ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS
401k plan membership statisitcs for ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS
| Measure | Date | Value |
|---|
| 2022: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-05-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 48 |
| Total of all active and inactive participants | 2022-05-01 | 48 |
| 2021: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-05-01 | 87 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 78 |
| Total of all active and inactive participants | 2021-05-01 | 78 |
| 2020: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 91 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 87 |
| Total of all active and inactive participants | 2020-05-01 | 87 |
| 2019: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 91 |
| Total of all active and inactive participants | 2019-05-01 | 91 |
| 2018: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-05-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 100 |
| Total of all active and inactive participants | 2018-05-01 | 100 |
| 2017: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 105 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 108 |
| Total of all active and inactive participants | 2017-05-01 | 108 |
| 2016: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 105 |
| Total of all active and inactive participants | 2016-05-01 | 105 |
| 2015: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 131 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 109 |
| Total of all active and inactive participants | 2015-05-01 | 109 |
| 2014: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 137 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 131 |
| Total of all active and inactive participants | 2014-05-01 | 131 |
| 2013: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 143 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 137 |
| Total of all active and inactive participants | 2013-05-01 | 137 |
| 2012: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 151 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 143 |
| Total of all active and inactive participants | 2012-05-01 | 143 |
| 2011: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 170 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 151 |
| Total of all active and inactive participants | 2011-05-01 | 151 |
| 2009: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-01 | 188 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 173 |
| Total of all active and inactive participants | 2009-05-01 | 173 |
| 2022: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2022 form 5500 responses |
|---|
| 2022-05-01 | Type of plan entity | Mulitple employer plan |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2021 form 5500 responses |
|---|
| 2021-05-01 | Type of plan entity | Mulitple employer plan |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2020 form 5500 responses |
|---|
| 2020-05-01 | Type of plan entity | Mulitple employer plan |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2019 form 5500 responses |
|---|
| 2019-05-01 | Type of plan entity | Mulitple employer plan |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2018 form 5500 responses |
|---|
| 2018-05-01 | Type of plan entity | Mulitple employer plan |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2017 form 5500 responses |
|---|
| 2017-05-01 | Type of plan entity | Mulitple employer plan |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2016 form 5500 responses |
|---|
| 2016-05-01 | Type of plan entity | Mulitple employer plan |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Mulitple employer plan |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Mulitple employer plan |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Mulitple employer plan |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Mulitple employer plan |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2011 form 5500 responses |
|---|
| 2011-05-01 | Type of plan entity | Mulitple employer plan |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ASSOCIATED GENERAL CONTRACTORS OF NORTH DAKOTA INS 2009 form 5500 responses |
|---|
| 2009-05-01 | Type of plan entity | Mulitple employer plan |
| 2009-05-01 | This submission is the final filing | No |
| 2009-05-01 | Plan funding arrangement – Insurance | Yes |
| 2009-05-01 | Plan benefit arrangement – Insurance | Yes |
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101 |
| Policy instance | 2 |
| Insurance contract or identification number | 2101 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,344 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-02-60 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-02-60 | | Number of Individuals Covered | 36 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-07-01 | | Total amount of commissions paid to insurance broker | USD $210 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,399 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $210 | | Insurance broker organization code? | 3 |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101 |
| Policy instance | 2 |
| Insurance contract or identification number | 2101 | | Number of Individuals Covered | 35 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,894 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-02-60 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-02-60 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-07-01 | | Total amount of commissions paid to insurance broker | USD $291 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,939 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $291 | | Insurance broker organization code? | 3 |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101 |
| Policy instance | 2 |
| Insurance contract or identification number | 2101 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,408 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-02-60 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-02-60 | | Number of Individuals Covered | 52 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-07-01 | | Total amount of commissions paid to insurance broker | USD $490 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $3,269 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $490 | | Insurance broker organization code? | 3 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-02-60 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-02-60 | | Number of Individuals Covered | 61 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-07-01 | | Total amount of commissions paid to insurance broker | USD $589 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $3,295 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $589 | | Insurance broker organization code? | 3 |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101 |
| Policy instance | 2 |
| Insurance contract or identification number | 2101 | | Number of Individuals Covered | 39 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,793 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-02-60 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-02-60 | | Number of Individuals Covered | 65 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $631 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $4,204 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $631 | | Insurance broker organization code? | 3 |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101 |
| Policy instance | 2 |
| Insurance contract or identification number | 2101 | | Number of Individuals Covered | 39 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,671 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101 |
| Policy instance | 2 |
| Insurance contract or identification number | 2101 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,302 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-02-60 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-02-60 | | Number of Individuals Covered | 64 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $537 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $3,583 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $537 | | Insurance broker organization code? | 3 | | Insurance broker name | BAIN AGENCY, INC. |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101-G |
| Policy instance | 2 |
| Insurance contract or identification number | 2101-G | | Number of Individuals Covered | 44 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,582 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-0260 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-0260 | | Number of Individuals Covered | 65 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $530 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $530 | | Insurance broker organization code? | 3 | | Insurance broker name | BAIN AGENCY, INC. |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101-G |
| Policy instance | 2 |
| Insurance contract or identification number | 2101-G | | Number of Individuals Covered | 54 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,264 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-0260 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-0260 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $516 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,442 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $516 | | Insurance broker organization code? | 3 | | Insurance broker name | BAIN AGENCY, INC. |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101-G |
| Policy instance | 2 |
| Insurance contract or identification number | 2101-G | | Number of Individuals Covered | 59 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,323 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-0260 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-0260 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $676 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,755 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $676 | | Insurance broker organization code? | 3 | | Insurance broker name | BAIN AGENCY, INC. |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101-G |
| Policy instance | 2 |
| Insurance contract or identification number | 2101-G | | Number of Individuals Covered | 69 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,425 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-0260 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-0260 | | Number of Individuals Covered | 74 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $633 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,462 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $633 | | Insurance broker organization code? | 3 | | Insurance broker name | BAIN AGENCY, INC. |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-0260 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-0260 | | Number of Individuals Covered | 74 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $512 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,847 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101-G |
| Policy instance | 2 |
| Insurance contract or identification number | 2101-G | | Number of Individuals Covered | 77 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,225 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 6400-0260 |
| Policy instance | 1 |
| Insurance contract or identification number | 6400-0260 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $628 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,487 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 2101-G |
| Policy instance | 2 |
| Insurance contract or identification number | 2101-G | | Number of Individuals Covered | 93 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,178 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
