401k Plan data: EMPLOYEE BENEFIT PLAN plan

EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	EMPLOYEE BENEFIT PLAN
Plan identification number	501

EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

THE SEFA GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: THE SEFA GROUP, INC.

Employer identification number (EIN): 581265568

NAIC Classification: 327900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-07-01
501 2020-07-01
501 2019-07-01
501 2018-07-01
501 2017-07-01 BRET HARRIS
501 2016-07-01 BRET HARRIS
501 2015-07-01 BRET HARRIS
501 2014-07-01 BRET HARRIS
501 2013-07-01 BRET HARRIS
501 2012-07-01 BRET HARRIS
501 2011-07-01 BRET HARRIS
501 2010-07-01 BRET HARRIS
501 2009-07-01 BRET HARRIS
501 2008-07-01 BRET HARRIS
501 2007-07-01 BRET HARRIS
501 2006-07-01 BRET HARRIS

Plan Statistics for EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN

Measure Date Value
2021: EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 351
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 425
Total of all active and inactive participants 2021-07-01 425
2020: EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 323
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 351
Total of all active and inactive participants 2020-07-01 351
2019: EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 287
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 323
Total of all active and inactive participants 2019-07-01 323
2018: EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 274
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 287
Total of all active and inactive participants 2018-07-01 287
2017: EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 159
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 274
Total of all active and inactive participants 2017-07-01 274
2016: EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 148
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 159
Total of all active and inactive participants 2016-07-01 159
2015: EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 158
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 148
Total of all active and inactive participants 2015-07-01 148
2014: EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 136
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 158
Total of all active and inactive participants 2014-07-01 158
2013: EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 147
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 136
Total of all active and inactive participants 2013-07-01 136
2012: EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 159
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 147
Total of all active and inactive participants 2012-07-01 147
2011: EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 143
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 159
Total of all active and inactive participants 2011-07-01 159
2010: EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 146
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 143
Total of all active and inactive participants 2010-07-01 143
2009: EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 153
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 146
Total of all active and inactive participants 2009-07-01 146
2008: EMPLOYEE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year 2008-07-01 219
Total number of active participants reported on line 7a of the Form 5500 2008-07-01 153
Total of all active and inactive participants 2008-07-01 153
2007: EMPLOYEE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year 2007-07-01 160
Total number of active participants reported on line 7a of the Form 5500 2007-07-01 219
Total of all active and inactive participants 2007-07-01 219
2006: EMPLOYEE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year 2006-07-01 90
Total number of active participants reported on line 7a of the Form 5500 2006-07-01 160
Total of all active and inactive participants 2006-07-01 160

Measure	Date	Value
2021: EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	351
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	425
Total of all active and inactive participants	2021-07-01	425
2020: EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	323
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	351
Total of all active and inactive participants	2020-07-01	351
2019: EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	287
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	323
Total of all active and inactive participants	2019-07-01	323
2018: EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	274
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	287
Total of all active and inactive participants	2018-07-01	287
2017: EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	159
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	274
Total of all active and inactive participants	2017-07-01	274
2016: EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	148
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	159
Total of all active and inactive participants	2016-07-01	159
2015: EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	158
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	148
Total of all active and inactive participants	2015-07-01	148
2014: EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	136
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	158
Total of all active and inactive participants	2014-07-01	158
2013: EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	147
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	136
Total of all active and inactive participants	2013-07-01	136
2012: EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	159
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	147
Total of all active and inactive participants	2012-07-01	147
2011: EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	143
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	159
Total of all active and inactive participants	2011-07-01	159
2010: EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	146
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	143
Total of all active and inactive participants	2010-07-01	143
2009: EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	153
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	146
Total of all active and inactive participants	2009-07-01	146
2008: EMPLOYEE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year	2008-07-01	219
Total number of active participants reported on line 7a of the Form 5500	2008-07-01	153
Total of all active and inactive participants	2008-07-01	153
2007: EMPLOYEE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year	2007-07-01	160
Total number of active participants reported on line 7a of the Form 5500	2007-07-01	219
Total of all active and inactive participants	2007-07-01	219
2006: EMPLOYEE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year	2006-07-01	90
Total number of active participants reported on line 7a of the Form 5500	2006-07-01	160
Total of all active and inactive participants	2006-07-01	160

Form 5500 Responses for EMPLOYEE BENEFIT PLAN

2021: EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	This submission is the final filing	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2008: EMPLOYEE BENEFIT PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	This submission is the final filing	No
2008-07-01	Plan funding arrangement – Insurance	Yes
2008-07-01	Plan benefit arrangement – Insurance	Yes
2007: EMPLOYEE BENEFIT PLAN 2007 form 5500 responses
2007-07-01	Type of plan entity	Single employer plan
2007-07-01	This submission is the final filing	No
2007-07-01	Plan funding arrangement – Insurance	Yes
2007-07-01	Plan benefit arrangement – Insurance	Yes
2006: EMPLOYEE BENEFIT PLAN 2006 form 5500 responses
2006-07-01	Type of plan entity	Single employer plan
2006-07-01	This submission is the final filing	No
2006-07-01	Plan funding arrangement – Insurance	Yes
2006-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )

Policy contract number

25-87866

Policy instance

Insurance contract or identification number	25-87866
Number of Individuals Covered	425
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $191,552
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $191,552
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	428
Insurance policy start date	2022-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $11,438
Total amount of fees paid to insurance company	USD $1,172
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,527
Insurance broker organization code?	3
Amount paid for insurance broker fees	1172
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	565
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $15,781
Total amount of fees paid to insurance company	USD $1,373
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,753
Insurance broker organization code?	3
Amount paid for insurance broker fees	1373
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	391
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $13,620
Total amount of fees paid to insurance company	USD $1,421
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,345
Insurance broker organization code?	3
Amount paid for insurance broker fees	1421
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	375
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	106
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $10,426
Total amount of fees paid to insurance company	USD $450
Welfare Benefit Premiums Paid to Carrier	USD $44,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,426
Insurance broker organization code?	3
Amount paid for insurance broker fees	450
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

909012

Policy instance

Insurance contract or identification number	909012
Number of Individuals Covered	641
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $28,430
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,078,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,430
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	382
Insurance policy start date	2021-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $10,804
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,804
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	487
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $17,185
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,185
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	356
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $13,688
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,688
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	333
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	113
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $7,668
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $30,095
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,668
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

909012

Policy instance

Insurance contract or identification number	909012
Number of Individuals Covered	533
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $135,051
Total amount of fees paid to insurance company	USD $1,519
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,690,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $135,051
Amount paid for insurance broker fees	1519
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	104
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $3,200
Total amount of fees paid to insurance company	USD $318
Welfare Benefit Premiums Paid to Carrier	USD $24,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,200
Amount paid for insurance broker fees	318
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	319
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $10,417
Total amount of fees paid to insurance company	USD $1,017
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,417
Amount paid for insurance broker fees	1017
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	403
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $12,718
Total amount of fees paid to insurance company	USD $1,269
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,718
Amount paid for insurance broker fees	1269
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	315
Insurance policy start date	2020-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $8,273
Total amount of fees paid to insurance company	USD $837
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,273
Amount paid for insurance broker fees	837
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	291
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

909012

Policy instance

Insurance contract or identification number	909012
Number of Individuals Covered	289
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $125,287
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,507,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $125,287
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	102
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $4,963
Total amount of fees paid to insurance company	USD $352
Welfare Benefit Premiums Paid to Carrier	USD $32,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,963
Amount paid for insurance broker fees	352
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	255
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	299
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $11,272
Total amount of fees paid to insurance company	USD $973
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,272
Amount paid for insurance broker fees	973
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	362
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $12,319
Total amount of fees paid to insurance company	USD $1,110
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,319
Amount paid for insurance broker fees	1110
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	271
Insurance policy start date	2019-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $8,366
Total amount of fees paid to insurance company	USD $828
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,366
Amount paid for insurance broker fees	828
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	325
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $8,734
Total amount of fees paid to insurance company	USD $9,685
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,734
Amount paid for insurance broker fees	9685
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3
Insurance broker name	AMICK, BAHNMULLER & ASSOCIATES

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	276
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $8,557
Total amount of fees paid to insurance company	USD $3,483
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,557
Amount paid for insurance broker fees	3483
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3
Insurance broker name	AMICK, BAHNMULLER & ASSOCIATES

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	226
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	117
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $21,096
Total amount of fees paid to insurance company	USD $1,410
Welfare Benefit Premiums Paid to Carrier	USD $33,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,096
Amount paid for insurance broker fees	1410
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3
Insurance broker name	AMICK, BAHNMULLER & ASSOCIATES

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

909012

Policy instance

Insurance contract or identification number	909012
Number of Individuals Covered	458
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $108,295
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,979,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $108,295
Insurance broker organization code?	3
Insurance broker name	AMICK, BAHNMULLER & ASSOCIATES

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

163128

Policy instance

Insurance contract or identification number	163128
Number of Individuals Covered	230
Insurance policy start date	2018-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $7,201
Total amount of fees paid to insurance company	USD $2,521
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,201
Amount paid for insurance broker fees	2521
Additional information about fees paid to insurance broker	CONTINGENT COMPENSATION
Insurance broker organization code?	3
Insurance broker name	AMICK, BAHNMULLER & ASSOCIATES

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Company Name:	THE SEFA GROUP, INC.
Employer identification number (EIN):	581265568
NAIC Classification:	327900