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WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 401k Plan overview

Plan NameWESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT
Plan identification number 502

WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT Benefits

401k Plan TypeWelfare 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)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

WESTERN INDUSTRIES CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:WESTERN INDUSTRIES CORPORATION
Employer identification number (EIN):730956000
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-04-01APRIL BEVERLY2024-09-03
5022022-04-01APRIL BEVERLY2023-07-25
5022021-04-01APRIL BEVERLY2022-10-13
5022020-04-01APRIL BEVERLY2022-01-05
5022019-04-01APRIL BEVERLY2020-10-21
5022017-04-01
5022015-04-01APRIL BEVERLY
5022015-03-01APRIL BEVERLY
5022014-03-01APRIL BEVERLY
5022013-03-01DEE BREMERMAN
5022012-03-01DEE BREMERMAN
5022011-03-01DEE BREMERMAN
5022009-03-01DEE BREMERMAN
5022009-03-01JAMES P ROBERTSON
5022008-03-01JAMES P ROBERTSON
5022007-03-01JAMES P ROBERTSON
5022006-03-01JAMES P ROBERTSON
5022005-03-01JAMES P ROBERTSON
5022004-03-01JAMES P ROBERTSON
5022003-03-01JAMES P ROBERTSON
5022002-03-01JAMES P ROBERTSON

Plan Statistics for WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT

401k plan membership statisitcs for WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT

Measure Date Value
2023: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2023 401k membership
Total participants, beginning-of-year2023-04-01116
Total number of active participants reported on line 7a of the Form 55002023-04-01107
Number of retired or separated participants receiving benefits2023-04-010
Number of other retired or separated participants entitled to future benefits2023-04-010
Total of all active and inactive participants2023-04-01107
Number of employers contributing to the scheme2023-04-010
2022: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2022 401k membership
Total participants, beginning-of-year2022-04-01123
Total number of active participants reported on line 7a of the Form 55002022-04-01116
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01116
Number of employers contributing to the scheme2022-04-010
2021: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2021 401k membership
Total participants, beginning-of-year2021-04-01124
Total number of active participants reported on line 7a of the Form 55002021-04-01123
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01123
Number of employers contributing to the scheme2021-04-010
2020: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2020 401k membership
Total participants, beginning-of-year2020-04-01144
Total number of active participants reported on line 7a of the Form 55002020-04-01138
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01138
Number of employers contributing to the scheme2020-04-010
2019: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2019 401k membership
Total participants, beginning-of-year2019-04-01108
Total number of active participants reported on line 7a of the Form 55002019-04-01111
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01111
Number of employers contributing to the scheme2019-04-010
2017: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2017 401k membership
Total participants, beginning-of-year2017-04-01109
Total number of active participants reported on line 7a of the Form 55002017-04-01110
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01110
2015: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2015 401k membership
Total participants, beginning-of-year2015-04-01100
Total number of active participants reported on line 7a of the Form 55002015-04-0190
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-0190
Total participants, beginning-of-year2015-03-01100
Total number of active participants reported on line 7a of the Form 55002015-03-01100
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01100
2014: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2014 401k membership
Total participants, beginning-of-year2014-03-01102
Total number of active participants reported on line 7a of the Form 55002014-03-0196
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-0196
2013: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2013 401k membership
Total participants, beginning-of-year2013-03-0198
Total number of active participants reported on line 7a of the Form 55002013-03-01103
Number of retired or separated participants receiving benefits2013-03-010
Number of other retired or separated participants entitled to future benefits2013-03-010
Total of all active and inactive participants2013-03-01103
2012: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2012 401k membership
Total participants, beginning-of-year2012-03-01138
Total number of active participants reported on line 7a of the Form 55002012-03-01106
Number of retired or separated participants receiving benefits2012-03-010
Number of other retired or separated participants entitled to future benefits2012-03-010
Total of all active and inactive participants2012-03-01106
2011: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2011 401k membership
Total participants, beginning-of-year2011-03-01122
Total number of active participants reported on line 7a of the Form 55002011-03-01138
Number of retired or separated participants receiving benefits2011-03-010
Number of other retired or separated participants entitled to future benefits2011-03-010
Total of all active and inactive participants2011-03-01138
2009: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2009 401k membership
Total participants, beginning-of-year2009-03-0191
Total number of active participants reported on line 7a of the Form 55002009-03-01115
Number of retired or separated participants receiving benefits2009-03-010
Number of other retired or separated participants entitled to future benefits2009-03-010
Total of all active and inactive participants2009-03-01115
2008: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2008 401k membership
Total participants, beginning-of-year2008-03-01100
Total number of active participants reported on line 7a of the Form 55002008-03-0191
Number of retired or separated participants receiving benefits2008-03-010
Number of other retired or separated participants entitled to future benefits2008-03-010
Total of all active and inactive participants2008-03-0191
2007: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2007 401k membership
Total participants, beginning-of-year2007-03-0197
Total number of active participants reported on line 7a of the Form 55002007-03-01100
Number of retired or separated participants receiving benefits2007-03-010
Number of other retired or separated participants entitled to future benefits2007-03-010
Total of all active and inactive participants2007-03-01100
2006: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2006 401k membership
Total participants, beginning-of-year2006-03-0188
Total number of active participants reported on line 7a of the Form 55002006-03-0197
Number of retired or separated participants receiving benefits2006-03-010
Number of other retired or separated participants entitled to future benefits2006-03-010
Total of all active and inactive participants2006-03-0197
2005: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2005 401k membership
Total participants, beginning-of-year2005-03-01104
Total number of active participants reported on line 7a of the Form 55002005-03-0188
Number of retired or separated participants receiving benefits2005-03-010
Number of other retired or separated participants entitled to future benefits2005-03-010
Total of all active and inactive participants2005-03-0188
2004: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2004 401k membership
Total participants, beginning-of-year2004-03-01135
Total number of active participants reported on line 7a of the Form 55002004-03-01104
Number of retired or separated participants receiving benefits2004-03-010
Number of other retired or separated participants entitled to future benefits2004-03-010
Total of all active and inactive participants2004-03-01104
2003: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2003 401k membership
Total participants, beginning-of-year2003-03-01135
Total number of active participants reported on line 7a of the Form 55002003-03-01135
Number of retired or separated participants receiving benefits2003-03-010
Number of other retired or separated participants entitled to future benefits2003-03-010
Total of all active and inactive participants2003-03-01135
2002: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2002 401k membership
Total participants, beginning-of-year2002-03-01135
Total number of active participants reported on line 7a of the Form 55002002-03-01135
Number of retired or separated participants receiving benefits2002-03-010
Number of other retired or separated participants entitled to future benefits2002-03-010
Total of all active and inactive participants2002-03-01135

Form 5500 Responses for WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT

2023: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan funding arrangement – General assets of the sponsorYes
2023-04-01Plan benefit arrangement – InsuranceYes
2023-04-01Plan benefit arrangement – General assets of the sponsorYes
2022: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2015: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2015-03-01Type of plan entitySingle employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planNo
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Submission has been amendedNo
2013-03-01This submission is the final filingNo
2013-03-01This return/report is a short plan year return/report (less than 12 months)No
2013-03-01Plan is a collectively bargained planNo
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Submission has been amendedYes
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planNo
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – General assets of the sponsorYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – General assets of the sponsorYes
2011: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Submission has been amendedYes
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planNo
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedYes
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes
2008: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2008 form 5500 responses
2008-03-01Type of plan entitySingle employer plan
2008-03-01Submission has been amendedNo
2008-03-01This submission is the final filingNo
2008-03-01This return/report is a short plan year return/report (less than 12 months)No
2008-03-01Plan is a collectively bargained planNo
2008-03-01Plan funding arrangement – InsuranceYes
2008-03-01Plan funding arrangement – General assets of the sponsorYes
2008-03-01Plan benefit arrangement – InsuranceYes
2008-03-01Plan benefit arrangement – General assets of the sponsorYes
2007: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2007 form 5500 responses
2007-03-01Type of plan entitySingle employer plan
2007-03-01Submission has been amendedNo
2007-03-01This submission is the final filingNo
2007-03-01This return/report is a short plan year return/report (less than 12 months)No
2007-03-01Plan is a collectively bargained planNo
2007-03-01Plan funding arrangement – InsuranceYes
2007-03-01Plan funding arrangement – General assets of the sponsorYes
2007-03-01Plan benefit arrangement – InsuranceYes
2007-03-01Plan benefit arrangement – General assets of the sponsorYes
2006: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2006 form 5500 responses
2006-03-01Type of plan entitySingle employer plan
2006-03-01Submission has been amendedNo
2006-03-01This submission is the final filingNo
2006-03-01This return/report is a short plan year return/report (less than 12 months)No
2006-03-01Plan is a collectively bargained planNo
2006-03-01Plan funding arrangement – InsuranceYes
2006-03-01Plan funding arrangement – General assets of the sponsorYes
2006-03-01Plan benefit arrangement – InsuranceYes
2006-03-01Plan benefit arrangement – General assets of the sponsorYes
2005: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2005 form 5500 responses
2005-03-01Type of plan entitySingle employer plan
2005-03-01Submission has been amendedNo
2005-03-01This submission is the final filingNo
2005-03-01This return/report is a short plan year return/report (less than 12 months)No
2005-03-01Plan is a collectively bargained planNo
2005-03-01Plan funding arrangement – InsuranceYes
2005-03-01Plan funding arrangement – General assets of the sponsorYes
2005-03-01Plan benefit arrangement – InsuranceYes
2005-03-01Plan benefit arrangement – General assets of the sponsorYes
2004: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2004 form 5500 responses
2004-03-01Type of plan entitySingle employer plan
2004-03-01Submission has been amendedNo
2004-03-01This submission is the final filingNo
2004-03-01This return/report is a short plan year return/report (less than 12 months)No
2004-03-01Plan is a collectively bargained planNo
2004-03-01Plan funding arrangement – InsuranceYes
2004-03-01Plan funding arrangement – General assets of the sponsorYes
2004-03-01Plan benefit arrangement – InsuranceYes
2004-03-01Plan benefit arrangement – General assets of the sponsorYes
2003: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2003 form 5500 responses
2003-03-01Type of plan entitySingle employer plan
2003-03-01Submission has been amendedNo
2003-03-01This submission is the final filingNo
2003-03-01This return/report is a short plan year return/report (less than 12 months)No
2003-03-01Plan is a collectively bargained planNo
2003-03-01Plan funding arrangement – InsuranceYes
2003-03-01Plan funding arrangement – General assets of the sponsorYes
2003-03-01Plan benefit arrangement – InsuranceYes
2003-03-01Plan benefit arrangement – General assets of the sponsorYes
2002: WESTERN INDUSTRIES CORPORATION EMPLOYEE BENEFIT 2002 form 5500 responses
2002-03-01Type of plan entitySingle employer plan
2002-03-01Submission has been amendedNo
2002-03-01This submission is the final filingNo
2002-03-01This return/report is a short plan year return/report (less than 12 months)No
2002-03-01Plan is a collectively bargained planNo
2002-03-01Plan funding arrangement – InsuranceYes
2002-03-01Plan funding arrangement – General assets of the sponsorYes
2002-03-01Plan benefit arrangement – InsuranceYes
2002-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 4
Insurance contract or identification number646033
Number of Individuals Covered114
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $2,625
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number888412G
Policy instance 3
Insurance contract or identification number888412G
Number of Individuals Covered114
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $3,349
Total amount of fees paid to insurance companyUSD $829
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $52,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number602479HNO
Policy instance 2
Insurance contract or identification number602479HNO
Number of Individuals Covered43
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14,673
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $277,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 1
Insurance contract or identification number602479
Number of Individuals Covered125
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $3,476
Total amount of fees paid to insurance companyUSD $24,176
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $510,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 1
Insurance contract or identification number602479
Number of Individuals Covered146
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $3,783
Total amount of fees paid to insurance companyUSD $26,827
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $573,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number602479HNO
Policy instance 2
Insurance contract or identification number602479HNO
Number of Individuals Covered55
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $19,113
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $361,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number888412G
Policy instance 3
Insurance contract or identification number888412G
Number of Individuals Covered115
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $3,366
Total amount of fees paid to insurance companyUSD $941
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $59,954
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 number646033
Policy instance 4
Insurance contract or identification number646033
Number of Individuals Covered116
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $3,191
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 number646033
Policy instance 4
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number888412G
Policy instance 3
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number602479HNO
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number888412
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 1
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number602479HNO
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 1
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number602479HNO
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 1
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract number602479HNO
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 3
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract number602479HNO
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 3
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract number602479HNO
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract number602479HNO
Policy instance 1
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract number602479HNO
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract numberUS310089
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 2
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract numberUS310089
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 2
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract numberUS310089
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number602479
Policy instance 3
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95757 )
Policy contract numberUS310089
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number646033
Policy instance 4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract numberUS310089
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract numberUS310089
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract numberUS310089
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 )
Policy contract numberUS310089
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number00000
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number00000
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number367081
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number00000
Policy instance 1

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