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BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 401k Plan overview

Plan NameBARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY
Plan identification number 503

BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

BARGHAUSEN CONSULTING ENGINEERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:BARGHAUSEN CONSULTING ENGINEERS, INC.
Employer identification number (EIN):911192493
NAIC Classification:541330
NAIC Description:Engineering Services

Additional information about BARGHAUSEN CONSULTING ENGINEERS, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1982-11-01
Company Identification Number: 600465418
Legal Registered Office Address: 18215 72ND AVE S

KENT
United States of America (USA)
980321006

More information about BARGHAUSEN CONSULTING ENGINEERS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032019-01-01TODD BELLAMY2020-01-16
5032018-01-01TODD BELLAMY2019-10-25
5032017-01-01TODD BELLAMY2019-10-25
5032016-01-01TODD BELLAMY2019-10-25
5032015-01-01TODD BELLAMY2019-10-25
5032014-01-01TODD BELLAMY2019-10-25
5032013-01-01TODD BELLAMY2019-10-25
5032012-01-01TODD BELLAMY2019-10-25
5032011-01-01TODD BELLAMY2019-10-25
5032010-01-01TODD BELLAMY2019-10-25
5032009-01-01TODD BELLAMY2019-10-25
5032008-01-01TODD BELLAMY2019-10-25
5032007-01-01TODD BELLAMY2019-10-25
5032006-01-01TODD BELLAMY2019-10-25
5032005-01-01TODD BELLAMY2019-10-25
5032004-01-01TODD BELLAMY2019-10-25
5032003-01-01TODD BELLAMY2019-10-25
5032002-01-01TODD BELLAMY2019-10-25
5032001-01-01TODD BELLAMY2019-10-25
5032000-01-01TODD BELLAMY2019-10-25
5031999-01-01TODD BELLAMY2019-10-25
5031998-01-01TODD BELLAMY2019-10-25
5031997-01-01TODD BELLAMY2019-10-25

Plan Statistics for BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY

401k plan membership statisitcs for BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY

Measure Date Value
2019: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2019 401k membership
Total participants, beginning-of-year2019-01-01185
Total number of active participants reported on line 7a of the Form 55002019-01-010
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 participants2019-01-010
2018: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2018 401k membership
Total participants, beginning-of-year2018-01-01188
Total number of active participants reported on line 7a of the Form 55002018-01-01198
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 participants2018-01-01198
Number of employers contributing to the scheme2018-01-010
2017: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year2017-01-01165
Total number of active participants reported on line 7a of the Form 55002017-01-01188
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01188
Number of employers contributing to the scheme2017-01-010
2016: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year2016-01-01142
Total number of active participants reported on line 7a of the Form 55002016-01-01165
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01165
Number of employers contributing to the scheme2016-01-010
2015: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year2015-01-01138
Total number of active participants reported on line 7a of the Form 55002015-01-01142
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01142
Number of employers contributing to the scheme2015-01-010
2014: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year2014-01-01136
Total number of active participants reported on line 7a of the Form 55002014-01-01138
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01138
Number of employers contributing to the scheme2014-01-010
2013: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year2013-01-01128
Total number of active participants reported on line 7a of the Form 55002013-01-01136
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01136
Number of employers contributing to the scheme2013-01-010
2012: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year2012-01-01121
Total number of active participants reported on line 7a of the Form 55002012-01-01128
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01128
Number of employers contributing to the scheme2012-01-010
2011: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year2011-01-01108
Total number of active participants reported on line 7a of the Form 55002011-01-01121
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01121
Number of employers contributing to the scheme2011-01-010
2010: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year2010-01-01113
Total number of active participants reported on line 7a of the Form 55002010-01-01108
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01108
Number of employers contributing to the scheme2010-01-010
2009: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year2009-01-01149
Total number of active participants reported on line 7a of the Form 55002009-01-01113
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01113
Number of employers contributing to the scheme2009-01-010
2008: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2008 401k membership
Total participants, beginning-of-year2008-01-01179
Total number of active participants reported on line 7a of the Form 55002008-01-01149
Number of retired or separated participants receiving benefits2008-01-010
Number of other retired or separated participants entitled to future benefits2008-01-010
Total of all active and inactive participants2008-01-01149
Number of employers contributing to the scheme2008-01-010
2007: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2007 401k membership
Total participants, beginning-of-year2007-01-01171
Total number of active participants reported on line 7a of the Form 55002007-01-01179
Number of retired or separated participants receiving benefits2007-01-010
Number of other retired or separated participants entitled to future benefits2007-01-010
Total of all active and inactive participants2007-01-01179
Number of employers contributing to the scheme2007-01-010
2006: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2006 401k membership
Total participants, beginning-of-year2006-01-01165
Total number of active participants reported on line 7a of the Form 55002006-01-01171
Number of retired or separated participants receiving benefits2006-01-010
Number of other retired or separated participants entitled to future benefits2006-01-010
Total of all active and inactive participants2006-01-01171
Number of employers contributing to the scheme2006-01-010
2005: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2005 401k membership
Total participants, beginning-of-year2005-01-01146
Total number of active participants reported on line 7a of the Form 55002005-01-01165
Number of retired or separated participants receiving benefits2005-01-010
Number of other retired or separated participants entitled to future benefits2005-01-010
Total of all active and inactive participants2005-01-01165
Number of employers contributing to the scheme2005-01-010
2004: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2004 401k membership
Total participants, beginning-of-year2004-01-01124
Total number of active participants reported on line 7a of the Form 55002004-01-01146
Number of retired or separated participants receiving benefits2004-01-010
Number of other retired or separated participants entitled to future benefits2004-01-010
Total of all active and inactive participants2004-01-01146
Number of employers contributing to the scheme2004-01-010
2003: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2003 401k membership
Total participants, beginning-of-year2003-01-01139
Total number of active participants reported on line 7a of the Form 55002003-01-01124
Number of retired or separated participants receiving benefits2003-01-010
Number of other retired or separated participants entitled to future benefits2003-01-010
Total of all active and inactive participants2003-01-01124
Number of employers contributing to the scheme2003-01-010
2002: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2002 401k membership
Total participants, beginning-of-year2002-01-01139
Total number of active participants reported on line 7a of the Form 55002002-01-01139
Number of retired or separated participants receiving benefits2002-01-010
Number of other retired or separated participants entitled to future benefits2002-01-010
Total of all active and inactive participants2002-01-01139
Number of employers contributing to the scheme2002-01-010
2001: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2001 401k membership
Total participants, beginning-of-year2001-01-01143
Total number of active participants reported on line 7a of the Form 55002001-01-01139
Number of retired or separated participants receiving benefits2001-01-010
Number of other retired or separated participants entitled to future benefits2001-01-010
Total of all active and inactive participants2001-01-01139
Number of employers contributing to the scheme2001-01-010
2000: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2000 401k membership
Total participants, beginning-of-year2000-01-01137
Total number of active participants reported on line 7a of the Form 55002000-01-01143
Number of retired or separated participants receiving benefits2000-01-010
Number of other retired or separated participants entitled to future benefits2000-01-010
Total of all active and inactive participants2000-01-01143
Number of employers contributing to the scheme2000-01-010
1999: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 1999 401k membership
Total participants, beginning-of-year1999-01-01119
Total number of active participants reported on line 7a of the Form 55001999-01-01137
Number of retired or separated participants receiving benefits1999-01-010
Number of other retired or separated participants entitled to future benefits1999-01-010
Total of all active and inactive participants1999-01-01137
Number of employers contributing to the scheme1999-01-010
1998: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 1998 401k membership
Total participants, beginning-of-year1998-01-01102
Total number of active participants reported on line 7a of the Form 55001998-01-01119
Number of retired or separated participants receiving benefits1998-01-010
Number of other retired or separated participants entitled to future benefits1998-01-010
Total of all active and inactive participants1998-01-01119
Number of employers contributing to the scheme1998-01-010
1997: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 1997 401k membership
Total participants, beginning-of-year1997-01-01100
Total number of active participants reported on line 7a of the Form 55001997-01-01102
Number of retired or separated participants receiving benefits1997-01-010
Number of other retired or separated participants entitled to future benefits1997-01-010
Total of all active and inactive participants1997-01-01102
Number of employers contributing to the scheme1997-01-010

Form 5500 Responses for BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY

2019: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes
2008: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – InsuranceYes
2007: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan benefit arrangement – InsuranceYes
2006: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan benefit arrangement – InsuranceYes
2005: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan benefit arrangement – InsuranceYes
2004: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan benefit arrangement – InsuranceYes
2003: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2003 form 5500 responses
2003-01-01Type of plan entitySingle employer plan
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan benefit arrangement – InsuranceYes
2002: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2002 form 5500 responses
2002-01-01Type of plan entitySingle employer plan
2002-01-01Plan funding arrangement – InsuranceYes
2002-01-01Plan benefit arrangement – InsuranceYes
2001: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2001 form 5500 responses
2001-01-01Type of plan entitySingle employer plan
2001-01-01Plan funding arrangement – InsuranceYes
2001-01-01Plan benefit arrangement – InsuranceYes
2000: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 2000 form 5500 responses
2000-01-01Type of plan entitySingle employer plan
2000-01-01Plan funding arrangement – InsuranceYes
2000-01-01Plan benefit arrangement – InsuranceYes
1999: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 1999 form 5500 responses
1999-01-01Type of plan entitySingle employer plan
1999-01-01Plan funding arrangement – InsuranceYes
1999-01-01Plan benefit arrangement – InsuranceYes
1998: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 1998 form 5500 responses
1998-01-01Type of plan entitySingle employer plan
1998-01-01Plan funding arrangement – InsuranceYes
1998-01-01Plan benefit arrangement – InsuranceYes
1997: BARGHAUSEN CONSULTING ENGINEERS LONG TERM DISABILITY 1997 form 5500 responses
1997-01-01Type of plan entitySingle employer plan
1997-01-01First time form 5500 has been submittedYes
1997-01-01Plan funding arrangement – InsuranceYes
1997-01-01Plan 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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered188
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,116
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,116
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered174
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,895
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,285
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered119
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,406
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,406
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered107
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,628
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,628
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered101
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,490
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,490
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered121
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
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered108
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
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered94
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $2,586
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,586
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered149
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
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered179
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
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered171
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
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered146
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
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered146
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered124
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered139
Insurance policy start date2002-01-01
Insurance policy end date2002-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered139
Insurance policy start date2001-01-01
Insurance policy end date2001-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered143
Insurance policy start date2000-01-01
Insurance policy end date2000-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered137
Insurance policy start date1999-01-01
Insurance policy end date1999-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered119
Insurance policy start date1998-01-01
Insurance policy end date1998-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
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 number373249
Policy instance 1
Insurance contract or identification number373249
Number of Individuals Covered102
Insurance policy start date1997-01-01
Insurance policy end date1997-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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