401k Plan data: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN plan

NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 401k Plan overview

Plan Name	NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN
Plan identification number	333

NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation). Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

GENERAL AGENTS OF NATIONAL LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: GENERAL AGENTS OF NATIONAL LIFE INSURANCE COMPANY

Employer identification number (EIN): 036012059

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
333 2012-01-01 STEVEN SCHULTZ
333 2011-01-01 STEVEN SCHULTZ
333 2009-01-01 STEVEN SCHULTZ STEVEN SCHULTZ 2010-10-06

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
333	2012-01-01	STEVEN SCHULTZ
333	2011-01-01	STEVEN SCHULTZ
333	2009-01-01	STEVEN SCHULTZ	STEVEN SCHULTZ	2010-10-06

Plan Statistics for NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN

401k plan membership statisitcs for NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN

Measure Date Value
2012: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 168
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 29
Number of retired or separated participants receiving benefits 2012-01-01 78
Number of other retired or separated participants entitled to future benefits 2012-01-01 54
Total of all active and inactive participants 2012-01-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 3
Total participants 2012-01-01 164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 35
Number of retired or separated participants receiving benefits 2011-01-01 76
Number of other retired or separated participants entitled to future benefits 2011-01-01 54
Total of all active and inactive participants 2011-01-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 3
Total participants 2011-01-01 168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 52
Number of retired or separated participants receiving benefits 2009-01-01 69
Number of other retired or separated participants entitled to future benefits 2009-01-01 55
Total of all active and inactive participants 2009-01-01 176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 3
Total participants 2009-01-01 179
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	168
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	29
Number of retired or separated participants receiving benefits	2012-01-01	78
Number of other retired or separated participants entitled to future benefits	2012-01-01	54
Total of all active and inactive participants	2012-01-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	3
Total participants	2012-01-01	164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	35
Number of retired or separated participants receiving benefits	2011-01-01	76
Number of other retired or separated participants entitled to future benefits	2011-01-01	54
Total of all active and inactive participants	2011-01-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	3
Total participants	2011-01-01	168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	52
Number of retired or separated participants receiving benefits	2009-01-01	69
Number of other retired or separated participants entitled to future benefits	2009-01-01	55
Total of all active and inactive participants	2009-01-01	176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	3
Total participants	2009-01-01	179
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN

Measure	Date	Value
2012 : NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$6,348
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$4,100
Total income from all sources (including contributions)	2012-12-31	$1,713,373
Total loss/gain on sale of assets	2012-12-31	$639,918
Total of all expenses incurred	2012-12-31	$853,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$816,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$460,000
Value of total assets at end of year	2012-12-31	$12,331,344
Value of total assets at beginning of year	2012-12-31	$11,469,035
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$37,014
Total interest from all sources	2012-12-31	$170,487
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$117,781
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$19,769
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$15,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$20,569
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$23,409
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$1,013
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$6,348
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$4,100
Administrative expenses (other) incurred	2012-12-31	$17,245
Total non interest bearing cash at end of year	2012-12-31	$23,158
Total non interest bearing cash at beginning of year	2012-12-31	$4,847
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$860,061
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$12,324,996
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$11,464,935
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Income. Interest from corporate debt instruments	2012-12-31	$167,855
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$2,632
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$4,036
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$107,702
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$325,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$460,000
Income. Dividends from common stock	2012-12-31	$117,781
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$816,298
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$5,219,044
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$4,433,205
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$7,064,537
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$6,898,859
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$54,011,799
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$53,371,881
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MCSOLEY MCCOY & CO.
Accountancy firm EIN	2012-12-31	030327374
2011 : NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$4,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$4,504
Total income from all sources (including contributions)	2011-12-31	$771,267
Total loss/gain on sale of assets	2011-12-31	$373,812
Total of all expenses incurred	2011-12-31	$784,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$747,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$240,000
Value of total assets at end of year	2011-12-31	$11,469,035
Value of total assets at beginning of year	2011-12-31	$11,482,758
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$37,058
Total interest from all sources	2011-12-31	$201,816
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$102,752
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$24,913
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$15,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$23,409
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$16,363
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$1,013
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$4,100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$4,504
Administrative expenses (other) incurred	2011-12-31	$12,145
Total non interest bearing cash at end of year	2011-12-31	$4,847
Total non interest bearing cash at beginning of year	2011-12-31	$21,520
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-13,319
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$11,464,935
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$11,478,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Income. Interest from corporate debt instruments	2011-12-31	$197,923
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$3,893
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$107,702
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$51,337
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-147,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$240,000
Income. Dividends from common stock	2011-12-31	$102,752
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$747,528
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$4,433,205
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$4,157,871
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$6,898,859
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$7,235,667
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$45,803,256
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$45,429,444
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MCSOLEY MCCOY & CO.
Accountancy firm EIN	2011-12-31	030327374
2010 : NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$4,504
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$2,817
Total income from all sources (including contributions)	2010-12-31	$1,353,322
Total loss/gain on sale of assets	2010-12-31	$280,437
Total of all expenses incurred	2010-12-31	$743,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$705,022
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$0
Value of total assets at end of year	2010-12-31	$11,482,758
Value of total assets at beginning of year	2010-12-31	$10,871,325
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$38,554
Total interest from all sources	2010-12-31	$196,009
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$101,829
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$16,692
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$15,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$16,363
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$20,682
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$20,408
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$4,504
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$2,817
Administrative expenses (other) incurred	2010-12-31	$21,862
Total non interest bearing cash at end of year	2010-12-31	$21,520
Total non interest bearing cash at beginning of year	2010-12-31	$194,454
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$609,746
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$11,478,254
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$10,868,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Income. Interest from corporate debt instruments	2010-12-31	$176,371
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$19,638
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$51,337
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$716,313
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$20,408
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$775,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Income. Dividends from common stock	2010-12-31	$101,829
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$684,614
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$4,157,871
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$3,714,077
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$7,235,667
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$6,205,391
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$57,887,980
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$57,607,543
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MCSOLEY MCCOY & CO.
Accountancy firm EIN	2010-12-31	030327374
2009 : NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN

2012: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: NATIONAL LIFE INSURANCE COMPANY AGENCY EMPLOYEES PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	GENERAL AGENTS OF NATIONAL LIFE INSURANCE COMPANY
Employer identification number (EIN):	036012059
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages