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SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 401k Plan overview

Plan NameSUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST
Plan identification number 501

SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

LEL OPERATING COMPANY has sponsored the creation of one or more 401k plans.

Company Name:LEL OPERATING COMPANY
Employer identification number (EIN):341879859
NAIC Classification:311500
NAIC Description: Dairy Product Manufacturing

Additional information about LEL OPERATING COMPANY

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1998-09-04
Company Identification Number: 1030315
Legal Registered Office Address: 4719 NAVARRE RD., SW
-
CANTON
United States of America (USA)
44706

More information about LEL OPERATING COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-01-01JAMES A. INNES
5012013-01-01JAMES A. INNES
5012012-01-01JAMES A. INNES
5012011-01-01JAMES A. INNES
5012010-01-01JAMES A. INNES
5012009-01-01JAMES A. INNES

Plan Statistics for SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST

401k plan membership statisitcs for SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST

Measure Date Value
2014: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01232
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Total of all active and inactive participants2014-01-010
2013: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01246
Total number of active participants reported on line 7a of the Form 55002013-01-01217
Number of retired or separated participants receiving benefits2013-01-0115
Total of all active and inactive participants2013-01-01232
2012: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01236
Total number of active participants reported on line 7a of the Form 55002012-01-01223
Number of retired or separated participants receiving benefits2012-01-0123
Total of all active and inactive participants2012-01-01246
2011: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01273
Total number of active participants reported on line 7a of the Form 55002011-01-01213
Number of retired or separated participants receiving benefits2011-01-0123
Total of all active and inactive participants2011-01-01236
2010: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-01284
Total number of active participants reported on line 7a of the Form 55002010-01-01209
Number of retired or separated participants receiving benefits2010-01-0164
Total of all active and inactive participants2010-01-01273
2009: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01254
Total number of active participants reported on line 7a of the Form 55002009-01-01217
Number of retired or separated participants receiving benefits2009-01-0167
Total of all active and inactive participants2009-01-01284

Financial Data on SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST

Measure Date Value
2014 : SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$357,385
Total income from all sources (including contributions)2014-12-31$989,722
Total of all expenses incurred2014-12-31$704,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$674,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$989,722
Value of total assets at end of year2014-12-31$0
Value of total assets at beginning of year2014-12-31$72,594
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$30,104
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$46,038
Administrative expenses (other) incurred2014-12-31$4,000
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$72,594
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$284,791
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-284,791
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$55,480
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$943,684
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$619,347
Contract administrator fees2014-12-31$26,104
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$357,385
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BRUNER COX LLP
Accountancy firm EIN2014-12-31340641962
2013 : SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$357,385
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$621,820
Total income from all sources (including contributions)2013-12-31$2,153,567
Total of all expenses incurred2013-12-31$1,945,909
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,878,881
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,153,567
Value of total assets at end of year2013-12-31$72,594
Value of total assets at beginning of year2013-12-31$129,371
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$67,028
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$147,515
Administrative expenses (other) incurred2013-12-31$8,000
Total non interest bearing cash at end of year2013-12-31$72,594
Total non interest bearing cash at beginning of year2013-12-31$129,371
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$207,658
Value of net assets at end of year (total assets less liabilities)2013-12-31$-284,791
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-492,449
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$196,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,006,052
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,682,275
Contract administrator fees2013-12-31$59,028
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$357,385
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$621,820
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BRUNER-COX, LLP
Accountancy firm EIN2013-12-31340641962
2012 : SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$621,820
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$523,373
Total income from all sources (including contributions)2012-12-31$2,169,573
Total of all expenses incurred2012-12-31$2,246,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,174,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,169,573
Value of total assets at end of year2012-12-31$129,371
Value of total assets at beginning of year2012-12-31$107,819
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$72,393
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$137,627
Administrative expenses (other) incurred2012-12-31$4,000
Total non interest bearing cash at end of year2012-12-31$129,371
Total non interest bearing cash at beginning of year2012-12-31$107,819
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-76,895
Value of net assets at end of year (total assets less liabilities)2012-12-31$-492,449
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-415,554
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$141,462
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,031,946
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,032,613
Contract administrator fees2012-12-31$68,393
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$621,820
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$523,373
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BRUNER-COX, LLP
Accountancy firm EIN2012-12-31340641962
2011 : SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$523,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$441,364
Total income from all sources (including contributions)2011-12-31$2,072,773
Total of all expenses incurred2011-12-31$2,153,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,073,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,072,773
Value of total assets at end of year2011-12-31$107,819
Value of total assets at beginning of year2011-12-31$106,349
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$80,006
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$122,193
Administrative expenses (other) incurred2011-12-31$4,000
Total non interest bearing cash at end of year2011-12-31$107,819
Total non interest bearing cash at beginning of year2011-12-31$106,349
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-80,539
Value of net assets at end of year (total assets less liabilities)2011-12-31$-415,554
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-335,015
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$112,520
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,950,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,960,786
Contract administrator fees2011-12-31$76,006
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$523,373
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$441,364
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BRUNER COX, LLP
Accountancy firm EIN2011-12-31340641962
2010 : SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$441,364
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$260,622
Total income from all sources (including contributions)2010-12-31$2,336,679
Total of all expenses incurred2010-12-31$2,548,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,434,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,336,679
Value of total assets at end of year2010-12-31$106,349
Value of total assets at beginning of year2010-12-31$137,782
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$113,997
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$92,840
Administrative expenses (other) incurred2010-12-31$4,995
Total non interest bearing cash at end of year2010-12-31$106,349
Total non interest bearing cash at beginning of year2010-12-31$137,782
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-212,175
Value of net assets at end of year (total assets less liabilities)2010-12-31$-335,015
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-122,840
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$90,616
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$2,243,839
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,344,241
Contract administrator fees2010-12-31$109,002
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$441,364
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$260,622
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BRUNER COX, LLP
Accountancy firm EIN2010-12-31340641962

Form 5500 Responses for SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST

2014: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01This submission is the final filingYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SUPERIOR DAIRY, INC. EMPLOYEE MEDICAL PLAN TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract number21980&KMA00010
Policy instance 1
Insurance contract or identification number21980&KMA00010
Number of Individuals Covered607
Insurance policy start date2014-01-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $4,866
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $20,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,866
Insurance broker organization code?3
Insurance broker nameHUNTINGTON INSURANCE
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract number21980&KMA00010
Policy instance 1
Insurance contract or identification number21980&KMA00010
Number of Individuals Covered663
Insurance policy start date2013-01-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $15,201
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $81,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,201
Insurance broker organization code?3
Insurance broker nameHUNTINGTON INSURANCE
ARCH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11150 )
Policy contract number21980&KMA00010
Policy instance 2
Insurance contract or identification number21980&KMA00010
Insurance policy start date2013-07-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $18,491
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $115,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,491
Insurance broker organization code?3
Insurance broker nameHUNTINGTON INSURANCE
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract number21980&KMA00010
Policy instance 1
Insurance contract or identification number21980&KMA00010
Number of Individuals Covered625
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $23,508
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $134,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,508
Insurance broker organization code?3
Insurance broker nameHUNTINGTON INSURANCE
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract number21980&KMA00010
Policy instance 1
Insurance contract or identification number21980&KMA00010
Number of Individuals Covered625
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $26,372
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $106,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract number21980&KMA00010
Policy instance 1
Insurance contract or identification number21980&KMA00010
Number of Individuals Covered689
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $22,237
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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