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INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 401k Plan overview

Plan NameINDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST
Plan identification number 501

INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. has sponsored the creation of one or more 401k plans.

Company Name:INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC.
Employer identification number (EIN):816928444
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-02-01
5012021-02-01
5012020-02-01
5012019-02-01
5012018-02-01FRANK SHEPPARD
5012017-02-01FRANK SHEPPARD

Plan Statistics for INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST

401k plan membership statisitcs for INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST

Measure Date Value
2022: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2022 401k membership
Total participants, beginning-of-year2022-02-01142
Total number of active participants reported on line 7a of the Form 55002022-02-01127
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-01127
2021: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2021 401k membership
Total participants, beginning-of-year2021-02-01300
Total number of active participants reported on line 7a of the Form 55002021-02-01141
Number of retired or separated participants receiving benefits2021-02-011
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01142
2020: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2020 401k membership
Total participants, beginning-of-year2020-02-01307
Total number of active participants reported on line 7a of the Form 55002020-02-01299
Number of retired or separated participants receiving benefits2020-02-011
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01300
2019: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2019 401k membership
Total participants, beginning-of-year2019-02-01360
Total number of active participants reported on line 7a of the Form 55002019-02-01306
Number of retired or separated participants receiving benefits2019-02-011
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01307
2018: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2018 401k membership
Total participants, beginning-of-year2018-02-01218
Total number of active participants reported on line 7a of the Form 55002018-02-01357
Number of retired or separated participants receiving benefits2018-02-013
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-01360
2017: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2017 401k membership
Total participants, beginning-of-year2017-02-010
Total number of active participants reported on line 7a of the Form 55002017-02-01216
Number of retired or separated participants receiving benefits2017-02-012
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01218

Financial Data on INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST

Measure Date Value
2023 : INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-31$13,719
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-31$1,344
Total income from all sources (including contributions)2023-01-31$1,666,768
Total loss/gain on sale of assets2023-01-31$0
Total of all expenses incurred2023-01-31$1,672,355
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-31$1,666,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-31$1,666,768
Value of total assets at end of year2023-01-31$14,212
Value of total assets at beginning of year2023-01-31$7,424
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-31$5,607
Total interest from all sources2023-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2023-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-31No
Was this plan covered by a fidelity bond2023-01-31Yes
Value of fidelity bond cover2023-01-31$500,000
If this is an individual account plan, was there a blackout period2023-01-31No
Were there any nonexempt tranactions with any party-in-interest2023-01-31No
Contributions received from participants2023-01-31$3,810
Participant contributions at end of year2023-01-31$0
Participant contributions at beginning of year2023-01-31$1,292
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-31$674
Administrative expenses (other) incurred2023-01-31$5,607
Liabilities. Value of operating payables at end of year2023-01-31$486
Liabilities. Value of operating payables at beginning of year2023-01-31$476
Total non interest bearing cash at end of year2023-01-31$9,569
Total non interest bearing cash at beginning of year2023-01-31$5,458
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-31No
Value of net income/loss2023-01-31$-5,587
Value of net assets at end of year (total assets less liabilities)2023-01-31$493
Value of net assets at beginning of year (total assets less liabilities)2023-01-31$6,080
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-31No
Were any leases to which the plan was party in default or uncollectible2023-01-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-31No
Was there a failure to transmit to the plan any participant contributions2023-01-31No
Has the plan failed to provide any benefit when due under the plan2023-01-31No
Contributions received in cash from employer2023-01-31$1,662,958
Employer contributions (assets) at end of year2023-01-31$4,643
Employer contributions (assets) at beginning of year2023-01-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-31$1,666,748
Liabilities. Value of benefit claims payable at end of year2023-01-31$13,233
Liabilities. Value of benefit claims payable at beginning of year2023-01-31$868
Did the plan have assets held for investment2023-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-31No
Opinion of an independent qualified public accountant for this plan2023-01-31Unqualified
Accountancy firm name2023-01-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2023-01-31410746749
2022 : INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-31$1,344
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-31$2,713
Total income from all sources (including contributions)2022-01-31$1,605,973
Total loss/gain on sale of assets2022-01-31$0
Total of all expenses incurred2022-01-31$1,604,393
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-31$1,598,473
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-31$1,605,973
Value of total assets at end of year2022-01-31$7,424
Value of total assets at beginning of year2022-01-31$7,213
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-31$5,920
Total interest from all sources2022-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-31No
Was this plan covered by a fidelity bond2022-01-31Yes
Value of fidelity bond cover2022-01-31$500,000
If this is an individual account plan, was there a blackout period2022-01-31No
Were there any nonexempt tranactions with any party-in-interest2022-01-31No
Contributions received from participants2022-01-31$8,310
Participant contributions at end of year2022-01-31$1,292
Participant contributions at beginning of year2022-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-31$674
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-31$692
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-31$864
Administrative expenses (other) incurred2022-01-31$5,920
Liabilities. Value of operating payables at end of year2022-01-31$486
Liabilities. Value of operating payables at beginning of year2022-01-31$476
Total non interest bearing cash at end of year2022-01-31$5,458
Total non interest bearing cash at beginning of year2022-01-31$6,421
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-31No
Value of net income/loss2022-01-31$1,580
Value of net assets at end of year (total assets less liabilities)2022-01-31$6,080
Value of net assets at beginning of year (total assets less liabilities)2022-01-31$4,500
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-31No
Were any leases to which the plan was party in default or uncollectible2022-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-31$1,598,473
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-31No
Was there a failure to transmit to the plan any participant contributions2022-01-31No
Has the plan failed to provide any benefit when due under the plan2022-01-31No
Contributions received in cash from employer2022-01-31$1,597,663
Employer contributions (assets) at end of year2022-01-31$0
Employer contributions (assets) at beginning of year2022-01-31$100
Liabilities. Value of benefit claims payable at end of year2022-01-31$858
Liabilities. Value of benefit claims payable at beginning of year2022-01-31$1,373
Did the plan have assets held for investment2022-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-31No
Opinion of an independent qualified public accountant for this plan2022-01-31Unqualified
Accountancy firm name2022-01-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-01-31410746749
2021 : INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-01-31$2,713
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-01-31$16,517
Total income from all sources (including contributions)2021-01-31$3,064,873
Total loss/gain on sale of assets2021-01-31$0
Total of all expenses incurred2021-01-31$3,070,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-01-31$3,064,867
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-01-31$3,064,873
Value of total assets at end of year2021-01-31$7,213
Value of total assets at beginning of year2021-01-31$26,767
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-01-31$5,756
Total interest from all sources2021-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-01-31No
Was this plan covered by a fidelity bond2021-01-31Yes
Value of fidelity bond cover2021-01-31$500,000
If this is an individual account plan, was there a blackout period2021-01-31No
Were there any nonexempt tranactions with any party-in-interest2021-01-31No
Contributions received from participants2021-01-31$2,574
Participant contributions at end of year2021-01-31$0
Participant contributions at beginning of year2021-01-31$511
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-01-31$692
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-01-31$703
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-01-31$864
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-01-31$3,945
Administrative expenses (other) incurred2021-01-31$5,756
Liabilities. Value of operating payables at end of year2021-01-31$476
Liabilities. Value of operating payables at beginning of year2021-01-31$465
Total non interest bearing cash at end of year2021-01-31$6,421
Total non interest bearing cash at beginning of year2021-01-31$17,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-31No
Value of net income/loss2021-01-31$-5,750
Value of net assets at end of year (total assets less liabilities)2021-01-31$4,500
Value of net assets at beginning of year (total assets less liabilities)2021-01-31$10,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-01-31No
Were any leases to which the plan was party in default or uncollectible2021-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-01-31$3,064,867
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-01-31No
Was there a failure to transmit to the plan any participant contributions2021-01-31No
Has the plan failed to provide any benefit when due under the plan2021-01-31No
Contributions received in cash from employer2021-01-31$3,062,299
Employer contributions (assets) at end of year2021-01-31$100
Employer contributions (assets) at beginning of year2021-01-31$8,216
Liabilities. Value of benefit claims payable at end of year2021-01-31$1,373
Liabilities. Value of benefit claims payable at beginning of year2021-01-31$12,107
Did the plan have assets held for investment2021-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-01-31No
Opinion of an independent qualified public accountant for this plan2021-01-31Unqualified
Accountancy firm name2021-01-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-01-31410746749
2020 : INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-31$16,517
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-31$42,119
Total income from all sources (including contributions)2020-01-31$3,243,379
Total loss/gain on sale of assets2020-01-31$0
Total of all expenses incurred2020-01-31$3,238,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-31$3,232,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-31$3,243,379
Value of total assets at end of year2020-01-31$26,767
Value of total assets at beginning of year2020-01-31$47,117
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-01-31$5,747
Total interest from all sources2020-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-31No
Was this plan covered by a fidelity bond2020-01-31Yes
Value of fidelity bond cover2020-01-31$500,000
If this is an individual account plan, was there a blackout period2020-01-31No
Were there any nonexempt tranactions with any party-in-interest2020-01-31No
Contributions received from participants2020-01-31$10,009
Participant contributions at end of year2020-01-31$511
Participant contributions at beginning of year2020-01-31$5,783
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-01-31$703
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-01-31$3,546
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-01-31$3,945
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-01-31$18,626
Administrative expenses (other) incurred2020-01-31$5,747
Liabilities. Value of operating payables at end of year2020-01-31$465
Liabilities. Value of operating payables at beginning of year2020-01-31$456
Total non interest bearing cash at end of year2020-01-31$17,337
Total non interest bearing cash at beginning of year2020-01-31$25,333
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Value of net income/loss2020-01-31$5,252
Value of net assets at end of year (total assets less liabilities)2020-01-31$10,250
Value of net assets at beginning of year (total assets less liabilities)2020-01-31$4,998
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-31No
Were any leases to which the plan was party in default or uncollectible2020-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-01-31$3,232,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-31No
Was there a failure to transmit to the plan any participant contributions2020-01-31No
Has the plan failed to provide any benefit when due under the plan2020-01-31No
Contributions received in cash from employer2020-01-31$3,233,370
Employer contributions (assets) at end of year2020-01-31$8,216
Employer contributions (assets) at beginning of year2020-01-31$12,455
Liabilities. Value of benefit claims payable at end of year2020-01-31$12,107
Liabilities. Value of benefit claims payable at beginning of year2020-01-31$23,037
Did the plan have assets held for investment2020-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-01-31No
Opinion of an independent qualified public accountant for this plan2020-01-31Unqualified
Accountancy firm name2020-01-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-01-31410746749
2019 : INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-31$42,119
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-31$90,634
Total income from all sources (including contributions)2019-01-31$3,535,054
Total loss/gain on sale of assets2019-01-31$0
Total of all expenses incurred2019-01-31$3,535,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-01-31$3,529,554
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-01-31$3,535,054
Value of total assets at end of year2019-01-31$47,117
Value of total assets at beginning of year2019-01-31$95,893
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-01-31$5,761
Total interest from all sources2019-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-01-31No
Was this plan covered by a fidelity bond2019-01-31Yes
Value of fidelity bond cover2019-01-31$500,000
If this is an individual account plan, was there a blackout period2019-01-31No
Were there any nonexempt tranactions with any party-in-interest2019-01-31No
Contributions received from participants2019-01-31$48,740
Participant contributions at end of year2019-01-31$5,783
Participant contributions at beginning of year2019-01-31$1,426
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-01-31$3,546
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-01-31$47
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-01-31$18,626
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-01-31$53,948
Administrative expenses (other) incurred2019-01-31$5,761
Liabilities. Value of operating payables at end of year2019-01-31$456
Liabilities. Value of operating payables at beginning of year2019-01-31$456
Total non interest bearing cash at end of year2019-01-31$25,333
Total non interest bearing cash at beginning of year2019-01-31$84,479
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-31No
Value of net income/loss2019-01-31$-261
Value of net assets at end of year (total assets less liabilities)2019-01-31$4,998
Value of net assets at beginning of year (total assets less liabilities)2019-01-31$5,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-01-31No
Were any leases to which the plan was party in default or uncollectible2019-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-01-31$3,529,554
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-01-31No
Was there a failure to transmit to the plan any participant contributions2019-01-31No
Has the plan failed to provide any benefit when due under the plan2019-01-31No
Contributions received in cash from employer2019-01-31$3,486,314
Employer contributions (assets) at end of year2019-01-31$12,455
Employer contributions (assets) at beginning of year2019-01-31$9,941
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-01-31No
Liabilities. Value of benefit claims payable at end of year2019-01-31$23,037
Liabilities. Value of benefit claims payable at beginning of year2019-01-31$36,230
Did the plan have assets held for investment2019-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-01-31No
Opinion of an independent qualified public accountant for this plan2019-01-31Unqualified
Accountancy firm name2019-01-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2019-01-31410746749
2018 : INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-01-31$90,634
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-01-31$0
Total income from all sources (including contributions)2018-01-31$2,215,543
Total loss/gain on sale of assets2018-01-31$0
Total of all expenses incurred2018-01-31$2,210,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-01-31$2,205,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-01-31$2,215,543
Value of total assets at end of year2018-01-31$95,893
Value of total assets at beginning of year2018-01-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-01-31$5,242
Total interest from all sources2018-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-01-31No
Administrative expenses professional fees incurred2018-01-31$5,242
Was this plan covered by a fidelity bond2018-01-31Yes
Value of fidelity bond cover2018-01-31$500,000
If this is an individual account plan, was there a blackout period2018-01-31No
Were there any nonexempt tranactions with any party-in-interest2018-01-31No
Contributions received from participants2018-01-31$12,524
Participant contributions at end of year2018-01-31$1,426
Participant contributions at beginning of year2018-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-01-31$47
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-01-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-01-31$53,948
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-01-31$0
Liabilities. Value of operating payables at end of year2018-01-31$456
Liabilities. Value of operating payables at beginning of year2018-01-31$0
Total non interest bearing cash at end of year2018-01-31$84,479
Total non interest bearing cash at beginning of year2018-01-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Value of net income/loss2018-01-31$5,259
Value of net assets at end of year (total assets less liabilities)2018-01-31$5,259
Value of net assets at beginning of year (total assets less liabilities)2018-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-01-31No
Were any leases to which the plan was party in default or uncollectible2018-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-01-31$2,205,042
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-01-31No
Was there a failure to transmit to the plan any participant contributions2018-01-31No
Has the plan failed to provide any benefit when due under the plan2018-01-31No
Contributions received in cash from employer2018-01-31$2,203,019
Employer contributions (assets) at end of year2018-01-31$9,941
Employer contributions (assets) at beginning of year2018-01-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-01-31No
Liabilities. Value of benefit claims payable at end of year2018-01-31$36,230
Liabilities. Value of benefit claims payable at beginning of year2018-01-31$0
Did the plan have assets held for investment2018-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-01-31No
Opinion of an independent qualified public accountant for this plan2018-01-31Unqualified
Accountancy firm name2018-01-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2018-01-31410746749

Form 5500 Responses for INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST

2022: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2022 form 5500 responses
2022-02-01Type of plan entityMulitple employer plan
2022-02-01Submission has been amendedNo
2022-02-01This submission is the final filingNo
2022-02-01This return/report is a short plan year return/report (less than 12 months)No
2022-02-01Plan is a collectively bargained planNo
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan funding arrangement – TrustYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement - TrustYes
2021: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2021 form 5500 responses
2021-02-01Type of plan entityMulitple employer plan
2021-02-01Submission has been amendedNo
2021-02-01This submission is the final filingNo
2021-02-01This return/report is a short plan year return/report (less than 12 months)No
2021-02-01Plan is a collectively bargained planNo
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – TrustYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement - TrustYes
2020: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2020 form 5500 responses
2020-02-01Type of plan entityMulitple employer plan
2020-02-01Submission has been amendedNo
2020-02-01This submission is the final filingNo
2020-02-01This return/report is a short plan year return/report (less than 12 months)No
2020-02-01Plan is a collectively bargained planNo
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – TrustYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement - TrustYes
2019: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2019 form 5500 responses
2019-02-01Type of plan entityMulitple employer plan
2019-02-01Submission has been amendedNo
2019-02-01This submission is the final filingNo
2019-02-01This return/report is a short plan year return/report (less than 12 months)No
2019-02-01Plan is a collectively bargained planNo
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – TrustYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement - TrustYes
2018: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2018 form 5500 responses
2018-02-01Type of plan entityMulitple employer plan
2018-02-01Submission has been amendedNo
2018-02-01This submission is the final filingNo
2018-02-01This return/report is a short plan year return/report (less than 12 months)No
2018-02-01Plan is a collectively bargained planNo
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – TrustYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement - TrustYes
2017: INDEPENDENT INSURANCE AGENTS & BROKERS OF SOUTH CAROLINA, INC. GROUP INSURANCE TRUST 2017 form 5500 responses
2017-02-01Type of plan entityMulitple employer plan
2017-02-01First time form 5500 has been submittedYes
2017-02-01Submission has been amendedNo
2017-02-01This submission is the final filingNo
2017-02-01This return/report is a short plan year return/report (less than 12 months)No
2017-02-01Plan is a collectively bargained planNo
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – TrustYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered185
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $978
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $18,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $652
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number26-87000
Policy instance 1
Insurance contract or identification number26-87000
Number of Individuals Covered127
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
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 BenefitYes
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 $1,643,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered169
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $956
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $17,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $637
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number26-55771
Policy instance 1
Insurance contract or identification number26-55771
Number of Individuals Covered141
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
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 BenefitYes
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?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered164
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $1,380
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $20,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $909
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number26-55771
Policy instance 1
Insurance contract or identification number26-55771
Number of Individuals Covered299
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered81
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $1,519
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $17,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,013
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number26-55771
Policy instance 1
Insurance contract or identification number26-55771
Number of Individuals Covered306
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered140
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $19,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number26-55771
Policy instance 1
Insurance contract or identification number26-55771
Number of Individuals Covered357
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered219
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $1,051
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $24,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $704
Insurance broker organization code?3
Insurance broker nameBCBS OF SOUTH CAROLINA
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number26-55771
Policy instance 1
Insurance contract or identification number26-55771
Number of Individuals Covered216
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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