310,454 |
Value of total assets at beginning of year | 2007-12-31 | $4,579,888 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2007-12-31 | $688,926 |
Total interest from all sources | 2007-12-31 | $253,839 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2007-12-31 | No |
Administrative expenses professional fees incurred | 2007-12-31 | $176,880 |
Was this plan covered by a fidelity bond | 2007-12-31 | Yes |
Value of fidelity bond cover | 2007-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2007-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2007-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2007-12-31 | $104,943 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2007-12-31 | $41,548 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2007-12-31 | $1,292,652 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2007-12-31 | $917,081 |
Other income not declared elsewhere | 2007-12-31 | $937 |
Administrative expenses (other) incurred | 2007-12-31 | $79,611 |
Total non interest bearing cash at end of year | 2007-12-31 | $3,660,823 |
Total non interest bearing cash at beginning of year | 2007-12-31 | $2,094,716 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2007-12-31 | No |
Value of net income/loss | 2007-12-31 | $1,470,573 |
Value of net assets at end of year (total assets less liabilities) | 2007-12-31 | $3,970,837 |
Value of net assets at beginning of year (total assets less liabilities) | 2007-12-31 | $2,500,264 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2007-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2007-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2007-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2007-12-31 | $2,544,688 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2007-12-31 | $2,443,624 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2007-12-31 | $2,443,624 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2007-12-31 | $253,839 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2007-12-31 | $12,408,409 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2007-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2007-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2007-12-31 | No |
Contributions received in cash from employer | 2007-12-31 | $14,313,132 |
Contract administrator fees | 2007-12-31 | $432,435 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2007-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2007-12-31 | $1,046,965 |
Liabilities. Value of benefit claims payable at beginning of year | 2007-12-31 | $1,162,543 |
Did the plan have assets held for investment | 2007-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2007-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2007-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2007-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2007-12-31 | Unqualified |
Accountancy firm name | 2007-12-31 | JCCS, PC |
Accountancy firm EIN | 2007-12-31 | 810348775 |
2006 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2006 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2006-12-31 | $2,079,624 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2006-12-31 | $2,330,157 |
Total income from all sources (including contributions) | 2006-12-31 | $13,261,775 |
Total of all expenses incurred | 2006-12-31 | $12,690,043 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2006-12-31 | $12,021,605 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2006-12-31 | $13,094,937 |
Value of total assets at end of year | 2006-12-31 | $4,579,888 |
Value of total assets at beginning of year | 2006-12-31 | $4,258,689 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2006-12-31 | $668,438 |
Total interest from all sources | 2006-12-31 | $166,838 |
Administrative expenses professional fees incurred | 2006-12-31 | $182,275 |
Was this plan covered by a fidelity bond | 2006-12-31 | Yes |
Value of fidelity bond cover | 2006-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2006-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2006-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2006-12-31 | $41,548 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2006-12-31 | $14,199 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2006-12-31 | $917,081 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2006-12-31 | $1,247,281 |
Administrative expenses (other) incurred | 2006-12-31 | $123,199 |
Total non interest bearing cash at end of year | 2006-12-31 | $2,094,716 |
Total non interest bearing cash at beginning of year | 2006-12-31 | $379,386 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2006-12-31 | No |
Value of net income/loss | 2006-12-31 | $571,732 |
Value of net assets at end of year (total assets less liabilities) | 2006-12-31 | $2,500,264 |
Value of net assets at beginning of year (total assets less liabilities) | 2006-12-31 | $1,928,532 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2006-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2006-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2006-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2006-12-31 | $2,443,624 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2006-12-31 | $3,865,104 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2006-12-31 | $3,865,104 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2006-12-31 | $166,838 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2006-12-31 | $12,021,605 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2006-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2006-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2006-12-31 | No |
Contributions received in cash from employer | 2006-12-31 | $13,094,937 |
Contract administrator fees | 2006-12-31 | $362,964 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2006-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2006-12-31 | $1,162,543 |
Liabilities. Value of benefit claims payable at beginning of year | 2006-12-31 | $1,082,876 |
Did the plan have assets held for investment | 2006-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2006-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2006-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2006-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2006-12-31 | Unqualified |
Accountancy firm name | 2006-12-31 | JCCS, PC |
Accountancy firm EIN | 2006-12-31 | 810348775 |
2005 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2005 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2005-12-31 | $2,307,179 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2005-12-31 | $1,919,013 |
Total income from all sources (including contributions) | 2005-12-31 | $10,376,216 |
Total of all expenses incurred | 2005-12-31 | $10,608,983 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2005-12-31 | $10,005,573 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2005-12-31 | $10,276,725 |
Value of total assets at end of year | 2005-12-31 | $4,235,711 |
Value of total assets at beginning of year | 2005-12-31 | $4,080,312 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2005-12-31 | $603,410 |
Total interest from all sources | 2005-12-31 | $99,491 |
Administrative expenses professional fees incurred | 2005-12-31 | $175,614 |
Was this plan covered by a fidelity bond | 2005-12-31 | Yes |
Value of fidelity bond cover | 2005-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2005-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2005-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2005-12-31 | $-22,874 |
Assets. Other investments not covered elsewhere at beginning of year | 2005-12-31 | $18,711 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2005-12-31 | $14,095 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2005-12-31 | $2,533 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2005-12-31 | $1,224,303 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2005-12-31 | $1,206,823 |
Administrative expenses (other) incurred | 2005-12-31 | $84,332 |
Total non interest bearing cash at end of year | 2005-12-31 | $379,386 |
Total non interest bearing cash at beginning of year | 2005-12-31 | $290,466 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2005-12-31 | No |
Value of net income/loss | 2005-12-31 | $-232,767 |
Value of net assets at end of year (total assets less liabilities) | 2005-12-31 | $1,928,532 |
Value of net assets at beginning of year (total assets less liabilities) | 2005-12-31 | $2,161,299 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2005-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2005-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2005-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2005-12-31 | $3,865,104 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2005-12-31 | $3,768,602 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2005-12-31 | $3,768,602 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2005-12-31 | $99,491 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2005-12-31 | $10,005,573 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2005-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2005-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2005-12-31 | No |
Contributions received in cash from employer | 2005-12-31 | $10,276,725 |
Contract administrator fees | 2005-12-31 | $343,464 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2005-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2005-12-31 | $1,082,876 |
Liabilities. Value of benefit claims payable at beginning of year | 2005-12-31 | $712,190 |
Did the plan have assets held for investment | 2005-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2005-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2005-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2005-12-31 | Unqualified |
Accountancy firm name | 2005-12-31 | ANDERSON ZURMUEHLEN & CO., P.C. |
Accountancy firm EIN | 2005-12-31 | 810385940 |
2004 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2004 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2004-12-31 | $1,919,013 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2004-12-31 | $1,457,889 |
Total income from all sources (including contributions) | 2004-12-31 | $10,457,968 |
Total of all expenses incurred | 2004-12-31 | $10,351,261 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2004-12-31 | $9,801,253 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2004-12-31 | $10,413,641 |
Value of total assets at end of year | 2004-12-31 | $4,080,312 |
Value of total assets at beginning of year | 2004-12-31 | $3,512,481 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2004-12-31 | $550,008 |
Total interest from all sources | 2004-12-31 | $44,327 |
Administrative expenses professional fees incurred | 2004-12-31 | $189,563 |
Was this plan covered by a fidelity bond | 2004-12-31 | Yes |
Value of fidelity bond cover | 2004-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2004-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2004-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2004-12-31 | $18,711 |
Assets. Other investments not covered elsewhere at beginning of year | 2004-12-31 | $2,452 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2004-12-31 | $2,533 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2004-12-31 | $7,202 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2004-12-31 | $1,206,823 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2004-12-31 | $814,792 |
Administrative expenses (other) incurred | 2004-12-31 | $37,014 |
Total non interest bearing cash at end of year | 2004-12-31 | $290,466 |
Total non interest bearing cash at beginning of year | 2004-12-31 | $246,496 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2004-12-31 | No |
Value of net income/loss | 2004-12-31 | $106,707 |
Value of net assets at end of year (total assets less liabilities) | 2004-12-31 | $2,161,299 |
Value of net assets at beginning of year (total assets less liabilities) | 2004-12-31 | $2,054,592 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2004-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2004-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2004-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2004-12-31 | $3,768,602 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2004-12-31 | $3,256,331 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2004-12-31 | $3,256,331 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2004-12-31 | $44,327 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2004-12-31 | $9,801,253 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2004-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2004-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2004-12-31 | No |
Contributions received in cash from employer | 2004-12-31 | $10,413,641 |
Contract administrator fees | 2004-12-31 | $323,431 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2004-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2004-12-31 | $712,190 |
Liabilities. Value of benefit claims payable at beginning of year | 2004-12-31 | $643,097 |
Did the plan have assets held for investment | 2004-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2004-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2004-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2004-12-31 | Unqualified |
Accountancy firm name | 2004-12-31 | ANDERSON ZURMUEHLEN & CO., P.C. |
Accountancy firm EIN | 2004-12-31 | 810385940 |
2003 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2003 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2003-12-31 | $1,457,889 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2003-12-31 | $1,442,209 |
Total income from all sources (including contributions) | 2003-12-31 | $8,958,880 |
Total of all expenses incurred | 2003-12-31 | $8,558,486 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2003-12-31 | $8,207,995 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2003-12-31 | $8,902,316 |
Value of total assets at end of year | 2003-12-31 | $3,512,481 |
Value of total assets at beginning of year | 2003-12-31 | $3,096,407 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2003-12-31 | $350,491 |
Total interest from all sources | 2003-12-31 | $56,564 |
Administrative expenses professional fees incurred | 2003-12-31 | $36,804 |
Was this plan covered by a fidelity bond | 2003-12-31 | Yes |
Value of fidelity bond cover | 2003-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2003-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2003-12-31 | No |
Assets. Other investments not covered elsewhere at end of year | 2003-12-31 | $2,452 |
Assets. Other investments not covered elsewhere at beginning of year | 2003-12-31 | $7,851 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2003-12-31 | $7,202 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2003-12-31 | $27,932 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2003-12-31 | $814,792 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2003-12-31 | $958,019 |
Administrative expenses (other) incurred | 2003-12-31 | $41,525 |
Total non interest bearing cash at end of year | 2003-12-31 | $246,496 |
Total non interest bearing cash at beginning of year | 2003-12-31 | $16,793 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2003-12-31 | No |
Value of net income/loss | 2003-12-31 | $400,394 |
Value of net assets at end of year (total assets less liabilities) | 2003-12-31 | $2,054,592 |
Value of net assets at beginning of year (total assets less liabilities) | 2003-12-31 | $1,654,198 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2003-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2003-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2003-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2003-12-31 | $3,256,331 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2003-12-31 | $3,043,831 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2003-12-31 | $3,043,831 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2003-12-31 | $56,564 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2003-12-31 | $8,207,995 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2003-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2003-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2003-12-31 | No |
Contributions received in cash from employer | 2003-12-31 | $8,902,316 |
Contract administrator fees | 2003-12-31 | $272,162 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2003-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2003-12-31 | $643,097 |
Liabilities. Value of benefit claims payable at beginning of year | 2003-12-31 | $484,190 |
Did the plan have assets held for investment | 2003-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2003-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2003-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2003-12-31 | Unqualified |
Accountancy firm name | 2003-12-31 | ANDERSON ZURMUEHLEN & CO., P.C. |
Accountancy firm EIN | 2003-12-31 | 810385940 |
2002 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2002 401k financial data |
---|
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2002-12-31 | $1,442,209 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2002-12-31 | $1,218,176 |
Total income from all sources (including contributions) | 2002-12-31 | $7,243,284 |
Total of all expenses incurred | 2002-12-31 | $6,827,414 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2002-12-31 | $6,554,732 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2002-12-31 | $7,189,733 |
Value of total assets at end of year | 2002-12-31 | $3,096,407 |
Value of total assets at beginning of year | 2002-12-31 | $2,456,504 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2002-12-31 | $272,682 |
Total interest from all sources | 2002-12-31 | $53,551 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2002-12-31 | No |
Administrative expenses professional fees incurred | 2002-12-31 | $12,380 |
Was this plan covered by a fidelity bond | 2002-12-31 | Yes |
Value of fidelity bond cover | 2002-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2002-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2002-12-31 | No |
Participant contributions at end of year | 2002-12-31 | $0 |
Participant contributions at beginning of year | 2002-12-31 | $557 |
Assets. Other investments not covered elsewhere at end of year | 2002-12-31 | $7,851 |
Assets. Other investments not covered elsewhere at beginning of year | 2002-12-31 | $17,769 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2002-12-31 | $27,932 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2002-12-31 | $12,638 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2002-12-31 | $958,019 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2002-12-31 | $817,195 |
Administrative expenses (other) incurred | 2002-12-31 | $38,489 |
Total non interest bearing cash at end of year | 2002-12-31 | $16,793 |
Total non interest bearing cash at beginning of year | 2002-12-31 | $10,023 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2002-12-31 | No |
Value of net income/loss | 2002-12-31 | $415,870 |
Value of net assets at end of year (total assets less liabilities) | 2002-12-31 | $1,654,198 |
Value of net assets at beginning of year (total assets less liabilities) | 2002-12-31 | $1,238,328 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2002-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2002-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2002-12-31 | No |
Investment advisory and management fees | 2002-12-31 | $2,446 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2002-12-31 | $3,043,831 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2002-12-31 | $2,415,517 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2002-12-31 | $2,415,517 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2002-12-31 | $53,551 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2002-12-31 | $6,554,732 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2002-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2002-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2002-12-31 | No |
Contributions received in cash from employer | 2002-12-31 | $7,189,733 |
Contract administrator fees | 2002-12-31 | $219,367 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2002-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2002-12-31 | $484,190 |
Liabilities. Value of benefit claims payable at beginning of year | 2002-12-31 | $400,981 |
Did the plan have assets held for investment | 2002-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2002-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2002-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2002-12-31 | Unqualified |
Accountancy firm name | 2002-12-31 | ANDERSON ZURMUEHLEN & CO., P.C. |
Accountancy firm EIN | 2002-12-31 | 810385940 |
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 1 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 215 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $1,334 | Total amount of fees paid to insurance company | USD $100 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $13,343 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,334 | Amount paid for insurance broker fees | 100 | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | Insurance broker organization code? | 3 |
|
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 226085 |
Policy instance | 1 |
Insurance contract or identification number | 226085 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30052607 |
Policy instance | 2 |
Insurance contract or identification number | 30052607 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 4 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
COVENANT ADMINISTRATORS, INC. (National Association of Insurance Commissioners NAIC id number: 52429 ) |
Policy contract number | S116 |
Policy instance | 5 |
Insurance contract or identification number | S116 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
RELIANT BEHAVIORAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 15015291 |
Policy instance | 6 |
Insurance contract or identification number | 15015291 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | MATERNITY ASSISTANCE PROGRAM | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 602304 |
Policy instance | 7 |
Insurance contract or identification number | 602304 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 602254 |
Policy instance | 8 |
Insurance contract or identification number | 602254 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | STD | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 3 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 1 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1194 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $756 | Total amount of fees paid to insurance company | USD $57 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $88,142 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 602254 |
Policy instance | 8 |
Insurance contract or identification number | 602254 | Number of Individuals Covered | 55 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | STD | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $17,671 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 226085 |
Policy instance | 1 |
Insurance contract or identification number | 226085 | Number of Individuals Covered | 1206 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $553,469 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 3 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1187 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $12,962 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $116,624 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,962 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 602304 |
Policy instance | 7 |
Insurance contract or identification number | 602304 | Number of Individuals Covered | 42 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $8,144 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
RELIANT BEHAVIORAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 15015291 |
Policy instance | 6 |
Insurance contract or identification number | 15015291 | Number of Individuals Covered | 2000 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | MATERNITY ASSISTANCE PROGRAM | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $5,250 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
COVENANT ADMINISTRATORS, INC. (National Association of Insurance Commissioners NAIC id number: 52429 ) |
Policy contract number | S116 |
Policy instance | 5 |
Insurance contract or identification number | S116 | Number of Individuals Covered | 1299 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $12,799 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $327,856 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,799 | Insurance broker organization code? | 3 | Insurance broker name | LEAVITT GREAT WEST INSURANCE SERVIC |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 4 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 8 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $1,028 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $6,688 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,028 | Insurance broker organization code? | 5 | Insurance broker name | PEAK 1 ADMINISTRATION |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 0314-2118 |
Policy instance | 2 |
Insurance contract or identification number | 0314-2118 | Number of Individuals Covered | 1214 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $137,800 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 0125-2172 |
Policy instance | 8 |
Insurance contract or identification number | 0125-2172 | Number of Individuals Covered | 7 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $480 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,396 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $240 | Insurance broker organization code? | 3 | Insurance broker name | PEAK 1 ADMINISTRATION |
|
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 226085 |
Policy instance | 1 |
Insurance contract or identification number | 226085 | Number of Individuals Covered | 1375 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $64,507 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $561,554 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $29,712 | Insurance broker organization code? | 3 | Insurance broker name | UNITED BENEFIT ADVISORS NORTHWEST |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 0125-2040 |
Policy instance | 7 |
Insurance contract or identification number | 0125-2040 | Number of Individuals Covered | 10 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $1,521 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $3,879 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,133 | Insurance broker organization code? | 3 | Insurance broker name | JIM EDWARDS, LEAVITT GREAT WEST |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1009493 |
Policy instance | 6 |
Insurance contract or identification number | 1009493 | Number of Individuals Covered | 17 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $421 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $8,429 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $421 | Insurance broker organization code? | 3 | Insurance broker name | JAMES MICHAEL EDWARDS |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 5 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 11 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $1,076 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,266 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,076 | Insurance broker organization code? | 5 | Insurance broker name | PEAK 1 ADMINISTRATION |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12193879-HB0069 |
Policy instance | 4 |
Insurance contract or identification number | 12193879-HB0069 | Number of Individuals Covered | 2 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $285 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $732 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $212 | Insurance broker organization code? | 3 | Insurance broker name | JIM EDWARDS, LEAVITT GREAT WEST |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 0314-2118 |
Policy instance | 2 |
Insurance contract or identification number | 0314-2118 | Number of Individuals Covered | 1543 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $60,915 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $84,786 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | Commission paid to Insurance Broker | USD $54,726 | Insurance broker organization code? | 3 | Insurance broker name | JIM EDWARDS, LEAVITT GREAT WEST |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 3 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1362 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $15,738 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Welfare Benefit Premiums Paid to Carrier | USD $170,380 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,738 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 226085 |
Policy instance | 1 |
Insurance contract or identification number | 226085 | Number of Individuals Covered | 1533 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $38,284 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $634,655 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $34,370 | Insurance broker organization code? | 3 | Insurance broker name | UNITED BENEFIT ADVISORS NORTHWEST |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | CAPITALWESTBANK |
Policy instance | 7 |
Insurance contract or identification number | CAPITALWESTBANK | Number of Individuals Covered | 12 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $749 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,689 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $749 | Insurance broker organization code? | 3 | Insurance broker name | JIM EDWARDS, MOUNTAIN WEST BENEFITS |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1009493 |
Policy instance | 6 |
Insurance contract or identification number | 1009493 | Number of Individuals Covered | 20 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $501 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $9,919 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $501 | Insurance broker organization code? | 3 | Insurance broker name | JAMES MICHAEL EDWARDS |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 5 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 9 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $1,039 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,987 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $621 | Insurance broker organization code? | 5 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12193879-HB0069 |
Policy instance | 4 |
Insurance contract or identification number | 12193879-HB0069 | Number of Individuals Covered | 5 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $284 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,097 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $284 | Insurance broker organization code? | 3 | Insurance broker name | JIM EDWARDS, MOUNTAIN WEST BENEFITS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 3 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1458 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $19,741 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Welfare Benefit Premiums Paid to Carrier | USD $160,449 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,741 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12193879-HB0076 |
Policy instance | 2 |
Insurance contract or identification number | 12193879-HB0076 | Number of Individuals Covered | 1525 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $10,035 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $90,036 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,035 | Insurance broker name | JIM EDWARDS, MOUNTAIN WEST BENEFITS |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1009493 |
Policy instance | 6 |
Insurance contract or identification number | 1009493 | Number of Individuals Covered | 25 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $486 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $9,823 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $486 | Insurance broker organization code? | 3 | Insurance broker name | JAMES MICHAEL EDWARDS |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 5 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 72 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $1,150 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,544 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,150 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12193879-HB0069 |
Policy instance | 4 |
Insurance contract or identification number | 12193879-HB0069 | Number of Individuals Covered | 5 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $600 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $91,285 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $450 | Insurance broker organization code? | 5 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 3 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1480 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $11,288 | Total amount of fees paid to insurance company | USD $847 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Welfare Benefit Premiums Paid to Carrier | USD $136,389 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,288 | Amount paid for insurance broker fees | 847 | Insurance broker organization code? | 3 | Insurance broker name | UNITED BENEFIT ADVISORS, INC. |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12193879-HB0076 |
Policy instance | 2 |
Insurance contract or identification number | 12193879-HB0076 | Number of Individuals Covered | 1553 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $9,129 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $46,603 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $9,129 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 ) |
Policy contract number | 12/023 |
Policy instance | 1 |
Insurance contract or identification number | 12/023 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 4 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1682 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $16,084 | Total amount of fees paid to insurance company | USD $1,206 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Welfare Benefit Premiums Paid to Carrier | USD $174,291 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7337T |
Policy instance | 2 |
Insurance contract or identification number | MLI7337T | Number of Individuals Covered | 0 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $2,811 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $18,658 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1009493 |
Policy instance | 7 |
Insurance contract or identification number | 1009493 | Number of Individuals Covered | 16 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $496 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $9,913 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 6 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 0 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $1,171 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $8,001 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12193879-HB0069 |
Policy instance | 5 |
Insurance contract or identification number | 12193879-HB0069 | Number of Individuals Covered | 0 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $187 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,866 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12193879-HB0076 |
Policy instance | 3 |
Insurance contract or identification number | 12193879-HB0076 | Number of Individuals Covered | 0 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $7,837 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $78,369 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 ) |
Policy contract number | 11/636 |
Policy instance | 1 |
Insurance contract or identification number | 11/636 | Number of Individuals Covered | 0 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
RELIANT BEHAVIORAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 15015291 |
Policy instance | 6 |
Insurance contract or identification number | 15015291 | Number of Individuals Covered | 2000 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | MATERNITY ASSISTANCE | Welfare Benefit Premiums Paid to Carrier | USD $5,000 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | RUBY VALLEY |
Policy instance | 8 |
Insurance contract or identification number | RUBY VALLEY | Number of Individuals Covered | 6 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $173 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,727 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7337T |
Policy instance | 4 |
Insurance contract or identification number | MLI7337T | Number of Individuals Covered | 0 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $3,055 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,654 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
Policy contract number | 27-07625 |
Policy instance | 3 |
Insurance contract or identification number | 27-07625 | Number of Individuals Covered | 593 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $41,383 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $459,808 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50833 |
Policy instance | 2 |
Insurance contract or identification number | X50833 | Number of Individuals Covered | 1126 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 9 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 0 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $880 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,804 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1009493 |
Policy instance | 10 |
Insurance contract or identification number | 1009493 | Number of Individuals Covered | 16 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $482 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $9,647 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12156596 |
Policy instance | 5 |
Insurance contract or identification number | 12156596 | Number of Individuals Covered | 1832 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $10,330 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $99,585 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50840 |
Policy instance | 1 |
Insurance contract or identification number | X50840 | Number of Individuals Covered | 574 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 7 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1637 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $16,397 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | FLEX ADD & FLEX LIFE | Welfare Benefit Premiums Paid to Carrier | USD $163,967 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12156596 |
Policy instance | 7 |
Insurance contract or identification number | 12156596 | Number of Individuals Covered | 1940 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $11,413 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $110,023 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,413 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 4 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 9 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $1,058 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,126 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,058 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
Policy contract number | 27-07625 |
Policy instance | 3 |
Insurance contract or identification number | 27-07625 | Number of Individuals Covered | 622 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $42,651 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $42,651 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7337T |
Policy instance | 2 |
Insurance contract or identification number | MLI7337T | Number of Individuals Covered | 38 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $3,398 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $22,640 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,398 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50833 |
Policy instance | 1 |
Insurance contract or identification number | X50833 | Number of Individuals Covered | 1350 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $5,657 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,657 | Insurance broker organization code? | 3 | Insurance broker name | PAYNE FINANCIAL GROUP |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50840 |
Policy instance | 6 |
Insurance contract or identification number | X50840 | Number of Individuals Covered | 566 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI9238 |
Policy instance | 5 |
Insurance contract or identification number | MLI9238 | Number of Individuals Covered | 1 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $24 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $104 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $24 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7892T |
Policy instance | 8 |
Insurance contract or identification number | MLI7892T | Number of Individuals Covered | 0 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $12 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $77 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7892T |
Policy instance | 6 |
Insurance contract or identification number | MLI7892T | Number of Individuals Covered | 11 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $620 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,060 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $620 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7337T |
Policy instance | 2 |
Insurance contract or identification number | MLI7337T | Number of Individuals Covered | 42 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $3,061 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,753 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,061 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50833 |
Policy instance | 1 |
Insurance contract or identification number | X50833 | Number of Individuals Covered | 1332 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 3 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1865 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $17,449 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $194,284 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $17,449 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
Policy contract number | 27-07625 |
Policy instance | 4 |
Insurance contract or identification number | 27-07625 | Number of Individuals Covered | 673 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $38,932 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $38,932 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 5 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 12 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $937 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,139 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $937 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI9238 |
Policy instance | 9 |
Insurance contract or identification number | MLI9238 | Number of Individuals Covered | 1 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $149 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $964 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $149 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12156596 |
Policy instance | 8 |
Insurance contract or identification number | 12156596 | Number of Individuals Covered | 1940 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $11,665 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $112,451 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,665 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50840 |
Policy instance | 7 |
Insurance contract or identification number | X50840 | Number of Individuals Covered | 578 | Insurance policy start date | 2007-01-01 | Insurance policy end date | 2007-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X51341 |
Policy instance | 9 |
Insurance contract or identification number | X51341 | Number of Individuals Covered | 88 | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI9238 |
Policy instance | 10 |
Insurance contract or identification number | MLI9238 | Number of Individuals Covered | 3 | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $168 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $1,199 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $168 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12156596 |
Policy instance | 8 |
Insurance contract or identification number | 12156596 | Number of Individuals Covered | 2093 | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $16,483 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $84,844 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,483 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50833 |
Policy instance | 1 |
Insurance contract or identification number | X50833 | Number of Individuals Covered | 1538 | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7337T |
Policy instance | 2 |
Insurance contract or identification number | MLI7337T | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $2,899 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $17,346 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,899 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 56555 |
Policy instance | 3 |
Insurance contract or identification number | 56555 | Number of Individuals Covered | 2020 | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $18,099 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $192,215 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $17,671 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
Policy contract number | 27-07625 |
Policy instance | 4 |
Insurance contract or identification number | 27-07625 | Number of Individuals Covered | 628 | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $45,977 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $45,977 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 5 |
Insurance contract or identification number | MLI8069 | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $1,528 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $9,063 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,528 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7892T |
Policy instance | 6 |
Insurance contract or identification number | MLI7892T | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $695 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,729 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $695 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50840 |
Policy instance | 7 |
Insurance contract or identification number | X50840 | Number of Individuals Covered | 565 | Insurance policy start date | 2006-01-01 | Insurance policy end date | 2006-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI7337T |
Policy instance | 2 |
Insurance contract or identification number | MLI7337T | Number of Individuals Covered | 38 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $2,738 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,139 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,738 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12193879-0049 |
Policy instance | 3 |
Insurance contract or identification number | 12193879-0049 | Number of Individuals Covered | 1816 | Insurance policy start date | 2005-04-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 4 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1778 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $16,513 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $165,125 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,513 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
Policy contract number | 27-07625 |
Policy instance | 5 |
Insurance contract or identification number | 27-07625 | Number of Individuals Covered | 595 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $31,176 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $31,176 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | ML7892T |
Policy instance | 6 |
Insurance contract or identification number | ML7892T | Number of Individuals Covered | 11 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $690 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,526 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $690 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12156596 |
Policy instance | 9 |
Insurance contract or identification number | 12156596 | Number of Individuals Covered | 0 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-04-01 | Total amount of commissions paid to insurance broker | USD $2,479 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,479 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X51341 |
Policy instance | 10 |
Insurance contract or identification number | X51341 | Number of Individuals Covered | 71 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50833 |
Policy instance | 1 |
Insurance contract or identification number | X50833 | Number of Individuals Covered | 1255 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50840 |
Policy instance | 8 |
Insurance contract or identification number | X50840 | Number of Individuals Covered | 443 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | MLI8069 |
Policy instance | 7 |
Insurance contract or identification number | MLI8069 | Number of Individuals Covered | 31 | Insurance policy start date | 2005-01-01 | Insurance policy end date | 2005-12-31 | Total amount of commissions paid to insurance broker | USD $3,098 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,787 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,098 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50840 |
Policy instance | 3 |
Insurance contract or identification number | X50840 | Number of Individuals Covered | 446 | Insurance policy start date | 2004-01-01 | Insurance policy end date | 2004-12-31 | Total amount of commissions paid to insurance broker | USD $3,593 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,593 | Insurance broker organization code? | 3 | Insurance broker name | JAMES EDWARDS-WESTERN STATES-HELENA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12156596 |
Policy instance | 4 |
Insurance contract or identification number | 12156596 | Number of Individuals Covered | 1744 | Insurance policy start date | 2004-01-01 | Insurance policy end date | 2004-12-31 | Total amount of commissions paid to insurance broker | USD $8,619 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,619 | Insurance broker organization code? | 3 | Insurance broker name | MOUNTAIN WEST BENEFIT SOLUTIONS |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X51341 |
Policy instance | 5 |
Insurance contract or identification number | X51341 | Number of Individuals Covered | 63 | Insurance policy start date | 2004-01-01 | Insurance policy end date | 2004-12-31 | Total amount of commissions paid to insurance broker | USD $486 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $486 | Insurance broker organization code? | 3 | Insurance broker name | JAMES EDWARDS-WESTERN STATES-HELENA |
|
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
Policy contract number | 27-07625 |
Policy instance | 6 |
Insurance contract or identification number | 27-07625 | Number of Individuals Covered | 628 | Insurance policy start date | 2004-01-01 | Insurance policy end date | 2004-12-31 | Total amount of commissions paid to insurance broker | USD $35,976 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $35,976 | Insurance broker organization code? | 3 | Insurance broker name | INSURANCE COORDINATORS OF MONTANA |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50833 |
Policy instance | 1 |
Insurance contract or identification number | X50833 | Number of Individuals Covered | 1216 | Insurance policy start date | 2004-01-01 | Insurance policy end date | 2004-12-31 | Total amount of commissions paid to insurance broker | USD $24,004 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $24,004 | Insurance broker organization code? | 3 | Insurance broker name | JAMES EDWARDS-WESTERN STATES-HELENA |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 2 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1680 | Insurance policy start date | 2004-01-01 | Insurance policy end date | 2004-12-31 | Total amount of commissions paid to insurance broker | USD $14,823 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $141,927 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $14,193 | Insurance broker organization code? | 3 | Insurance broker name | WESTERN STATES INSURANCE AGENCY |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 122734 |
Policy instance | 6 |
Insurance contract or identification number | 122734 | Number of Individuals Covered | 553 | Insurance policy start date | 2003-01-01 | Insurance policy end date | 2003-12-31 | Total amount of commissions paid to insurance broker | USD $44,728 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $372,729 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $44,728 | Insurance broker organization code? | 3 | Insurance broker name | WESTERN STATES INSURANCE AGENCY |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X51341 |
Policy instance | 5 |
Insurance contract or identification number | X51341 | Number of Individuals Covered | 59 | Insurance policy start date | 2003-01-01 | Insurance policy end date | 2003-12-31 | Total amount of commissions paid to insurance broker | USD $8,603 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,603 | Insurance broker organization code? | 3 | Insurance broker name | JAMES EDWARDS-WESTERN STATES-HELENA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12156596 |
Policy instance | 4 |
Insurance contract or identification number | 12156596 | Number of Individuals Covered | 1623 | Insurance policy start date | 2003-01-01 | Insurance policy end date | 2003-12-31 | Total amount of commissions paid to insurance broker | USD $5,876 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,876 | Insurance broker organization code? | 3 | Insurance broker name | WESTERN STATES INSURANCE AGENCY |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50840 |
Policy instance | 3 |
Insurance contract or identification number | X50840 | Number of Individuals Covered | 330 | Insurance policy start date | 2003-01-01 | Insurance policy end date | 2003-12-31 | Total amount of commissions paid to insurance broker | USD $34,562 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $34,562 | Insurance broker organization code? | 3 | Insurance broker name | JAMES EDWARDS-WESTERN STATES-HELENA |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50833 |
Policy instance | 1 |
Insurance contract or identification number | X50833 | Number of Individuals Covered | 1226 | Insurance policy start date | 2003-01-01 | Insurance policy end date | 2003-12-31 | Total amount of commissions paid to insurance broker | USD $123,273 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $123,273 | Insurance broker organization code? | 3 | Insurance broker name | JAMES EDWARDS-WESTERN STATES-HELENA |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 2 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1571 | Insurance policy start date | 2003-01-01 | Insurance policy end date | 2003-12-31 | Total amount of commissions paid to insurance broker | USD $16,033 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $160,333 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,033 | Insurance broker organization code? | 3 | Insurance broker name | WESTERN STATES INSURANCE AGENCY |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 122734 |
Policy instance | 6 |
Insurance contract or identification number | 122734 | Number of Individuals Covered | 521 | Insurance policy start date | 2002-01-01 | Insurance policy end date | 2002-12-31 | Total amount of commissions paid to insurance broker | USD $18,644 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $310,730 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $18,644 | Insurance broker organization code? | 3 | Insurance broker name | WESTERN STATES INSURANCE AGENCY |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X51341 |
Policy instance | 5 |
Insurance contract or identification number | X51341 | Number of Individuals Covered | 52 | Insurance policy start date | 2002-01-01 | Insurance policy end date | 2002-12-31 | Total amount of commissions paid to insurance broker | USD $5,448 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,448 | Insurance broker organization code? | 3 | Insurance broker name | JIM EDWARDS WESTERN STATES HELENA |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 12156596 |
Policy instance | 4 |
Insurance contract or identification number | 12156596 | Number of Individuals Covered | 1353 | Insurance policy start date | 2002-01-01 | Insurance policy end date | 2002-12-31 | Total amount of commissions paid to insurance broker | USD $2,353 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,353 | Insurance broker organization code? | 3 | Insurance broker name | WESTERN STATES INSURANCE AGENCY |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50840 |
Policy instance | 3 |
Insurance contract or identification number | X50840 | Number of Individuals Covered | 253 | Insurance policy start date | 2002-01-01 | Insurance policy end date | 2002-12-31 | Total amount of commissions paid to insurance broker | USD $24,425 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $24,425 | Insurance broker organization code? | 3 | Insurance broker name | JIM EDWARDS WESTERN STATES HELENA |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 565550 |
Policy instance | 2 |
Insurance contract or identification number | 565550 | Number of Individuals Covered | 1312 | Insurance policy start date | 2002-01-01 | Insurance policy end date | 2002-12-31 | Total amount of commissions paid to insurance broker | USD $10,916 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $109,157 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,916 | Insurance broker organization code? | 3 | Insurance broker name | WESTERN STATES INSURANCE AGENCY |
|
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 ) |
Policy contract number | X50833 |
Policy instance | 1 |
Insurance contract or identification number | X50833 | Number of Individuals Covered | 1051 | Insurance policy start date | 2002-01-01 | Insurance policy end date | 2002-12-31 | Total amount of commissions paid to insurance broker | USD $102,191 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $102,191 | Insurance broker organization code? | 3 | Insurance broker name | JIM EDWARDS WESTERN STATES HELENA |
|