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GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 401k Plan overview

Plan NameGOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP
Plan identification number 501

GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

GOODWILL INDUSTRIES OF GREATER CLEVELAND AND EAST CENTRAL OHIO, INC. has sponsored the creation of one or more 401k plans.

Company Name:GOODWILL INDUSTRIES OF GREATER CLEVELAND AND EAST CENTRAL OHIO, INC.
Employer identification number (EIN):340909974
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Additional information about GOODWILL INDUSTRIES OF GREATER CLEVELAND AND EAST CENTRAL OHIO, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1963-01-22
Company Identification Number: 317091
Legal Registered Office Address: 408 NINTH STREET S W
-
CANTON
United States of America (USA)
44707

More information about GOODWILL INDUSTRIES OF GREATER CLEVELAND AND EAST CENTRAL OHIO, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-01CHERYL MUSGROVE2023-12-27
5012021-10-01CHERYL MUSGROVE2023-01-11
5012020-10-01CHERYL MUSGROVE2022-06-27
5012019-10-01
5012018-10-01
5012017-10-01
5012016-10-01CHERYL A MUSGROVE CHERYL A MUSGROVE2018-05-29
5012015-10-01CHERYL A MUSGROVE CHERYL A MUSGROVE2017-05-30
5012014-10-01CHERYL MUSGROVE CHERYL MUSGROVE2016-06-29
5012013-10-01CHERYL A MUSGROVE CHERYL A MUSGROVE2015-06-08
5012012-10-01CHERYL A MUSGROVE CHERYL A MUSGROVE2014-06-09
5012011-10-01CHERYL A MUSGROVE CHERYL A MUSGROVE2013-05-22
5012010-10-01CHERYL A MUSGROVE CHERYL A MUSGROVE2012-07-12
5012009-10-01CHERYL A MUSGROVE CHERYL A MUSGROVE2011-03-17

Plan Statistics for GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP

401k plan membership statisitcs for GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP

Measure Date Value
2022: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2022 401k membership
Total participants, beginning-of-year2022-10-01479
Total number of active participants reported on line 7a of the Form 55002022-10-01138
Number of retired or separated participants receiving benefits2022-10-011
Number of other retired or separated participants entitled to future benefits2022-10-0119
Total of all active and inactive participants2022-10-01158
Number of employers contributing to the scheme2022-10-010
2021: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2021 401k membership
Total participants, beginning-of-year2021-10-01438
Total number of active participants reported on line 7a of the Form 55002021-10-01454
Number of retired or separated participants receiving benefits2021-10-011
Number of other retired or separated participants entitled to future benefits2021-10-0113
Total of all active and inactive participants2021-10-01468
Number of employers contributing to the scheme2021-10-010
2020: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2020 401k membership
Total participants, beginning-of-year2020-10-01446
Total number of active participants reported on line 7a of the Form 55002020-10-01499
Number of retired or separated participants receiving benefits2020-10-013
Number of other retired or separated participants entitled to future benefits2020-10-0119
Total of all active and inactive participants2020-10-01521
Number of employers contributing to the scheme2020-10-010
2019: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2019 401k membership
Total participants, beginning-of-year2019-10-01469
Total number of active participants reported on line 7a of the Form 55002019-10-01451
Number of retired or separated participants receiving benefits2019-10-0111
Total of all active and inactive participants2019-10-01462
2018: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2018 401k membership
Total participants, beginning-of-year2018-10-01467
Total number of active participants reported on line 7a of the Form 55002018-10-01464
Number of retired or separated participants receiving benefits2018-10-015
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01469
2017: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2017 401k membership
Total participants, beginning-of-year2017-10-01467
Total number of active participants reported on line 7a of the Form 55002017-10-01424
Number of retired or separated participants receiving benefits2017-10-016
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01430
2016: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2016 401k membership
Total participants, beginning-of-year2016-10-01424
Total number of active participants reported on line 7a of the Form 55002016-10-01453
Number of retired or separated participants receiving benefits2016-10-0114
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01467
2015: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2015 401k membership
Total participants, beginning-of-year2015-10-01222
Total number of active participants reported on line 7a of the Form 55002015-10-01412
Number of retired or separated participants receiving benefits2015-10-0112
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01424
2014: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2014 401k membership
Total participants, beginning-of-year2014-10-01345
Total number of active participants reported on line 7a of the Form 55002014-10-01218
Number of retired or separated participants receiving benefits2014-10-014
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01222
2013: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2013 401k membership
Total participants, beginning-of-year2013-10-01313
Total number of active participants reported on line 7a of the Form 55002013-10-01338
Number of retired or separated participants receiving benefits2013-10-017
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01345
2012: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2012 401k membership
Total participants, beginning-of-year2012-10-01281
Total number of active participants reported on line 7a of the Form 55002012-10-01303
Number of retired or separated participants receiving benefits2012-10-0110
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01313
2011: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2011 401k membership
Total participants, beginning-of-year2011-10-01263
Total number of active participants reported on line 7a of the Form 55002011-10-01279
Number of retired or separated participants receiving benefits2011-10-012
Total of all active and inactive participants2011-10-01281
2010: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2010 401k membership
Total participants, beginning-of-year2010-10-01267
Total number of active participants reported on line 7a of the Form 55002010-10-01260
Number of retired or separated participants receiving benefits2010-10-013
Total of all active and inactive participants2010-10-01263
2009: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2009 401k membership
Total participants, beginning-of-year2009-10-01285
Total number of active participants reported on line 7a of the Form 55002009-10-01263
Number of retired or separated participants receiving benefits2009-10-014
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01267
Total participants2009-10-010

Form 5500 Responses for GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP

2022: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – General assets of the sponsorYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – General assets of the sponsorYes
2021: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: GOODWILL INDUSTRIES OF GREATER CLEVELAND AND ECO WBP 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan 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 number400241912
Policy instance 1
Insurance contract or identification number400241912
Number of Individuals Covered450
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $18,599
Total amount of fees paid to insurance companyUSD $14,937
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $347,590
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,599
Amount paid for insurance broker fees14937
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400241912
Policy instance 1
Insurance contract or identification number400241912
Number of Individuals Covered452
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $26,046
Total amount of fees paid to insurance companyUSD $12,647
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $391,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,046
Amount paid for insurance broker fees12647
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400241912
Policy instance 1
Insurance contract or identification number400241912
Number of Individuals Covered439
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $23,698
Total amount of fees paid to insurance companyUSD $14,278
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $369,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,698
Amount paid for insurance broker fees14278
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000 23948
Policy instance 4
Insurance contract or identification number400001000 23948
Number of Individuals Covered99
Insurance policy start date2020-06-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $5,004
Total amount of fees paid to insurance companyUSD $1,849
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,004
Amount paid for insurance broker fees1849
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10241910-13
Policy instance 3
Insurance contract or identification number10241910-13
Number of Individuals Covered457
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $11,719
Total amount of fees paid to insurance companyUSD $7,572
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $191,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,719
Amount paid for insurance broker fees7572
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number1D037147 37162
Policy instance 2
Insurance contract or identification number1D037147 37162
Number of Individuals Covered141
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $4,682
Total amount of fees paid to insurance companyUSD $4,856
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $93,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,682
Amount paid for insurance broker fees4856
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00172856
Policy instance 1
Insurance contract or identification number00172856
Number of Individuals Covered426
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $387,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40001000
Policy instance 4
Insurance contract or identification number40001000
Number of Individuals Covered114
Insurance policy start date2019-06-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $5,425
Total amount of fees paid to insurance companyUSD $2,778
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,425
Amount paid for insurance broker fees2778
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10241910-13
Policy instance 3
Insurance contract or identification number10241910-13
Number of Individuals Covered464
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $12,603
Total amount of fees paid to insurance companyUSD $9,870
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $185,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,603
Amount paid for insurance broker fees9870
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number1D037162
Policy instance 2
Insurance contract or identification number1D037162
Number of Individuals Covered100
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $1,799
Total amount of fees paid to insurance companyUSD $1,292
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,799
Amount paid for insurance broker fees1292
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberG1728
Policy instance 1
Insurance contract or identification numberG1728
Number of Individuals Covered374
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $567,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40001000
Policy instance 6
Insurance contract or identification number40001000
Number of Individuals Covered115
Insurance policy start date2018-06-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $1,848
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10241910-13
Policy instance 5
Insurance contract or identification number10241910-13
Number of Individuals Covered409
Insurance policy start date2018-06-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $6,445
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $72,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number1D037147 & 62
Policy instance 4
Insurance contract or identification number1D037147 & 62
Number of Individuals Covered155
Insurance policy start date2018-06-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $2,592
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00438095
Policy instance 3
Insurance contract or identification number00438095
Number of Individuals Covered434
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $10,785
Total amount of fees paid to insurance companyUSD $7,238
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $152,287
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 numberG1728
Policy instance 2
Insurance contract or identification numberG1728
Number of Individuals Covered373
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $5,611
Total amount of fees paid to insurance companyUSD $772
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $399,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00414386
Policy instance 1
Insurance contract or identification number00414386
Number of Individuals Covered282
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $7,136
Total amount of fees paid to insurance companyUSD $6,677
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $129,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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