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ILLINOIS BANKERS GROUP INSURANCE TRUST 401k Plan overview

Plan NameILLINOIS BANKERS GROUP INSURANCE TRUST
Plan identification number 501

ILLINOIS BANKERS GROUP INSURANCE TRUST 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

401k Sponsoring company profile

ILLINOIS BANKERS ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:ILLINOIS BANKERS ASSOCIATION
Employer identification number (EIN):363215107
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ILLINOIS BANKERS GROUP INSURANCE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-04-01
5012023-04-01MICHAEL MAHORNEY
5012022-04-01ERICH J. BLOXDORF2024-01-12 BRANDALL HULTGREN2024-01-12
5012021-04-01
5012021-04-01ERICH J. BLOXDORF
5012020-04-01
5012020-04-01
5012019-04-01
5012019-04-01ERICH J. BLOXDORF
5012018-04-01
5012018-04-01ERICH J. BLOXDORF

Financial Data on ILLINOIS BANKERS GROUP INSURANCE TRUST

Measure Date Value
2024 : ILLINOIS BANKERS GROUP INSURANCE TRUST 2024 401k financial data
Unrealized appreciation/depreciation of real estate assets2024-03-31$53,977
Total unrealized appreciation/depreciation of assets2024-03-31$53,977
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2024-03-31$2,278,167
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2024-03-31$1,573,459
Total income from all sources (including contributions)2024-03-31$22,834,111
Total loss/gain on sale of assets2024-03-31$-16,792
Total of all expenses incurred2024-03-31$23,591,473
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2024-03-31$22,841,532
Total contributions o plan (from employers,participants, others, non cash contrinutions)2024-03-31$22,478,005
Value of total assets at end of year2024-03-31$7,103,329
Value of total assets at beginning of year2024-03-31$7,155,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2024-03-31$749,941
Total interest from all sources2024-03-31$140,046
Total dividends received (eg from common stock, registered investment company shares)2024-03-31$73,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2024-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2024-03-31$40,739
Was this plan covered by a fidelity bond2024-03-31Yes
Value of fidelity bond cover2024-03-31$500,000
If this is an individual account plan, was there a blackout period2024-03-31No
Were there any nonexempt tranactions with any party-in-interest2024-03-31No
Assets. Other investments not covered elsewhere at end of year2024-03-31$274,639
Assets. Other investments not covered elsewhere at beginning of year2024-03-31$132,027
Value of other receiveables (less allowance for doubtful accounts) at end of year2024-03-31$37,537
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2024-03-31$28,362
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2024-03-31$1,315,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2024-03-31$1,291,700
Administrative expenses (other) incurred2024-03-31$311,248
Liabilities. Value of operating payables at end of year2024-03-31$26,497
Liabilities. Value of operating payables at beginning of year2024-03-31$29,564
Total non interest bearing cash at end of year2024-03-31$1,331,903
Total non interest bearing cash at beginning of year2024-03-31$1,391,377
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2024-03-31No
Value of net income/loss2024-03-31$-757,362
Value of net assets at end of year (total assets less liabilities)2024-03-31$4,825,162
Value of net assets at beginning of year (total assets less liabilities)2024-03-31$5,582,524
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2024-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2024-03-31No
Were any leases to which the plan was party in default or uncollectible2024-03-31No
Investment advisory and management fees2024-03-31$19,804
Value of interest in registered invesment companies (eg mutual funds) at end of year2024-03-31$1,526,952
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2024-03-31$1,464,643
Interest earned on other investments2024-03-31$7,796
Income. Interest from US Government securities2024-03-31$74,244
Income. Interest from corporate debt instruments2024-03-31$23,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2024-03-31$554,134
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2024-03-31$787,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2024-03-31$787,632
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2024-03-31$34,548
Expenses. Payments to insurance carriers foe the provision of benefits2024-03-31$22,841,532
Asset value of US Government securities at end of year2024-03-31$2,143,698
Asset value of US Government securities at beginning of year2024-03-31$2,172,077
Net investment gain/loss from registered investment companies (e.g. mutual funds)2024-03-31$105,540
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2024-03-31No
Was there a failure to transmit to the plan any participant contributions2024-03-31No
Has the plan failed to provide any benefit when due under the plan2024-03-31No
Contributions received in cash from employer2024-03-31$22,478,005
Income. Dividends from common stock2024-03-31$32,596
Asset. Corporate debt instrument debt (other) at end of year2024-03-31$619,580
Asset. Corporate debt instrument debt (other) at beginning of year2024-03-31$698,889
Contract administrator fees2024-03-31$134,381
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32024-03-31No
Assets. Corporate common stocks other than exployer securities at end of year2024-03-31$614,886
Assets. Corporate common stocks other than exployer securities at beginning of year2024-03-31$480,976
Liabilities. Value of benefit claims payable at end of year2024-03-31$935,731
Liabilities. Value of benefit claims payable at beginning of year2024-03-31$252,195
Did the plan have assets held for investment2024-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2024-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2024-03-31No
Aggregate proceeds on sale of assets2024-03-31$1,999,427
Aggregate carrying amount (costs) on sale of assets2024-03-31$2,016,219
Opinion of an independent qualified public accountant for this plan2024-03-31Unqualified
Accountancy firm name2024-03-31KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN2024-03-31430352985
2023 : ILLINOIS BANKERS GROUP INSURANCE TRUST 2023 401k financial data
Unrealized appreciation/depreciation of real estate assets2023-04-01$53,977
Total unrealized appreciation/depreciation of assets2023-04-01$53,977
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-01$2,278,167
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-01$1,573,459
Total income from all sources (including contributions)2023-04-01$22,834,111
Total loss/gain on sale of assets2023-04-01$-16,792
Total of all expenses incurred2023-04-01$23,591,473
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-01$22,841,532
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-01$22,478,005
Value of total assets at end of year2023-04-01$7,103,329
Value of total assets at beginning of year2023-04-01$7,155,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-01$749,941
Total interest from all sources2023-04-01$140,046
Total dividends received (eg from common stock, registered investment company shares)2023-04-01$73,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-04-01$40,739
Was this plan covered by a fidelity bond2023-04-01Yes
Value of fidelity bond cover2023-04-01$500,000
If this is an individual account plan, was there a blackout period2023-04-01No
Were there any nonexempt tranactions with any party-in-interest2023-04-01No
Assets. Other investments not covered elsewhere at end of year2023-04-01$274,639
Assets. Other investments not covered elsewhere at beginning of year2023-04-01$132,027
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-04-01$37,537
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-04-01$28,362
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-04-01$1,315,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-04-01$1,291,700
Administrative expenses (other) incurred2023-04-01$311,248
Liabilities. Value of operating payables at end of year2023-04-01$26,497
Liabilities. Value of operating payables at beginning of year2023-04-01$29,564
Total non interest bearing cash at end of year2023-04-01$1,331,903
Total non interest bearing cash at beginning of year2023-04-01$1,391,377
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-01No
Value of net income/loss2023-04-01$-757,362
Value of net assets at end of year (total assets less liabilities)2023-04-01$4,825,162
Value of net assets at beginning of year (total assets less liabilities)2023-04-01$5,582,524
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-01No
Were any leases to which the plan was party in default or uncollectible2023-04-01No
Investment advisory and management fees2023-04-01$19,804
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-04-01$1,526,952
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-04-01$1,464,643
Interest earned on other investments2023-04-01$7,796
Income. Interest from US Government securities2023-04-01$74,244
Income. Interest from corporate debt instruments2023-04-01$23,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-04-01$554,134
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-04-01$34,548
Expenses. Payments to insurance carriers foe the provision of benefits2023-04-01$22,841,532
Asset value of US Government securities at end of year2023-04-01$2,143,698
Asset value of US Government securities at beginning of year2023-04-01$2,172,077
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-04-01$105,540
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-01No
Was there a failure to transmit to the plan any participant contributions2023-04-01No
Has the plan failed to provide any benefit when due under the plan2023-04-01No
Contributions received in cash from employer2023-04-01$22,478,005
Income. Dividends from common stock2023-04-01$32,596
Asset. Corporate debt instrument debt (other) at end of year2023-04-01$619,580
Asset. Corporate debt instrument debt (other) at beginning of year2023-04-01$698,889
Contract administrator fees2023-04-01$134,381
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-04-01No
Assets. Corporate common stocks other than exployer securities at end of year2023-04-01$614,886
Assets. Corporate common stocks other than exployer securities at beginning of year2023-04-01$480,976
Liabilities. Value of benefit claims payable at end of year2023-04-01$935,731
Liabilities. Value of benefit claims payable at beginning of year2023-04-01$252,195
Did the plan have assets held for investment2023-04-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-01No
Aggregate proceeds on sale of assets2023-04-01$1,999,427
Aggregate carrying amount (costs) on sale of assets2023-04-01$2,016,219
Opinion of an independent qualified public accountant for this plan2023-04-011
Accountancy firm name2023-04-01KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN2023-04-01430352985
Unrealized appreciation/depreciation of other (non real estate) assets2023-03-31$-93,334
Total unrealized appreciation/depreciation of assets2023-03-31$-93,334
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$1,573,459
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$1,719,235
Total income from all sources (including contributions)2023-03-31$22,069,648
Total loss/gain on sale of assets2023-03-31$-72,993
Total of all expenses incurred2023-03-31$22,445,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$21,757,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$22,130,045
Value of total assets at end of year2023-03-31$7,155,983
Value of total assets at beginning of year2023-03-31$7,678,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$688,039
Total interest from all sources2023-03-31$153,434
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$58,036
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-03-31$48,886
Administrative expenses professional fees incurred2023-03-31$169,636
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$500,000
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Assets. Other investments not covered elsewhere at end of year2023-03-31$132,027
Assets. Other investments not covered elsewhere at beginning of year2023-03-31$2,683,262
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-03-31$28,362
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-03-31$13,717
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-03-31$1,291,700
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-03-31$1,026,921
Administrative expenses (other) incurred2023-03-31$353,208
Liabilities. Value of operating payables at end of year2023-03-31$29,564
Liabilities. Value of operating payables at beginning of year2023-03-31$692,314
Total non interest bearing cash at end of year2023-03-31$1,391,377
Total non interest bearing cash at beginning of year2023-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$-376,289
Value of net assets at end of year (total assets less liabilities)2023-03-31$5,582,524
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$5,958,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Investment advisory and management fees2023-03-31$19,087
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-03-31$1,464,643
Interest earned on other investments2023-03-31$110,621
Income. Interest from US Government securities2023-03-31$25,767
Income. Interest from corporate debt instruments2023-03-31$13,063
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-03-31$787,632
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-03-31$2,590,901
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-03-31$2,590,901
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-03-31$3,983
Expenses. Payments to insurance carriers foe the provision of benefits2023-03-31$21,757,898
Asset value of US Government securities at end of year2023-03-31$2,172,077
Asset value of US Government securities at beginning of year2023-03-31$112,119
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-03-31$-105,540
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$22,130,045
Income. Dividends from common stock2023-03-31$9,150
Asset. Corporate debt instrument debt (other) at end of year2023-03-31$698,889
Asset. Corporate debt instrument debt (other) at beginning of year2023-03-31$1,191,787
Contract administrator fees2023-03-31$146,108
Assets. Corporate common stocks other than exployer securities at end of year2023-03-31$480,976
Assets. Corporate common stocks other than exployer securities at beginning of year2023-03-31$1,086,262
Liabilities. Value of benefit claims payable at end of year2023-03-31$252,195
Liabilities. Value of benefit claims payable at beginning of year2023-03-31$0
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Aggregate proceeds on sale of assets2023-03-31$3,449,361
Aggregate carrying amount (costs) on sale of assets2023-03-31$3,522,354
Liabilities. Value of acquisition indebtedness at end of year2023-03-31$0
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN2023-03-31430352985
2022 : ILLINOIS BANKERS GROUP INSURANCE TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-04-01$-93,334
Total unrealized appreciation/depreciation of assets2022-04-01$-93,334
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-01$1,573,459
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-01$1,719,235
Total income from all sources (including contributions)2022-04-01$22,069,648
Total loss/gain on sale of assets2022-04-01$-72,993
Total of all expenses incurred2022-04-01$22,445,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-04-01$21,757,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-04-01$22,130,045
Value of total assets at end of year2022-04-01$7,155,983
Value of total assets at beginning of year2022-04-01$7,678,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-04-01$688,039
Total interest from all sources2022-04-01$153,434
Total dividends received (eg from common stock, registered investment company shares)2022-04-01$58,036
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-04-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-04-01$48,886
Administrative expenses professional fees incurred2022-04-01$169,636
Was this plan covered by a fidelity bond2022-04-01Yes
Value of fidelity bond cover2022-04-01$500,000
Were there any nonexempt tranactions with any party-in-interest2022-04-01No
Assets. Other investments not covered elsewhere at end of year2022-04-01$132,027
Assets. Other investments not covered elsewhere at beginning of year2022-04-01$2,683,262
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-04-01$28,362
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-04-01$13,717
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-04-01$1,291,700
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-04-01$1,026,921
Administrative expenses (other) incurred2022-04-01$353,208
Liabilities. Value of operating payables at end of year2022-04-01$29,564
Liabilities. Value of operating payables at beginning of year2022-04-01$692,314
Total non interest bearing cash at end of year2022-04-01$1,391,377
Total non interest bearing cash at beginning of year2022-04-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-01No
Value of net income/loss2022-04-01$-376,289
Value of net assets at end of year (total assets less liabilities)2022-04-01$5,582,524
Value of net assets at beginning of year (total assets less liabilities)2022-04-01$5,958,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-04-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-04-01No
Were any leases to which the plan was party in default or uncollectible2022-04-01No
Investment advisory and management fees2022-04-01$19,087
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-04-01$1,464,643
Interest earned on other investments2022-04-01$110,621
Income. Interest from US Government securities2022-04-01$25,767
Income. Interest from corporate debt instruments2022-04-01$13,063
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-04-01$787,632
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-04-01$3,983
Expenses. Payments to insurance carriers foe the provision of benefits2022-04-01$21,757,898
Asset value of US Government securities at end of year2022-04-01$2,172,077
Asset value of US Government securities at beginning of year2022-04-01$112,119
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-04-01$-105,540
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-04-01No
Was there a failure to transmit to the plan any participant contributions2022-04-01No
Has the plan failed to provide any benefit when due under the plan2022-04-01No
Contributions received in cash from employer2022-04-01$22,130,045
Income. Dividends from common stock2022-04-01$9,150
Asset. Corporate debt instrument debt (other) at end of year2022-04-01$698,889
Asset. Corporate debt instrument debt (other) at beginning of year2022-04-01$1,191,787
Contract administrator fees2022-04-01$146,108
Assets. Corporate common stocks other than exployer securities at end of year2022-04-01$480,976
Assets. Corporate common stocks other than exployer securities at beginning of year2022-04-01$1,086,262
Liabilities. Value of benefit claims payable at end of year2022-04-01$252,195
Liabilities. Value of benefit claims payable at beginning of year2022-04-01$0
Did the plan have assets held for investment2022-04-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-04-01No
Aggregate proceeds on sale of assets2022-04-01$3,449,361
Aggregate carrying amount (costs) on sale of assets2022-04-01$3,522,354
Liabilities. Value of acquisition indebtedness at end of year2022-04-01$0
Opinion of an independent qualified public accountant for this plan2022-04-011
Accountancy firm name2022-04-01KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN2022-04-01430352985
Unrealized appreciation/depreciation of other (non real estate) assets2022-03-31$-473,229
Total unrealized appreciation/depreciation of assets2022-03-31$-473,229
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$1,719,235
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$1,589,826
Total income from all sources (including contributions)2022-03-31$21,674,771
Total of all expenses incurred2022-03-31$22,586,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$21,794,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$21,557,543
Value of total assets at end of year2022-03-31$7,678,048
Value of total assets at beginning of year2022-03-31$8,460,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$791,721
Total interest from all sources2022-03-31$168,589
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$23,144
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Administrative expenses professional fees incurred2022-03-31$175,480
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$500,000
If this is an individual account plan, was there a blackout period2022-03-31No
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Assets. Other investments not covered elsewhere at end of year2022-03-31$2,683,262
Assets. Other investments not covered elsewhere at beginning of year2022-03-31$3,960,723
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-03-31$13,717
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-03-31$7,553
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-03-31$1,026,921
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-03-31$369,163
Administrative expenses (other) incurred2022-03-31$600,110
Liabilities. Value of operating payables at end of year2022-03-31$692,314
Liabilities. Value of operating payables at beginning of year2022-03-31$1,220,663
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$-911,557
Value of net assets at end of year (total assets less liabilities)2022-03-31$5,958,813
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$6,870,370
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Investment advisory and management fees2022-03-31$16,131
Interest earned on other investments2022-03-31$168,400
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-03-31$2,590,901
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-03-31$3,293,668
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-03-31$3,293,668
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-03-31$189
Expenses. Payments to insurance carriers foe the provision of benefits2022-03-31$21,794,607
Asset value of US Government securities at end of year2022-03-31$112,119
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-03-31$398,724
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$21,557,543
Income. Dividends from common stock2022-03-31$23,144
Asset. Corporate debt instrument debt (other) at end of year2022-03-31$1,191,787
Assets. Corporate common stocks other than exployer securities at end of year2022-03-31$1,086,262
Assets. Corporate common stocks other than exployer securities at beginning of year2022-03-31$1,198,252
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31ESTES, BRIDGEWATER & OGDEN
Accountancy firm EIN2022-03-31370265152
2021 : ILLINOIS BANKERS GROUP INSURANCE TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-03-31$328,443
Total unrealized appreciation/depreciation of assets2021-03-31$328,443
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$1,589,826
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$531,367
Total income from all sources (including contributions)2021-03-31$20,117,629
Total of all expenses incurred2021-03-31$21,232,533
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$20,556,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$19,549,868
Value of total assets at end of year2021-03-31$8,460,196
Value of total assets at beginning of year2021-03-31$8,516,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$675,977
Total interest from all sources2021-03-31$170,731
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Administrative expenses professional fees incurred2021-03-31$171,659
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$500,000
If this is an individual account plan, was there a blackout period2021-03-31No
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Assets. Other investments not covered elsewhere at end of year2021-03-31$3,960,723
Assets. Other investments not covered elsewhere at beginning of year2021-03-31$3,686,300
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-03-31$1,170,870
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-03-31$7,553
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-03-31$369,163
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-03-31$376,766
Administrative expenses (other) incurred2021-03-31$475,156
Liabilities. Value of operating payables at end of year2021-03-31$1,220,663
Liabilities. Value of operating payables at beginning of year2021-03-31$154,601
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$-1,114,904
Value of net assets at end of year (total assets less liabilities)2021-03-31$6,870,370
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$7,985,274
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Investment advisory and management fees2021-03-31$29,162
Income. Interest from US Government securities2021-03-31$170,731
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-03-31$3,293,668
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-03-31$3,902,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-03-31$3,902,026
Expenses. Payments to insurance carriers foe the provision of benefits2021-03-31$19,385,686
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-03-31$68,587
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$19,549,868
Assets. Corporate common stocks other than exployer securities at end of year2021-03-31$1,198,252
Assets. Corporate common stocks other than exployer securities at beginning of year2021-03-31$927,168
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-03-31$1,147
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Unqualified
Accountancy firm name2021-03-31ESTES, BRIDGEWATER & OGDEN
Accountancy firm EIN2021-03-31370265152
2020 : ILLINOIS BANKERS GROUP INSURANCE TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-03-31$-141,528
Total unrealized appreciation/depreciation of assets2020-03-31$-141,528
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$531,367
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$303,296
Total income from all sources (including contributions)2020-03-31$17,019,882
Total of all expenses incurred2020-03-31$17,582,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$16,951,255
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$16,957,467
Value of total assets at end of year2020-03-31$8,516,641
Value of total assets at beginning of year2020-03-31$8,850,992
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$631,049
Total interest from all sources2020-03-31$199,711
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-03-31No
Administrative expenses professional fees incurred2020-03-31$171,984
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$500,000
If this is an individual account plan, was there a blackout period2020-03-31No
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Assets. Other investments not covered elsewhere at end of year2020-03-31$3,686,300
Assets. Other investments not covered elsewhere at beginning of year2020-03-31$7,372,323
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-03-31$124,757
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-03-31$376,766
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-03-31$262,319
Administrative expenses (other) incurred2020-03-31$432,597
Liabilities. Value of operating payables at end of year2020-03-31$154,601
Liabilities. Value of operating payables at beginning of year2020-03-31$40,977
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$-562,422
Value of net assets at end of year (total assets less liabilities)2020-03-31$7,985,274
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$8,547,696
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Investment advisory and management fees2020-03-31$26,468
Income. Interest from US Government securities2020-03-31$199,711
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-03-31$3,902,026
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-03-31$761,155
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-03-31$761,155
Expenses. Payments to insurance carriers foe the provision of benefits2020-03-31$16,826,498
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-03-31$4,232
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31No
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$16,957,467
Assets. Corporate common stocks other than exployer securities at end of year2020-03-31$927,168
Assets. Corporate common stocks other than exployer securities at beginning of year2020-03-31$714,838
Assets. Value of buildings and other operty used in plan operation at end of year2020-03-31$1,147
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-03-31$2,676
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Opinion of an independent qualified public accountant for this plan2020-03-31Unqualified
Accountancy firm name2020-03-31ESTES, BRIDGEWATER & OGDEN
Accountancy firm EIN2020-03-31370265152
2019 : ILLINOIS BANKERS GROUP INSURANCE TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-03-31$-55,510
Total unrealized appreciation/depreciation of assets2019-03-31$-55,510
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-03-31$303,296
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-03-31$253,653
Total income from all sources (including contributions)2019-03-31$15,680,917
Total of all expenses incurred2019-03-31$15,380,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-03-31$14,673,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-03-31$15,485,248
Value of total assets at end of year2019-03-31$8,850,992
Value of total assets at beginning of year2019-03-31$8,501,266
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-03-31$707,140
Total interest from all sources2019-03-31$185,460
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-03-31No
Administrative expenses professional fees incurred2019-03-31$193,558
Was this plan covered by a fidelity bond2019-03-31Yes
Value of fidelity bond cover2019-03-31$500,000
If this is an individual account plan, was there a blackout period2019-03-31No
Were there any nonexempt tranactions with any party-in-interest2019-03-31No
Assets. Other investments not covered elsewhere at end of year2019-03-31$7,372,323
Assets. Other investments not covered elsewhere at beginning of year2019-03-31$7,507,450
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-03-31$466
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-03-31$262,319
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-03-31$219,999
Administrative expenses (other) incurred2019-03-31$392,212
Liabilities. Value of operating payables at end of year2019-03-31$40,977
Liabilities. Value of operating payables at beginning of year2019-03-31$33,654
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Value of net income/loss2019-03-31$300,083
Value of net assets at end of year (total assets less liabilities)2019-03-31$8,547,696
Value of net assets at beginning of year (total assets less liabilities)2019-03-31$8,247,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-03-31No
Were any leases to which the plan was party in default or uncollectible2019-03-31No
Investment advisory and management fees2019-03-31$22,044
Income. Interest from US Government securities2019-03-31$185,460
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-03-31$761,155
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-03-31$455,910
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-03-31$455,910
Expenses. Payments to insurance carriers foe the provision of benefits2019-03-31$14,673,694
Asset value of US Government securities at beginning of year2019-03-31$99,570
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-03-31$65,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-03-31No
Was there a failure to transmit to the plan any participant contributions2019-03-31No
Has the plan failed to provide any benefit when due under the plan2019-03-31No
Contributions received in cash from employer2019-03-31$15,485,248
Contract administrator fees2019-03-31$99,326
Assets. Corporate common stocks other than exployer securities at end of year2019-03-31$714,838
Assets. Corporate common stocks other than exployer securities at beginning of year2019-03-31$432,996
Assets. Value of buildings and other operty used in plan operation at end of year2019-03-31$2,676
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-03-31$4,874
Did the plan have assets held for investment2019-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-03-31No
Opinion of an independent qualified public accountant for this plan2019-03-31Unqualified
Accountancy firm name2019-03-31ESTES, BRIDGEWATER & OGDEN
Accountancy firm EIN2019-03-31370265152

Form 5500 Responses for ILLINOIS BANKERS GROUP INSURANCE TRUST

2023: ILLINOIS BANKERS GROUP INSURANCE TRUST 2023 form 5500 responses
2023-04-01Type of plan entityMulitple employer plan
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan funding arrangement – TrustYes
2023-04-01Plan benefit arrangement – InsuranceYes
2022: ILLINOIS BANKERS GROUP INSURANCE TRUST 2022 form 5500 responses
2022-04-01Type of plan entityMulitple employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: ILLINOIS BANKERS GROUP INSURANCE TRUST 2021 form 5500 responses
2021-04-01Type of plan entityMulitple employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: ILLINOIS BANKERS GROUP INSURANCE TRUST 2020 form 5500 responses
2020-04-01Type of plan entityMulitple employer plan
2020-04-01Submission has been amendedYes
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: ILLINOIS BANKERS GROUP INSURANCE TRUST 2019 form 5500 responses
2019-04-01Type of plan entityMulitple employer plan
2019-04-01Submission has been amendedYes
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: ILLINOIS BANKERS GROUP INSURANCE TRUST 2018 form 5500 responses
2018-04-01Type of plan entityMulitple employer plan
2018-04-01Submission has been amendedYes
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014455
Policy instance 3
Insurance contract or identification numberF014455
Number of Individuals Covered1254
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $11,580
Total amount of fees paid to insurance companyUSD $2,667
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D ACCIDENT CRITICAL CARE
Welfare Benefit Premiums Paid to CarrierUSD $784,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPA3147/PA3150
Policy instance 2
Insurance contract or identification numberPA3147/PA3150
Number of Individuals Covered2006
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,566,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 1
Insurance contract or identification number145930
Number of Individuals Covered1994
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17,447
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $903,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014455
Policy instance 3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014455
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014455
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014455
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 1
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number169589
Policy instance 3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014455
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number145930
Policy instance 1

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