PALMETTO GOODWILL SERVICES, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN
401k plan membership statisitcs for GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN
| Measure | Date | Value |
|---|
| 2022 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $11,781 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $16,408 |
| Total income from all sources (including contributions) | 2022-12-31 | $3,947,079 |
| Total loss/gain on sale of assets | 2022-12-31 | $0 |
| Total of all expenses incurred | 2022-12-31 | $4,486,905 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $4,353,230 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $3,935,813 |
| Value of total assets at end of year | 2022-12-31 | $933,807 |
| Value of total assets at beginning of year | 2022-12-31 | $1,478,260 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $133,675 |
| Total interest from all sources | 2022-12-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Administrative expenses professional fees incurred | 2022-12-31 | $22,770 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Contributions received from participants | 2022-12-31 | $550,807 |
| Participant contributions at end of year | 2022-12-31 | $4,287 |
| Participant contributions at beginning of year | 2022-12-31 | $2,967 |
| Assets. Other investments not covered elsewhere at end of year | 2022-12-31 | $0 |
| Assets. Other investments not covered elsewhere at beginning of year | 2022-12-31 | $184,569 |
| Administrative expenses (other) incurred | 2022-12-31 | $25,091 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $11,781 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $10,867 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-539,826 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $922,026 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $1,461,852 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $654,471 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $920,101 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $4,150,483 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-12-31 | $11,266 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $3,385,006 |
| Employer contributions (assets) at end of year | 2022-12-31 | $275,049 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $370,623 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $202,747 |
| Contract administrator fees | 2022-12-31 | $85,814 |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $0 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $5,541 |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | WENDELL R. GRAHAM, CPA |
| Accountancy firm EIN | 2022-12-31 | 841546072 |
| 2021 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2021 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2021-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $16,408 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $20,499 |
| Total income from all sources (including contributions) | 2021-12-31 | $3,881,352 |
| Total loss/gain on sale of assets | 2021-12-31 | $0 |
| Total of all expenses incurred | 2021-12-31 | $4,124,935 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $3,999,445 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $3,867,836 |
| Value of total assets at end of year | 2021-12-31 | $1,478,260 |
| Value of total assets at beginning of year | 2021-12-31 | $1,725,934 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $125,490 |
| Total interest from all sources | 2021-12-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Administrative expenses professional fees incurred | 2021-12-31 | $11,000 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $488,165 |
| Participant contributions at end of year | 2021-12-31 | $2,967 |
| Participant contributions at beginning of year | 2021-12-31 | $3,651 |
| Assets. Other investments not covered elsewhere at end of year | 2021-12-31 | $184,569 |
| Assets. Other investments not covered elsewhere at beginning of year | 2021-12-31 | $0 |
| Administrative expenses (other) incurred | 2021-12-31 | $348 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $10,867 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $10,926 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $-243,583 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $1,461,852 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $1,705,435 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $920,101 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $1,466,184 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $3,636,971 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-12-31 | $13,516 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $3,379,671 |
| Employer contributions (assets) at end of year | 2021-12-31 | $370,623 |
| Employer contributions (assets) at beginning of year | 2021-12-31 | $256,099 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $362,474 |
| Contract administrator fees | 2021-12-31 | $114,142 |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $5,541 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $9,573 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | PHILLIP C. MAY, PC |
| Accountancy firm EIN | 2021-12-31 | 800794417 |
| 2020 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $20,499 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $214,369 |
| Total income from all sources (including contributions) | 2020-12-31 | $4,064,464 |
| Total of all expenses incurred | 2020-12-31 | $4,533,685 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $4,434,471 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $4,057,171 |
| Value of total assets at end of year | 2020-12-31 | $1,725,934 |
| Value of total assets at beginning of year | 2020-12-31 | $2,389,025 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $99,214 |
| Total interest from all sources | 2020-12-31 | $7,293 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Administrative expenses professional fees incurred | 2020-12-31 | $9,000 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $443,159 |
| Participant contributions at end of year | 2020-12-31 | $3,651 |
| Participant contributions at beginning of year | 2020-12-31 | $15,214 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $10,926 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $14,049 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $26,103 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $-469,221 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $1,705,435 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $2,174,656 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $1,466,184 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $2,183,961 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $7,293 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $4,219,691 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $3,614,012 |
| Employer contributions (assets) at end of year | 2020-12-31 | $256,099 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $163,747 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $214,780 |
| Contract administrator fees | 2020-12-31 | $90,214 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $9,573 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $200,320 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | STEVEN C BUTLER, CPA |
| Accountancy firm EIN | 2020-12-31 | 752515634 |
| 2019 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $214,369 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $214,369 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $29,012 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $29,012 |
| Total income from all sources (including contributions) | 2019-12-31 | $3,888,309 |
| Total income from all sources (including contributions) | 2019-12-31 | $3,888,309 |
| Total of all expenses incurred | 2019-12-31 | $4,521,631 |
| Total of all expenses incurred | 2019-12-31 | $4,521,631 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $4,331,847 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $4,331,847 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $3,842,071 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $3,842,071 |
| Value of total assets at end of year | 2019-12-31 | $2,389,025 |
| Value of total assets at end of year | 2019-12-31 | $2,389,025 |
| Value of total assets at beginning of year | 2019-12-31 | $2,836,990 |
| Value of total assets at beginning of year | 2019-12-31 | $2,836,990 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $189,784 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $189,784 |
| Total interest from all sources | 2019-12-31 | $46,238 |
| Total interest from all sources | 2019-12-31 | $46,238 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
| Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $219,194 |
| Contributions received from participants | 2019-12-31 | $219,194 |
| Participant contributions at end of year | 2019-12-31 | $15,214 |
| Participant contributions at end of year | 2019-12-31 | $15,214 |
| Participant contributions at beginning of year | 2019-12-31 | $2,976 |
| Participant contributions at beginning of year | 2019-12-31 | $2,976 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $171,308 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $171,308 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $14,049 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $14,049 |
| Total non interest bearing cash at end of year | 2019-12-31 | $26,103 |
| Total non interest bearing cash at end of year | 2019-12-31 | $26,103 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $35,210 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $35,210 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $-633,322 |
| Value of net income/loss | 2019-12-31 | $-633,322 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $2,174,656 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $2,174,656 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $2,807,978 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $2,807,978 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $2,183,961 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $2,183,961 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $2,650,165 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $2,650,165 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $2,650,165 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $2,650,165 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $46,238 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $46,238 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $3,609,332 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $3,609,332 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $3,622,877 |
| Contributions received in cash from employer | 2019-12-31 | $3,622,877 |
| Employer contributions (assets) at end of year | 2019-12-31 | $163,747 |
| Employer contributions (assets) at end of year | 2019-12-31 | $163,747 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $148,639 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $148,639 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $551,207 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $551,207 |
| Contract administrator fees | 2019-12-31 | $189,784 |
| Contract administrator fees | 2019-12-31 | $189,784 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $200,320 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $200,320 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $29,012 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $29,012 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | STEVEN C. BUTLER, CPA |
| Accountancy firm name | 2019-12-31 | STEVEN C. BUTLER, CPA |
| Accountancy firm EIN | 2019-12-31 | 752515634 |
| Accountancy firm EIN | 2019-12-31 | 752515634 |
| 2018 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $29,012 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $31,777 |
| Total income from all sources (including contributions) | 2018-12-31 | $3,958,018 |
| Total of all expenses incurred | 2018-12-31 | $4,181,336 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $4,116,543 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $3,918,604 |
| Value of total assets at end of year | 2018-12-31 | $2,836,990 |
| Value of total assets at beginning of year | 2018-12-31 | $3,063,073 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $64,793 |
| Total interest from all sources | 2018-12-31 | $39,414 |
| Administrative expenses professional fees incurred | 2018-12-31 | $44,385 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $450,425 |
| Participant contributions at end of year | 2018-12-31 | $2,976 |
| Participant contributions at beginning of year | 2018-12-31 | $6,888 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-12-31 | $19,529 |
| Administrative expenses (other) incurred | 2018-12-31 | $3,491 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $14,274 |
| Total non interest bearing cash at end of year | 2018-12-31 | $35,210 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $10,493 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-223,318 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $2,807,978 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $3,031,296 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $2,650,165 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $2,644,084 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $2,644,084 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $39,414 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $4,094,263 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $3,468,179 |
| Employer contributions (assets) at end of year | 2018-12-31 | $148,639 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $401,608 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $2,751 |
| Contract administrator fees | 2018-12-31 | $16,917 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $29,012 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $17,503 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | STEVEN C BUTLER, CPA |
| Accountancy firm EIN | 2018-12-31 | 752515634 |
| 2017 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $31,777 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $31,788 |
| Total income from all sources (including contributions) | 2017-12-31 | $3,766,532 |
| Total of all expenses incurred | 2017-12-31 | $3,821,167 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $3,748,344 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $3,748,384 |
| Value of total assets at end of year | 2017-12-31 | $3,063,073 |
| Value of total assets at beginning of year | 2017-12-31 | $3,117,719 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $72,823 |
| Total interest from all sources | 2017-12-31 | $18,148 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Administrative expenses professional fees incurred | 2017-12-31 | $15,900 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $382,266 |
| Participant contributions at end of year | 2017-12-31 | $6,888 |
| Participant contributions at beginning of year | 2017-12-31 | $5,582 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2017-12-31 | $22,696 |
| Administrative expenses (other) incurred | 2017-12-31 | $3,984 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $14,274 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $873 |
| Total non interest bearing cash at end of year | 2017-12-31 | $10,493 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $23,648 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-54,635 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $3,031,296 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $3,085,931 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2017-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $2,644,084 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $2,915,004 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $2,915,004 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $18,148 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $3,667,904 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $3,366,118 |
| Employer contributions (assets) at end of year | 2017-12-31 | $401,608 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $173,485 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $57,744 |
| Contract administrator fees | 2017-12-31 | $52,939 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $17,503 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $30,915 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | STEVEN C BUTLER, CPA |
| Accountancy firm EIN | 2017-12-31 | 752515634 |
| 2016 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $873 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $3,879 |
| Total income from all sources (including contributions) | 2016-12-31 | $3,787,341 |
| Total of all expenses incurred | 2016-12-31 | $3,291,172 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $3,223,967 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $3,779,401 |
| Value of total assets at end of year | 2016-12-31 | $3,117,719 |
| Value of total assets at beginning of year | 2016-12-31 | $2,624,556 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $67,205 |
| Total interest from all sources | 2016-12-31 | $7,940 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Administrative expenses professional fees incurred | 2016-12-31 | $9,603 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $370,361 |
| Participant contributions at end of year | 2016-12-31 | $5,582 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-12-31 | $15,876 |
| Administrative expenses (other) incurred | 2016-12-31 | $4,816 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $873 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $3,879 |
| Total non interest bearing cash at end of year | 2016-12-31 | $23,648 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $47,921 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $496,169 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $3,116,846 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $2,620,677 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2016-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $2,915,004 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $2,396,218 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $2,396,218 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $7,940 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $3,186,276 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $3,409,040 |
| Employer contributions (assets) at end of year | 2016-12-31 | $173,485 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $180,417 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $21,815 |
| Contract administrator fees | 2016-12-31 | $52,786 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | STEVEN C BUTLER, CPA |
| Accountancy firm EIN | 2016-12-31 | 752515634 |
| 2015 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $3,879 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $22,715 |
| Total income from all sources (including contributions) | 2015-12-31 | $4,272,682 |
| Total of all expenses incurred | 2015-12-31 | $3,768,566 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $3,685,893 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $4,269,873 |
| Value of total assets at end of year | 2015-12-31 | $2,624,556 |
| Value of total assets at beginning of year | 2015-12-31 | $2,139,276 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $82,673 |
| Total interest from all sources | 2015-12-31 | $2,809 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Administrative expenses professional fees incurred | 2015-12-31 | $11,070 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $509,714 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2015-12-31 | $32,551 |
| Administrative expenses (other) incurred | 2015-12-31 | $4,969 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $3,879 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $22,715 |
| Total non interest bearing cash at end of year | 2015-12-31 | $47,921 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $61,948 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $504,116 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $2,620,677 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $2,116,561 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2015-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $2,396,218 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $1,904,273 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $1,904,273 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $2,809 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $3,647,014 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $3,760,159 |
| Employer contributions (assets) at end of year | 2015-12-31 | $180,417 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $173,055 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $6,328 |
| Contract administrator fees | 2015-12-31 | $66,634 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | STEVEN C BUTLER, CPA |
| Accountancy firm EIN | 2015-12-31 | 752515634 |
| 2014 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $22,715 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $245,752 |
| Total income from all sources (including contributions) | 2014-12-31 | $4,226,372 |
| Total of all expenses incurred | 2014-12-31 | $3,655,404 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $3,552,379 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $4,224,662 |
| Value of total assets at end of year | 2014-12-31 | $2,139,276 |
| Value of total assets at beginning of year | 2014-12-31 | $1,791,345 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $103,025 |
| Total interest from all sources | 2014-12-31 | $1,710 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Administrative expenses professional fees incurred | 2014-12-31 | $9,979 |
| Was this plan covered by a fidelity bond | 2014-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $512,302 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-12-31 | $60,905 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $1,933 |
| Administrative expenses (other) incurred | 2014-12-31 | $3,673 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $22,715 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $30,096 |
| Total non interest bearing cash at end of year | 2014-12-31 | $61,948 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $157,920 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $570,968 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $2,116,561 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $1,545,593 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2014-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $1,904,273 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $1,465,447 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $1,465,447 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $1,710 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $3,466,611 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $3,712,360 |
| Employer contributions (assets) at end of year | 2014-12-31 | $173,055 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $166,045 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $24,863 |
| Contract administrator fees | 2014-12-31 | $89,373 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $215,656 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | STEVEN C BUTLER, CPA |
| Accountancy firm EIN | 2014-12-31 | 752515634 |
| 2013 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2013 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $245,752 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $52,784 |
| Total income from all sources (including contributions) | 2013-12-31 | $3,523,256 |
| Total loss/gain on sale of assets | 2013-12-31 | $0 |
| Total of all expenses incurred | 2013-12-31 | $3,741,021 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $3,461,719 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $3,519,673 |
| Value of total assets at end of year | 2013-12-31 | $1,791,345 |
| Value of total assets at beginning of year | 2013-12-31 | $1,816,142 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $279,302 |
| Total interest from all sources | 2013-12-31 | $3,583 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Administrative expenses professional fees incurred | 2013-12-31 | $33,031 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $524,710 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-12-31 | $19,387 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $1,933 |
| Administrative expenses (other) incurred | 2013-12-31 | $7,550 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $30,096 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $22,551 |
| Total non interest bearing cash at end of year | 2013-12-31 | $157,920 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $3,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-217,765 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $1,545,593 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $1,763,358 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $1,465,447 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $1,423,152 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $1,423,152 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $3,583 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $3,091,058 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $2,994,963 |
| Employer contributions (assets) at end of year | 2013-12-31 | $166,045 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $389,990 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $351,274 |
| Contract administrator fees | 2013-12-31 | $238,721 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $215,656 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $30,233 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | STEVEN C BUTLER, CPA |
| Accountancy firm EIN | 2013-12-31 | 752515634 |
| 2012 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $52,784 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $58,958 |
| Total income from all sources (including contributions) | 2012-12-31 | $3,178,368 |
| Total of all expenses incurred | 2012-12-31 | $3,105,360 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $2,883,884 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $3,176,563 |
| Value of total assets at end of year | 2012-12-31 | $1,816,142 |
| Value of total assets at beginning of year | 2012-12-31 | $1,749,308 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $221,476 |
| Total interest from all sources | 2012-12-31 | $1,805 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Administrative expenses professional fees incurred | 2012-12-31 | $20,714 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $600,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | Yes |
| Amount of non-exempt transactions with any party-in-interest | 2012-12-31 | $15,317 |
| Contributions received from participants | 2012-12-31 | $447,998 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-12-31 | $15,976 |
| Administrative expenses (other) incurred | 2012-12-31 | $5,372 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $22,551 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $18,156 |
| Total non interest bearing cash at end of year | 2012-12-31 | $3,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $73,008 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $1,763,358 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,690,350 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Investment advisory and management fees | 2012-12-31 | $1,944 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $1,423,152 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $1,538,956 |
| Value of interest in common/collective trusts at end of year | 2012-12-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $1,805 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $2,573,765 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $2,728,565 |
| Employer contributions (assets) at end of year | 2012-12-31 | $389,990 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $210,352 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $294,143 |
| Contract administrator fees | 2012-12-31 | $193,446 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $30,233 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $40,802 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | STEVEN C BUTLER, CPA |
| Accountancy firm EIN | 2012-12-31 | 752515634 |
| 2011 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2011 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $58,958 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $80,752 |
| Total income from all sources (including contributions) | 2011-12-31 | $2,747,800 |
| Total loss/gain on sale of assets | 2011-12-31 | $0 |
| Total of all expenses incurred | 2011-12-31 | $2,639,022 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $2,409,698 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $2,746,952 |
| Value of total assets at end of year | 2011-12-31 | $1,749,308 |
| Value of total assets at beginning of year | 2011-12-31 | $1,662,324 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $229,324 |
| Total interest from all sources | 2011-12-31 | $848 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Administrative expenses professional fees incurred | 2011-12-31 | $18,546 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $600,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $341,317 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2011-12-31 | $14,075 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $18,156 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $31,395 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $108,778 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $1,690,350 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,581,572 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Investment advisory and management fees | 2011-12-31 | $2,721 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $1,538,956 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $1,449,194 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $848 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $2,090,626 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $2,405,635 |
| Employer contributions (assets) at end of year | 2011-12-31 | $210,352 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $213,130 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $304,997 |
| Contract administrator fees | 2011-12-31 | $208,057 |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $40,802 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $49,357 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | STEVEN C. BUTLER, CPA |
| Accountancy firm EIN | 2011-12-31 | 752515634 |
| 2010 : GOODWILL INDUSTRIES OF LOWER SOUTH CAROLINA, INC. HEALTH & WELFARE PLAN 2010 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $80,661 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $86,761 |
| Total income from all sources (including contributions) | 2010-12-31 | $2,407,385 |
| Total loss/gain on sale of assets | 2010-12-31 | $0 |
| Total of all expenses incurred | 2010-12-31 | $2,339,078 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $2,082,059 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $2,406,949 |
| Value of total assets at end of year | 2010-12-31 | $1,662,233 |
| Value of total assets at beginning of year | 2010-12-31 | $1,600,026 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $257,019 |
| Total interest from all sources | 2010-12-31 | $436 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Administrative expenses professional fees incurred | 2010-12-31 | $16,190 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $400,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $127,407 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2010-12-31 | $32,987 |
| Administrative expenses (other) incurred | 2010-12-31 | $750 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $31,304 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $28,822 |
| Total non interest bearing cash at end of year | 2010-12-31 | $-91 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $-113 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $68,307 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $1,581,572 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $1,513,265 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Investment advisory and management fees | 2010-12-31 | $2,074 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $1,449,194 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $1,417,605 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $436 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $1,773,903 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $2,279,542 |
| Employer contributions (assets) at end of year | 2010-12-31 | $213,130 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $182,534 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $275,169 |
| Contract administrator fees | 2010-12-31 | $238,005 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $49,357 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $57,939 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | STEVEN C. BUTLER, CPA |
| Accountancy firm EIN | 2010-12-31 | 752515634 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 918675 |
| Policy instance | 5 |
| Insurance contract or identification number | 918675 | | Number of Individuals Covered | 388 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $4,972 | | Total amount of fees paid to insurance company | USD $7,604 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENT, CRITICAL ILLNESS | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $36,100 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,509 | | Amount paid for insurance broker fees | 7604 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| PHYSICIANS EYECARE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00344 |
| Policy instance | 1 |
| Insurance contract or identification number | 00344 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Number of Individuals Covered | 619 | | Welfare Benefit Premiums Paid to Carrier | USD $51,118 | | Amount paid for insurance broker fees | 5112 | | Additional information about fees paid to insurance broker | FEES PAID |
|
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 67001001 |
| Policy instance | 2 |
| Insurance contract or identification number | 67001001 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $11,202 | | Total amount of fees paid to insurance company | USD $749 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | BROKER BONUS | | Insurance broker organization code? | 3 | | Number of Individuals Covered | 299 | | Welfare Benefit Premiums Paid to Carrier | USD $112,390 | | Commission paid to Insurance Broker | USD $14,806 | | Amount paid for insurance broker fees | 283 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 920478 |
| Policy instance | 3 |
| Insurance contract or identification number | 920478 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $43,567 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | CRITICAL ILLNESS, ACCIDENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Number of Individuals Covered | 747 | | Welfare Benefit Premiums Paid to Carrier | USD $242,596 | | Commission paid to Insurance Broker | USD $27,735 | | Amount paid for insurance broker fees | 5183 | | Additional information about fees paid to insurance broker | BONUS |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 922302 |
| Policy instance | 4 |
| Insurance contract or identification number | 922302 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $95,595 | | Total amount of fees paid to insurance company | USD $10,000 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | BONUS | | Number of Individuals Covered | 524 | | Welfare Benefit Premiums Paid to Carrier | USD $2,314,173 | | Commission paid to Insurance Broker | USD $99,137 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 920478 |
| Policy instance | 5 |
| Insurance contract or identification number | 920478 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $33,415 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 15319 |
| Policy instance | 6 |
| Insurance contract or identification number | 15319 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Number of Individuals Covered | 1594 | | Welfare Benefit Premiums Paid to Carrier | USD $22,434 |
|
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 67001001 |
| Policy instance | 2 |
| Insurance contract or identification number | 67001001 | | Number of Individuals Covered | 319 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $11,202 | | Total amount of fees paid to insurance company | USD $749 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $112,144 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,202 | | Amount paid for insurance broker fees | 749 | | Additional information about fees paid to insurance broker | BROKER BONUS | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 920478 |
| Policy instance | 3 |
| Insurance contract or identification number | 920478 | | Number of Individuals Covered | 412 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $43,567 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | CRITICAL ILLNESS, ACCIDENT | | 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 Carrier | USD $268,083 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43,567 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 922302 |
| Policy instance | 4 |
| Insurance contract or identification number | 922302 | | Number of Individuals Covered | 523 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $95,595 | | Total amount of fees paid to insurance company | USD $10,000 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $3,260,762 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $95,595 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 10000 | | Additional information about fees paid to insurance broker | BONUS |
|
| PHYSICIANS EYECARE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00344 |
| Policy instance | 1 |
| Insurance contract or identification number | 00344 | | Number of Individuals Covered | 619 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $5,020 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $50,195 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,020 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 920478 |
| Policy instance | 5 |
| Insurance contract or identification number | 920478 | | Number of Individuals Covered | 718 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $33,415 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | 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 Carrier | USD $227,301 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $33,415 | | Insurance broker organization code? | 3 |
|
| UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 15319 |
| Policy instance | 6 |
| Insurance contract or identification number | 15319 | | Number of Individuals Covered | 1505 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $21,291 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 67001001 |
| Policy instance | 2 |
| Insurance contract or identification number | 67001001 | | Number of Individuals Covered | 296 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $10,406 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $92,718 | | Commission paid to Insurance Broker | USD $10,406 | | Insurance broker organization code? | 3 |
|
| PHYSICIANS EYECARE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00344 |
| Policy instance | 1 |
| Insurance contract or identification number | 00344 | | Number of Individuals Covered | 535 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $5,135 | | Welfare Benefit Premiums Paid to Carrier | USD $51,350 | | Commission paid to Insurance Broker | USD $5,135 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 918675 |
| Policy instance | 5 |
| Insurance contract or identification number | 918675 | | Number of Individuals Covered | 398 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $39,113 | | Total amount of fees paid to insurance company | USD $6,227 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $283,119 | | Commission paid to Insurance Broker | USD $39,113 | | Amount paid for insurance broker fees | 6227 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 15319 |
| Policy instance | 6 |
| Insurance contract or identification number | 15319 | | Number of Individuals Covered | 1435 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Other welfare benefits provided | BEHAVIORAL HEALTH | | Welfare Benefit Premiums Paid to Carrier | USD $19,307 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 920478 |
| Policy instance | 3 |
| Insurance contract or identification number | 920478 | | Number of Individuals Covered | 718 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $24,959 | | Total amount of fees paid to insurance company | USD $3,012 | | Welfare Benefit Premiums Paid to Carrier | USD $218,518 | | Commission paid to Insurance Broker | USD $24,959 | | Amount paid for insurance broker fees | 3012 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-85429-00 |
| Policy instance | 4 |
| Insurance contract or identification number | 70-85429-00 | | Number of Individuals Covered | 444 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $72,366 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $72,366 |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-85429-00 |
| Policy instance | 5 |
| Insurance contract or identification number | 70-85429-00 | | Number of Individuals Covered | 421 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $62,448 | | Welfare Benefit Premiums Paid to Carrier | USD $3,188,065 | | Commission paid to Insurance Broker | USD $62,448 | | Additional information about fees paid to insurance broker | HEALTH INSURANCE | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 918675 |
| Policy instance | 3 |
| Insurance contract or identification number | 918675 | | Number of Individuals Covered | 436 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $96,491 | | Total amount of fees paid to insurance company | USD $14,308 | | Commission paid to Insurance Broker | USD $96,491 | | Amount paid for insurance broker fees | 14308 |
|
| UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 15319 |
| Policy instance | 2 |
| Insurance contract or identification number | 15319 | | Number of Individuals Covered | 1471 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of fees paid to insurance company | USD $26,446 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,446 | | Amount paid for insurance broker fees | 26446 |
|
| PHYSICIANS EYECARE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00344 |
| Policy instance | 1 |
| Insurance contract or identification number | 00344 | | Number of Individuals Covered | 533 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of fees paid to insurance company | USD $5,905 | | Welfare Benefit Premiums Paid to Carrier | USD $50,951 | | Amount paid for insurance broker fees | 5905 | | Additional information about fees paid to insurance broker | EYECARE | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 920478 |
| Policy instance | 4 |
| Insurance contract or identification number | 920478 | | Number of Individuals Covered | 712 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $27,975 | | Total amount of fees paid to insurance company | USD $5,243 | | Welfare Benefit Premiums Paid to Carrier | USD $482,435 | | Amount paid for insurance broker fees | 1572 | | Additional information about fees paid to insurance broker | EMPLOYEE BASIC LIFE | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $6,074 |
|
| UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 15319 |
| Policy instance | 7 |
| Insurance contract or identification number | 15319 | | Number of Individuals Covered | 1242 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $11,572 | | Commission paid to Insurance Broker | USD $11,572 | | Additional information about fees paid to insurance broker | HEALTH INSURANCE | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5448883 |
| Policy instance | 2 |
| Insurance contract or identification number | 5448883 | | Number of Individuals Covered | 649 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $21,161 | | Total amount of fees paid to insurance company | USD $10,810 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $154,531 | | Commission paid to Insurance Broker | USD $4,039 | | Additional information about fees paid to insurance broker | GROUP TERM LIFE INSURANCE | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1615 |
|
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 67001001 |
| Policy instance | 3 |
| Insurance contract or identification number | 67001001 | | Number of Individuals Covered | 278 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $9,248 | | Commission paid to Insurance Broker | USD $9,248 | | Additional information about fees paid to insurance broker | DENTAL COVERAGE | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E7722523 |
| Policy instance | 4 |
| Insurance contract or identification number | E7722523 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $60 | | Commission paid to Insurance Broker | USD $22 | | Additional information about fees paid to insurance broker | LIFE INSURANCE | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-85429-00 |
| Policy instance | 5 |
| Insurance contract or identification number | 70-85429-00 | | Number of Individuals Covered | 536 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $59,076 | | Commission paid to Insurance Broker | USD $59,076 | | Additional information about fees paid to insurance broker | HEALTH INSURANCE | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E4577979 |
| Policy instance | 6 |
| Insurance contract or identification number | E4577979 | | Number of Individuals Covered | 36 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $722 | | Commission paid to Insurance Broker | USD $2 | | Additional information about fees paid to insurance broker | DISABILITY INSURANCE | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E7722523 |
| Policy instance | 2 |
| Insurance contract or identification number | E7722523 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $75 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CANCER, ACCIDENT & CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $2,121 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | MISCELLANEOUS FEES | | Insurance broker name | THE ADAMSON GROUP INC |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5448883 |
| Policy instance | 3 |
| Insurance contract or identification number | 5448883 | | Number of Individuals Covered | 649 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $53,735 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $152,580 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $41,541 | | Additional information about fees paid to insurance broker | ACCIDENTAL DEATH & DISMEMBERMENT | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT COMPANY, INC. |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E4577979 |
| Policy instance | 4 |
| Insurance contract or identification number | E4577979 | | Number of Individuals Covered | 45 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,038 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,981 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $372 | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH GLENN EVANS |
|
| PHYSICIANS EYECARE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00344 |
| Policy instance | 5 |
| Insurance contract or identification number | 00344 | | Number of Individuals Covered | 591 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $49,301 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 15319 |
| Policy instance | 6 |
| Insurance contract or identification number | 15319 | | Number of Individuals Covered | 1109 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-01-23 | | Welfare Benefit Premiums Paid to Carrier | USD $11,879 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 70-85429-00 |
| Policy instance | 7 |
| Insurance contract or identification number | 70-85429-00 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $79,868 | | Welfare Benefit Premiums Paid to Carrier | USD $2,743,413 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $79,868 | | Insurance broker name | BB&T INSURANCE SERVICES |
|
| PRAM INSURANCE (National Association of Insurance Commissioners NAIC id number: 12747 ) |
| Policy contract number | PRAM RX |
| Policy instance | 8 |
| Insurance contract or identification number | PRAM RX | | Number of Individuals Covered | 110 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,866 | | Welfare Benefit Premiums Paid to Carrier | USD $37,328 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,866 | | Insurance broker name | FRINGE INSURANCE BENEFITS, INC. |
|
| STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 ) |
| Policy contract number | MEDICAL |
| Policy instance | 9 |
| Insurance contract or identification number | MEDICAL | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $20,563 | | Welfare Benefit Premiums Paid to Carrier | USD $120,963 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,096 | | Insurance broker name | FRINGE INSURANCE BENEFITS, INC. |
|
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
| Policy contract number | 67001001 |
| Policy instance | 1 |
| Insurance contract or identification number | 67001001 | | Number of Individuals Covered | 266 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $8,997 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $91,005 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,997 | | Insurance broker organization code? | 3 | | Insurance broker name | BB&T INSURANCE SERVICES |
|
