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G & W ELECTRIC COMPANY GROUP HEALTH PLAN 401k Plan overview

Plan NameG & W ELECTRIC COMPANY GROUP HEALTH PLAN
Plan identification number 501

G & W ELECTRIC COMPANY GROUP HEALTH PLAN 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

G & W ELECTRIC COMPANY has sponsored the creation of one or more 401k plans.

Company Name:G & W ELECTRIC COMPANY
Employer identification number (EIN):361113440
NAIC Classification:335900

Additional information about G & W ELECTRIC COMPANY

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1981-03-30
Company Identification Number: 0005060206
Legal Registered Office Address: 305 W CROSSROADS PKWY

BOLINGBROOK
United States of America (USA)
60440

More information about G & W ELECTRIC COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan G & W ELECTRIC COMPANY GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-04-15PAM STANIS
5012023-04-15
5012023-04-15KATHERINE RAMSEY
5012022-04-15
5012022-04-15KATHERINE RAMSEY
5012021-04-15
5012021-04-15KATHY RAMSEY
5012020-04-15
5012019-04-15
5012018-04-15
5012017-04-15PAM STANIS
5012016-04-15
5012015-04-15
5012014-04-15
5012013-04-15MELISSA AMPTMANN
5012012-04-15MELISSA AMPTMANN
5012011-04-15M.K. RAMSEY
5012010-04-15M. KATHERINE RAMSEY
5012009-04-15NANCY MANARY

Plan Statistics for G & W ELECTRIC COMPANY GROUP HEALTH PLAN

401k plan membership statisitcs for G & W ELECTRIC COMPANY GROUP HEALTH PLAN

Measure Date Value
2023: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-15812
Total number of active participants reported on line 7a of the Form 55002023-04-15990
Number of retired or separated participants receiving benefits2023-04-154
Number of other retired or separated participants entitled to future benefits2023-04-1526
Total of all active and inactive participants2023-04-151,020
2022: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-15739
Total number of active participants reported on line 7a of the Form 55002022-04-15808
Number of retired or separated participants receiving benefits2022-04-155
Number of other retired or separated participants entitled to future benefits2022-04-1529
Total of all active and inactive participants2022-04-15842
2021: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-15793
Total number of active participants reported on line 7a of the Form 55002021-04-15753
Number of retired or separated participants receiving benefits2021-04-159
Number of other retired or separated participants entitled to future benefits2021-04-1530
Total of all active and inactive participants2021-04-15792
2020: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-15745
Total number of active participants reported on line 7a of the Form 55002020-04-15788
Number of retired or separated participants receiving benefits2020-04-154
Number of other retired or separated participants entitled to future benefits2020-04-156
Total of all active and inactive participants2020-04-15798
2019: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-15660
Total number of active participants reported on line 7a of the Form 55002019-04-15725
Number of retired or separated participants receiving benefits2019-04-155
Number of other retired or separated participants entitled to future benefits2019-04-1513
Total of all active and inactive participants2019-04-15743
2018: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-15600
Total number of active participants reported on line 7a of the Form 55002018-04-15650
Number of retired or separated participants receiving benefits2018-04-154
Number of other retired or separated participants entitled to future benefits2018-04-154
Total of all active and inactive participants2018-04-15658
2017: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-15460
Total number of active participants reported on line 7a of the Form 55002017-04-15544
Number of retired or separated participants receiving benefits2017-04-153
Number of other retired or separated participants entitled to future benefits2017-04-151
Total of all active and inactive participants2017-04-15548
2016: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-15448
Total number of active participants reported on line 7a of the Form 55002016-04-15452
Number of retired or separated participants receiving benefits2016-04-155
Number of other retired or separated participants entitled to future benefits2016-04-151
Total of all active and inactive participants2016-04-15458
2015: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-15461
Total number of active participants reported on line 7a of the Form 55002015-04-15435
Number of retired or separated participants receiving benefits2015-04-1518
Number of other retired or separated participants entitled to future benefits2015-04-156
Total of all active and inactive participants2015-04-15459
2014: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-15363
Total number of active participants reported on line 7a of the Form 55002014-04-15461
Number of retired or separated participants receiving benefits2014-04-154
Total of all active and inactive participants2014-04-15465
2013: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-15357
Total number of active participants reported on line 7a of the Form 55002013-04-15353
Number of retired or separated participants receiving benefits2013-04-154
Number of other retired or separated participants entitled to future benefits2013-04-1515
Total of all active and inactive participants2013-04-15372
2012: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-15325
Total number of active participants reported on line 7a of the Form 55002012-04-15357
Number of retired or separated participants receiving benefits2012-04-155
Number of other retired or separated participants entitled to future benefits2012-04-1516
Total of all active and inactive participants2012-04-15378
2011: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-15369
Total number of active participants reported on line 7a of the Form 55002011-04-15417
Number of retired or separated participants receiving benefits2011-04-152
Number of other retired or separated participants entitled to future benefits2011-04-150
Total of all active and inactive participants2011-04-15419
2010: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-15348
Total number of active participants reported on line 7a of the Form 55002010-04-15357
Number of retired or separated participants receiving benefits2010-04-159
Number of other retired or separated participants entitled to future benefits2010-04-150
Total of all active and inactive participants2010-04-15366
2009: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-15332
Total number of active participants reported on line 7a of the Form 55002009-04-15340
Number of retired or separated participants receiving benefits2009-04-158
Number of other retired or separated participants entitled to future benefits2009-04-150
Total of all active and inactive participants2009-04-15348

Form 5500 Responses for G & W ELECTRIC COMPANY GROUP HEALTH PLAN

2023: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2023 form 5500 responses
2023-04-15Type of plan entitySingle employer plan
2023-04-15Submission has been amendedNo
2023-04-15This submission is the final filingNo
2023-04-15This return/report is a short plan year return/report (less than 12 months)No
2023-04-15Plan is a collectively bargained planNo
2023-04-15Plan funding arrangement – InsuranceYes
2023-04-15Plan funding arrangement – General assets of the sponsorYes
2023-04-15Plan benefit arrangement – InsuranceYes
2023-04-15Plan benefit arrangement – General assets of the sponsorYes
2022: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2022 form 5500 responses
2022-04-15Type of plan entitySingle employer plan
2022-04-15Submission has been amendedNo
2022-04-15This submission is the final filingNo
2022-04-15This return/report is a short plan year return/report (less than 12 months)No
2022-04-15Plan is a collectively bargained planNo
2022-04-15Plan funding arrangement – InsuranceYes
2022-04-15Plan funding arrangement – General assets of the sponsorYes
2022-04-15Plan benefit arrangement – InsuranceYes
2022-04-15Plan benefit arrangement – General assets of the sponsorYes
2021: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2021 form 5500 responses
2021-04-15Type of plan entitySingle employer plan
2021-04-15Submission has been amendedNo
2021-04-15This submission is the final filingNo
2021-04-15This return/report is a short plan year return/report (less than 12 months)No
2021-04-15Plan is a collectively bargained planNo
2021-04-15Plan funding arrangement – InsuranceYes
2021-04-15Plan funding arrangement – General assets of the sponsorYes
2021-04-15Plan benefit arrangement – InsuranceYes
2021-04-15Plan benefit arrangement – General assets of the sponsorYes
2020: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2020 form 5500 responses
2020-04-15Type of plan entitySingle employer plan
2020-04-15Submission has been amendedNo
2020-04-15This submission is the final filingNo
2020-04-15This return/report is a short plan year return/report (less than 12 months)No
2020-04-15Plan is a collectively bargained planNo
2020-04-15Plan funding arrangement – InsuranceYes
2020-04-15Plan funding arrangement – General assets of the sponsorYes
2020-04-15Plan benefit arrangement – InsuranceYes
2020-04-15Plan benefit arrangement – General assets of the sponsorYes
2019: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2019 form 5500 responses
2019-04-15Type of plan entitySingle employer plan
2019-04-15Submission has been amendedNo
2019-04-15This submission is the final filingNo
2019-04-15This return/report is a short plan year return/report (less than 12 months)No
2019-04-15Plan is a collectively bargained planNo
2019-04-15Plan funding arrangement – InsuranceYes
2019-04-15Plan funding arrangement – General assets of the sponsorYes
2019-04-15Plan benefit arrangement – InsuranceYes
2019-04-15Plan benefit arrangement – General assets of the sponsorYes
2018: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2018 form 5500 responses
2018-04-15Type of plan entitySingle employer plan
2018-04-15Submission has been amendedNo
2018-04-15This submission is the final filingNo
2018-04-15This return/report is a short plan year return/report (less than 12 months)No
2018-04-15Plan is a collectively bargained planNo
2018-04-15Plan funding arrangement – InsuranceYes
2018-04-15Plan funding arrangement – General assets of the sponsorYes
2018-04-15Plan benefit arrangement – InsuranceYes
2018-04-15Plan benefit arrangement – General assets of the sponsorYes
2017: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2017 form 5500 responses
2017-04-15Type of plan entitySingle employer plan
2017-04-15Submission has been amendedNo
2017-04-15This submission is the final filingNo
2017-04-15This return/report is a short plan year return/report (less than 12 months)No
2017-04-15Plan is a collectively bargained planNo
2017-04-15Plan funding arrangement – InsuranceYes
2017-04-15Plan funding arrangement – General assets of the sponsorYes
2017-04-15Plan benefit arrangement – InsuranceYes
2017-04-15Plan benefit arrangement – General assets of the sponsorYes
2016: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2016 form 5500 responses
2016-04-15Type of plan entitySingle employer plan
2016-04-15Submission has been amendedNo
2016-04-15This submission is the final filingNo
2016-04-15This return/report is a short plan year return/report (less than 12 months)No
2016-04-15Plan is a collectively bargained planNo
2016-04-15Plan funding arrangement – InsuranceYes
2016-04-15Plan funding arrangement – General assets of the sponsorYes
2016-04-15Plan benefit arrangement – InsuranceYes
2016-04-15Plan benefit arrangement – General assets of the sponsorYes
2015: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2015 form 5500 responses
2015-04-15Type of plan entitySingle employer plan
2015-04-15Submission has been amendedNo
2015-04-15This submission is the final filingNo
2015-04-15This return/report is a short plan year return/report (less than 12 months)No
2015-04-15Plan is a collectively bargained planNo
2015-04-15Plan funding arrangement – InsuranceYes
2015-04-15Plan funding arrangement – General assets of the sponsorYes
2015-04-15Plan benefit arrangement – InsuranceYes
2015-04-15Plan benefit arrangement – General assets of the sponsorYes
2014: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2014 form 5500 responses
2014-04-15Type of plan entitySingle employer plan
2014-04-15Submission has been amendedNo
2014-04-15This submission is the final filingNo
2014-04-15This return/report is a short plan year return/report (less than 12 months)No
2014-04-15Plan is a collectively bargained planNo
2014-04-15Plan funding arrangement – InsuranceYes
2014-04-15Plan funding arrangement – General assets of the sponsorYes
2014-04-15Plan benefit arrangement – InsuranceYes
2014-04-15Plan benefit arrangement – General assets of the sponsorYes
2013: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2013 form 5500 responses
2013-04-15Type of plan entitySingle employer plan
2013-04-15Submission has been amendedNo
2013-04-15This submission is the final filingNo
2013-04-15This return/report is a short plan year return/report (less than 12 months)No
2013-04-15Plan is a collectively bargained planNo
2013-04-15Plan funding arrangement – InsuranceYes
2013-04-15Plan funding arrangement – General assets of the sponsorYes
2013-04-15Plan benefit arrangement – InsuranceYes
2013-04-15Plan benefit arrangement – General assets of the sponsorYes
2012: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2012 form 5500 responses
2012-04-15Type of plan entitySingle employer plan
2012-04-15Submission has been amendedNo
2012-04-15This submission is the final filingNo
2012-04-15This return/report is a short plan year return/report (less than 12 months)No
2012-04-15Plan is a collectively bargained planNo
2012-04-15Plan funding arrangement – InsuranceYes
2012-04-15Plan funding arrangement – General assets of the sponsorYes
2012-04-15Plan benefit arrangement – InsuranceYes
2012-04-15Plan benefit arrangement – General assets of the sponsorYes
2011: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2011 form 5500 responses
2011-04-15Type of plan entitySingle employer plan
2011-04-15Submission has been amendedYes
2011-04-15This submission is the final filingNo
2011-04-15This return/report is a short plan year return/report (less than 12 months)No
2011-04-15Plan is a collectively bargained planNo
2011-04-15Plan funding arrangement – InsuranceYes
2011-04-15Plan funding arrangement – General assets of the sponsorYes
2011-04-15Plan benefit arrangement – InsuranceYes
2011-04-15Plan benefit arrangement – General assets of the sponsorYes
2010: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2010 form 5500 responses
2010-04-15Type of plan entitySingle employer plan
2010-04-15Submission has been amendedNo
2010-04-15This submission is the final filingNo
2010-04-15This return/report is a short plan year return/report (less than 12 months)No
2010-04-15Plan is a collectively bargained planNo
2010-04-15Plan funding arrangement – InsuranceYes
2010-04-15Plan funding arrangement – General assets of the sponsorYes
2010-04-15Plan benefit arrangement – InsuranceYes
2010-04-15Plan benefit arrangement – General assets of the sponsorYes
2009: G & W ELECTRIC COMPANY GROUP HEALTH PLAN 2009 form 5500 responses
2009-04-15Type of plan entitySingle employer plan
2009-04-15Submission has been amendedNo
2009-04-15This submission is the final filingNo
2009-04-15This return/report is a short plan year return/report (less than 12 months)No
2009-04-15Plan is a collectively bargained planNo
2009-04-15Plan funding arrangement – InsuranceYes
2009-04-15Plan funding arrangement – General assets of the sponsorYes
2009-04-15Plan benefit arrangement – InsuranceYes
2009-04-15Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 4
Insurance contract or identification number161529
Number of Individuals Covered310
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $26,463
Total amount of fees paid to insurance companyUSD $6,638
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedHOSPITAL INDEMNITY, ACCIDENT, CRITICAL ILLNESS
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 $155,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 3
Insurance contract or identification number12235613
Number of Individuals Covered809
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $2,289
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $87,160
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 2
Insurance contract or identification number161529
Number of Individuals Covered927
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $13,863
Total amount of fees paid to insurance companyUSD $5,710
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 1
Insurance contract or identification number161529
Number of Individuals Covered1138
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $39,164
Total amount of fees paid to insurance companyUSD $11,102
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 1
Insurance contract or identification number161529
Number of Individuals Covered956
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $43,550
Total amount of fees paid to insurance companyUSD $7,407
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 3
Insurance contract or identification number12235613
Number of Individuals Covered662
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $2,304
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $74,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 2
Insurance contract or identification number161529
Number of Individuals Covered769
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $15,032
Total amount of fees paid to insurance companyUSD $3,711
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 4
Insurance contract or identification number161529
Number of Individuals Covered315
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $21,748
Total amount of fees paid to insurance companyUSD $4,397
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedHOSPITAL INDEMNITY, ACCIDENT, CRITICAL ILLNESS
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 $134,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number161529
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000 14980
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number403001685
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10157709
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10157708
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10157709
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number403001685
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000 14980
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10157708
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10157708
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10157709
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100014980
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number403001685
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number403001685
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10157709
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10157708
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000 14980
Policy instance 6
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP87692, P91594
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP87692
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964469
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962812
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 962062
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962812
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12235613
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964469
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 962062
Policy instance 3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP87692
Policy instance 1

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