BOARD OF TRUSTEES OF CALIFORNIA NURSES ASSOCIATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST
| Measure | Date | Value |
|---|
| 2023 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2023 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2023-03-31 | $-100,042 |
| Total unrealized appreciation/depreciation of assets | 2023-03-31 | $-100,042 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-03-31 | $398,878 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-03-31 | $507,575 |
| Total income from all sources (including contributions) | 2023-03-31 | $3,711,443 |
| Total of all expenses incurred | 2023-03-31 | $4,241,380 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-03-31 | $3,881,859 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-03-31 | $3,758,802 |
| Value of total assets at end of year | 2023-03-31 | $3,563,837 |
| Value of total assets at beginning of year | 2023-03-31 | $4,202,471 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-03-31 | $359,521 |
| Total interest from all sources | 2023-03-31 | $52,683 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-03-31 | No |
| Administrative expenses professional fees incurred | 2023-03-31 | $41,234 |
| Was this plan covered by a fidelity bond | 2023-03-31 | Yes |
| Value of fidelity bond cover | 2023-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2023-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-03-31 | No |
| Contributions received from participants | 2023-03-31 | $110,105 |
| Participant contributions at end of year | 2023-03-31 | $402,371 |
| Participant contributions at beginning of year | 2023-03-31 | $182,520 |
| Assets. Other investments not covered elsewhere at end of year | 2023-03-31 | $2,617,663 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-03-31 | $102,732 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-03-31 | $355,417 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2023-03-31 | $319,897 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2023-03-31 | $407,957 |
| Administrative expenses (other) incurred | 2023-03-31 | $31,995 |
| Liabilities. Value of operating payables at end of year | 2023-03-31 | $78,981 |
| Liabilities. Value of operating payables at beginning of year | 2023-03-31 | $99,618 |
| Total non interest bearing cash at end of year | 2023-03-31 | $441,071 |
| Total non interest bearing cash at beginning of year | 2023-03-31 | $1,540,536 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-03-31 | No |
| Value of net income/loss | 2023-03-31 | $-529,937 |
| Value of net assets at end of year (total assets less liabilities) | 2023-03-31 | $3,164,959 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-03-31 | $3,694,896 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-03-31 | No |
| Investment advisory and management fees | 2023-03-31 | $3,241 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-03-31 | $239,281 |
| Interest earned on other investments | 2023-03-31 | $52,683 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-03-31 | $12,603 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-03-31 | $12,603 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-03-31 | $3,120,453 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-03-31 | No |
| Contributions received in cash from employer | 2023-03-31 | $3,648,697 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-03-31 | $761,406 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2023-03-31 | $1,872,114 |
| Contract administrator fees | 2023-03-31 | $283,051 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2023-03-31 | No |
| Did the plan have assets held for investment | 2023-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-03-31 | Unqualified |
| Accountancy firm name | 2023-03-31 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2023-03-31 | 450250958 |
| 2022 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-03-31 | $-174,793 |
| Total unrealized appreciation/depreciation of assets | 2022-03-31 | $-174,793 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-03-31 | $507,575 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-03-31 | $244,427 |
| Total income from all sources (including contributions) | 2022-03-31 | $3,710,356 |
| Total loss/gain on sale of assets | 2022-03-31 | $-2,095 |
| Total of all expenses incurred | 2022-03-31 | $3,515,012 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-03-31 | $3,174,767 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-03-31 | $3,829,733 |
| Value of total assets at end of year | 2022-03-31 | $4,202,471 |
| Value of total assets at beginning of year | 2022-03-31 | $3,743,979 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-03-31 | $340,245 |
| Total interest from all sources | 2022-03-31 | $45,101 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-03-31 | $3,118 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-03-31 | $3,118 |
| Administrative expenses professional fees incurred | 2022-03-31 | $30,981 |
| Was this plan covered by a fidelity bond | 2022-03-31 | Yes |
| Value of fidelity bond cover | 2022-03-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-03-31 | No |
| Contributions received from participants | 2022-03-31 | $3,682,827 |
| Participant contributions at end of year | 2022-03-31 | $182,520 |
| Participant contributions at beginning of year | 2022-03-31 | $103,596 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-03-31 | $355,417 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-03-31 | $93,756 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-03-31 | $407,957 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-03-31 | $153,469 |
| Administrative expenses (other) incurred | 2022-03-31 | $20,778 |
| Liabilities. Value of operating payables at end of year | 2022-03-31 | $99,618 |
| Liabilities. Value of operating payables at beginning of year | 2022-03-31 | $90,958 |
| Total non interest bearing cash at end of year | 2022-03-31 | $1,540,536 |
| Total non interest bearing cash at beginning of year | 2022-03-31 | $3,155,525 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-03-31 | No |
| Value of net income/loss | 2022-03-31 | $195,344 |
| Value of net assets at end of year (total assets less liabilities) | 2022-03-31 | $3,694,896 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-03-31 | $3,499,552 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-03-31 | No |
| Investment advisory and management fees | 2022-03-31 | $2,612 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-03-31 | $239,281 |
| Income. Interest from corporate debt instruments | 2022-03-31 | $44,629 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-03-31 | $12,603 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-03-31 | $391,102 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-03-31 | $391,102 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-03-31 | $472 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-03-31 | $3,152,857 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-03-31 | $9,292 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-03-31 | No |
| Contributions received in cash from employer | 2022-03-31 | $146,906 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-03-31 | $21,910 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-03-31 | $1,872,114 |
| Contract administrator fees | 2022-03-31 | $285,874 |
| Did the plan have assets held for investment | 2022-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-03-31 | No |
| Aggregate proceeds on sale of assets | 2022-03-31 | $170,519 |
| Aggregate carrying amount (costs) on sale of assets | 2022-03-31 | $172,614 |
| Opinion of an independent qualified public accountant for this plan | 2022-03-31 | Unqualified |
| Accountancy firm name | 2022-03-31 | WITHUMSMITH+BROWN, PC |
| Accountancy firm EIN | 2022-03-31 | 222027092 |
| 2021 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-03-31 | $244,427 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-03-31 | $340,410 |
| Total income from all sources (including contributions) | 2021-03-31 | $3,793,202 |
| Total of all expenses incurred | 2021-03-31 | $3,429,840 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-03-31 | $3,078,061 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-03-31 | $3,792,423 |
| Value of total assets at end of year | 2021-03-31 | $3,743,979 |
| Value of total assets at beginning of year | 2021-03-31 | $3,476,600 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-03-31 | $351,779 |
| Total interest from all sources | 2021-03-31 | $779 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-03-31 | No |
| Administrative expenses professional fees incurred | 2021-03-31 | $33,788 |
| Was this plan covered by a fidelity bond | 2021-03-31 | Yes |
| Value of fidelity bond cover | 2021-03-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-03-31 | No |
| Contributions received from participants | 2021-03-31 | $3,654,906 |
| Participant contributions at end of year | 2021-03-31 | $103,596 |
| Participant contributions at beginning of year | 2021-03-31 | $234,588 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-03-31 | $93,756 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-03-31 | $93,460 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-03-31 | $153,469 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-03-31 | $163,091 |
| Administrative expenses (other) incurred | 2021-03-31 | $28,210 |
| Liabilities. Value of operating payables at end of year | 2021-03-31 | $90,958 |
| Liabilities. Value of operating payables at beginning of year | 2021-03-31 | $177,319 |
| Total non interest bearing cash at end of year | 2021-03-31 | $3,155,525 |
| Total non interest bearing cash at beginning of year | 2021-03-31 | $2,758,228 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-03-31 | No |
| Value of net income/loss | 2021-03-31 | $363,362 |
| Value of net assets at end of year (total assets less liabilities) | 2021-03-31 | $3,499,552 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-03-31 | $3,136,190 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-03-31 | $391,102 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-03-31 | $390,324 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-03-31 | $390,324 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-03-31 | $779 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-03-31 | $3,050,781 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-03-31 | No |
| Contributions received in cash from employer | 2021-03-31 | $137,517 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-03-31 | $27,280 |
| Contract administrator fees | 2021-03-31 | $289,781 |
| Did the plan have assets held for investment | 2021-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-03-31 | Unqualified |
| Accountancy firm name | 2021-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2021-03-31 | 522385296 |
| 2020 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-03-31 | $340,410 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-03-31 | $241,973 |
| Total income from all sources (including contributions) | 2020-03-31 | $4,028,786 |
| Total of all expenses incurred | 2020-03-31 | $3,689,931 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-03-31 | $3,329,544 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-03-31 | $4,026,978 |
| Value of total assets at end of year | 2020-03-31 | $3,476,600 |
| Value of total assets at beginning of year | 2020-03-31 | $3,039,308 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-03-31 | $360,387 |
| Total interest from all sources | 2020-03-31 | $1,808 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-03-31 | No |
| Administrative expenses professional fees incurred | 2020-03-31 | $28,962 |
| Was this plan covered by a fidelity bond | 2020-03-31 | Yes |
| Value of fidelity bond cover | 2020-03-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-03-31 | No |
| Contributions received from participants | 2020-03-31 | $3,898,138 |
| Participant contributions at end of year | 2020-03-31 | $234,588 |
| Participant contributions at beginning of year | 2020-03-31 | $235,017 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-03-31 | $93,460 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-03-31 | $99,220 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-03-31 | $163,091 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-03-31 | $162,856 |
| Administrative expenses (other) incurred | 2020-03-31 | $64,150 |
| Liabilities. Value of operating payables at end of year | 2020-03-31 | $177,319 |
| Liabilities. Value of operating payables at beginning of year | 2020-03-31 | $79,117 |
| Total non interest bearing cash at end of year | 2020-03-31 | $2,758,228 |
| Total non interest bearing cash at beginning of year | 2020-03-31 | $2,291,332 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-03-31 | No |
| Value of net income/loss | 2020-03-31 | $338,855 |
| Value of net assets at end of year (total assets less liabilities) | 2020-03-31 | $3,136,190 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-03-31 | $2,797,335 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-03-31 | $390,324 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-03-31 | $413,739 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-03-31 | $413,739 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-03-31 | $1,808 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-03-31 | $3,302,914 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-03-31 | No |
| Contributions received in cash from employer | 2020-03-31 | $128,840 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-03-31 | $26,630 |
| Contract administrator fees | 2020-03-31 | $267,275 |
| Did the plan have assets held for investment | 2020-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-03-31 | Unqualified |
| Accountancy firm name | 2020-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2020-03-31 | 522385296 |
| 2019 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-03-31 | $241,973 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-03-31 | $224,200 |
| Total income from all sources (including contributions) | 2019-03-31 | $4,193,568 |
| Total of all expenses incurred | 2019-03-31 | $3,979,002 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-03-31 | $3,672,336 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-03-31 | $4,192,836 |
| Value of total assets at end of year | 2019-03-31 | $2,888,827 |
| Value of total assets at beginning of year | 2019-03-31 | $2,656,488 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-03-31 | $306,666 |
| Total interest from all sources | 2019-03-31 | $732 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-03-31 | No |
| Administrative expenses professional fees incurred | 2019-03-31 | $27,986 |
| Was this plan covered by a fidelity bond | 2019-03-31 | Yes |
| Value of fidelity bond cover | 2019-03-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-03-31 | No |
| Contributions received from participants | 2019-03-31 | $4,075,594 |
| Participant contributions at end of year | 2019-03-31 | $64,417 |
| Participant contributions at beginning of year | 2019-03-31 | $89,481 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-03-31 | $119,339 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-03-31 | $93,867 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-03-31 | $162,856 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-03-31 | $202,142 |
| Administrative expenses (other) incurred | 2019-03-31 | $92,167 |
| Liabilities. Value of operating payables at end of year | 2019-03-31 | $79,117 |
| Liabilities. Value of operating payables at beginning of year | 2019-03-31 | $22,058 |
| Total non interest bearing cash at end of year | 2019-03-31 | $2,291,332 |
| Total non interest bearing cash at beginning of year | 2019-03-31 | $2,060,133 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-03-31 | No |
| Value of net income/loss | 2019-03-31 | $214,566 |
| Value of net assets at end of year (total assets less liabilities) | 2019-03-31 | $2,646,854 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-03-31 | $2,432,288 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-03-31 | $413,739 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-03-31 | $413,007 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-03-31 | $413,007 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-03-31 | $732 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-03-31 | $3,648,366 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-03-31 | No |
| Contributions received in cash from employer | 2019-03-31 | $117,242 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-03-31 | $23,970 |
| Contract administrator fees | 2019-03-31 | $186,513 |
| Did the plan have assets held for investment | 2019-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-03-31 | Unqualified |
| Accountancy firm name | 2019-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2019-03-31 | 522385296 |
| 2018 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-03-31 | $224,200 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-03-31 | $187,763 |
| Total income from all sources (including contributions) | 2018-03-31 | $4,035,654 |
| Total of all expenses incurred | 2018-03-31 | $4,085,165 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-03-31 | $3,763,838 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-03-31 | $4,035,388 |
| Value of total assets at end of year | 2018-03-31 | $2,656,488 |
| Value of total assets at beginning of year | 2018-03-31 | $2,669,562 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-03-31 | $321,327 |
| Total interest from all sources | 2018-03-31 | $266 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-03-31 | No |
| Administrative expenses professional fees incurred | 2018-03-31 | $31,158 |
| Was this plan covered by a fidelity bond | 2018-03-31 | Yes |
| Value of fidelity bond cover | 2018-03-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-03-31 | No |
| Contributions received from participants | 2018-03-31 | $3,924,260 |
| Participant contributions at end of year | 2018-03-31 | $89,481 |
| Participant contributions at beginning of year | 2018-03-31 | $145,353 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-03-31 | $93,867 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-03-31 | $234,281 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-03-31 | $202,142 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-03-31 | $171,061 |
| Administrative expenses (other) incurred | 2018-03-31 | $109,612 |
| Liabilities. Value of operating payables at end of year | 2018-03-31 | $22,058 |
| Liabilities. Value of operating payables at beginning of year | 2018-03-31 | $16,702 |
| Total non interest bearing cash at end of year | 2018-03-31 | $2,060,133 |
| Total non interest bearing cash at beginning of year | 2018-03-31 | $1,877,187 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-03-31 | No |
| Value of net income/loss | 2018-03-31 | $-49,511 |
| Value of net assets at end of year (total assets less liabilities) | 2018-03-31 | $2,432,288 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-03-31 | $2,481,799 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-03-31 | $413,007 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-03-31 | $412,741 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-03-31 | $412,741 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-03-31 | $266 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-03-31 | $3,737,404 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-03-31 | No |
| Contributions received in cash from employer | 2018-03-31 | $111,128 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-03-31 | $26,434 |
| Contract administrator fees | 2018-03-31 | $180,557 |
| Did the plan have assets held for investment | 2018-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-03-31 | Unqualified |
| Accountancy firm name | 2018-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2018-03-31 | 522385296 |
| 2017 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-03-31 | $187,763 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-03-31 | $139,141 |
| Total income from all sources (including contributions) | 2017-03-31 | $4,069,526 |
| Total of all expenses incurred | 2017-03-31 | $4,198,082 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-03-31 | $3,864,771 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-03-31 | $4,069,470 |
| Value of total assets at end of year | 2017-03-31 | $2,669,562 |
| Value of total assets at beginning of year | 2017-03-31 | $2,749,496 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-03-31 | $333,311 |
| Total interest from all sources | 2017-03-31 | $56 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-03-31 | No |
| Administrative expenses professional fees incurred | 2017-03-31 | $24,668 |
| Was this plan covered by a fidelity bond | 2017-03-31 | Yes |
| Value of fidelity bond cover | 2017-03-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-03-31 | No |
| Contributions received from participants | 2017-03-31 | $3,967,321 |
| Participant contributions at end of year | 2017-03-31 | $145,353 |
| Participant contributions at beginning of year | 2017-03-31 | $183,467 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-03-31 | $234,281 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-03-31 | $82,459 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-03-31 | $171,061 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-03-31 | $135,395 |
| Administrative expenses (other) incurred | 2017-03-31 | $108,007 |
| Liabilities. Value of operating payables at end of year | 2017-03-31 | $16,702 |
| Liabilities. Value of operating payables at beginning of year | 2017-03-31 | $3,746 |
| Total non interest bearing cash at end of year | 2017-03-31 | $1,877,187 |
| Total non interest bearing cash at beginning of year | 2017-03-31 | $2,070,886 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-03-31 | No |
| Value of net income/loss | 2017-03-31 | $-128,556 |
| Value of net assets at end of year (total assets less liabilities) | 2017-03-31 | $2,481,799 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-03-31 | $2,610,355 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-03-31 | $412,741 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-03-31 | $412,684 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-03-31 | $412,684 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-03-31 | $56 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-03-31 | $3,842,005 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-03-31 | No |
| Contributions received in cash from employer | 2017-03-31 | $102,149 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-03-31 | $22,766 |
| Contract administrator fees | 2017-03-31 | $200,636 |
| Did the plan have assets held for investment | 2017-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-03-31 | Unqualified |
| Accountancy firm name | 2017-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2017-03-31 | 522385296 |
| 2016 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-03-31 | $139,141 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-03-31 | $162,656 |
| Total income from all sources (including contributions) | 2016-03-31 | $3,285,728 |
| Total of all expenses incurred | 2016-03-31 | $3,052,080 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-03-31 | $2,812,613 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-03-31 | $3,285,685 |
| Value of total assets at end of year | 2016-03-31 | $2,749,496 |
| Value of total assets at beginning of year | 2016-03-31 | $2,539,363 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-03-31 | $239,467 |
| Total interest from all sources | 2016-03-31 | $43 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-03-31 | No |
| Administrative expenses professional fees incurred | 2016-03-31 | $23,341 |
| Was this plan covered by a fidelity bond | 2016-03-31 | Yes |
| Value of fidelity bond cover | 2016-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-03-31 | No |
| Contributions received from participants | 2016-03-31 | $3,190,236 |
| Participant contributions at end of year | 2016-03-31 | $183,467 |
| Participant contributions at beginning of year | 2016-03-31 | $293,001 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-03-31 | $82,459 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-03-31 | $118,124 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-03-31 | $135,395 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-03-31 | $134,703 |
| Administrative expenses (other) incurred | 2016-03-31 | $38,472 |
| Liabilities. Value of operating payables at end of year | 2016-03-31 | $3,746 |
| Liabilities. Value of operating payables at beginning of year | 2016-03-31 | $27,953 |
| Total non interest bearing cash at end of year | 2016-03-31 | $2,070,886 |
| Total non interest bearing cash at beginning of year | 2016-03-31 | $1,715,597 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-03-31 | No |
| Value of net income/loss | 2016-03-31 | $233,648 |
| Value of net assets at end of year (total assets less liabilities) | 2016-03-31 | $2,610,355 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-03-31 | $2,376,707 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-03-31 | $412,684 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-03-31 | $412,641 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-03-31 | $412,641 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-03-31 | $43 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-03-31 | $2,790,251 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-03-31 | No |
| Contributions received in cash from employer | 2016-03-31 | $95,449 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-03-31 | $22,362 |
| Contract administrator fees | 2016-03-31 | $177,654 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-03-31 | No |
| Did the plan have assets held for investment | 2016-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-03-31 | Unqualified |
| Accountancy firm name | 2016-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2016-03-31 | 522385296 |
| 2015 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-03-31 | $162,656 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-03-31 | $168,344 |
| Total income from all sources (including contributions) | 2015-03-31 | $3,626,012 |
| Total of all expenses incurred | 2015-03-31 | $3,306,495 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-03-31 | $3,064,104 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-03-31 | $3,625,964 |
| Value of total assets at end of year | 2015-03-31 | $2,539,363 |
| Value of total assets at beginning of year | 2015-03-31 | $2,225,534 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-03-31 | $242,391 |
| Total interest from all sources | 2015-03-31 | $48 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-03-31 | No |
| Administrative expenses professional fees incurred | 2015-03-31 | $30,844 |
| Was this plan covered by a fidelity bond | 2015-03-31 | Yes |
| Value of fidelity bond cover | 2015-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-03-31 | No |
| Contributions received from participants | 2015-03-31 | $3,525,783 |
| Participant contributions at end of year | 2015-03-31 | $293,001 |
| Participant contributions at beginning of year | 2015-03-31 | $328,381 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-03-31 | $118,124 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-03-31 | $186,390 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-03-31 | $134,703 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-03-31 | $142,051 |
| Administrative expenses (other) incurred | 2015-03-31 | $35,768 |
| Liabilities. Value of operating payables at end of year | 2015-03-31 | $27,953 |
| Liabilities. Value of operating payables at beginning of year | 2015-03-31 | $26,293 |
| Total non interest bearing cash at end of year | 2015-03-31 | $1,715,597 |
| Total non interest bearing cash at beginning of year | 2015-03-31 | $1,298,170 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-03-31 | No |
| Value of net income/loss | 2015-03-31 | $319,517 |
| Value of net assets at end of year (total assets less liabilities) | 2015-03-31 | $2,376,707 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-03-31 | $2,057,190 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-03-31 | $412,641 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-03-31 | $412,593 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-03-31 | $412,593 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-03-31 | $48 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-03-31 | $3,048,114 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-03-31 | No |
| Contributions received in cash from employer | 2015-03-31 | $100,181 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-03-31 | $15,990 |
| Contract administrator fees | 2015-03-31 | $175,779 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-03-31 | No |
| Did the plan have assets held for investment | 2015-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-03-31 | Unqualified |
| Accountancy firm name | 2015-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2015-03-31 | 522385296 |
| 2014 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-03-31 | $168,344 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-03-31 | $211,992 |
| Total income from all sources (including contributions) | 2014-03-31 | $4,056,017 |
| Total of all expenses incurred | 2014-03-31 | $3,659,452 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-03-31 | $3,403,810 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-03-31 | $4,055,905 |
| Value of total assets at end of year | 2014-03-31 | $2,225,534 |
| Value of total assets at beginning of year | 2014-03-31 | $1,872,617 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-03-31 | $255,642 |
| Total interest from all sources | 2014-03-31 | $112 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-03-31 | No |
| Administrative expenses professional fees incurred | 2014-03-31 | $30,967 |
| Was this plan covered by a fidelity bond | 2014-03-31 | Yes |
| Value of fidelity bond cover | 2014-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-03-31 | No |
| Contributions received from participants | 2014-03-31 | $3,964,892 |
| Participant contributions at end of year | 2014-03-31 | $328,381 |
| Participant contributions at beginning of year | 2014-03-31 | $368,078 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-03-31 | $186,390 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-03-31 | $129,497 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-03-31 | $142,051 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-03-31 | $152,633 |
| Administrative expenses (other) incurred | 2014-03-31 | $25,669 |
| Liabilities. Value of operating payables at end of year | 2014-03-31 | $26,293 |
| Liabilities. Value of operating payables at beginning of year | 2014-03-31 | $59,359 |
| Total non interest bearing cash at end of year | 2014-03-31 | $1,298,170 |
| Total non interest bearing cash at beginning of year | 2014-03-31 | $962,561 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-03-31 | No |
| Value of net income/loss | 2014-03-31 | $396,565 |
| Value of net assets at end of year (total assets less liabilities) | 2014-03-31 | $2,057,190 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-03-31 | $1,660,625 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-03-31 | $412,593 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-03-31 | $412,481 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-03-31 | $412,481 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-03-31 | $112 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-03-31 | $3,382,498 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-03-31 | No |
| Contributions received in cash from employer | 2014-03-31 | $91,013 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-03-31 | $21,312 |
| Contract administrator fees | 2014-03-31 | $199,006 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-03-31 | No |
| Did the plan have assets held for investment | 2014-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-03-31 | Unqualified |
| Accountancy firm name | 2014-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2014-03-31 | 522385296 |
| 2013 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-03-31 | $211,992 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-03-31 | $191,048 |
| Total income from all sources (including contributions) | 2013-03-31 | $4,281,275 |
| Total of all expenses incurred | 2013-03-31 | $3,965,644 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-03-31 | $3,669,849 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-03-31 | $4,281,063 |
| Value of total assets at end of year | 2013-03-31 | $1,872,617 |
| Value of total assets at beginning of year | 2013-03-31 | $1,536,042 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-03-31 | $295,795 |
| Total interest from all sources | 2013-03-31 | $212 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-03-31 | No |
| Administrative expenses professional fees incurred | 2013-03-31 | $14,226 |
| Was this plan covered by a fidelity bond | 2013-03-31 | Yes |
| Value of fidelity bond cover | 2013-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-03-31 | No |
| Contributions received from participants | 2013-03-31 | $4,193,003 |
| Participant contributions at end of year | 2013-03-31 | $368,078 |
| Participant contributions at beginning of year | 2013-03-31 | $392,406 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-03-31 | $129,497 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-03-31 | $136,875 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-03-31 | $152,633 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-03-31 | $148,194 |
| Administrative expenses (other) incurred | 2013-03-31 | $46,004 |
| Liabilities. Value of operating payables at end of year | 2013-03-31 | $59,359 |
| Liabilities. Value of operating payables at beginning of year | 2013-03-31 | $42,854 |
| Total non interest bearing cash at end of year | 2013-03-31 | $962,561 |
| Total non interest bearing cash at beginning of year | 2013-03-31 | $594,492 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-03-31 | No |
| Value of net income/loss | 2013-03-31 | $315,631 |
| Value of net assets at end of year (total assets less liabilities) | 2013-03-31 | $1,660,625 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-03-31 | $1,344,994 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-03-31 | $412,481 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-03-31 | $412,269 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-03-31 | $412,269 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-03-31 | $212 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-03-31 | $3,651,993 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-03-31 | No |
| Contributions received in cash from employer | 2013-03-31 | $88,060 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-03-31 | $17,856 |
| Contract administrator fees | 2013-03-31 | $235,565 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-03-31 | No |
| Did the plan have assets held for investment | 2013-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-03-31 | Unqualified |
| Accountancy firm name | 2013-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2013-03-31 | 522385296 |
| 2012 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-03-31 | $191,048 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-03-31 | $20,270 |
| Total income from all sources (including contributions) | 2012-03-31 | $4,442,594 |
| Total of all expenses incurred | 2012-03-31 | $4,188,158 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-03-31 | $3,833,159 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-03-31 | $4,442,367 |
| Value of total assets at end of year | 2012-03-31 | $1,536,042 |
| Value of total assets at beginning of year | 2012-03-31 | $1,110,828 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-03-31 | $354,999 |
| Total interest from all sources | 2012-03-31 | $227 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-03-31 | No |
| Administrative expenses professional fees incurred | 2012-03-31 | $14,154 |
| Was this plan covered by a fidelity bond | 2012-03-31 | Yes |
| Value of fidelity bond cover | 2012-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-03-31 | No |
| Contributions received from participants | 2012-03-31 | $4,355,084 |
| Participant contributions at end of year | 2012-03-31 | $392,406 |
| Participant contributions at beginning of year | 2012-03-31 | $351,522 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-03-31 | $136,875 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-03-31 | $1,543 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-03-31 | $148,194 |
| Administrative expenses (other) incurred | 2012-03-31 | $110,976 |
| Liabilities. Value of operating payables at end of year | 2012-03-31 | $42,854 |
| Liabilities. Value of operating payables at beginning of year | 2012-03-31 | $20,270 |
| Total non interest bearing cash at end of year | 2012-03-31 | $594,492 |
| Total non interest bearing cash at beginning of year | 2012-03-31 | $345,720 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-03-31 | No |
| Value of net income/loss | 2012-03-31 | $254,436 |
| Value of net assets at end of year (total assets less liabilities) | 2012-03-31 | $1,344,994 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-03-31 | $1,090,558 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-03-31 | $412,269 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-03-31 | $412,043 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-03-31 | $412,043 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-03-31 | $227 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-03-31 | $3,808,019 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-03-31 | No |
| Contributions received in cash from employer | 2012-03-31 | $87,283 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-03-31 | $25,140 |
| Contract administrator fees | 2012-03-31 | $229,869 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-03-31 | No |
| Did the plan have assets held for investment | 2012-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-03-31 | Unqualified |
| Accountancy firm name | 2012-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2012-03-31 | 522385296 |
| 2011 : CALIFORNIA NURSES ASSOCIATION BENEFIT TRUST 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-03-31 | $20,270 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-03-31 | $22,505 |
| Total income from all sources (including contributions) | 2011-03-31 | $4,322,681 |
| Total of all expenses incurred | 2011-03-31 | $4,090,365 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-03-31 | $3,809,652 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-03-31 | $4,322,481 |
| Value of total assets at end of year | 2011-03-31 | $1,110,828 |
| Value of total assets at beginning of year | 2011-03-31 | $880,747 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-03-31 | $280,713 |
| Total interest from all sources | 2011-03-31 | $200 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-03-31 | No |
| Administrative expenses professional fees incurred | 2011-03-31 | $15,041 |
| Was this plan covered by a fidelity bond | 2011-03-31 | Yes |
| Value of fidelity bond cover | 2011-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-03-31 | No |
| Contributions received from participants | 2011-03-31 | $4,236,846 |
| Participant contributions at end of year | 2011-03-31 | $351,522 |
| Participant contributions at beginning of year | 2011-03-31 | $333,795 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-03-31 | $1,543 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-03-31 | $1,350 |
| Administrative expenses (other) incurred | 2011-03-31 | $39,678 |
| Liabilities. Value of operating payables at end of year | 2011-03-31 | $20,270 |
| Liabilities. Value of operating payables at beginning of year | 2011-03-31 | $22,505 |
| Total non interest bearing cash at end of year | 2011-03-31 | $345,720 |
| Total non interest bearing cash at beginning of year | 2011-03-31 | $158,758 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Value of net income/loss | 2011-03-31 | $232,316 |
| Value of net assets at end of year (total assets less liabilities) | 2011-03-31 | $1,090,558 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-03-31 | $858,242 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-03-31 | $412,043 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-03-31 | $386,844 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-03-31 | $386,844 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-03-31 | $200 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-03-31 | $3,784,788 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-03-31 | No |
| Contributions received in cash from employer | 2011-03-31 | $85,635 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-03-31 | $24,864 |
| Contract administrator fees | 2011-03-31 | $225,994 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-03-31 | No |
| Did the plan have assets held for investment | 2011-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-03-31 | Unqualified |
| Accountancy firm name | 2011-03-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2011-03-31 | 522385296 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACBI |
| Policy instance | 4 |
| Insurance contract or identification number | G000ACBI | | Number of Individuals Covered | 1019 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Total amount of commissions paid to insurance broker | USD $25,514 | | Total amount of fees paid to insurance company | USD $30,700 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $255,134 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,514 | | Amount paid for insurance broker fees | 30700 | | 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 | G000182J |
| Policy instance | 3 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 7915 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $231,189 | | Total amount of fees paid to insurance company | USD $135,875 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,690,695 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $231,189 | | Amount paid for insurance broker fees | 135875 | | 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 | G000B2SR |
| Policy instance | 2 |
| Insurance contract or identification number | G000B2SR | | Number of Individuals Covered | 3096 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $16,741 | | Total amount of fees paid to insurance company | USD $22,687 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $167,414 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,741 | | Amount paid for insurance broker fees | 22687 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 1 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 2961 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Total amount of commissions paid to insurance broker | USD $223,476 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $2,540,864 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $134,086 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 1 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 2982 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $114,773 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LONG TERM CARE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,147,382 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68,864 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00B2SR |
| Policy instance | 2 |
| Insurance contract or identification number | G00B2SR | | Number of Individuals Covered | 3166 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $28,633 | | Total amount of fees paid to insurance company | USD $24,410 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $190,884 | | Commission paid to Insurance Broker | USD $28,633 | | Amount paid for insurance broker fees | 24410 | | 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 | G000ACB1 |
| Policy instance | 4 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 620 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $9,445 | | Total amount of fees paid to insurance company | USD $11,638 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&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 Carrier | USD $94,448 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,445 | | Amount paid for insurance broker fees | 11638 | | Additional information about fees paid to insurance broker | OTHER COMPENATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 3059 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $46,018 | | Total amount of fees paid to insurance company | USD $48,737 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $460,179 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $46,018 | | Amount paid for insurance broker fees | 48737 | | 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 | G000182J |
| Policy instance | 3 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 5068 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $192,013 | | Total amount of fees paid to insurance company | USD $90,313 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&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 Carrier | USD $1,280,243 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $192,013 | | Amount paid for insurance broker fees | 90313 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 3037 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $86,427 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $897,335 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $60,356 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 591 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $8,886 | | Total amount of fees paid to insurance company | USD $11,016 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $88,862 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,886 | | Amount paid for insurance broker fees | 11016 | | 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 | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 308 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $10,988 | | Total amount of fees paid to insurance company | USD $13,202 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $109,883 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,988 | | Amount paid for insurance broker fees | 13202 | | 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 | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 5611 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $171,874 | | Total amount of fees paid to insurance company | USD $93,900 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,376,661 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $171,874 | | Amount paid for insurance broker fees | 93900 | | 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 | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 3220 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $48,220 | | Total amount of fees paid to insurance company | USD $49,110 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $482,199 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $48,220 | | Amount paid for insurance broker fees | 49110 | | 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 | G000B2SR |
| Policy instance | 6 |
| Insurance contract or identification number | G000B2SR | | Number of Individuals Covered | 3319 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $29,732 | | Total amount of fees paid to insurance company | USD $31,449 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $198,215 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,732 | | Amount paid for insurance broker fees | 31449 | | 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 | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 586 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $8,528 | | Total amount of fees paid to insurance company | USD $10,781 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $85,284 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,528 | | Amount paid for insurance broker fees | 10781 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 3354 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $90,776 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $905,781 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $89,423 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 5855 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $143,995 | | Total amount of fees paid to insurance company | USD $97,056 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,439,949 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $143,995 | | Amount paid for insurance broker fees | 97056 | | 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 | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 297 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $10,274 | | Total amount of fees paid to insurance company | USD $11,591 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $102,742 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,274 | | Amount paid for insurance broker fees | 11591 | | 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 | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 3478 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $25,026 | | Total amount of fees paid to insurance company | USD $50,026 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $500,524 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,026 | | Amount paid for insurance broker fees | 50026 | | 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 | G000B2SR |
| Policy instance | 6 |
| Insurance contract or identification number | G000B2SR | | Number of Individuals Covered | 3574 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $16,696 | | Total amount of fees paid to insurance company | USD $41,696 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $333,922 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,696 | | Amount paid for insurance broker fees | 41696 | | 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 | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 570 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $8,693 | | Total amount of fees paid to insurance company | USD $10,427 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $86,934 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,693 | | Amount paid for insurance broker fees | 10427 | | 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 | G000B2SR |
| Policy instance | 6 |
| Insurance contract or identification number | G000B2SR | | Number of Individuals Covered | 3781 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $30,269 | | Total amount of fees paid to insurance company | USD $61,889 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $605,382 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,269 | | Amount paid for insurance broker fees | 61889 | | 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 | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 3679 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $26,995 | | Total amount of fees paid to insurance company | USD $26,995 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $539,910 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,995 | | Amount paid for insurance broker fees | 26995 | | 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 | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 6222 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $145,536 | | Total amount of fees paid to insurance company | USD $94,018 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,455,363 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $145,536 | | Amount paid for insurance broker fees | 94018 | | 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 | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 276 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $9,316 | | Total amount of fees paid to insurance company | USD $9,568 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $93,155 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,316 | | Amount paid for insurance broker fees | 9568 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 3362 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $102,996 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $1,029,957 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $101,021 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 3662 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $28,461 | | Total amount of fees paid to insurance company | USD $42,211 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $569,217 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $28,461 | | Amount paid for insurance broker fees | 42211 | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 2980 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $160,513 | | Total amount of fees paid to insurance company | USD $94,006 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,605,127 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $160,513 | | Amount paid for insurance broker fees | 94006 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 259 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $8,997 | | Total amount of fees paid to insurance company | USD $8,373 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $89,973 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,997 | | Amount paid for insurance broker fees | 8373 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 2980 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $147,979 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $798,698 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $143,206 | | Insurance broker organization code? | 3 | | Insurance broker name | AGIS NETWORK INC |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 559 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $8,795 | | Total amount of fees paid to insurance company | USD $9,208 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $87,944 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,795 | | Amount paid for insurance broker fees | 9208 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 522 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $7,298 | | Total amount of fees paid to insurance company | USD $5,926 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $72,985 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,298 | | Amount paid for insurance broker fees | 5926 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 3104 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $171,062 | | Total amount of fees paid to insurance company | USD $17,474 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $970,747 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $141,915 | | Amount paid for insurance broker fees | 14248 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | AGIS NETWORK INC |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 232 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $7,675 | | Total amount of fees paid to insurance company | USD $6,806 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $76,754 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,675 | | Amount paid for insurance broker fees | 6806 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 5736 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $126,571 | | Total amount of fees paid to insurance company | USD $72,035 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,265,706 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $126,571 | | Amount paid for insurance broker fees | 72035 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 3472 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $34,166 | | Total amount of fees paid to insurance company | USD $25,833 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $341,661 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,166 | | Amount paid for insurance broker fees | 25833 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 3676 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $38,176 | | Total amount of fees paid to insurance company | USD $38,384 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $381,762 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $38,176 | | Amount paid for insurance broker fees | 38384 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 543 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $7,962 | | Total amount of fees paid to insurance company | USD $7,097 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $79,620 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,962 | | Amount paid for insurance broker fees | 7097 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 4003 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $157,787 | | Total amount of fees paid to insurance company | USD $19,724 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $1,172,930 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $157,787 | | Amount paid for insurance broker fees | 19724 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & COMPANY INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 235 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $7,897 | | Total amount of fees paid to insurance company | USD $8,248 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $78,967 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,897 | | Amount paid for insurance broker fees | 8248 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 6179 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $142,771 | | Total amount of fees paid to insurance company | USD $92,809 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,427,710 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $142,771 | | Amount paid for insurance broker fees | 92809 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 4020 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $41,507 | | Total amount of fees paid to insurance company | USD $29,504 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $415,075 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $41,507 | | Amount paid for insurance broker fees | 29504 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 226 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $7,226 | | Total amount of fees paid to insurance company | USD $6,024 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $72,262 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,226 | | Amount paid for insurance broker fees | 6024 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 4292 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $149,701 | | Total amount of fees paid to insurance company | USD $12,563 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $1,382,539 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $149,701 | | Amount paid for insurance broker fees | 12563 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & COMPANY INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 550 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $8,145 | | Total amount of fees paid to insurance company | USD $8,980 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $81,449 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,145 | | Amount paid for insurance broker fees | 8980 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 6640 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $147,599 | | Total amount of fees paid to insurance company | USD $82,696 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,475,983 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $147,599 | | Amount paid for insurance broker fees | 82696 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 4184 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $75,535 | | Total amount of fees paid to insurance company | USD $27,143 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $542,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $75,535 | | Amount paid for insurance broker fees | 27143 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 6908 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $191,497 | | Total amount of fees paid to insurance company | USD $85,000 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,700,008 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $191,497 | | Amount paid for insurance broker fees | 85000 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $6,898 | | Total amount of fees paid to insurance company | USD $7,692 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $68,982 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,898 | | Amount paid for insurance broker fees | 7692 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 4544 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $217,217 | | Total amount of fees paid to insurance company | USD $18,006 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $1,481,622 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $185,325 | | Amount paid for insurance broker fees | 14019 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | AGIS NETWORK INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 539 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $8,592 | | Total amount of fees paid to insurance company | USD $8,684 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $85,920 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,592 | | Amount paid for insurance broker fees | 8684 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | EMERSON REID & CO. INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 576 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $13,090 | | Total amount of fees paid to insurance company | USD $4,518 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $90,351 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 4498 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $65,653 | | Total amount of fees paid to insurance company | USD $25,952 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $519,030 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 7306 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $170,375 | | Total amount of fees paid to insurance company | USD $78,178 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,563,560 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 223 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $10,022 | | Total amount of fees paid to insurance company | USD $3,538 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $70,768 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 5085 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $157,222 | | Total amount of fees paid to insurance company | USD $18,438 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $1,543,093 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 5 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 4772 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $64,677 | | Total amount of fees paid to insurance company | USD $27,964 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $559,275 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 3 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $8,393 | | Total amount of fees paid to insurance company | USD $3,355 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $67,108 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 222340 |
| Policy instance | 2 |
| Insurance contract or identification number | 222340 | | Number of Individuals Covered | 4828 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $161,887 | | Total amount of fees paid to insurance company | USD $20,236 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | LONG TERM CARE | | Welfare Benefit Premiums Paid to Carrier | USD $1,622,500 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000ACB1 |
| Policy instance | 1 |
| Insurance contract or identification number | G000ACB1 | | Number of Individuals Covered | 589 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $12,678 | | Total amount of fees paid to insurance company | USD $4,385 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $87,698 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000182J |
| Policy instance | 4 |
| Insurance contract or identification number | G000182J | | Number of Individuals Covered | 7661 | | Insurance policy start date | 2009-07-01 | | Insurance policy end date | 2010-06-30 | | Total amount of commissions paid to insurance broker | USD $172,181 | | Total amount of fees paid to insurance company | USD $81,574 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,631,478 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
