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GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 401k Plan overview

Plan NameGROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY
Plan identification number 501

GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Long-term disability cover

401k Sponsoring company profile

NORTHWOOD UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name:NORTHWOOD UNIVERSITY
Employer identification number (EIN):381624684
NAIC Classification:611000

Additional information about NORTHWOOD UNIVERSITY

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1966-02-07
Company Identification Number: 0002536507
Legal Registered Office Address: 4000 WHITING DR

MIDLAND
United States of America (USA)
48640

More information about NORTHWOOD UNIVERSITY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01WILLIAM KARL STEPHAN
5012016-01-01WILLIAM KARL STEPHAN
5012015-01-01WILLIAM KARL STEPHAN
5012014-01-01WILLIAM STEPHAN WILLIAM STEPHAN2015-10-13
5012013-01-01WILLIAM KARL STEPHAN
5012012-01-01WILLIAM KARL STEPHAN
5012011-01-01WILLIAM KARL STEPHAN
5012009-01-01WILLIAM KARL STEPHAN

Plan Statistics for GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY

401k plan membership statisitcs for GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY

Measure Date Value
2022: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2022 401k membership
Total participants, beginning-of-year2022-01-01356
Total number of active participants reported on line 7a of the Form 55002022-01-01335
Number of retired or separated participants receiving benefits2022-01-012
Total of all active and inactive participants2022-01-01337
Total participants2022-01-01337
2021: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2021 401k membership
Total participants, beginning-of-year2021-01-01346
Total number of active participants reported on line 7a of the Form 55002021-01-01354
Number of retired or separated participants receiving benefits2021-01-012
Total of all active and inactive participants2021-01-01356
Total participants2021-01-01356
2020: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2020 401k membership
Total participants, beginning-of-year2020-01-01389
Total number of active participants reported on line 7a of the Form 55002020-01-01346
Number of retired or separated participants receiving benefits2020-01-013
Total of all active and inactive participants2020-01-01349
Total participants2020-01-01349
2019: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2019 401k membership
Total participants, beginning-of-year2019-01-01325
Total number of active participants reported on line 7a of the Form 55002019-01-01385
Number of retired or separated participants receiving benefits2019-01-014
Total of all active and inactive participants2019-01-01389
Total participants2019-01-01389
2018: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2018 401k membership
Total participants, beginning-of-year2018-01-01318
Total number of active participants reported on line 7a of the Form 55002018-01-01325
Number of retired or separated participants receiving benefits2018-01-015
Total of all active and inactive participants2018-01-01330
Total participants2018-01-01330
2017: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2017 401k membership
Total participants, beginning-of-year2017-01-01325
Total number of active participants reported on line 7a of the Form 55002017-01-01318
Number of retired or separated participants receiving benefits2017-01-017
Total of all active and inactive participants2017-01-01325
Total participants2017-01-01325
2016: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2016 401k membership
Total participants, beginning-of-year2016-01-01319
Total number of active participants reported on line 7a of the Form 55002016-01-01325
Number of retired or separated participants receiving benefits2016-01-016
Total of all active and inactive participants2016-01-01331
Total participants2016-01-01331
2015: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2015 401k membership
Total participants, beginning-of-year2015-01-01438
Total number of active participants reported on line 7a of the Form 55002015-01-01319
Number of retired or separated participants receiving benefits2015-01-018
Total of all active and inactive participants2015-01-01327
Total participants2015-01-010
2014: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2014 401k membership
Total participants, beginning-of-year2014-01-01440
Total number of active participants reported on line 7a of the Form 55002014-01-01428
Number of retired or separated participants receiving benefits2014-01-0110
Total of all active and inactive participants2014-01-01438
Total participants2014-01-01438
2013: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2013 401k membership
Total participants, beginning-of-year2013-01-01432
Total number of active participants reported on line 7a of the Form 55002013-01-01428
Number of retired or separated participants receiving benefits2013-01-0112
Total of all active and inactive participants2013-01-01440
Total participants2013-01-010
2012: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2012 401k membership
Total participants, beginning-of-year2012-01-01459
Total number of active participants reported on line 7a of the Form 55002012-01-01422
Number of retired or separated participants receiving benefits2012-01-0110
Total of all active and inactive participants2012-01-01432
Total participants2012-01-010
2011: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2011 401k membership
Total participants, beginning-of-year2011-01-01498
Total number of active participants reported on line 7a of the Form 55002011-01-01449
Number of retired or separated participants receiving benefits2011-01-0110
Total of all active and inactive participants2011-01-01459
Total participants2011-01-01459
2009: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2009 401k membership
Total participants, beginning-of-year2009-01-01536
Total number of active participants reported on line 7a of the Form 55002009-01-01479
Number of retired or separated participants receiving benefits2009-01-0111
Total of all active and inactive participants2009-01-01490
Total participants2009-01-01490

Form 5500 Responses for GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY

2022: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP INSURANCE - LIFE, LONG TERM CARE, LONG TERM, DISABILITY, ACCIDENTAL DEATH & DISABILITY 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236714
Policy instance 3
Insurance contract or identification number000010236714
Number of Individuals Covered245
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $17,677
Total amount of fees paid to insurance companyUSD $3,937
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $117,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,677
Amount paid for insurance broker fees3937
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236715
Policy instance 2
Insurance contract or identification number000010236715
Number of Individuals Covered245
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12,073
Total amount of fees paid to insurance companyUSD $2,634
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,073
Amount paid for insurance broker fees2634
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Number of Individuals Covered335
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $4,523
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,523
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236714
Policy instance 3
Insurance contract or identification number000010236714
Number of Individuals Covered251
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $30,327
Total amount of fees paid to insurance companyUSD $4,825
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,327
Amount paid for insurance broker fees4825
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236715
Policy instance 2
Insurance contract or identification number000010236715
Number of Individuals Covered251
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Number of Individuals Covered354
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $4,703
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,703
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236714
Policy instance 3
Insurance contract or identification number000010236714
Number of Individuals Covered259
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $27,268
Total amount of fees paid to insurance companyUSD $8,391
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,098
Insurance broker organization code?3
Amount paid for insurance broker fees8391
Additional information about fees paid to insurance brokerOVERRIDES BROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236715
Policy instance 2
Insurance contract or identification number000010236715
Number of Individuals Covered259
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $18,574
Total amount of fees paid to insurance companyUSD $5,730
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,807
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,565
Insurance broker organization code?3
Amount paid for insurance broker fees5730
Additional information about fees paid to insurance brokerOVERRIDES BROKER BONUS
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $5,005
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,005
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Number of Individuals Covered385
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $5,030
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,030
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236715
Policy instance 2
Insurance contract or identification number000010236715
Number of Individuals Covered317
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $27,732
Total amount of fees paid to insurance companyUSD $11,723
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,941
Amount paid for insurance broker fees11316
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236714
Policy instance 3
Insurance contract or identification number000010236714
Number of Individuals Covered317
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $41,173
Total amount of fees paid to insurance companyUSD $17,390
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $187,151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,497
Amount paid for insurance broker fees16782
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236714
Policy instance 3
Insurance contract or identification number000010236714
Number of Individuals Covered325
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,380
Total amount of fees paid to insurance companyUSD $4,859
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $96,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,380
Amount paid for insurance broker fees4859
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Number of Individuals Covered325
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $4,869
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,869
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010236715
Policy instance 2
Insurance contract or identification number000010236715
Number of Individuals Covered325
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $14,403
Total amount of fees paid to insurance companyUSD $3,273
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,403
Amount paid for insurance broker fees3273
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0473583
Policy instance 2
Insurance contract or identification number0473583
Number of Individuals Covered318
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $67,390
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $310,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,516
Insurance broker organization code?3
Insurance broker nameRSC INSURANCE BROKERAGE INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Number of Individuals Covered318
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $8,654
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,654
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0473583
Policy instance 2
Insurance contract or identification number0473583
Number of Individuals Covered319
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $85,281
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $314,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,281
Insurance broker organization code?3
Insurance broker nameNORTHWEST COMPREHENSIVE INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Number of Individuals Covered278
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $5,443
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,443
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0473583
Policy instance 5
Insurance contract or identification number0473583
Number of Individuals Covered376
Insurance policy start date2014-07-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $28,193
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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 $168,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,193
Insurance broker organization code?3
Insurance broker nameNORTHWEST COMPREHENSIVE INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number058075
Policy instance 4
Insurance contract or identification number058075
Number of Individuals Covered32
Insurance policy start date2014-01-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $591
Are there contracts with allocated funds for individual policies?No
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
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 $4,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $591
Insurance broker organization code?3
Insurance broker nameLOUIS GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number313430
Policy instance 3
Insurance contract or identification number313430
Number of Individuals Covered402
Insurance policy start date2014-01-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $5,934
Are there contracts with allocated funds for individual policies?No
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
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 $221,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,934
Insurance broker organization code?3
Insurance broker nameLOUIS GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number310490
Policy instance 2
Insurance contract or identification number310490
Number of Individuals Covered428
Insurance policy start date2014-01-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $3,341
Are there contracts with allocated funds for individual policies?No
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
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 $122,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,341
Insurance broker organization code?3
Insurance broker nameLOUIS GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Number of Individuals Covered347
Insurance policy start date2014-07-01
Insurance policy end date2015-01-01
Total amount of commissions paid to insurance brokerUSD $4,303
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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
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 $49,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,303
Insurance broker organization code?3
Insurance broker nameLOUIS GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number313430
Policy instance 3
Insurance contract or identification number313430
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $6,610
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $296,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,610
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number310490
Policy instance 2
Insurance contract or identification number310490
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $4,524
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $160,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,524
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 1
Insurance contract or identification number106635
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $3,307
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,307
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number058075
Policy instance 4
Insurance contract or identification number058075
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $707
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $707
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number313430
Policy instance 2
Insurance contract or identification number313430
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $5,857
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $259,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,857
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number058075
Policy instance 1
Insurance contract or identification number058075
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $621
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $621
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number310490
Policy instance 3
Insurance contract or identification number310490
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $4,792
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $146,673
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,792
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 4
Insurance contract or identification number106635
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $3,224
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,224
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 4
Insurance contract or identification number106635
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $3,809
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number313430
Policy instance 2
Insurance contract or identification number313430
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $6,452
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $302,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number058075
Policy instance 1
Insurance contract or identification number058075
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $670
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number310490
Policy instance 3
Insurance contract or identification number310490
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $5,357
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $157,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number310490
Policy instance 3
Insurance contract or identification number310490
Number of Individuals Covered487
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $6,804
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $198,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,804
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number058075
Policy instance 1
Insurance contract or identification number058075
Number of Individuals Covered32
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $725
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $725
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number106635
Policy instance 4
Insurance contract or identification number106635
Number of Individuals Covered459
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $4,025
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,025
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number313430
Policy instance 2
Insurance contract or identification number313430
Number of Individuals Covered458
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $6,794
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $346,081
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,794
Insurance broker organization code?3
Insurance broker nameLOUIS W. GARL

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