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B & D ELECTRIC WELFARE PLAN 401k Plan overview

Plan NameB & D ELECTRIC WELFARE PLAN
Plan identification number 501

B & D ELECTRIC WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance

401k Sponsoring company profile

B & D ELECTRIC OF BATON ROUGE, INC has sponsored the creation of one or more 401k plans.

Company Name:B & D ELECTRIC OF BATON ROUGE, INC
Employer identification number (EIN):720958080
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan B & D ELECTRIC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01ROBERT D PENDARVIS
5012017-01-01ROBERT D PENDARVIS
5012016-01-01ROBERT D PENDARVIS
5012015-01-01ROBERT D PENDARVIS
5012014-01-01ROBERT D PENDARVIS
5012013-01-01ROBERT D PENDARVIS
5012012-01-01ROBERT D PENDARVIS
5012011-01-01ROBERT D PENDARVIS
5012009-01-01ROBERT D PENDARVIS

Plan Statistics for B & D ELECTRIC WELFARE PLAN

401k plan membership statisitcs for B & D ELECTRIC WELFARE PLAN

Measure Date Value
2022: B & D ELECTRIC WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01127
Total number of active participants reported on line 7a of the Form 55002022-01-0194
Total of all active and inactive participants2022-01-0194
Total participants2022-01-0194
2021: B & D ELECTRIC WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01139
Total number of active participants reported on line 7a of the Form 55002021-01-01127
Total of all active and inactive participants2021-01-01127
Total participants2021-01-01127
2020: B & D ELECTRIC WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01153
Total number of active participants reported on line 7a of the Form 55002020-01-01139
Total of all active and inactive participants2020-01-01139
Total participants2020-01-01139
2019: B & D ELECTRIC WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01149
Total number of active participants reported on line 7a of the Form 55002019-01-01153
Total of all active and inactive participants2019-01-01153
Total participants2019-01-01153
Number of participants with account balances2019-01-010
2018: B & D ELECTRIC WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01153
Total number of active participants reported on line 7a of the Form 55002018-01-01149
Total of all active and inactive participants2018-01-01149
Total participants2018-01-01149
2017: B & D ELECTRIC WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01173
Total number of active participants reported on line 7a of the Form 55002017-01-01153
Total of all active and inactive participants2017-01-01153
Total participants2017-01-01153
2016: B & D ELECTRIC WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01128
Total number of active participants reported on line 7a of the Form 55002016-01-01173
Total of all active and inactive participants2016-01-01173
Total participants2016-01-01173
2015: B & D ELECTRIC WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0197
Total number of active participants reported on line 7a of the Form 55002015-01-01128
Total of all active and inactive participants2015-01-01128
Total participants2015-01-010
2014: B & D ELECTRIC WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01104
Total number of active participants reported on line 7a of the Form 55002014-01-0197
Total of all active and inactive participants2014-01-0197
Total participants2014-01-010
2013: B & D ELECTRIC WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0188
Total number of active participants reported on line 7a of the Form 55002013-01-0191
Total of all active and inactive participants2013-01-0191
Total participants2013-01-010
2012: B & D ELECTRIC WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01164
Total number of active participants reported on line 7a of the Form 55002012-01-01150
Total of all active and inactive participants2012-01-01150
Total participants2012-01-010
2011: B & D ELECTRIC WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01183
Total number of active participants reported on line 7a of the Form 55002011-01-01164
Total of all active and inactive participants2011-01-01164
Total participants2011-01-01164
2009: B & D ELECTRIC WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01131
Total number of active participants reported on line 7a of the Form 55002009-01-01130
Total of all active and inactive participants2009-01-01130
Total participants2009-01-01130

Financial Data on B & D ELECTRIC WELFARE PLAN

Measure Date Value
2012 : B & D ELECTRIC WELFARE PLAN 2012 401k financial data
Value of total assets at end of year2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in common/collective trusts at end of year2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No

Form 5500 Responses for B & D ELECTRIC WELFARE PLAN

2022: B & D ELECTRIC WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: B & D ELECTRIC WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: B & D ELECTRIC WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: B & D ELECTRIC WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: B & D ELECTRIC WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: B & D ELECTRIC WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: B & D ELECTRIC WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: B & D ELECTRIC WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: B & D ELECTRIC WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: B & D ELECTRIC WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: B & D ELECTRIC WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: B & D ELECTRIC WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: B & D ELECTRIC WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5393221
Policy instance 3
Insurance contract or identification number5393221
Number of Individuals Covered51
Total amount of commissions paid to insurance brokerUSD $2,333
Total amount of fees paid to insurance companyUSD $356
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,333
Amount paid for insurance broker fees356
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number004613
Policy instance 2
Insurance contract or identification number004613
Number of Individuals Covered89
Total amount of commissions paid to insurance brokerUSD $302
Total amount of fees paid to insurance companyUSD $188
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $302
Amount paid for insurance broker fees188
Additional information about fees paid to insurance brokerADMINISTRATIVE
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78M50ERC
Policy instance 1
Insurance contract or identification number78M50ERC
Number of Individuals Covered94
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $25,910
Total amount of fees paid to insurance companyUSD $35,371
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $779,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,910
Amount paid for insurance broker fees35371
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400199523
Policy instance 4
Insurance contract or identification number000400199523
Number of Individuals Covered43
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $545
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,449
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $545
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract numberBADE115
Policy instance 3
Insurance contract or identification numberBADE115
Number of Individuals Covered59
Total amount of commissions paid to insurance brokerUSD $2,056
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,056
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number004613
Policy instance 2
Insurance contract or identification number004613
Number of Individuals Covered121
Total amount of commissions paid to insurance brokerUSD $410
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $410
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78M50ERC
Policy instance 1
Insurance contract or identification number78M50ERC
Number of Individuals Covered127
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $28,534
Total amount of fees paid to insurance companyUSD $28,067
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $904,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,534
Amount paid for insurance broker fees28067
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78M50ERC
Policy instance 1
Insurance contract or identification number78M50ERC
Number of Individuals Covered139
Total amount of commissions paid to insurance brokerUSD $40,232
Total amount of fees paid to insurance companyUSD $27,466
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $826,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,232
Amount paid for insurance broker fees27466
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number004613
Policy instance 2
Insurance contract or identification number004613
Number of Individuals Covered131
Total amount of commissions paid to insurance brokerUSD $374
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $374
Additional information about fees paid to insurance brokerSALES COMMISSION
Insurance broker organization code?3
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract numberBADE115
Policy instance 3
Insurance contract or identification numberBADE115
Number of Individuals Covered67
Total amount of commissions paid to insurance brokerUSD $2,011
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,011
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400199523
Policy instance 4
Insurance contract or identification number000400199523
Number of Individuals Covered54
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $552
Total amount of fees paid to insurance companyUSD $41
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $552
Amount paid for insurance broker fees41
Additional information about fees paid to insurance brokerBROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400199523
Policy instance 4
Insurance contract or identification number000400199523
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $544
Total amount of fees paid to insurance companyUSD $29
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $544
Amount paid for insurance broker fees29
Additional information about fees paid to insurance brokerBROKER BONUS
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract numberBADE115
Policy instance 3
Insurance contract or identification numberBADE115
Number of Individuals Covered70
Total amount of commissions paid to insurance brokerUSD $2,055
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,055
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number004613
Policy instance 2
Insurance contract or identification number004613
Number of Individuals Covered140
Total amount of commissions paid to insurance brokerUSD $411
Total amount of fees paid to insurance companyUSD $163
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $411
Amount paid for insurance broker fees163
Additional information about fees paid to insurance brokerSALES COMMISSION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78M50ERC
Policy instance 1
Insurance contract or identification number78M50ERC
Number of Individuals Covered153
Total amount of commissions paid to insurance brokerUSD $37,711
Total amount of fees paid to insurance companyUSD $17,383
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $917,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,711
Amount paid for insurance broker fees17383
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400199523
Policy instance 5
Insurance contract or identification number000400199523
Number of Individuals Covered49
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $564
Total amount of fees paid to insurance companyUSD $90
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $564
Amount paid for insurance broker fees90
Additional information about fees paid to insurance brokerBROKER BONUS
SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 )
Policy contract number78B69ERC
Policy instance 4
Insurance contract or identification number78B69ERC
Number of Individuals Covered141
Insurance policy start date2018-01-01
Insurance policy end date2018-09-01
Total amount of commissions paid to insurance brokerUSD $367
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,811
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $367
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract numberBADE115
Policy instance 3
Insurance contract or identification numberBADE115
Number of Individuals Covered71
Total amount of commissions paid to insurance brokerUSD $1,963
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,963
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number004613
Policy instance 2
Insurance contract or identification number004613
Number of Individuals Covered136
Total amount of commissions paid to insurance brokerUSD $135
Total amount of fees paid to insurance companyUSD $94
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $135
Amount paid for insurance broker fees94
Additional information about fees paid to insurance brokerSALES COMMISSION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78M50ERC
Policy instance 1
Insurance contract or identification number78M50ERC
Number of Individuals Covered149
Total amount of commissions paid to insurance brokerUSD $33,768
Total amount of fees paid to insurance companyUSD $26,972
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $821,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,768
Amount paid for insurance broker fees26972
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 )
Policy contract number78B69ERC
Policy instance 2
Insurance contract or identification number78B69ERC
Number of Individuals Covered153
Total amount of commissions paid to insurance brokerUSD $441
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $441
Additional information about fees paid to insurance brokerSALES COMMISSION
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number907357
Policy instance 1
Insurance contract or identification number907357
Number of Individuals Covered169
Total amount of commissions paid to insurance brokerUSD $30,365
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $759,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,365
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES INC, LA
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78B69ERC
Policy instance 1
Insurance contract or identification number78B69ERC
Number of Individuals Covered128
Total amount of commissions paid to insurance brokerUSD $42,378
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $752,751
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,378
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES INC, LA
SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 )
Policy contract number78B69ERC
Policy instance 2
Insurance contract or identification number78B69ERC
Number of Individuals Covered145
Total amount of commissions paid to insurance brokerUSD $485
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $485
Additional information about fees paid to insurance brokerSALES COMMISSION
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number414488
Policy instance 2
Insurance contract or identification number414488
Number of Individuals Covered122
Total amount of commissions paid to insurance brokerUSD $409
Total amount of fees paid to insurance companyUSD $51
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,073
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $409
Amount paid for insurance broker fees51
Additional information about fees paid to insurance brokerSALES COMMISSION
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78B69ERC
Policy instance 1
Insurance contract or identification number78B69ERC
Number of Individuals Covered97
Total amount of commissions paid to insurance brokerUSD $50,889
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $617,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,889
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES INC, LA
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number414488
Policy instance 2
Insurance contract or identification number414488
Number of Individuals Covered106
Total amount of commissions paid to insurance brokerUSD $85
Total amount of fees paid to insurance companyUSD $341
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85
Amount paid for insurance broker fees341
Additional information about fees paid to insurance brokerSALES COMMISSION
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78B69ERC
Policy instance 1
Insurance contract or identification number78B69ERC
Number of Individuals Covered91
Total amount of commissions paid to insurance brokerUSD $40,070
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,070
Insurance broker nameGALLAGHER BENEFIT SERVICES INC, LA
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78B69ERC
Policy instance 1
Insurance contract or identification number78B69ERC
Number of Individuals Covered150
Total amount of commissions paid to insurance brokerUSD $42,473
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $610,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,473
Insurance broker nameGALLAGHER BENEFIT SERVICES INC, LA
COVENTRY HEALTH CARE OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 95173 )
Policy contract number6901130000
Policy instance 1
Insurance contract or identification number6901130000
Number of Individuals Covered164
Total amount of commissions paid to insurance brokerUSD $33,433
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $557,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COVENTRY HEALTH CARE OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 95173 )
Policy contract number6901130000
Policy instance 1
Insurance contract or identification number6901130000
Number of Individuals Covered183
Total amount of commissions paid to insurance brokerUSD $36,030
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $600,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,030
Insurance broker nameGALLAGHER BENEFIT SERVICES INC, LA

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