SUPERIOR HARDWOODS OF OHIO, INC. has sponsored the creation of one or more 401k plans.
Additional information about SUPERIOR HARDWOODS OF OHIO, INC.
Submission information for form 5500 for 401k plan SUPERIOR HARDWOODS OF OHIO, INC.
401k plan membership statisitcs for SUPERIOR HARDWOODS OF OHIO, INC.
| Measure | Date | Value |
|---|
| 2022: SUPERIOR HARDWOODS OF OHIO, INC. 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-03-01 | 95 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-03-01 | 91 |
| Number of retired or separated participants receiving benefits | 2022-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-03-01 | 0 |
| Total of all active and inactive participants | 2022-03-01 | 91 |
| 2021: SUPERIOR HARDWOODS OF OHIO, INC. 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-03-01 | 95 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-03-01 | 91 |
| Number of retired or separated participants receiving benefits | 2021-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-03-01 | 0 |
| Total of all active and inactive participants | 2021-03-01 | 91 |
| 2020: SUPERIOR HARDWOODS OF OHIO, INC. 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-03-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-03-01 | 95 |
| Number of retired or separated participants receiving benefits | 2020-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-03-01 | 0 |
| Total of all active and inactive participants | 2020-03-01 | 95 |
| 2019: SUPERIOR HARDWOODS OF OHIO, INC. 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-03-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 109 |
| Number of retired or separated participants receiving benefits | 2019-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-03-01 | 0 |
| Total of all active and inactive participants | 2019-03-01 | 109 |
| 2018: SUPERIOR HARDWOODS OF OHIO, INC. 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-03-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 112 |
| Number of retired or separated participants receiving benefits | 2018-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-03-01 | 0 |
| Total of all active and inactive participants | 2018-03-01 | 112 |
| 2017: SUPERIOR HARDWOODS OF OHIO, INC. 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-03-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-03-01 | 0 |
| Total of all active and inactive participants | 2017-03-01 | 0 |
| 2016: SUPERIOR HARDWOODS OF OHIO, INC. 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-03-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-03-01 | 0 |
| Total of all active and inactive participants | 2016-03-01 | 0 |
| 2015: SUPERIOR HARDWOODS OF OHIO, INC. 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-03-01 | 136 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 137 |
| Number of retired or separated participants receiving benefits | 2015-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-03-01 | 0 |
| Total of all active and inactive participants | 2015-03-01 | 137 |
| 2014: SUPERIOR HARDWOODS OF OHIO, INC. 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-03-01 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-03-01 | 136 |
| Number of retired or separated participants receiving benefits | 2014-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-03-01 | 0 |
| Total of all active and inactive participants | 2014-03-01 | 136 |
| 2013: SUPERIOR HARDWOODS OF OHIO, INC. 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-03-01 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-03-01 | 124 |
| Number of retired or separated participants receiving benefits | 2013-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-03-01 | 0 |
| Total of all active and inactive participants | 2013-03-01 | 124 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 632162 |
| Policy instance | 4 |
| Insurance contract or identification number | 632162 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Welfare Benefit Premiums Paid to Carrier | USD $6,432 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 192682 |
| Policy instance | 3 |
| Insurance contract or identification number | 192682 | | Number of Individuals Covered | 81 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Welfare Benefit Premiums Paid to Carrier | USD $36,189 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | W43251 |
| Policy instance | 2 |
| Insurance contract or identification number | W43251 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,115 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | W43251 |
| Policy instance | 1 |
| Insurance contract or identification number | W43251 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $865,500 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | W43251 |
| Policy instance | 1 |
| Insurance contract or identification number | W43251 | | Number of Individuals Covered | 91 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $40,000 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $861,629 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $40,000 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | W43251 |
| Policy instance | 2 |
| Insurance contract or identification number | W43251 | | Number of Individuals Covered | 75 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,922 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 192682 |
| Policy instance | 3 |
| Insurance contract or identification number | 192682 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Welfare Benefit Premiums Paid to Carrier | USD $34,128 | | 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 | 632162 |
| Policy instance | 4 |
| Insurance contract or identification number | 632162 | | Number of Individuals Covered | 27 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Welfare Benefit Premiums Paid to Carrier | USD $5,916 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | W43251 |
| Policy instance | 1 |
| Insurance contract or identification number | W43251 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $38,697 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $919,060 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $38,697 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | W43251 |
| Policy instance | 2 |
| Insurance contract or identification number | W43251 | | Number of Individuals Covered | 72 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,686 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 192682 |
| Policy instance | 3 |
| Insurance contract or identification number | 192682 | | Number of Individuals Covered | 73 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Welfare Benefit Premiums Paid to Carrier | USD $37,377 | | 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 | 632162 |
| Policy instance | 4 |
| Insurance contract or identification number | 632162 | | Number of Individuals Covered | 27 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $981 | | Welfare Benefit Premiums Paid to Carrier | USD $6,538 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $981 | | Insurance broker organization code? | 3 |
|
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | 00172165 |
| Policy instance | 5 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 135 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $448 | | Total amount of fees paid to insurance company | USD $163 | | Welfare Benefit Premiums Paid to Carrier | USD $4,104 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $448 | | Amount paid for insurance broker fees | 163 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0578906 |
| Policy instance | 6 |
| Insurance contract or identification number | R0578906 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $349 | | Welfare Benefit Premiums Paid to Carrier | USD $6,978 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $349 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 632162 |
| Policy instance | 4 |
| Insurance contract or identification number | 632162 | | Number of Individuals Covered | 28 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $1,109 | | Welfare Benefit Premiums Paid to Carrier | USD $7,391 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,109 | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 192682 |
| Policy instance | 3 |
| Insurance contract or identification number | 192682 | | Number of Individuals Covered | 66 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $1,886 | | Welfare Benefit Premiums Paid to Carrier | USD $37,718 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,886 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 00172165 |
| Policy instance | 2 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $1,003 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,039 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,003 | | Insurance broker organization code? | 3 |
|
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 92 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $26,516 | | Total amount of fees paid to insurance company | USD $12,618 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $854,298 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,516 | | Amount paid for insurance broker fees | 12618 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 662405 |
| Policy instance | 5 |
| Insurance contract or identification number | 662405 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $799 | | Welfare Benefit Premiums Paid to Carrier | USD $5,326 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $799 |
|
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | 00172165 |
| Policy instance | 7 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $448 | | Welfare Benefit Premiums Paid to Carrier | USD $4,417 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $448 | | Insurance broker organization code? | 3 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 192682 |
| Policy instance | 3 |
| Insurance contract or identification number | 192682 | | Number of Individuals Covered | 67 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $1,810 | | Welfare Benefit Premiums Paid to Carrier | USD $36,200 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,810 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 662405 |
| Policy instance | 5 |
| Insurance contract or identification number | 662405 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $867 | | Welfare Benefit Premiums Paid to Carrier | USD $5,264 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $867 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0578906 |
| Policy instance | 6 |
| Insurance contract or identification number | R0578906 | | Number of Individuals Covered | 39 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $436 | | Welfare Benefit Premiums Paid to Carrier | USD $8,711 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $436 |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 00172165 |
| Policy instance | 2 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $882 | | Total amount of fees paid to insurance company | USD $130 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,565 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $882 | | Amount paid for insurance broker fees | 130 | | Insurance broker organization code? | 3 |
|
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | 00172165 |
| Policy instance | 7 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $407 | | Welfare Benefit Premiums Paid to Carrier | USD $4,878 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $407 | | Insurance broker organization code? | 3 |
|
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 97 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $27,847 | | Total amount of fees paid to insurance company | USD $10,451 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $871,848 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,847 | | Amount paid for insurance broker fees | 10451 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 632162 |
| Policy instance | 4 |
| Insurance contract or identification number | 632162 | | Number of Individuals Covered | 36 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $1,232 | | Welfare Benefit Premiums Paid to Carrier | USD $7,437 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,232 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0578906 |
| Policy instance | 6 |
| Insurance contract or identification number | R0578906 | | Number of Individuals Covered | 42 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $487 | | Welfare Benefit Premiums Paid to Carrier | USD $9,740 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $487 | | Insurance broker name | THE JAMES B OSWAL COMPANY |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 662405 |
| Policy instance | 5 |
| Insurance contract or identification number | 662405 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $886 | | Welfare Benefit Premiums Paid to Carrier | USD $6,199 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $886 | | Insurance broker name | THE JAMES B OSWAL COMPANY |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 632162 |
| Policy instance | 4 |
| Insurance contract or identification number | 632162 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $1,299 | | Welfare Benefit Premiums Paid to Carrier | USD $9,232 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,299 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 192682 |
| Policy instance | 3 |
| Insurance contract or identification number | 192682 | | Number of Individuals Covered | 70 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $1,845 | | Welfare Benefit Premiums Paid to Carrier | USD $36,900 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,845 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 00172165 |
| Policy instance | 2 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 58 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $1,022 | | Total amount of fees paid to insurance company | USD $1,190 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,335 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,022 | | Amount paid for insurance broker fees | 1190 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 102 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $29,456 | | Total amount of fees paid to insurance company | USD $11,897 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $804,651 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,456 | | Amount paid for insurance broker fees | 11897 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 00172165 |
| Policy instance | 1 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 51 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $31,158 | | Total amount of fees paid to insurance company | USD $5,558 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $660,423 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $31,158 | | Amount paid for insurance broker fees | 5558 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 00172165 |
| Policy instance | 2 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,081 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 192682 |
| Policy instance | 3 |
| Insurance contract or identification number | 192682 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,859 | | Welfare Benefit Premiums Paid to Carrier | USD $37,178 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,859 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | 00172165 |
| Policy instance | 4 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $163 | | Total amount of fees paid to insurance company | USD $194 | | Welfare Benefit Premiums Paid to Carrier | USD $5,304 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $163 | | Amount paid for insurance broker fees | 194 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 001003543 |
| Policy instance | 1 |
| Insurance contract or identification number | 001003543 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $28,211 | | Total amount of fees paid to insurance company | USD $1,269 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $635,056 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $28,211 | | Amount paid for insurance broker fees | 1269 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
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| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 001003543 |
| Policy instance | 2 |
| Insurance contract or identification number | 001003543 | | Number of Individuals Covered | 59 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $1,048 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,284 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,048 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
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| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 192682 |
| Policy instance | 3 |
| Insurance contract or identification number | 192682 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $1,608 | | Welfare Benefit Premiums Paid to Carrier | USD $32,167 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,608 | | Insurance broker name | JAMES B OSWALD COMPANY |
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| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | 00172165 |
| Policy instance | 4 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 136 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $406 | | Welfare Benefit Premiums Paid to Carrier | USD $4,874 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $406 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
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| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | 00172165 |
| Policy instance | 4 |
| Insurance contract or identification number | 00172165 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $491 | | Welfare Benefit Premiums Paid to Carrier | USD $4,913 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $491 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
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| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 001003543 |
| Policy instance | 3 |
| Insurance contract or identification number | 001003543 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $71 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $709 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $71 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 001003543 |
| Policy instance | 2 |
| Insurance contract or identification number | 001003543 | | Number of Individuals Covered | 61 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $1,098 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,624 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,098 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | 001003543 |
| Policy instance | 1 |
| Insurance contract or identification number | 001003543 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $27,012 | | Total amount of fees paid to insurance company | USD $1,647 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $577,776 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,012 | | Amount paid for insurance broker fees | 1647 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
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