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GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 401k Plan overview

Plan NameGROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY
Plan identification number 514

GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

LEHIGH UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name:LEHIGH UNIVERSITY
Employer identification number (EIN):240795445
NAIC Classification:611000

Additional information about LEHIGH UNIVERSITY

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number: 714099

More information about LEHIGH UNIVERSITY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5142021-01-01
5142021-01-01PATRICIA FLORKOWSKI2023-07-24
5142020-01-01
5142019-01-01
5142018-01-01TONI LEE FEBBO TONI LEE FEBBO2019-07-23
5142017-01-01TONI LEE FEBBO TONI LEE FEBBO2018-07-23
5142016-01-01TONI LEE FEBBO TONI LEE FEBBO2017-07-24
5142015-01-01TONI LEE FEBBO TONI LEE FEBBO2016-07-27
5142014-01-01TONI LEE FEBBO TONI LEE FEBBO2015-07-30
5142013-01-01TONI LEE FEBBO TONI LEE FEBBO2014-07-29
5142012-01-01TONI LEE FEBBO TONI LEE FEBBO2013-07-26
5142011-01-01TONI LEE FEBBO
5142009-01-01TONI LEE FEBBO
5142009-01-01TONI LEE FEBBO

Plan Statistics for GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY

401k plan membership statisitcs for GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY

Measure Date Value
2021: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2021 401k membership
Total participants, beginning-of-year2021-01-011,778
Total number of active participants reported on line 7a of the Form 55002021-01-011,768
Total of all active and inactive participants2021-01-011,768
Total participants2021-01-011,768
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
2020: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2020 401k membership
Total participants, beginning-of-year2020-01-011,835
Total number of active participants reported on line 7a of the Form 55002020-01-011,778
Total of all active and inactive participants2020-01-011,778
Total participants2020-01-011,778
2019: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2019 401k membership
Total participants, beginning-of-year2019-01-011,795
Total number of active participants reported on line 7a of the Form 55002019-01-011,835
Total of all active and inactive participants2019-01-011,835
Total participants2019-01-011,835
2018: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2018 401k membership
Total participants, beginning-of-year2018-01-011,800
Total number of active participants reported on line 7a of the Form 55002018-01-011,795
Total of all active and inactive participants2018-01-011,795
Total participants2018-01-011,795
2017: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2017 401k membership
Total participants, beginning-of-year2017-01-011,794
Total number of active participants reported on line 7a of the Form 55002017-01-011,800
Total of all active and inactive participants2017-01-011,800
Total participants2017-01-011,800
2016: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2016 401k membership
Total participants, beginning-of-year2016-01-011,789
Total number of active participants reported on line 7a of the Form 55002016-01-011,794
Total of all active and inactive participants2016-01-011,794
Total participants2016-01-011,794
2015: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2015 401k membership
Total participants, beginning-of-year2015-01-011,760
Total number of active participants reported on line 7a of the Form 55002015-01-011,789
Total of all active and inactive participants2015-01-011,789
Total participants2015-01-011,789
2014: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2014 401k membership
Total participants, beginning-of-year2014-01-011,728
Total number of active participants reported on line 7a of the Form 55002014-01-011,760
Total of all active and inactive participants2014-01-011,760
Total participants2014-01-011,760
2013: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2013 401k membership
Total participants, beginning-of-year2013-01-011,793
Total number of active participants reported on line 7a of the Form 55002013-01-011,728
Total of all active and inactive participants2013-01-011,728
Total participants2013-01-011,728
2012: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2012 401k membership
Total participants, beginning-of-year2012-01-011,718
Total number of active participants reported on line 7a of the Form 55002012-01-011,793
Total of all active and inactive participants2012-01-011,793
Total participants2012-01-011,793
2011: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2011 401k membership
Total participants, beginning-of-year2011-01-011,738
Total number of active participants reported on line 7a of the Form 55002011-01-011,718
Total of all active and inactive participants2011-01-011,718
Total participants2011-01-011,718
2009: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2009 401k membership
Total participants, beginning-of-year2009-01-011,669
Total number of active participants reported on line 7a of the Form 55002009-01-011,742
Total of all active and inactive participants2009-01-011,742
Total participants2009-01-011,742

Form 5500 Responses for GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY

2021: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE INSURANCE FOR EMPLOYEES OF LEHIGH UNIVERSITY 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1768
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $161,688
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,043,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $161,688
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1778
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $146,845
Total amount of fees paid to insurance companyUSD $61,464
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $982,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $96,494
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDE & BROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1835
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $147,633
Total amount of fees paid to insurance companyUSD $109,569
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,054,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees109569
Additional information about fees paid to insurance brokerBROKER BONUS & OVERRIDES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1795
Insurance policy start date2018-12-31
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $261,396
Total amount of fees paid to insurance companyUSD $12,957
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,119,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $261,396
Insurance broker organization code?3
Amount paid for insurance broker fees12957
Additional information about fees paid to insurance brokerBROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1800
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $242,758
Total amount of fees paid to insurance companyUSD $27,021
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $990,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees27021
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameRSC INSURANCE BROKERAGE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1789
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $152,450
Total amount of fees paid to insurance companyUSD $33,015
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $781,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $89,166
Insurance broker organization code?3
Amount paid for insurance broker fees29754
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameSTHEALTH BNFT SOLUTIONS LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1760
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $146,957
Total amount of fees paid to insurance companyUSD $29,553
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $753,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $146,954
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameNORTHWEST COMPREHENSIVE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1728
Insurance policy start date2013-12-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $140,184
Total amount of fees paid to insurance companyUSD $43,562
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $744,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees43562
Additional information about fees paid to insurance brokerBROKER BONUS
Commission paid to Insurance BrokerUSD $140,184
Insurance broker nameJOHN CERASANI
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010159789
Policy instance 1
Insurance contract or identification number000010159789
Number of Individuals Covered1793
Insurance policy start date2012-07-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $63,307
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $361,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,307
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameJOHN J CERASINI
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207718G
Policy instance 2
Insurance contract or identification number207718G
Number of Individuals Covered1749
Insurance policy start date2012-01-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $20,725
Total amount of fees paid to insurance companyUSD $16,215
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $443,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,342
Amount paid for insurance broker fees9486
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameCARUSO BENEFITS GROUP INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number2077180LT
Policy instance 1
Insurance contract or identification number2077180LT
Number of Individuals Covered1718
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $38,067
Total amount of fees paid to insurance companyUSD $19,034
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number2077180LT
Policy instance 1
Insurance contract or identification number2077180LT
Number of Individuals Covered1738
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $56,553
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $753,552
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,553
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCARUSO BENEFITS GROUP INC.

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