WOMETCO ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.
Additional information about WOMETCO ENTERPRISES, INC.
Submission information for form 5500 for 401k plan EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC.
401k plan membership statisitcs for EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC.
| Measure | Date | Value |
|---|
| 2014: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 174 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
| Total of all active and inactive participants | 2014-07-01 | 0 |
| 2013: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 203 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 165 |
| Number of retired or separated participants receiving benefits | 2013-07-01 | 9 |
| Total of all active and inactive participants | 2013-07-01 | 174 |
| 2012: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 231 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 192 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 11 |
| Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
| Total of all active and inactive participants | 2012-07-01 | 203 |
| 2011: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 174 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 216 |
| Number of retired or separated participants receiving benefits | 2011-07-01 | 15 |
| Number of other retired or separated participants entitled to future benefits | 2011-07-01 | 0 |
| Total of all active and inactive participants | 2011-07-01 | 231 |
| 2010: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 230 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 174 |
| Total of all active and inactive participants | 2010-07-01 | 174 |
| 2009: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 182 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 166 |
| Number of other retired or separated participants entitled to future benefits | 2009-07-01 | 64 |
| Total of all active and inactive participants | 2009-07-01 | 230 |
| 2014: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 2014 form 5500 responses |
|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Submission has been amended | Yes |
| 2014-07-01 | This submission is the final filing | Yes |
| 2014-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 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 funding arrangement – General assets of the sponsor | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 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 funding arrangement – General assets of the sponsor | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 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 funding arrangement – General assets of the sponsor | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 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 funding arrangement – General assets of the sponsor | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: EMPLOYEE WELFARE BENEFIT PLAN WOMETCO ENTERPRISES, INC. 2009 form 5500 responses |
|---|
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 28900 |
| Policy instance | 3 |
| Insurance contract or identification number | 28900 | | Number of Individuals Covered | 47 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $1,748 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,653 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,748 | | Additional information about fees paid to insurance broker | SALES AND SERVICE COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS, INC. |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E3340270 |
| Policy instance | 1 |
| Insurance contract or identification number | E3340270 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $2,740 | | Total amount of fees paid to insurance company | USD $692 | | Welfare Benefit Premiums Paid to Carrier | USD $13,591 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $838 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 5 | | Additional information about fees paid to insurance broker | BONUSES AND NON-CASH INCENTIVES | | Insurance broker name | JAVIER DIAZ |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 877223000 |
| Policy instance | 2 |
| Insurance contract or identification number | 877223000 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $472 | | Other welfare benefits provided | MEDIGAP FOR 65+ AGES | | Welfare Benefit Premiums Paid to Carrier | USD $9,448 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $472 | | Insurance broker organization code? | 3 | | Insurance broker name | HERSCHEL A. SMITH LLC |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | C171 |
| Policy instance | 4 |
| Insurance contract or identification number | C171 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $166 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,662 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $166 | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS-JAMES PFLEGE |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 663770 |
| Policy instance | 5 |
| Insurance contract or identification number | 663770 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $480 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,219 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $130 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS INC |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 627073 |
| Policy instance | 6 |
| Insurance contract or identification number | 627073 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $172 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,748 | | 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 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS, INC. |
|
| NEIGHBORHOOD HEALTH PARTNERSHIP (National Association of Insurance Commissioners NAIC id number: 95123 ) |
| Policy contract number | B21906 |
| Policy instance | 7 |
| Insurance contract or identification number | B21906 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $115 | | Welfare Benefit Premiums Paid to Carrier | USD $1,831 | | 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 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS, INC. |
|
| NEIGHBORHOOD HEALTH PARTNERSHIP (National Association of Insurance Commissioners NAIC id number: 95123 ) |
| Policy contract number | B21906 |
| Policy instance | 5 |
| Insurance contract or identification number | B21906 | | Number of Individuals Covered | 144 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $5,705 | | Total amount of fees paid to insurance company | USD $29,625 | | Other welfare benefits provided | POS CONTRACT | | Welfare Benefit Premiums Paid to Carrier | USD $548,583 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,705 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 29625 | | Insurance broker name | AMERICAN HEALTH ACCESS INC. |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | C171 |
| Policy instance | 4 |
| Insurance contract or identification number | C171 | | Number of Individuals Covered | 88 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $2,562 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,620 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,562 | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS-JAMES PFLEGE |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 28900 |
| Policy instance | 3 |
| Insurance contract or identification number | 28900 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $10,145 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $67,633 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,145 | | Additional information about fees paid to insurance broker | SALES AND SERVICE COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS, INC. |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 877223000 |
| Policy instance | 2 |
| Insurance contract or identification number | 877223000 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $1,616 | | Other welfare benefits provided | MEDIGAP FOR 65+ AGES | | Welfare Benefit Premiums Paid to Carrier | USD $32,313 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,616 | | Insurance broker organization code? | 3 | | Insurance broker name | HERSCHEL A. SMITH LLC |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E3340270 |
| Policy instance | 1 |
| Insurance contract or identification number | E3340270 | | Number of Individuals Covered | 70 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $7,351 | | Total amount of fees paid to insurance company | USD $1,866 | | Welfare Benefit Premiums Paid to Carrier | USD $40,231 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,239 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 27 | | Additional information about fees paid to insurance broker | BONUSES AND NON-CASH INCENTIVES | | Insurance broker name | JAVIER DIAZ |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 627073 |
| Policy instance | 6 |
| Insurance contract or identification number | 627073 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $66,478 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E3340270 |
| Policy instance | 1 |
| Insurance contract or identification number | E3340270 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $4,443 | | Total amount of fees paid to insurance company | USD $817 | | Welfare Benefit Premiums Paid to Carrier | USD $36,829 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,387 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 30 | | Additional information about fees paid to insurance broker | BONUSES AND NON-CASH INCENTIVES | | Insurance broker name | GRAEM M. CLARK |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 627073 |
| Policy instance | 8 |
| Insurance contract or identification number | 627073 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $182 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,288 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $182 | | Insurance broker organization code? | 3 | | Insurance broker name | AMG BRICKELL INC |
|
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) |
| Policy contract number | 877223000 |
| Policy instance | 2 |
| Insurance contract or identification number | 877223000 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $1,785 | | Other welfare benefits provided | MEDIGAP FOR 65+ AGES | | Welfare Benefit Premiums Paid to Carrier | USD $35,701 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,785 | | Insurance broker organization code? | 3 | | Insurance broker name | HERSCHEL A. SMITH LLC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 28900 |
| Policy instance | 3 |
| Insurance contract or identification number | 28900 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $10,339 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $68,931 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,498 | | Additional information about fees paid to insurance broker | SALES AND SERVICE COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS, INC. |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | C171 |
| Policy instance | 4 |
| Insurance contract or identification number | C171 | | Number of Individuals Covered | 91 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $2,214 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,144 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,214 | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS-JAMES PFLEGE |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 9894580000 |
| Policy instance | 5 |
| Insurance contract or identification number | 9894580000 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $458 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,635 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $458 | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS, INC. |
|
| COVENTRY HEALTH CARE OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 95114 ) |
| Policy contract number | 9894580000 |
| Policy instance | 6 |
| Insurance contract or identification number | 9894580000 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $49,730 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $293,113 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $49,730 | | Insurance broker organization code? | 3 | | Insurance broker name | AMERICAN HEALTH ACCESS, INC. |
|
| NEIGHBORHOOD HEALTH PARTNERSHIP (National Association of Insurance Commissioners NAIC id number: 95123 ) |
| Policy contract number | B21906 |
| Policy instance | 7 |
| Insurance contract or identification number | B21906 | | Number of Individuals Covered | 142 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $1,965 | | Total amount of fees paid to insurance company | USD $10,728 | | Other welfare benefits provided | POS CONTRACT | | Welfare Benefit Premiums Paid to Carrier | USD $168,158 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,965 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 10728 | | Insurance broker name | AMERICAN HEALTH ACCESS INC |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 9894580000 |
| Policy instance | 5 |
| Insurance contract or identification number | 9894580000 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $154 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,571 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | C171 |
| Policy instance | 4 |
| Insurance contract or identification number | C171 | | Number of Individuals Covered | 94 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $2,070 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,701 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 28900 |
| Policy instance | 3 |
| Insurance contract or identification number | 28900 | | Number of Individuals Covered | 216 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $10,337 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $68,915 | | 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 | 877223000 |
| Policy instance | 2 |
| Insurance contract or identification number | 877223000 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $2,028 | | Other welfare benefits provided | MEDIGAP FOR 65 AGES | | Welfare Benefit Premiums Paid to Carrier | USD $40,551 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E3340270 |
| Policy instance | 1 |
| Insurance contract or identification number | E3340270 | | Number of Individuals Covered | 75 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $5,477 | | Total amount of fees paid to insurance company | USD $914 | | Welfare Benefit Premiums Paid to Carrier | USD $45,615 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COVENTRY HEALTH CARE OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 95114 ) |
| Policy contract number | 9894580000 |
| Policy instance | 6 |
| Insurance contract or identification number | 9894580000 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $43,471 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $626,141 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COVENTRY HEALTH CARE OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 95114 ) |
| Policy contract number | 9894580000 |
| Policy instance | 6 |
| Insurance contract or identification number | 9894580000 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $32,803 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $546,720 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 9894580000 |
| Policy instance | 5 |
| Insurance contract or identification number | 9894580000 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $1,780 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,667 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | C171 |
| Policy instance | 4 |
| Insurance contract or identification number | C171 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $2,093 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,931 | | 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 | 877223000 |
| Policy instance | 2 |
| Insurance contract or identification number | 877223000 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $2,136 | | Other welfare benefits provided | MEDIGAP FOR 65 AGES | | Welfare Benefit Premiums Paid to Carrier | USD $42,712 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E3340270 |
| Policy instance | 1 |
| Insurance contract or identification number | E3340270 | | Number of Individuals Covered | 87 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $10,150 | | Total amount of fees paid to insurance company | USD $2,062 | | Welfare Benefit Premiums Paid to Carrier | USD $50,388 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 28900 |
| Policy instance | 3 |
| Insurance contract or identification number | 28900 | | Number of Individuals Covered | 174 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $8,759 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $58,395 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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