Logo

STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 401k Plan overview

Plan NameSTATE BANKERS ASSOCIATION GROUP BENEFITS TRUST
Plan identification number 501

STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Supplemental unemployment
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST has sponsored the creation of one or more 401k plans.

Company Name:STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST
Employer identification number (EIN):810444769
NAIC Classification:525920
NAIC Description:Trusts, Estates, and Agency Accounts

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01
5012019-01-01
5012018-01-01
5012017-01-01STEVE TURKIEWICZ
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01STEVE TURKIEWICZ2015-10-14 STEVE TURKIEWICZ2015-10-14
5012013-01-01STEVE TURKIEWICZ2014-04-04 STEVE TURKIEWICZ2014-04-04
5012012-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012011-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012010-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012009-01-01RYAN KETTEL RYAN KETTEL2013-12-09
5012009-01-01STEVE TURKIEWICZ STEVE TURKIEWICZ2010-10-14
5012008-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012007-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012006-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012005-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012004-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012003-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28
5012002-01-01STEVE TURKIEWICZ2013-10-28 STEVE TURKIEWICZ2013-10-28

Plan Statistics for 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 membership
Total participants, beginning-of-year2019-01-01817
Total number of active participants reported on line 7a of the Form 55002019-01-01817
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01817
2018: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01817
Total number of active participants reported on line 7a of the Form 55002018-01-01817
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01817
2017: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01826
Total number of active participants reported on line 7a of the Form 55002017-01-01817
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-019
Total of all active and inactive participants2017-01-01826
2016: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-011,316
Total number of active participants reported on line 7a of the Form 55002016-01-01817
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-019
Total of all active and inactive participants2016-01-01826
2015: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-011,846
Total number of active participants reported on line 7a of the Form 55002015-01-011,296
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0120
Total of all active and inactive participants2015-01-011,316
2014: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-011,484
Total number of active participants reported on line 7a of the Form 55002014-01-011,821
Number of retired or separated participants receiving benefits2014-01-0125
Total of all active and inactive participants2014-01-011,846
2013: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-011,520
Total number of active participants reported on line 7a of the Form 55002013-01-011,452
Number of retired or separated participants receiving benefits2013-01-0132
Total of all active and inactive participants2013-01-011,484
2012: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-011,711
Total number of active participants reported on line 7a of the Form 55002012-01-011,486
Number of retired or separated participants receiving benefits2012-01-0134
Total of all active and inactive participants2012-01-011,520
2011: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011,730
Total number of active participants reported on line 7a of the Form 55002011-01-011,666
Number of retired or separated participants receiving benefits2011-01-0145
Total of all active and inactive participants2011-01-011,711
2010: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-011,751
Total number of active participants reported on line 7a of the Form 55002010-01-011,699
Number of retired or separated participants receiving benefits2010-01-0131
Total of all active and inactive participants2010-01-011,730
2009: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-011,940
Total number of active participants reported on line 7a of the Form 55002009-01-011,717
Number of retired or separated participants receiving benefits2009-01-0134
Total of all active and inactive participants2009-01-011,751
2008: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2008 401k membership
Total participants, beginning-of-year2008-01-011,909
Total number of active participants reported on line 7a of the Form 55002008-01-011,940
Number of retired or separated participants receiving benefits2008-01-010
Total of all active and inactive participants2008-01-011,940
2007: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2007 401k membership
Total participants, beginning-of-year2007-01-012,121
Total number of active participants reported on line 7a of the Form 55002007-01-011,909
Number of retired or separated participants receiving benefits2007-01-010
Total of all active and inactive participants2007-01-011,909
2006: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2006 401k membership
Total participants, beginning-of-year2006-01-011,874
Total number of active participants reported on line 7a of the Form 55002006-01-012,083
Number of retired or separated participants receiving benefits2006-01-0138
Total of all active and inactive participants2006-01-012,121
2005: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2005 401k membership
Total participants, beginning-of-year2005-01-011,761
Total number of active participants reported on line 7a of the Form 55002005-01-011,833
Number of retired or separated participants receiving benefits2005-01-0141
Total of all active and inactive participants2005-01-011,874
2004: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2004 401k membership
Total participants, beginning-of-year2004-01-011,620
Total number of active participants reported on line 7a of the Form 55002004-01-011,677
Number of retired or separated participants receiving benefits2004-01-0142
Number of other retired or separated participants entitled to future benefits2004-01-0142
Total of all active and inactive participants2004-01-011,761
2003: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2003 401k membership
Total participants, beginning-of-year2003-01-011,389
Total number of active participants reported on line 7a of the Form 55002003-01-011,579
Number of retired or separated participants receiving benefits2003-01-0141
Total of all active and inactive participants2003-01-011,620
2002: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2002 401k membership
Total participants, beginning-of-year2002-01-011,077
Total number of active participants reported on line 7a of the Form 55002002-01-011,351
Number of retired or separated participants receiving benefits2002-01-0138
Total of all active and inactive participants2002-01-011,389

Financial Data on 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 assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$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 assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$0
Total of all expenses incurred2019-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$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 year2019-12-31$91,136
Value of total assets at end of year2019-12-31$91,136
Value of total assets at beginning of year2019-12-31$108,646
Value of total assets at beginning of year2019-12-31$108,646
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total interest from all sources2019-12-31$0
Total interest from all sources2019-12-31$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 year2019-12-31Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
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 year2019-12-31$15,651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$15,651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$33,161
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$33,161
Total non interest bearing cash at end of year2019-12-31$91,136
Total non interest bearing cash at end of year2019-12-31$91,136
Total non interest bearing cash at beginning of year2019-12-31$108,646
Total non interest bearing cash at beginning of year2019-12-31$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 appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$0
Value of net income/loss2019-12-31$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)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31WIPFLI, LLP
Accountancy firm name2019-12-31WIPFLI, LLP
Accountancy firm EIN2019-12-31390758449
Accountancy firm EIN2019-12-31390758449
2018 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$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 assets2018-12-31$0
Total of all expenses incurred2018-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$0
Value of total assets at end of year2018-12-31$108,646
Value of total assets at beginning of year2018-12-31$129,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$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 year2018-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$33,161
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$54,272
Total non interest bearing cash at end of year2018-12-31$108,646
Total non interest bearing cash at beginning of year2018-12-31$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 appraiser2018-12-31No
Value of net income/loss2018-12-31$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)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WIPFLI, LLP
Accountancy firm EIN2018-12-31390758449
2017 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$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 assets2017-12-31$0
Total of all expenses incurred2017-12-31$21,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$578,054
Value of total assets at end of year2017-12-31$129,757
Value of total assets at beginning of year2017-12-31$1,630,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$21,852
Total interest from all sources2017-12-31$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 year2017-12-31No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$21,550
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
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 year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$33,345
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$26,608
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$232,062
Administrative expenses (other) incurred2017-12-31$302
Total non interest bearing cash at end of year2017-12-31$129,757
Total non interest bearing cash at beginning of year2017-12-31$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 appraiser2017-12-31No
Value of net income/loss2017-12-31$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)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$512,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$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 benefits2017-12-31$27,724
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$1,851,741
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WIPFLI, LLP
Accountancy firm EIN2017-12-31390758449
2016 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$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 assets2016-12-31$0
Total of all expenses incurred2016-12-31$12,266,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$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 year2016-12-31$1,630,048
Value of total assets at beginning of year2016-12-31$1,973,574
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,320,873
Total interest from all sources2016-12-31$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 year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$333,602
Was this plan covered by a fidelity bond2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$33,345
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$251,221
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$232,062
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$132,176
Administrative expenses (other) incurred2016-12-31$583,271
Total non interest bearing cash at end of year2016-12-31$1,084,428
Total non interest bearing cash at beginning of year2016-12-31$167,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-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)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$512,275
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,554,683
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$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 benefits2016-12-31$10,945,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$12,141,697
Contract administrator fees2016-12-31$404,000
Liabilities. Value of benefit claims payable at end of year2016-12-31$1,851,741
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$2,176,953
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WIPFLI, LLP
Accountancy firm EIN2016-12-31390758449
2015 : STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$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 assets2015-12-31$0
Total of all expenses incurred2015-12-31$15,501,083
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$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 year2015-12-31$1,973,574
Value of total assets at beginning of year2015-12-31$3,593,951
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,571,232
Total interest from all sources2015-12-31$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 year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$351,878
Was this plan covered by a fidelity bond2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$251,221
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$336,492
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$132,176
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$225,162
Administrative expenses (other) incurred2015-12-31$703,354
Total non interest bearing cash at end of year2015-12-31$167,670
Total non interest bearing cash at beginning of year2015-12-31$1,189,108
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-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)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,554,683
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,068,351
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$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 benefits2015-12-31$13,929,851
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$13,376,593
Contract administrator fees2015-12-31$516,000
Liabilities. Value of benefit claims payable at end of year2015-12-31$2,176,953
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,588,420
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31WIPFLI, LLP
Accountancy firm EIN2015-12-31390758449
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 incurred2014-12-31$15,790,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$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 year2014-12-31$3,593,951
Value of total assets at beginning of year2014-12-31$4,974,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,655,345
Total interest from all sources2014-12-31$12,709
Administrative expenses professional fees incurred2014-12-31$340,629
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$336,492
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$346,825
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$225,162
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$29,797
Administrative expenses (other) incurred2014-12-31$798,716
Total non interest bearing cash at end of year2014-12-31$1,189,108
Total non interest bearing cash at beginning of year2014-12-31$399,353
Value of net income/loss2014-12-31$-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 default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,068,351
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$4,228,220
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$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 benefits2014-12-31$14,135,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$14,078,619
Contract administrator fees2014-12-31$516,000
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,588,420
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,464,641
Did the plan have assets held for investment2014-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31WIPFLI, LLP
Accountancy firm EIN2014-12-31390758449
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 incurred2013-12-31$15,033,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$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 year2013-12-31$4,974,398
Value of total assets at beginning of year2013-12-31$6,021,986
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,749,662
Total interest from all sources2013-12-31$19,816
Administrative expenses professional fees incurred2013-12-31$398,088
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$346,825
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$619,528
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$29,797
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$52,695
Administrative expenses (other) incurred2013-12-31$835,574
Total non interest bearing cash at end of year2013-12-31$399,353
Total non interest bearing cash at beginning of year2013-12-31$1,193,678
Value of net income/loss2013-12-31$-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 default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$4,228,220
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$4,208,780
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$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 benefits2013-12-31$13,283,771
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$13,882,133
Contract administrator fees2013-12-31$516,000
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,464,641
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,357,847
Did the plan have assets held for investment2013-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31GALUSHA, HIGGINS & GALUSHA, P.C.
Accountancy firm EIN2013-12-31810272932
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 incurred2012-12-31$14,028,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$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 year2012-12-31$6,021,986
Value of total assets at beginning of year2012-12-31$5,843,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,486,108
Total interest from all sources2012-12-31$18,357
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$414,761
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$619,528
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$143,856
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$52,695
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$35,215
Administrative expenses (other) incurred2012-12-31$555,347
Total non interest bearing cash at end of year2012-12-31$1,193,678
Total non interest bearing cash at beginning of year2012-12-31$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 appraiser2012-12-31No
Value of net income/loss2012-12-31$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)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$4,208,780
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$4,184,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$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 benefits2012-12-31$12,542,390
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$14,170,035
Contract administrator fees2012-12-31$516,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,357,847
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,356,908
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31GALUSHA, HIGGINS & GALUSHA, P.C.
Accountancy firm EIN2012-12-31810272932
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 incurred2011-12-31$15,431,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$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 year2011-12-31$5,843,673
Value of total assets at beginning of year2011-12-31$5,945,222
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,187,310
Total interest from all sources2011-12-31$51,776
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$248,436
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$83,714
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$143,856
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$12,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$35,215
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$1,009,252
Other income not declared elsewhere2011-12-31$222,756
Administrative expenses (other) incurred2011-12-31$422,874
Total non interest bearing cash at end of year2011-12-31$1,515,604
Total non interest bearing cash at beginning of year2011-12-31$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 appraiser2011-12-31No
Value of net income/loss2011-12-31$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)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$4,184,213
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$4,220,014
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$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 benefits2011-12-31$14,244,488
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$15,570,124
Contract administrator fees2011-12-31$516,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,356,908
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$897,278
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31GALUSHA, HIGGINS & GALUSHA, PC
Accountancy firm EIN2011-12-31810272932
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 incurred2010-12-31$14,684,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$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 year2010-12-31$5,945,222
Value of total assets at beginning of year2010-12-31$6,662,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$956,732
Total interest from all sources2010-12-31$57,879
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$196,703
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Assets. Other investments not covered elsewhere at end of year2010-12-31$83,714
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$12,121
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$40,191
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,009,252
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$1,647,718
Administrative expenses (other) incurred2010-12-31$280,029
Total non interest bearing cash at end of year2010-12-31$1,629,373
Total non interest bearing cash at beginning of year2010-12-31$2,568,321
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-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)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$4,220,014
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$4,053,518
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$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 benefits2010-12-31$13,727,931
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$14,626,706
Contract administrator fees2010-12-31$480,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$897,278
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$975,542
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31GALUSHA, HIGGINS & GALUSHA, PC
Accountancy firm EIN2010-12-31810272932
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 incurred2008-12-31$15,054,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2008-12-31$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 year2008-12-31$6,805,980
Value of total assets at beginning of year2008-12-31$6,310,454
Total of administrative expenses incurred including professional, contract, advisory and management fees2008-12-31$805,995
Total interest from all sources2008-12-31$134,765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2008-12-31No
Administrative expenses professional fees incurred2008-12-31$188,688
Was this plan covered by a fidelity bond2008-12-31Yes
Value of fidelity bond cover2008-12-31$500,000
If this is an individual account plan, was there a blackout period2008-12-31No
Were there any nonexempt tranactions with any party-in-interest2008-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2008-12-31$33,273
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2008-12-31$104,943
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2008-12-31$1,501,531
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2008-12-31$1,292,652
Other income not declared elsewhere2008-12-31$1,376
Administrative expenses (other) incurred2008-12-31$167,867
Total non interest bearing cash at end of year2008-12-31$4,927,976
Total non interest bearing cash at beginning of year2008-12-31$3,660,823
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2008-12-31No
Value of net income/loss2008-12-31$-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)2008-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2008-12-31No
Were any leases to which the plan was party in default or uncollectible2008-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2008-12-31$1,844,731
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2008-12-31$2,544,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2008-12-31$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 benefits2008-12-31$14,248,740
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2008-12-31No
Was there a failure to transmit to the plan any participant contributions2008-12-31Yes
Has the plan failed to provide any benefit when due under the plan2008-12-31No
Contributions received in cash from employer2008-12-31$14,901,621
Contract administrator fees2008-12-31$449,440
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32008-12-31No
Liabilities. Value of benefit claims payable at end of year2008-12-31$1,350,585
Liabilities. Value of benefit claims payable at beginning of year2008-12-31$1,046,965
Did the plan have assets held for investment2008-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2008-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2008-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2008-12-31No
Opinion of an independent qualified public accountant for this plan2008-12-31Unqualified
Accountancy firm name2008-12-31JCCS, PC
Accountancy firm EIN2008-12-31810348775
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 incurred2007-12-31$13,097,335
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2007-12-31$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 year2007-12-31$6,310,454
Value of total assets at beginning of year2007-12-31$4,579,888
Total of administrative expenses incurred including professional, contract, advisory and management fees2007-12-31$688,926
Total interest from all sources2007-12-31$253,839
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2007-12-31No
Administrative expenses professional fees incurred2007-12-31$176,880
Was this plan covered by a fidelity bond2007-12-31Yes
Value of fidelity bond cover2007-12-31$500,000
If this is an individual account plan, was there a blackout period2007-12-31No
Were there any nonexempt tranactions with any party-in-interest2007-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2007-12-31$104,943
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2007-12-31$41,548
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2007-12-31$1,292,652
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2007-12-31$917,081
Other income not declared elsewhere2007-12-31$937
Administrative expenses (other) incurred2007-12-31$79,611
Total non interest bearing cash at end of year2007-12-31$3,660,823
Total non interest bearing cash at beginning of year2007-12-31$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 appraiser2007-12-31No
Value of net income/loss2007-12-31$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)2007-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2007-12-31No
Were any leases to which the plan was party in default or uncollectible2007-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2007-12-31$2,544,688
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2007-12-31$2,443,624
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2007-12-31$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 benefits2007-12-31$12,408,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2007-12-31No
Was there a failure to transmit to the plan any participant contributions2007-12-31No
Has the plan failed to provide any benefit when due under the plan2007-12-31No
Contributions received in cash from employer2007-12-31$14,313,132
Contract administrator fees2007-12-31$432,435
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32007-12-31No
Liabilities. Value of benefit claims payable at end of year2007-12-31$1,046,965
Liabilities. Value of benefit claims payable at beginning of year2007-12-31$1,162,543
Did the plan have assets held for investment2007-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2007-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2007-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2007-12-31No
Opinion of an independent qualified public accountant for this plan2007-12-31Unqualified
Accountancy firm name2007-12-31JCCS, PC
Accountancy firm EIN2007-12-31810348775
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 incurred2006-12-31$12,690,043
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2006-12-31$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 year2006-12-31$4,579,888
Value of total assets at beginning of year2006-12-31$4,258,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2006-12-31$668,438
Total interest from all sources2006-12-31$166,838
Administrative expenses professional fees incurred2006-12-31$182,275
Was this plan covered by a fidelity bond2006-12-31Yes
Value of fidelity bond cover2006-12-31$500,000
If this is an individual account plan, was there a blackout period2006-12-31No
Were there any nonexempt tranactions with any party-in-interest2006-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2006-12-31$41,548
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2006-12-31$14,199
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2006-12-31$917,081
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2006-12-31$1,247,281
Administrative expenses (other) incurred2006-12-31$123,199
Total non interest bearing cash at end of year2006-12-31$2,094,716
Total non interest bearing cash at beginning of year2006-12-31$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 appraiser2006-12-31No
Value of net income/loss2006-12-31$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)2006-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2006-12-31No
Were any leases to which the plan was party in default or uncollectible2006-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2006-12-31$2,443,624
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2006-12-31$3,865,104
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2006-12-31$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 benefits2006-12-31$12,021,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2006-12-31No
Was there a failure to transmit to the plan any participant contributions2006-12-31No
Has the plan failed to provide any benefit when due under the plan2006-12-31No
Contributions received in cash from employer2006-12-31$13,094,937
Contract administrator fees2006-12-31$362,964
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32006-12-31No
Liabilities. Value of benefit claims payable at end of year2006-12-31$1,162,543
Liabilities. Value of benefit claims payable at beginning of year2006-12-31$1,082,876
Did the plan have assets held for investment2006-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2006-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2006-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2006-12-31No
Opinion of an independent qualified public accountant for this plan2006-12-31Unqualified
Accountancy firm name2006-12-31JCCS, PC
Accountancy firm EIN2006-12-31810348775
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 incurred2005-12-31$10,608,983
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2005-12-31$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 year2005-12-31$4,235,711
Value of total assets at beginning of year2005-12-31$4,080,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2005-12-31$603,410
Total interest from all sources2005-12-31$99,491
Administrative expenses professional fees incurred2005-12-31$175,614
Was this plan covered by a fidelity bond2005-12-31Yes
Value of fidelity bond cover2005-12-31$500,000
If this is an individual account plan, was there a blackout period2005-12-31No
Were there any nonexempt tranactions with any party-in-interest2005-12-31No
Assets. Other investments not covered elsewhere at end of year2005-12-31$-22,874
Assets. Other investments not covered elsewhere at beginning of year2005-12-31$18,711
Value of other receiveables (less allowance for doubtful accounts) at end of year2005-12-31$14,095
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2005-12-31$2,533
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2005-12-31$1,224,303
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2005-12-31$1,206,823
Administrative expenses (other) incurred2005-12-31$84,332
Total non interest bearing cash at end of year2005-12-31$379,386
Total non interest bearing cash at beginning of year2005-12-31$290,466
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2005-12-31No
Value of net income/loss2005-12-31$-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)2005-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2005-12-31No
Were any leases to which the plan was party in default or uncollectible2005-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2005-12-31$3,865,104
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2005-12-31$3,768,602
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2005-12-31$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 benefits2005-12-31$10,005,573
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2005-12-31No
Was there a failure to transmit to the plan any participant contributions2005-12-31No
Has the plan failed to provide any benefit when due under the plan2005-12-31No
Contributions received in cash from employer2005-12-31$10,276,725
Contract administrator fees2005-12-31$343,464
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32005-12-31No
Liabilities. Value of benefit claims payable at end of year2005-12-31$1,082,876
Liabilities. Value of benefit claims payable at beginning of year2005-12-31$712,190
Did the plan have assets held for investment2005-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2005-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2005-12-31No
Opinion of an independent qualified public accountant for this plan2005-12-31Unqualified
Accountancy firm name2005-12-31ANDERSON ZURMUEHLEN & CO., P.C.
Accountancy firm EIN2005-12-31810385940
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 incurred2004-12-31$10,351,261
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2004-12-31$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 year2004-12-31$4,080,312
Value of total assets at beginning of year2004-12-31$3,512,481
Total of administrative expenses incurred including professional, contract, advisory and management fees2004-12-31$550,008
Total interest from all sources2004-12-31$44,327
Administrative expenses professional fees incurred2004-12-31$189,563
Was this plan covered by a fidelity bond2004-12-31Yes
Value of fidelity bond cover2004-12-31$500,000
If this is an individual account plan, was there a blackout period2004-12-31No
Were there any nonexempt tranactions with any party-in-interest2004-12-31No
Assets. Other investments not covered elsewhere at end of year2004-12-31$18,711
Assets. Other investments not covered elsewhere at beginning of year2004-12-31$2,452
Value of other receiveables (less allowance for doubtful accounts) at end of year2004-12-31$2,533
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2004-12-31$7,202
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2004-12-31$1,206,823
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2004-12-31$814,792
Administrative expenses (other) incurred2004-12-31$37,014
Total non interest bearing cash at end of year2004-12-31$290,466
Total non interest bearing cash at beginning of year2004-12-31$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 appraiser2004-12-31No
Value of net income/loss2004-12-31$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)2004-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2004-12-31No
Were any leases to which the plan was party in default or uncollectible2004-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2004-12-31$3,768,602
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2004-12-31$3,256,331
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2004-12-31$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 benefits2004-12-31$9,801,253
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2004-12-31No
Was there a failure to transmit to the plan any participant contributions2004-12-31No
Has the plan failed to provide any benefit when due under the plan2004-12-31No
Contributions received in cash from employer2004-12-31$10,413,641
Contract administrator fees2004-12-31$323,431
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32004-12-31No
Liabilities. Value of benefit claims payable at end of year2004-12-31$712,190
Liabilities. Value of benefit claims payable at beginning of year2004-12-31$643,097
Did the plan have assets held for investment2004-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2004-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2004-12-31No
Opinion of an independent qualified public accountant for this plan2004-12-31Unqualified
Accountancy firm name2004-12-31ANDERSON ZURMUEHLEN & CO., P.C.
Accountancy firm EIN2004-12-31810385940
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 incurred2003-12-31$8,558,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2003-12-31$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 year2003-12-31$3,512,481
Value of total assets at beginning of year2003-12-31$3,096,407
Total of administrative expenses incurred including professional, contract, advisory and management fees2003-12-31$350,491
Total interest from all sources2003-12-31$56,564
Administrative expenses professional fees incurred2003-12-31$36,804
Was this plan covered by a fidelity bond2003-12-31Yes
Value of fidelity bond cover2003-12-31$500,000
If this is an individual account plan, was there a blackout period2003-12-31No
Were there any nonexempt tranactions with any party-in-interest2003-12-31No
Assets. Other investments not covered elsewhere at end of year2003-12-31$2,452
Assets. Other investments not covered elsewhere at beginning of year2003-12-31$7,851
Value of other receiveables (less allowance for doubtful accounts) at end of year2003-12-31$7,202
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2003-12-31$27,932
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2003-12-31$814,792
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2003-12-31$958,019
Administrative expenses (other) incurred2003-12-31$41,525
Total non interest bearing cash at end of year2003-12-31$246,496
Total non interest bearing cash at beginning of year2003-12-31$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 appraiser2003-12-31No
Value of net income/loss2003-12-31$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)2003-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2003-12-31No
Were any leases to which the plan was party in default or uncollectible2003-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2003-12-31$3,256,331
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2003-12-31$3,043,831
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2003-12-31$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 benefits2003-12-31$8,207,995
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2003-12-31No
Was there a failure to transmit to the plan any participant contributions2003-12-31No
Has the plan failed to provide any benefit when due under the plan2003-12-31No
Contributions received in cash from employer2003-12-31$8,902,316
Contract administrator fees2003-12-31$272,162
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32003-12-31No
Liabilities. Value of benefit claims payable at end of year2003-12-31$643,097
Liabilities. Value of benefit claims payable at beginning of year2003-12-31$484,190
Did the plan have assets held for investment2003-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2003-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2003-12-31No
Opinion of an independent qualified public accountant for this plan2003-12-31Unqualified
Accountancy firm name2003-12-31ANDERSON ZURMUEHLEN & CO., P.C.
Accountancy firm EIN2003-12-31810385940
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 incurred2002-12-31$6,827,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2002-12-31$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 year2002-12-31$3,096,407
Value of total assets at beginning of year2002-12-31$2,456,504
Total of administrative expenses incurred including professional, contract, advisory and management fees2002-12-31$272,682
Total interest from all sources2002-12-31$53,551
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2002-12-31No
Administrative expenses professional fees incurred2002-12-31$12,380
Was this plan covered by a fidelity bond2002-12-31Yes
Value of fidelity bond cover2002-12-31$500,000
If this is an individual account plan, was there a blackout period2002-12-31No
Were there any nonexempt tranactions with any party-in-interest2002-12-31No
Participant contributions at end of year2002-12-31$0
Participant contributions at beginning of year2002-12-31$557
Assets. Other investments not covered elsewhere at end of year2002-12-31$7,851
Assets. Other investments not covered elsewhere at beginning of year2002-12-31$17,769
Value of other receiveables (less allowance for doubtful accounts) at end of year2002-12-31$27,932
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2002-12-31$12,638
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2002-12-31$958,019
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2002-12-31$817,195
Administrative expenses (other) incurred2002-12-31$38,489
Total non interest bearing cash at end of year2002-12-31$16,793
Total non interest bearing cash at beginning of year2002-12-31$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 appraiser2002-12-31No
Value of net income/loss2002-12-31$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)2002-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2002-12-31No
Were any leases to which the plan was party in default or uncollectible2002-12-31No
Investment advisory and management fees2002-12-31$2,446
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2002-12-31$3,043,831
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2002-12-31$2,415,517
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2002-12-31$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 benefits2002-12-31$6,554,732
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2002-12-31No
Was there a failure to transmit to the plan any participant contributions2002-12-31No
Has the plan failed to provide any benefit when due under the plan2002-12-31No
Contributions received in cash from employer2002-12-31$7,189,733
Contract administrator fees2002-12-31$219,367
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32002-12-31No
Liabilities. Value of benefit claims payable at end of year2002-12-31$484,190
Liabilities. Value of benefit claims payable at beginning of year2002-12-31$400,981
Did the plan have assets held for investment2002-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2002-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2002-12-31No
Opinion of an independent qualified public accountant for this plan2002-12-31Unqualified
Accountancy firm name2002-12-31ANDERSON ZURMUEHLEN & CO., P.C.
Accountancy firm EIN2002-12-31810385940

Form 5500 Responses for STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST

2019: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2019 form 5500 responses
2019-01-01Type of plan entityDFE (Diect Filing Entity)
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2018 form 5500 responses
2018-01-01Type of plan entityDFE (Diect Filing Entity)
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2017 form 5500 responses
2017-01-01Type of plan entityDFE (Diect Filing Entity)
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2016 form 5500 responses
2016-01-01Type of plan entityDFE (Diect Filing Entity)
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2015 form 5500 responses
2015-01-01Type of plan entityDFE (Diect Filing Entity)
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2014 form 5500 responses
2014-01-01Type of plan entityDFE (Diect Filing Entity)
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2013 form 5500 responses
2013-01-01Type of plan entityDFE (Diect Filing Entity)
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2012 form 5500 responses
2012-01-01Type of plan entityDFE (Diect Filing Entity)
2012-01-01Submission has been amendedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2011 form 5500 responses
2011-01-01Type of plan entityDFE (Diect Filing Entity)
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2010 form 5500 responses
2010-01-01Type of plan entityDFE (Diect Filing Entity)
2010-01-01Submission has been amendedYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2009 form 5500 responses
2009-01-01Type of plan entityDFE (Diect Filing Entity)
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2008: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2008 form 5500 responses
2008-01-01Type of plan entityDFE (Diect Filing Entity)
2008-01-01Submission has been amendedYes
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement – InsuranceYes
2007: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2007 form 5500 responses
2007-01-01Type of plan entityDFE (Diect Filing Entity)
2007-01-01Submission has been amendedYes
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement – InsuranceYes
2006: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2006 form 5500 responses
2006-01-01Type of plan entityDFE (Diect Filing Entity)
2006-01-01Submission has been amendedYes
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan funding arrangement – TrustYes
2006-01-01Plan benefit arrangement – InsuranceYes
2005: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2005 form 5500 responses
2005-01-01Type of plan entityDFE (Diect Filing Entity)
2005-01-01Submission has been amendedYes
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan funding arrangement – TrustYes
2005-01-01Plan benefit arrangement – InsuranceYes
2004: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2004 form 5500 responses
2004-01-01Type of plan entityDFE (Diect Filing Entity)
2004-01-01Submission has been amendedYes
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan funding arrangement – TrustYes
2004-01-01Plan benefit arrangement – InsuranceYes
2003: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2003 form 5500 responses
2003-01-01Type of plan entityDFE (Diect Filing Entity)
2003-01-01Submission has been amendedYes
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan funding arrangement – TrustYes
2003-01-01Plan benefit arrangement – InsuranceYes
2002: STATE BANKERS ASSOCIATION GROUP BENEFITS TRUST 2002 form 5500 responses
2002-01-01Type of plan entityDFE (Diect Filing Entity)
2002-01-01Submission has been amendedYes
2002-01-01Plan funding arrangement – InsuranceYes
2002-01-01Plan funding arrangement – TrustYes
2002-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number565550
Policy instance 1
Insurance contract or identification number565550
Number of Individuals Covered215
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,334
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedFLEX 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 CarrierUSD $13,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,334
Amount paid for insurance broker fees100
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number226085
Policy instance 1
Insurance contract or identification number226085
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $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 number30052607
Policy instance 2
Insurance contract or identification number30052607
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $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 numberMLI8069
Policy instance 4
Insurance contract or identification numberMLI8069
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $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 numberS116
Policy instance 5
Insurance contract or identification numberS116
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $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 number15015291
Policy instance 6
Insurance contract or identification number15015291
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMATERNITY 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 CarrierUSD $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 number602304
Policy instance 7
Insurance contract or identification number602304
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $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 number602254
Policy instance 8
Insurance contract or identification number602254
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedSTD
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 CarrierUSD $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 number565550
Policy instance 3
Insurance contract or identification number565550
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedFLEX 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 CarrierUSD $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 number565550
Policy instance 1
Insurance contract or identification number565550
Number of Individuals Covered1194
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $756
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedFLEX 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 CarrierUSD $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 number602254
Policy instance 8
Insurance contract or identification number602254
Number of Individuals Covered55
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedSTD
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 CarrierUSD $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 number226085
Policy instance 1
Insurance contract or identification number226085
Number of Individuals Covered1206
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $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 number565550
Policy instance 3
Insurance contract or identification number565550
Number of Individuals Covered1187
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $12,962
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedFLEX 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 CarrierUSD $116,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,962
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number602304
Policy instance 7
Insurance contract or identification number602304
Number of Individuals Covered42
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $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 number15015291
Policy instance 6
Insurance contract or identification number15015291
Number of Individuals Covered2000
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMATERNITY 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 CarrierUSD $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 numberS116
Policy instance 5
Insurance contract or identification numberS116
Number of Individuals Covered1299
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $12,799
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $327,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,799
Insurance broker organization code?3
Insurance broker nameLEAVITT GREAT WEST INSURANCE SERVIC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI8069
Policy instance 4
Insurance contract or identification numberMLI8069
Number of Individuals Covered8
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,028
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $6,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,028
Insurance broker organization code?5
Insurance broker namePEAK 1 ADMINISTRATION
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number0314-2118
Policy instance 2
Insurance contract or identification number0314-2118
Number of Individuals Covered1214
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $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 number0125-2172
Policy instance 8
Insurance contract or identification number0125-2172
Number of Individuals Covered7
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $480
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $240
Insurance broker organization code?3
Insurance broker namePEAK 1 ADMINISTRATION
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number226085
Policy instance 1
Insurance contract or identification number226085
Number of Individuals Covered1375
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $64,507
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $561,554
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,712
Insurance broker organization code?3
Insurance broker nameUNITED BENEFIT ADVISORS NORTHWEST
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number0125-2040
Policy instance 7
Insurance contract or identification number0125-2040
Number of Individuals Covered10
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,521
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,133
Insurance broker organization code?3
Insurance broker nameJIM EDWARDS, LEAVITT GREAT WEST
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1009493
Policy instance 6
Insurance contract or identification number1009493
Number of Individuals Covered17
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $421
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $421
Insurance broker organization code?3
Insurance broker nameJAMES MICHAEL EDWARDS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI8069
Policy instance 5
Insurance contract or identification numberMLI8069
Number of Individuals Covered11
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,076
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,076
Insurance broker organization code?5
Insurance broker namePEAK 1 ADMINISTRATION
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12193879-HB0069
Policy instance 4
Insurance contract or identification number12193879-HB0069
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $285
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $212
Insurance broker organization code?3
Insurance broker nameJIM EDWARDS, LEAVITT GREAT WEST
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number0314-2118
Policy instance 2
Insurance contract or identification number0314-2118
Number of Individuals Covered1543
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $60,915
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $54,726
Insurance broker organization code?3
Insurance broker nameJIM EDWARDS, LEAVITT GREAT WEST
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number565550
Policy instance 3
Insurance contract or identification number565550
Number of Individuals Covered1362
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $15,738
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedFLEX ADD & FLEX LIFE
Welfare Benefit Premiums Paid to CarrierUSD $170,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,738
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number226085
Policy instance 1
Insurance contract or identification number226085
Number of Individuals Covered1533
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $38,284
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $634,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,370
Insurance broker organization code?3
Insurance broker nameUNITED BENEFIT ADVISORS NORTHWEST
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract numberCAPITALWESTBANK
Policy instance 7
Insurance contract or identification numberCAPITALWESTBANK
Number of Individuals Covered12
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $749
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $749
Insurance broker organization code?3
Insurance broker nameJIM EDWARDS, MOUNTAIN WEST BENEFITS
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1009493
Policy instance 6
Insurance contract or identification number1009493
Number of Individuals Covered20
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $501
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $501
Insurance broker organization code?3
Insurance broker nameJAMES MICHAEL EDWARDS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI8069
Policy instance 5
Insurance contract or identification numberMLI8069
Number of Individuals Covered9
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,039
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $621
Insurance broker organization code?5
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12193879-HB0069
Policy instance 4
Insurance contract or identification number12193879-HB0069
Number of Individuals Covered5
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $284
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $284
Insurance broker organization code?3
Insurance broker nameJIM EDWARDS, MOUNTAIN WEST BENEFITS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number565550
Policy instance 3
Insurance contract or identification number565550
Number of Individuals Covered1458
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $19,741
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedFLEX ADD & FLEX LIFE
Welfare Benefit Premiums Paid to CarrierUSD $160,449
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,741
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12193879-HB0076
Policy instance 2
Insurance contract or identification number12193879-HB0076
Number of Individuals Covered1525
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $10,035
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,036
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,035
Insurance broker nameJIM EDWARDS, MOUNTAIN WEST BENEFITS
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1009493
Policy instance 6
Insurance contract or identification number1009493
Number of Individuals Covered25
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $486
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,823
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $486
Insurance broker organization code?3
Insurance broker nameJAMES MICHAEL EDWARDS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI8069
Policy instance 5
Insurance contract or identification numberMLI8069
Number of Individuals Covered72
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,150
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,150
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12193879-HB0069
Policy instance 4
Insurance contract or identification number12193879-HB0069
Number of Individuals Covered5
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $600
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $450
Insurance broker organization code?5
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number565550
Policy instance 3
Insurance contract or identification number565550
Number of Individuals Covered1480
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $11,288
Total amount of fees paid to insurance companyUSD $847
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedFLEX ADD & FLEX LIFE
Welfare Benefit Premiums Paid to CarrierUSD $136,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,288
Amount paid for insurance broker fees847
Insurance broker organization code?3
Insurance broker nameUNITED BENEFIT ADVISORS, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12193879-HB0076
Policy instance 2
Insurance contract or identification number12193879-HB0076
Number of Individuals Covered1553
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,129
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,129
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number12/023
Policy instance 1
Insurance contract or identification number12/023
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 number565550
Policy instance 4
Insurance contract or identification number565550
Number of Individuals Covered1682
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $16,084
Total amount of fees paid to insurance companyUSD $1,206
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedFLEX ADD & FLEX LIFE
Welfare Benefit Premiums Paid to CarrierUSD $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 numberMLI7337T
Policy instance 2
Insurance contract or identification numberMLI7337T
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,811
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 number1009493
Policy instance 7
Insurance contract or identification number1009493
Number of Individuals Covered16
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $496
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 numberMLI8069
Policy instance 6
Insurance contract or identification numberMLI8069
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,171
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 number12193879-HB0069
Policy instance 5
Insurance contract or identification number12193879-HB0069
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $187
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 number12193879-HB0076
Policy instance 3
Insurance contract or identification number12193879-HB0076
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $7,837
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 number11/636
Policy instance 1
Insurance contract or identification number11/636
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 number15015291
Policy instance 6
Insurance contract or identification number15015291
Number of Individuals Covered2000
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedMATERNITY ASSISTANCE
Welfare Benefit Premiums Paid to CarrierUSD $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 numberRUBY VALLEY
Policy instance 8
Insurance contract or identification numberRUBY VALLEY
Number of Individuals Covered6
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $173
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 numberMLI7337T
Policy instance 4
Insurance contract or identification numberMLI7337T
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,055
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 number27-07625
Policy instance 3
Insurance contract or identification number27-07625
Number of Individuals Covered593
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $41,383
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 numberX50833
Policy instance 2
Insurance contract or identification numberX50833
Number of Individuals Covered1126
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberMLI8069
Policy instance 9
Insurance contract or identification numberMLI8069
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $880
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 number1009493
Policy instance 10
Insurance contract or identification number1009493
Number of Individuals Covered16
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $482
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 number12156596
Policy instance 5
Insurance contract or identification number12156596
Number of Individuals Covered1832
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $10,330
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 numberX50840
Policy instance 1
Insurance contract or identification numberX50840
Number of Individuals Covered574
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 number565550
Policy instance 7
Insurance contract or identification number565550
Number of Individuals Covered1637
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $16,397
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedFLEX ADD & FLEX LIFE
Welfare Benefit Premiums Paid to CarrierUSD $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 number12156596
Policy instance 7
Insurance contract or identification number12156596
Number of Individuals Covered1940
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $11,413
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,413
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI8069
Policy instance 4
Insurance contract or identification numberMLI8069
Number of Individuals Covered9
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $1,058
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,058
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number27-07625
Policy instance 3
Insurance contract or identification number27-07625
Number of Individuals Covered622
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $42,651
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,651
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI7337T
Policy instance 2
Insurance contract or identification numberMLI7337T
Number of Individuals Covered38
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $3,398
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,398
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50833
Policy instance 1
Insurance contract or identification numberX50833
Number of Individuals Covered1350
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $5,657
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,657
Insurance broker organization code?3
Insurance broker namePAYNE FINANCIAL GROUP
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50840
Policy instance 6
Insurance contract or identification numberX50840
Number of Individuals Covered566
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberMLI9238
Policy instance 5
Insurance contract or identification numberMLI9238
Number of Individuals Covered1
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $24
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI7892T
Policy instance 8
Insurance contract or identification numberMLI7892T
Number of Individuals Covered0
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $12
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI7892T
Policy instance 6
Insurance contract or identification numberMLI7892T
Number of Individuals Covered11
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $620
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $620
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI7337T
Policy instance 2
Insurance contract or identification numberMLI7337T
Number of Individuals Covered42
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $3,061
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,061
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50833
Policy instance 1
Insurance contract or identification numberX50833
Number of Individuals Covered1332
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 number565550
Policy instance 3
Insurance contract or identification number565550
Number of Individuals Covered1865
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $17,449
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $194,284
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,449
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number27-07625
Policy instance 4
Insurance contract or identification number27-07625
Number of Individuals Covered673
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $38,932
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,932
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI8069
Policy instance 5
Insurance contract or identification numberMLI8069
Number of Individuals Covered12
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $937
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,139
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $937
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI9238
Policy instance 9
Insurance contract or identification numberMLI9238
Number of Individuals Covered1
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $149
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $149
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12156596
Policy instance 8
Insurance contract or identification number12156596
Number of Individuals Covered1940
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $11,665
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,451
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,665
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50840
Policy instance 7
Insurance contract or identification numberX50840
Number of Individuals Covered578
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberX51341
Policy instance 9
Insurance contract or identification numberX51341
Number of Individuals Covered88
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberMLI9238
Policy instance 10
Insurance contract or identification numberMLI9238
Number of Individuals Covered3
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $168
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,199
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $168
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12156596
Policy instance 8
Insurance contract or identification number12156596
Number of Individuals Covered2093
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $16,483
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,483
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50833
Policy instance 1
Insurance contract or identification numberX50833
Number of Individuals Covered1538
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberMLI7337T
Policy instance 2
Insurance contract or identification numberMLI7337T
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $2,899
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,899
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number56555
Policy instance 3
Insurance contract or identification number56555
Number of Individuals Covered2020
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $18,099
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $192,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,671
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number27-07625
Policy instance 4
Insurance contract or identification number27-07625
Number of Individuals Covered628
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $45,977
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,977
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI8069
Policy instance 5
Insurance contract or identification numberMLI8069
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $1,528
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,528
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMLI7892T
Policy instance 6
Insurance contract or identification numberMLI7892T
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $695
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $695
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50840
Policy instance 7
Insurance contract or identification numberX50840
Number of Individuals Covered565
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberMLI7337T
Policy instance 2
Insurance contract or identification numberMLI7337T
Number of Individuals Covered38
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $2,738
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,139
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,738
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12193879-0049
Policy instance 3
Insurance contract or identification number12193879-0049
Number of Individuals Covered1816
Insurance policy start date2005-04-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
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 number565550
Policy instance 4
Insurance contract or identification number565550
Number of Individuals Covered1778
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $16,513
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $165,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,513
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number27-07625
Policy instance 5
Insurance contract or identification number27-07625
Number of Individuals Covered595
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $31,176
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,176
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberML7892T
Policy instance 6
Insurance contract or identification numberML7892T
Number of Individuals Covered11
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $690
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $690
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12156596
Policy instance 9
Insurance contract or identification number12156596
Number of Individuals Covered0
Insurance policy start date2005-01-01
Insurance policy end date2005-04-01
Total amount of commissions paid to insurance brokerUSD $2,479
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,479
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX51341
Policy instance 10
Insurance contract or identification numberX51341
Number of Individuals Covered71
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberX50833
Policy instance 1
Insurance contract or identification numberX50833
Number of Individuals Covered1255
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberX50840
Policy instance 8
Insurance contract or identification numberX50840
Number of Individuals Covered443
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
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 numberMLI8069
Policy instance 7
Insurance contract or identification numberMLI8069
Number of Individuals Covered31
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $3,098
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,098
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50840
Policy instance 3
Insurance contract or identification numberX50840
Number of Individuals Covered446
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $3,593
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,593
Insurance broker organization code?3
Insurance broker nameJAMES EDWARDS-WESTERN STATES-HELENA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12156596
Policy instance 4
Insurance contract or identification number12156596
Number of Individuals Covered1744
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $8,619
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,619
Insurance broker organization code?3
Insurance broker nameMOUNTAIN WEST BENEFIT SOLUTIONS
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX51341
Policy instance 5
Insurance contract or identification numberX51341
Number of Individuals Covered63
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $486
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $486
Insurance broker organization code?3
Insurance broker nameJAMES EDWARDS-WESTERN STATES-HELENA
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number27-07625
Policy instance 6
Insurance contract or identification number27-07625
Number of Individuals Covered628
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $35,976
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,976
Insurance broker organization code?3
Insurance broker nameINSURANCE COORDINATORS OF MONTANA
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50833
Policy instance 1
Insurance contract or identification numberX50833
Number of Individuals Covered1216
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $24,004
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,004
Insurance broker organization code?3
Insurance broker nameJAMES EDWARDS-WESTERN STATES-HELENA
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number565550
Policy instance 2
Insurance contract or identification number565550
Number of Individuals Covered1680
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $14,823
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $141,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,193
Insurance broker organization code?3
Insurance broker nameWESTERN STATES INSURANCE AGENCY
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number122734
Policy instance 6
Insurance contract or identification number122734
Number of Individuals Covered553
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $44,728
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $372,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,728
Insurance broker organization code?3
Insurance broker nameWESTERN STATES INSURANCE AGENCY
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX51341
Policy instance 5
Insurance contract or identification numberX51341
Number of Individuals Covered59
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $8,603
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,603
Insurance broker organization code?3
Insurance broker nameJAMES EDWARDS-WESTERN STATES-HELENA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12156596
Policy instance 4
Insurance contract or identification number12156596
Number of Individuals Covered1623
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $5,876
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,876
Insurance broker organization code?3
Insurance broker nameWESTERN STATES INSURANCE AGENCY
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50840
Policy instance 3
Insurance contract or identification numberX50840
Number of Individuals Covered330
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $34,562
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,562
Insurance broker organization code?3
Insurance broker nameJAMES EDWARDS-WESTERN STATES-HELENA
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50833
Policy instance 1
Insurance contract or identification numberX50833
Number of Individuals Covered1226
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $123,273
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $123,273
Insurance broker organization code?3
Insurance broker nameJAMES EDWARDS-WESTERN STATES-HELENA
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number565550
Policy instance 2
Insurance contract or identification number565550
Number of Individuals Covered1571
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $16,033
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $160,333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,033
Insurance broker organization code?3
Insurance broker nameWESTERN STATES INSURANCE AGENCY
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number122734
Policy instance 6
Insurance contract or identification number122734
Number of Individuals Covered521
Insurance policy start date2002-01-01
Insurance policy end date2002-12-31
Total amount of commissions paid to insurance brokerUSD $18,644
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $310,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,644
Insurance broker organization code?3
Insurance broker nameWESTERN STATES INSURANCE AGENCY
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX51341
Policy instance 5
Insurance contract or identification numberX51341
Number of Individuals Covered52
Insurance policy start date2002-01-01
Insurance policy end date2002-12-31
Total amount of commissions paid to insurance brokerUSD $5,448
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,448
Insurance broker organization code?3
Insurance broker nameJIM EDWARDS WESTERN STATES HELENA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12156596
Policy instance 4
Insurance contract or identification number12156596
Number of Individuals Covered1353
Insurance policy start date2002-01-01
Insurance policy end date2002-12-31
Total amount of commissions paid to insurance brokerUSD $2,353
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,353
Insurance broker organization code?3
Insurance broker nameWESTERN STATES INSURANCE AGENCY
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50840
Policy instance 3
Insurance contract or identification numberX50840
Number of Individuals Covered253
Insurance policy start date2002-01-01
Insurance policy end date2002-12-31
Total amount of commissions paid to insurance brokerUSD $24,425
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,425
Insurance broker organization code?3
Insurance broker nameJIM EDWARDS WESTERN STATES HELENA
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number565550
Policy instance 2
Insurance contract or identification number565550
Number of Individuals Covered1312
Insurance policy start date2002-01-01
Insurance policy end date2002-12-31
Total amount of commissions paid to insurance brokerUSD $10,916
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $109,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,916
Insurance broker organization code?3
Insurance broker nameWESTERN STATES INSURANCE AGENCY
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX50833
Policy instance 1
Insurance contract or identification numberX50833
Number of Individuals Covered1051
Insurance policy start date2002-01-01
Insurance policy end date2002-12-31
Total amount of commissions paid to insurance brokerUSD $102,191
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,191
Insurance broker organization code?3
Insurance broker nameJIM EDWARDS WESTERN STATES HELENA

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

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

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

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S1