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STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 401k Plan overview

Plan NameSTRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN
Plan identification number 551

STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

STRAUSS VEAL FEEDS, INC has sponsored the creation of one or more 401k plans.

Company Name:STRAUSS VEAL FEEDS, INC
Employer identification number (EIN):351605136
NAIC Classification:311110
NAIC Description: Animal Food Manufacturing

Additional information about STRAUSS VEAL FEEDS, INC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2013-09-09
Company Identification Number: 0801849115
Legal Registered Office Address: 600 STRAUSS PROVIMI RD

N MANCHESTER
United States of America (USA)
46962

More information about STRAUSS VEAL FEEDS, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5512022-01-31
5512021-01-31
5512020-01-31
5512019-01-31
5512018-01-31GAREN BUSHONG
5512017-01-31GAREN BUSHONG
5512016-01-31GAREN BUSHONG
5512015-01-31GAREN BUSHONG
5512014-01-31GAREN BUSHONG
5512013-01-31GAREN BUSHONG
5512012-01-31GAREN BUSHONG
5512011-01-31GAREN BUSHONG
5512010-01-31GAREN BUSHONG

Plan Statistics for STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN

401k plan membership statisitcs for STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN

Measure Date Value
2022: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-31300
Total number of active participants reported on line 7a of the Form 55002022-01-31302
Number of retired or separated participants receiving benefits2022-01-310
Number of other retired or separated participants entitled to future benefits2022-01-310
Total of all active and inactive participants2022-01-31302
2021: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-31323
Total number of active participants reported on line 7a of the Form 55002021-01-31300
Number of retired or separated participants receiving benefits2021-01-310
Number of other retired or separated participants entitled to future benefits2021-01-310
Total of all active and inactive participants2021-01-31300
2020: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-31298
Total number of active participants reported on line 7a of the Form 55002020-01-31323
Number of retired or separated participants receiving benefits2020-01-310
Number of other retired or separated participants entitled to future benefits2020-01-310
Total of all active and inactive participants2020-01-31323
2019: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-31293
Total number of active participants reported on line 7a of the Form 55002019-01-31298
Number of retired or separated participants receiving benefits2019-01-310
Number of other retired or separated participants entitled to future benefits2019-01-310
Total of all active and inactive participants2019-01-31298
2018: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-31281
Total number of active participants reported on line 7a of the Form 55002018-01-31293
Number of retired or separated participants receiving benefits2018-01-310
Number of other retired or separated participants entitled to future benefits2018-01-310
Total of all active and inactive participants2018-01-31293
2017: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-31279
Total number of active participants reported on line 7a of the Form 55002017-01-31281
Number of retired or separated participants receiving benefits2017-01-310
Number of other retired or separated participants entitled to future benefits2017-01-310
Total of all active and inactive participants2017-01-31281
2016: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-31260
Total number of active participants reported on line 7a of the Form 55002016-01-31279
Number of retired or separated participants receiving benefits2016-01-310
Number of other retired or separated participants entitled to future benefits2016-01-310
Total of all active and inactive participants2016-01-31279
2015: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-31193
Total number of active participants reported on line 7a of the Form 55002015-01-31260
Number of retired or separated participants receiving benefits2015-01-310
Number of other retired or separated participants entitled to future benefits2015-01-310
Total of all active and inactive participants2015-01-31260
2014: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-31146
Total number of active participants reported on line 7a of the Form 55002014-01-31193
Number of retired or separated participants receiving benefits2014-01-310
Number of other retired or separated participants entitled to future benefits2014-01-310
Total of all active and inactive participants2014-01-31193
2013: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-31123
Total number of active participants reported on line 7a of the Form 55002013-01-31146
Total of all active and inactive participants2013-01-31146
2012: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-31138
Total number of active participants reported on line 7a of the Form 55002012-01-31123
Total of all active and inactive participants2012-01-31123
2011: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-31133
Total number of active participants reported on line 7a of the Form 55002011-01-31138
Total of all active and inactive participants2011-01-31138
2010: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-310
Total number of active participants reported on line 7a of the Form 55002010-01-31133
Total of all active and inactive participants2010-01-31133

Form 5500 Responses for STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN

2022: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2022 form 5500 responses
2022-01-31Type of plan entitySingle employer plan
2022-01-31Submission has been amendedNo
2022-01-31This submission is the final filingNo
2022-01-31This return/report is a short plan year return/report (less than 12 months)No
2022-01-31Plan is a collectively bargained planNo
2022-01-31Plan funding arrangement – InsuranceYes
2022-01-31Plan benefit arrangement – InsuranceYes
2021: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2021 form 5500 responses
2021-01-31Type of plan entitySingle employer plan
2021-01-31Submission has been amendedNo
2021-01-31This submission is the final filingNo
2021-01-31This return/report is a short plan year return/report (less than 12 months)No
2021-01-31Plan is a collectively bargained planNo
2021-01-31Plan funding arrangement – InsuranceYes
2021-01-31Plan benefit arrangement – InsuranceYes
2020: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2020 form 5500 responses
2020-01-31Type of plan entitySingle employer plan
2020-01-31Submission has been amendedNo
2020-01-31This submission is the final filingNo
2020-01-31This return/report is a short plan year return/report (less than 12 months)No
2020-01-31Plan is a collectively bargained planNo
2020-01-31Plan funding arrangement – InsuranceYes
2020-01-31Plan benefit arrangement – InsuranceYes
2019: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2019 form 5500 responses
2019-01-31Type of plan entitySingle employer plan
2019-01-31Submission has been amendedNo
2019-01-31This submission is the final filingNo
2019-01-31This return/report is a short plan year return/report (less than 12 months)No
2019-01-31Plan is a collectively bargained planNo
2019-01-31Plan funding arrangement – InsuranceYes
2019-01-31Plan benefit arrangement – InsuranceYes
2018: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2018 form 5500 responses
2018-01-31Type of plan entitySingle employer plan
2018-01-31Submission has been amendedNo
2018-01-31This submission is the final filingNo
2018-01-31This return/report is a short plan year return/report (less than 12 months)No
2018-01-31Plan is a collectively bargained planNo
2018-01-31Plan funding arrangement – InsuranceYes
2018-01-31Plan benefit arrangement – InsuranceYes
2017: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2017 form 5500 responses
2017-01-31Type of plan entitySingle employer plan
2017-01-31Submission has been amendedNo
2017-01-31This submission is the final filingNo
2017-01-31This return/report is a short plan year return/report (less than 12 months)No
2017-01-31Plan is a collectively bargained planNo
2017-01-31Plan funding arrangement – InsuranceYes
2017-01-31Plan benefit arrangement – InsuranceYes
2016: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2016 form 5500 responses
2016-01-31Type of plan entitySingle employer plan
2016-01-31Submission has been amendedNo
2016-01-31This submission is the final filingNo
2016-01-31This return/report is a short plan year return/report (less than 12 months)No
2016-01-31Plan is a collectively bargained planNo
2016-01-31Plan funding arrangement – InsuranceYes
2016-01-31Plan benefit arrangement – InsuranceYes
2015: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2015 form 5500 responses
2015-01-31Type of plan entitySingle employer plan
2015-01-31Plan funding arrangement – InsuranceYes
2015-01-31Plan benefit arrangement – InsuranceYes
2014: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2014 form 5500 responses
2014-01-31Type of plan entitySingle employer plan
2014-01-31Plan funding arrangement – InsuranceYes
2014-01-31Plan benefit arrangement – InsuranceYes
2013: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2013 form 5500 responses
2013-01-31Type of plan entitySingle employer plan
2013-01-31Plan funding arrangement – InsuranceYes
2013-01-31Plan benefit arrangement – InsuranceYes
2012: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2012 form 5500 responses
2012-01-31Type of plan entitySingle employer plan
2012-01-31Plan funding arrangement – InsuranceYes
2012-01-31Plan benefit arrangement – InsuranceYes
2011: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2011 form 5500 responses
2011-01-31Type of plan entitySingle employer plan
2011-01-31Plan funding arrangement – InsuranceYes
2011-01-31Plan benefit arrangement – InsuranceYes
2010: STRAUSS VEAL FEEDS, INC - VISION & DENTAL PLAN 2010 form 5500 responses
2010-01-31Type of plan entitySingle employer plan
2010-01-31First time form 5500 has been submittedYes
2010-01-31Plan funding arrangement – InsuranceYes
2010-01-31Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered302
Insurance policy start date2022-03-01
Insurance policy end date2023-01-30
Total amount of commissions paid to insurance brokerUSD $12,694
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $165,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,818
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered300
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,552
Total amount of fees paid to insurance companyUSD $8,947
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $175,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,552
Amount paid for insurance broker fees8947
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered323
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $8,106
Total amount of fees paid to insurance companyUSD $2,025
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $160,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,106
Amount paid for insurance broker fees2025
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered298
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,222
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $170,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,222
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered293
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $6,581
Total amount of fees paid to insurance companyUSD $5,943
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $179,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,581
Amount paid for insurance broker fees5943
Additional information about fees paid to insurance brokerFEE
Insurance broker organization code?3
Insurance broker nameAPEX BENEFITS GROUP, INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered281
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,444
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $172,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,444
Insurance broker organization code?3
Insurance broker nameAPEX BENEFITS GROUP, INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered260
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,346
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $128,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,346
Insurance broker organization code?3
Insurance broker nameAPEX BENEFITS GROUP, INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered193
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $5,453
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $122,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,028
Insurance broker organization code?3
Insurance broker nameAPEX BENEFITS GROUP, INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered146
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,910
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
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,910
Insurance broker organization code?3
Insurance broker namePAULA M LAW
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered123
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,730
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
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $95,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,730
Insurance broker organization code?3
Insurance broker namePAULA M LAW
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered138
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,540
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
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,466
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 number00453272
Policy instance 1
Insurance contract or identification number00453272
Number of Individuals Covered133
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,498
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
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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