AMERICAN SHORT LINE AND REGIONAL RAILROAD ASSOCIATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS
401k plan membership statisitcs for DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS
| Measure | Date | Value |
|---|
| 2020: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-02-29 | 152 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-02-29 | 146 |
| Total of all active and inactive participants | 2020-02-29 | 146 |
| 2019: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-03-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 152 |
| Total of all active and inactive participants | 2019-03-01 | 152 |
| 2018: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-03-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 147 |
| Total of all active and inactive participants | 2018-03-01 | 147 |
| 2017: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-03-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 147 |
| Total of all active and inactive participants | 2017-03-01 | 147 |
| 2016: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-03-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 145 |
| Total of all active and inactive participants | 2016-03-01 | 145 |
| 2015: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-03-01 | 178 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 147 |
| Total of all active and inactive participants | 2015-03-01 | 147 |
| 2014: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-03-01 | 178 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-03-01 | 178 |
| Number of retired or separated participants receiving benefits | 2014-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-03-01 | 0 |
| Total of all active and inactive participants | 2014-03-01 | 178 |
| 2013: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-03-01 | 168 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-03-01 | 178 |
| Total of all active and inactive participants | 2013-03-01 | 178 |
| 2012: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-03-01 | 199 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-03-01 | 168 |
| Total of all active and inactive participants | 2012-03-01 | 168 |
| 2011: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-03-01 | 149 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-03-01 | 199 |
| Total of all active and inactive participants | 2011-03-01 | 199 |
| 2010: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-03-01 | 208 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-03-01 | 149 |
| Total of all active and inactive participants | 2010-03-01 | 149 |
| 2009: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-03-01 | 208 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-03-01 | 208 |
| Total of all active and inactive participants | 2009-03-01 | 208 |
| 2020: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2020 form 5500 responses |
|---|
| 2020-02-29 | Type of plan entity | Single employer plan |
| 2020-02-29 | Plan funding arrangement – Insurance | Yes |
| 2020-02-29 | Plan benefit arrangement – Insurance | Yes |
| 2019: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2019 form 5500 responses |
|---|
| 2019-03-01 | Type of plan entity | Single employer plan |
| 2019-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-03-01 | Plan funding arrangement – Insurance | Yes |
| 2019-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2018 form 5500 responses |
|---|
| 2018-03-01 | Type of plan entity | Single employer plan |
| 2018-03-01 | Plan funding arrangement – Insurance | Yes |
| 2018-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2017 form 5500 responses |
|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2016 form 5500 responses |
|---|
| 2016-03-01 | Type of plan entity | Single employer plan |
| 2016-03-01 | Plan funding arrangement – Insurance | Yes |
| 2016-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2015 form 5500 responses |
|---|
| 2015-03-01 | Type of plan entity | Single employer plan |
| 2015-03-01 | Plan funding arrangement – Insurance | Yes |
| 2015-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2014 form 5500 responses |
|---|
| 2014-03-01 | Type of plan entity | Single employer plan |
| 2014-03-01 | Plan funding arrangement – Insurance | Yes |
| 2014-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2013 form 5500 responses |
|---|
| 2013-03-01 | Type of plan entity | Single employer plan |
| 2013-03-01 | Plan funding arrangement – Insurance | Yes |
| 2013-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2012 form 5500 responses |
|---|
| 2012-03-01 | Type of plan entity | Single employer plan |
| 2012-03-01 | Plan funding arrangement – Insurance | Yes |
| 2012-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2011 form 5500 responses |
|---|
| 2011-03-01 | Type of plan entity | Single employer plan |
| 2011-03-01 | Plan funding arrangement – Insurance | Yes |
| 2011-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2010 form 5500 responses |
|---|
| 2010-03-01 | Type of plan entity | Single employer plan |
| 2010-03-01 | Plan funding arrangement – Insurance | Yes |
| 2010-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: DENTAL CARE LIFE & HEALTH INSURANCE BENEFITS OF EMPLOYEES OR EMPLOYERS OF SHORT LINE & REGIONAL RAILROADS 2009 form 5500 responses |
|---|
| 2009-03-01 | Type of plan entity | Single employer plan |
| 2009-03-01 | This submission is the final filing | No |
| 2009-03-01 | Plan funding arrangement – Insurance | Yes |
| 2009-03-01 | Plan benefit arrangement – Insurance | Yes |
| TRUSTMARK VOLUNTARY BENEFIT SOLUTIONS (National Association of Insurance Commissioners NAIC id number: 62863 ) |
| Policy contract number | 8519 |
| Policy instance | 16 |
| Insurance contract or identification number | 8519 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | 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 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $146,798 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX052001 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $60,950 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 734013 |
| Policy instance | 2 |
| Insurance contract or identification number | 734013 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,772 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 5 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | CTIT |
| Policy instance | 3 |
| Insurance contract or identification number | CTIT | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $42,240 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 163422 |
| Policy instance | 4 |
| Insurance contract or identification number | 163422 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | 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 $15,725 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 163422 |
| Policy instance | 5 |
| Insurance contract or identification number | 163422 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | 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 $3,985 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 163422 |
| Policy instance | 6 |
| Insurance contract or identification number | 163422 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | 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 $49,026 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 163422 |
| Policy instance | 7 |
| Insurance contract or identification number | 163422 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | 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 $4,947 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 163422 |
| Policy instance | 8 |
| Insurance contract or identification number | 163422 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | 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 $1,162 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 209483 |
| Policy instance | 9 |
| Insurance contract or identification number | 209483 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | 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 $2,436 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 209483 |
| Policy instance | 10 |
| Insurance contract or identification number | 209483 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | 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 $9,113 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 828080 |
| Policy instance | 11 |
| Insurance contract or identification number | 828080 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,970 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 802792 |
| Policy instance | 12 |
| Insurance contract or identification number | 802792 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $56,899 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 000623 |
| Policy instance | 13 |
| Insurance contract or identification number | 000623 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $32,616 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 168287 |
| Policy instance | 14 |
| Insurance contract or identification number | 168287 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $59,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | 132634 |
| Policy instance | 15 |
| Insurance contract or identification number | 132634 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,381 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 734013 |
| Policy instance | 2 |
| Insurance contract or identification number | 734013 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,569 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX052001 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $88,750 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 734013 |
| Policy instance | 2 |
| Insurance contract or identification number | 734013 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,569 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX052001 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $123,039 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 734013 |
| Policy instance | 2 |
| Insurance contract or identification number | 734013 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,367 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | TRUSS |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX052001 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $67,572 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | TRUSS |
|
| THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 ) |
| Policy contract number | G227986 |
| Policy instance | 1 |
| Insurance contract or identification number | G227986 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,319 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | TRUSS |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 2 |
| Insurance contract or identification number | FLX052001 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | 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 $138,800 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | TRUSS |
|
| THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 ) |
| Policy contract number | G227986 |
| Policy instance | 1 |
| Insurance contract or identification number | G227986 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,850 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker name | MGU OF THE WEST INS. SVCS. |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 2 |
| Insurance contract or identification number | FLX052001 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Welfare Benefit Premiums Paid to Carrier | USD $80,648 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | EATON & EATON INSURANCE BROKERS |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 2 |
| Insurance contract or identification number | FLX052001 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Welfare Benefit Premiums Paid to Carrier | USD $82,997 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | EATON & EATON INSURANCE BROKERS |
|
| THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 ) |
| Policy contract number | G227986 |
| Policy instance | 1 |
| Insurance contract or identification number | G227986 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,028 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker name | MGU OF THE WEST INS. SVCS. |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 2 |
| Insurance contract or identification number | FLX052001 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-11-01 | | Welfare Benefit Premiums Paid to Carrier | USD $132,274 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | EATON & EATON INSURANCE BROKERS |
|
| THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 ) |
| Policy contract number | G227986 |
| Policy instance | 1 |
| Insurance contract or identification number | G227986 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,085 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker name | MGU OF THE WEST INS. SVCS. |
|
| THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 ) |
| Policy contract number | G227986 |
| Policy instance | 1 |
| Insurance contract or identification number | G227986 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,161 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 2 |
| Insurance contract or identification number | FLX052001 | | Insurance policy start date | 2011-11-01 | | Insurance policy end date | 2012-11-01 | | Welfare Benefit Premiums Paid to Carrier | USD $116,741 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX052001 |
| Policy instance | 2 |
| Insurance contract or identification number | FLX052001 | | Insurance policy start date | 2009-11-01 | | Insurance policy end date | 2010-11-01 | | Total amount of commissions paid to insurance broker | USD $1,961 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 ) |
| Policy contract number | G227986 |
| Policy instance | 1 |
| Insurance contract or identification number | G227986 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $729 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $104,911 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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