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RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 401k Plan overview

Plan NameRIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN
Plan identification number 501

RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

RIO GRANDE PACIFIC CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:RIO GRANDE PACIFIC CORPORATION
Employer identification number (EIN):752296427
NAIC Classification:482110
NAIC Description: Rail Transportation

Additional information about RIO GRANDE PACIFIC CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1986-05-30
Company Identification Number: 0079907700
Legal Registered Office Address: 6100 SOUTHWEST BLVD STE 320

BENBROOK
United States of America (USA)
76109

More information about RIO GRANDE PACIFIC CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01TREY WHITE2023-10-16 TREY WHITE2023-10-16
5012021-04-01TREY WHITE2022-10-17 TREY WHITE2022-10-17
5012020-04-01BRENT BURNS2021-10-20 BRENT BURNS2021-10-20
5012019-04-01BRENT BURNS2020-10-12 BRENT BURNS2020-10-12
5012018-04-01BRENT BURNS2019-10-22 BRENT BURNS2019-10-22
5012017-04-01
5012016-04-01
5012015-04-01
5012014-04-01
5012013-04-01
5012012-04-01BRENT BURNS
5012011-04-01BRENT BURNS
5012009-04-01GREGG GOETTEL
5012008-04-01BRENT BURNS
5012007-04-01BRENT BURNS
5012006-04-01BRENT BURNS

Plan Statistics for RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN

401k plan membership statisitcs for RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN

Measure Date Value
2022: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01493
Total number of active participants reported on line 7a of the Form 55002022-04-01461
Total of all active and inactive participants2022-04-01461
2021: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01466
Total number of active participants reported on line 7a of the Form 55002021-04-01493
Total of all active and inactive participants2021-04-01493
2020: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01380
Total number of active participants reported on line 7a of the Form 55002020-04-01466
Total of all active and inactive participants2020-04-01466
2019: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01360
Total number of active participants reported on line 7a of the Form 55002019-04-01380
Total of all active and inactive participants2019-04-01380
2018: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01237
Total number of active participants reported on line 7a of the Form 55002018-04-01360
Total of all active and inactive participants2018-04-01360
2017: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01257
Total number of active participants reported on line 7a of the Form 55002017-04-01237
Total of all active and inactive participants2017-04-01237
2016: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01250
Total number of active participants reported on line 7a of the Form 55002016-04-01257
Total of all active and inactive participants2016-04-01257
2015: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01273
Total number of active participants reported on line 7a of the Form 55002015-04-01250
Total of all active and inactive participants2015-04-01250
2014: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01255
Total number of active participants reported on line 7a of the Form 55002014-04-01273
Total of all active and inactive participants2014-04-01273
Total participants2014-04-01273
2013: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01215
Total number of active participants reported on line 7a of the Form 55002013-04-01255
Total of all active and inactive participants2013-04-01255
Total participants2013-04-01255
2012: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01215
Total number of active participants reported on line 7a of the Form 55002012-04-01215
Total of all active and inactive participants2012-04-01215
Total participants2012-04-01215
2011: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01194
Total number of active participants reported on line 7a of the Form 55002011-04-01194
Total of all active and inactive participants2011-04-01194
Total participants2011-04-01194
2009: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01136
Total number of active participants reported on line 7a of the Form 55002009-04-01136
Total of all active and inactive participants2009-04-01136
Total participants2009-04-01136
2008: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year2008-04-01152
Total number of active participants reported on line 7a of the Form 55002008-04-01152
Total of all active and inactive participants2008-04-01152
Total participants2008-04-01152
2007: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year2007-04-01118
Total number of active participants reported on line 7a of the Form 55002007-04-01118
Total of all active and inactive participants2007-04-01118
Total participants2007-04-01118
2006: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year2006-04-01114
Total number of active participants reported on line 7a of the Form 55002006-04-01114
Total of all active and inactive participants2006-04-01114
Total participants2006-04-01114

Form 5500 Responses for RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN

2022: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 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: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 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: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 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: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 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
2018: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – General assets of the sponsorYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 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
2016: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – General assets of the sponsorYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – General assets of the sponsorYes
2015: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
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
2014: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2009: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01This submission is the final filingNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – General assets of the sponsorYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – General assets of the sponsorYes
2008: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2008 form 5500 responses
2008-04-01Type of plan entitySingle employer plan
2008-04-01Plan funding arrangement – InsuranceYes
2008-04-01Plan funding arrangement – General assets of the sponsorYes
2008-04-01Plan benefit arrangement – InsuranceYes
2008-04-01Plan benefit arrangement – General assets of the sponsorYes
2007: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2007 form 5500 responses
2007-04-01Type of plan entitySingle employer plan
2007-04-01Plan funding arrangement – InsuranceYes
2007-04-01Plan funding arrangement – General assets of the sponsorYes
2007-04-01Plan benefit arrangement – InsuranceYes
2007-04-01Plan benefit arrangement – General assets of the sponsorYes
2006: RIO GRANDE PACIFIC CORPORATION INC WELFARE BENEFIT PLAN 2006 form 5500 responses
2006-04-01Type of plan entitySingle employer plan
2006-04-01Plan funding arrangement – InsuranceYes
2006-04-01Plan funding arrangement – General assets of the sponsorYes
2006-04-01Plan benefit arrangement – InsuranceYes
2006-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00635959
Policy instance 3
Insurance contract or identification number00635959
Number of Individuals Covered268
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $10,177
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $103,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,177
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00635959
Policy instance 2
Insurance contract or identification number00635959
Number of Individuals Covered461
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $146,960
Total amount of fees paid to insurance companyUSD $0
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 $146,960
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00034678
Policy instance 1
Insurance contract or identification number00034678
Number of Individuals Covered267
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $15,416
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $111,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,416
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number238565
Policy instance 2
Insurance contract or identification number238565
Number of Individuals Covered493
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $164,446
Total amount of fees paid to insurance companyUSD $6,255
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,000,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $164,446
Insurance broker organization code?3
Amount paid for insurance broker fees6255
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVF024178
Policy instance 1
Insurance contract or identification numberVF024178
Number of Individuals Covered267
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $17,992
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $96,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,496
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVF024178
Policy instance 1
Insurance contract or identification numberVF024178
Number of Individuals Covered247
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $17,922
Total amount of fees paid to insurance companyUSD $4,992
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $96,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,443
Insurance broker organization code?3
Amount paid for insurance broker fees4992
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number238565
Policy instance 2
Insurance contract or identification number238565
Number of Individuals Covered466
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $158,550
Total amount of fees paid to insurance companyUSD $1,755
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,847,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $204,324
Amount paid for insurance broker fees1755
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number238565
Policy instance 2
Insurance contract or identification number238565
Number of Individuals Covered380
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $134,907
Total amount of fees paid to insurance companyUSD $2,184
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,421,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $134,907
Amount paid for insurance broker fees2184
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVF024178
Policy instance 1
Insurance contract or identification numberVF024178
Number of Individuals Covered229
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $19,025
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $103,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,269
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number238565
Policy instance 2
Insurance contract or identification number238565
Number of Individuals Covered360
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $110,633
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,252,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $110,633
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered224
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $24,161
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $185,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,530
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00618638
Policy instance 2
Insurance contract or identification number00618638
Number of Individuals Covered206
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $88,760
Total amount of fees paid to insurance companyUSD $76,336
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 $88,760
Insurance broker organization code?3
Amount paid for insurance broker fees76336
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker nameCIGNA HEALTH AND LIFE INS COMPANY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered237
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $27,335
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $209,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,770
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered250
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $33,159
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $234,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,764
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number849508
Policy instance 2
Insurance contract or identification number849508
Number of Individuals Covered193
Insurance policy start date2015-05-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $102,095
Total amount of fees paid to insurance companyUSD $120,406
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees120406
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $102,095
Insurance broker nameWELLS FARGO INS SERVICES USA
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number849508
Policy instance 2
Insurance contract or identification number849508
Number of Individuals Covered273
Insurance policy start date2014-05-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $107,735
Total amount of fees paid to insurance companyUSD $118,639
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees118639
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $107,735
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00162541
Policy instance 3
Insurance contract or identification number00162541
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $10,371
Total amount of fees paid to insurance companyUSD $105,529
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees105529
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $10,371
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered259
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $22,583
Total amount of fees paid to insurance companyUSD $2,885
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $159,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,451
Insurance broker organization code?3
Amount paid for insurance broker fees2885
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $28,609
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $190,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,494
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00162541
Policy instance 2
Insurance contract or identification number00162541
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $111,103
Total amount of fees paid to insurance companyUSD $163,377
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees163377
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $111,103
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered215
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $29,591
Total amount of fees paid to insurance companyUSD $3,424
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $181,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,763
Insurance broker organization code?3
Amount paid for insurance broker fees3424
Additional information about fees paid to insurance brokerSPECIAL COMPENSATION
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00162541
Policy instance 2
Insurance contract or identification number00162541
Number of Individuals Covered203
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $102,270
Total amount of fees paid to insurance companyUSD $144,543
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees144543
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $102,270
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number162541
Policy instance 2
Insurance contract or identification number162541
Number of Individuals Covered194
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $90,250
Total amount of fees paid to insurance companyUSD $251,563
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered194
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $24,509
Total amount of fees paid to insurance companyUSD $2,921
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $151,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number162541
Policy instance 2
Insurance contract or identification number162541
Number of Individuals Covered162
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $69,125
Total amount of fees paid to insurance companyUSD $106,445
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered164
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $18,275
Total amount of fees paid to insurance companyUSD $1,500
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $112,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number262541
Policy instance 2
Insurance contract or identification number262541
Number of Individuals Covered152
Insurance policy start date2008-04-01
Insurance policy end date2009-03-31
Total amount of commissions paid to insurance brokerUSD $67,016
Total amount of fees paid to insurance companyUSD $141,336
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees141336
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $67,016
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered152
Insurance policy start date2008-04-01
Insurance policy end date2009-03-31
Total amount of commissions paid to insurance brokerUSD $15,633
Total amount of fees paid to insurance companyUSD $57
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $99,274
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,648
Insurance broker organization code?3
Amount paid for insurance broker fees57
Additional information about fees paid to insurance brokerFEE
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number262541
Policy instance 2
Insurance contract or identification number262541
Number of Individuals Covered118
Insurance policy start date2007-04-01
Insurance policy end date2008-03-31
Total amount of commissions paid to insurance brokerUSD $60,173
Total amount of fees paid to insurance companyUSD $134,635
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees134635
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $60,173
Insurance broker nameACORDIA OF TEXAS
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered117
Insurance policy start date2007-04-01
Insurance policy end date2008-03-31
Total amount of commissions paid to insurance brokerUSD $12,850
Total amount of fees paid to insurance companyUSD $55
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $81,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,007
Insurance broker organization code?3
Amount paid for insurance broker fees55
Additional information about fees paid to insurance brokerFEE
Insurance broker nameWELLS FARGO INSURANCE SERVICES OF T
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number262541
Policy instance 2
Insurance contract or identification number262541
Number of Individuals Covered114
Insurance policy start date2006-04-01
Insurance policy end date2007-03-31
Total amount of commissions paid to insurance brokerUSD $56,598
Total amount of fees paid to insurance companyUSD $121,200
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees121200
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $56,598
Insurance broker nameACORDIA OF TEXAS INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00403855
Policy instance 1
Insurance contract or identification number00403855
Number of Individuals Covered108
Insurance policy start date2006-04-01
Insurance policy end date2007-03-31
Total amount of commissions paid to insurance brokerUSD $8,714
Total amount of fees paid to insurance companyUSD $1,048
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $58,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,780
Insurance broker organization code?3
Amount paid for insurance broker fees1048
Additional information about fees paid to insurance brokerSPECIAL COMPENSATION
Insurance broker nameRICHARD L RAY

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