ELECTRO-MECHANICAL PRODUCTS, INC. has sponsored the creation of one or more 401k plans.
Additional information about ELECTRO-MECHANICAL PRODUCTS, INC.
Submission information for form 5500 for 401k plan ELECTRO-MECHANICAL PRODUCTS INC
| Measure | Date | Value |
|---|
| 2022: ELECTRO-MECHANICAL PRODUCTS INC 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-06-01 | 164 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-06-01 | 173 |
| Number of retired or separated participants receiving benefits | 2022-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-06-01 | 0 |
| Total of all active and inactive participants | 2022-06-01 | 173 |
| Number of employers contributing to the scheme | 2022-06-01 | 0 |
| 2021: ELECTRO-MECHANICAL PRODUCTS INC 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-06-01 | 174 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-06-01 | 164 |
| Number of retired or separated participants receiving benefits | 2021-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-06-01 | 0 |
| Total of all active and inactive participants | 2021-06-01 | 164 |
| Number of employers contributing to the scheme | 2021-06-01 | 0 |
| 2020: ELECTRO-MECHANICAL PRODUCTS INC 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-06-01 | 162 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-06-01 | 174 |
| Number of retired or separated participants receiving benefits | 2020-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-06-01 | 0 |
| Total of all active and inactive participants | 2020-06-01 | 174 |
| Number of employers contributing to the scheme | 2020-06-01 | 0 |
| 2019: ELECTRO-MECHANICAL PRODUCTS INC 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-09-01 | 172 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 162 |
| Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-09-01 | 0 |
| Total of all active and inactive participants | 2019-09-01 | 162 |
| Number of employers contributing to the scheme | 2019-09-01 | 0 |
| 2018: ELECTRO-MECHANICAL PRODUCTS INC 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-09-01 | 167 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 172 |
| Total of all active and inactive participants | 2018-09-01 | 172 |
| 2017: ELECTRO-MECHANICAL PRODUCTS INC 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-09-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 167 |
| Total of all active and inactive participants | 2017-09-01 | 167 |
| 2016: ELECTRO-MECHANICAL PRODUCTS INC 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-09-01 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 145 |
| Total of all active and inactive participants | 2016-09-01 | 145 |
| 2015: ELECTRO-MECHANICAL PRODUCTS INC 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 118 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 128 |
| Total of all active and inactive participants | 2015-09-01 | 128 |
| 2014: ELECTRO-MECHANICAL PRODUCTS INC 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 131 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 118 |
| Total of all active and inactive participants | 2014-09-01 | 118 |
| 2013: ELECTRO-MECHANICAL PRODUCTS INC 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 131 |
| Total of all active and inactive participants | 2013-09-01 | 131 |
| 2012: ELECTRO-MECHANICAL PRODUCTS INC 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-09-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 125 |
| Total of all active and inactive participants | 2012-09-01 | 125 |
| 2011: ELECTRO-MECHANICAL PRODUCTS INC 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-09-01 | 84 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 110 |
| Total of all active and inactive participants | 2011-09-01 | 110 |
| 2022: ELECTRO-MECHANICAL PRODUCTS INC 2022 form 5500 responses |
|---|
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: ELECTRO-MECHANICAL PRODUCTS INC 2021 form 5500 responses |
|---|
| 2021-06-01 | Type of plan entity | Single employer plan |
| 2021-06-01 | Plan funding arrangement – Insurance | Yes |
| 2021-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ELECTRO-MECHANICAL PRODUCTS INC 2020 form 5500 responses |
|---|
| 2020-06-01 | Type of plan entity | Single employer plan |
| 2020-06-01 | Plan funding arrangement – Insurance | Yes |
| 2020-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ELECTRO-MECHANICAL PRODUCTS INC 2019 form 5500 responses |
|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: ELECTRO-MECHANICAL PRODUCTS INC 2018 form 5500 responses |
|---|
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: ELECTRO-MECHANICAL PRODUCTS INC 2017 form 5500 responses |
|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ELECTRO-MECHANICAL PRODUCTS INC 2016 form 5500 responses |
|---|
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ELECTRO-MECHANICAL PRODUCTS INC 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: ELECTRO-MECHANICAL PRODUCTS INC 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ELECTRO-MECHANICAL PRODUCTS INC 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | Single employer plan |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ELECTRO-MECHANICAL PRODUCTS INC 2012 form 5500 responses |
|---|
| 2012-09-01 | Type of plan entity | Single employer plan |
| 2012-09-01 | Plan funding arrangement – Insurance | Yes |
| 2012-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ELECTRO-MECHANICAL PRODUCTS INC 2011 form 5500 responses |
|---|
| 2011-09-01 | Type of plan entity | Single employer plan |
| 2011-09-01 | Plan funding arrangement – Insurance | Yes |
| 2011-09-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B9K2 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B9K2 | | Number of Individuals Covered | 171 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2023-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,967 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $32,181 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 1967 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 ) |
| Policy contract number | 483 |
| Policy instance | 2 |
| Insurance contract or identification number | 483 | | Number of Individuals Covered | 216 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2023-05-31 | | Total amount of commissions paid to insurance broker | USD $4,800 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,800 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
| Policy contract number | 3275 |
| Policy instance | 1 |
| Insurance contract or identification number | 3275 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2023-05-31 | | Total amount of commissions paid to insurance broker | USD $41,782 | | Total amount of fees paid to insurance company | USD $885 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,301,916 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $41,782 | | Amount paid for insurance broker fees | 885 | | Additional information about fees paid to insurance broker | BONUS, NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
| Policy contract number | 3275 |
| Policy instance | 1 |
| Insurance contract or identification number | 3275 | | Number of Individuals Covered | 163 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $45,485 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,204,304 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45,485 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 ) |
| Policy contract number | 483 |
| Policy instance | 2 |
| Insurance contract or identification number | 483 | | Number of Individuals Covered | 214 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $4,859 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,859 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B9K2 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B9K2 | | Number of Individuals Covered | 164 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $973 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $33,040 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 973 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 ) |
| Policy contract number | 483 |
| Policy instance | 2 |
| Insurance contract or identification number | 483 | | Number of Individuals Covered | 226 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $4,744 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,744 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
| Policy contract number | 3275 |
| Policy instance | 1 |
| Insurance contract or identification number | 3275 | | Number of Individuals Covered | 164 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $37,425 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,070,912 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $37,425 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B9K2 |
| Policy instance | 3 |
| Insurance contract or identification number | GLUG0B9K2 | | Number of Individuals Covered | 174 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $955 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $31,903 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 955 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLTD0B9K2 |
| Policy instance | 3 |
| Insurance contract or identification number | GLTD0B9K2 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 ) |
| Policy contract number | 483 |
| Policy instance | 2 |
| Insurance contract or identification number | 483 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
| Policy contract number | 3275 |
| Policy instance | 1 |
| Insurance contract or identification number | 3275 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2019-06-01 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $41,136 | | Total amount of fees paid to insurance company | USD $1 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,089,446 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $31,939 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0B9K2 |
| Policy instance | 4 |
| Insurance contract or identification number | GLUG0B9K2 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
| Policy contract number | 3275 |
| Policy instance | 3 |
| Insurance contract or identification number | 3275 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $37,218 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,071,983 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $37,218 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B9K2 |
| Policy instance | 2 |
| Insurance contract or identification number | G000B9K2 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $329 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,120 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $329 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B9K2 |
| Policy instance | 1 |
| Insurance contract or identification number | G000B9K2 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $1,020 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,997 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,020 |
|
| KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
| Policy contract number | 3275 |
| Policy instance | 3 |
| Insurance contract or identification number | 3275 | | Number of Individuals Covered | 158 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $29,072 | | Total amount of fees paid to insurance company | USD $1,189 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $975,581 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,072 | | Amount paid for insurance broker fees | 1189 | | Insurance broker name | RICHARDS-SEELEY & SCHAEFER INC |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B9K2 |
| Policy instance | 2 |
| Insurance contract or identification number | G000B9K2 | | Number of Individuals Covered | 167 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $324 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,355 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $324 | | Insurance broker name | RICHARDS-SEELEY & SCHAEFER INC |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B9K2 |
| Policy instance | 1 |
| Insurance contract or identification number | G000B9K2 | | Number of Individuals Covered | 144 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $1,015 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,748 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,015 | | Insurance broker name | RICHARDS-SEELEY & SCHAEFER INC |
|
