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GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 401k Plan overview

Plan NameGROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE
Plan identification number 502

GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

IDAHO POWER COMPANY has sponsored the creation of one or more 401k plans.

Company Name:IDAHO POWER COMPANY
Employer identification number (EIN):820130980
NAIC Classification:221100

Additional information about IDAHO POWER COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2992855

More information about IDAHO POWER COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01SARAH GRIFFIN2023-09-28 SARAH GRIFFIN2023-09-28
5022021-01-01SARAH GRIFFIN2022-10-13 SARAH GRIFFIN2022-10-13
5022020-01-01SARAH GRIFFIN2021-10-07 SARAH GRIFFIN2021-10-07
5022019-01-01SARAH E. GRIFFIN2020-10-14
5022018-01-01SARAH E. GRIFFIN2019-10-10
5022017-01-01
5022016-01-01
5022015-01-01
5022014-01-01
5022013-01-01
5022012-01-01LUCI MCDONALD
5022011-01-01LUCI MCDONALD
5022010-01-01LUCI MCDONALD LUCI MCDONALD2011-10-16
5022009-01-01LUCI MCDONALD LUCI MCDONALD2010-09-24

Plan Statistics for GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE

401k plan membership statisitcs for GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE

Measure Date Value
2022: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2022 401k membership
Total participants, beginning-of-year2022-01-013,124
Total number of active participants reported on line 7a of the Form 55002022-01-012,034
Number of retired or separated participants receiving benefits2022-01-011,209
Total of all active and inactive participants2022-01-013,243
2021: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2021 401k membership
Total participants, beginning-of-year2021-01-013,069
Total number of active participants reported on line 7a of the Form 55002021-01-011,934
Number of retired or separated participants receiving benefits2021-01-011,190
Total of all active and inactive participants2021-01-013,124
2020: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2020 401k membership
Total participants, beginning-of-year2020-01-013,089
Total number of active participants reported on line 7a of the Form 55002020-01-011,907
Number of retired or separated participants receiving benefits2020-01-011,162
Total of all active and inactive participants2020-01-013,069
2019: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2019 401k membership
Total participants, beginning-of-year2019-01-013,072
Total number of active participants reported on line 7a of the Form 55002019-01-011,964
Number of retired or separated participants receiving benefits2019-01-011,125
Total of all active and inactive participants2019-01-013,089
2018: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2018 401k membership
Total participants, beginning-of-year2018-01-013,026
Total number of active participants reported on line 7a of the Form 55002018-01-011,966
Number of retired or separated participants receiving benefits2018-01-011,106
Total of all active and inactive participants2018-01-013,072
2017: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2017 401k membership
Total participants, beginning-of-year2017-01-012,985
Total number of active participants reported on line 7a of the Form 55002017-01-011,954
Number of retired or separated participants receiving benefits2017-01-011,072
Total of all active and inactive participants2017-01-013,026
2016: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2016 401k membership
Total participants, beginning-of-year2016-01-012,908
Total number of active participants reported on line 7a of the Form 55002016-01-011,986
Number of retired or separated participants receiving benefits2016-01-01999
Total of all active and inactive participants2016-01-012,985
2015: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2015 401k membership
Total participants, beginning-of-year2015-01-012,839
Total number of active participants reported on line 7a of the Form 55002015-01-011,962
Number of retired or separated participants receiving benefits2015-01-01946
Total of all active and inactive participants2015-01-012,908
2014: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2014 401k membership
Total participants, beginning-of-year2014-01-012,824
Total number of active participants reported on line 7a of the Form 55002014-01-011,949
Number of retired or separated participants receiving benefits2014-01-01890
Total of all active and inactive participants2014-01-012,839
2013: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2013 401k membership
Total participants, beginning-of-year2013-01-012,809
Total number of active participants reported on line 7a of the Form 55002013-01-011,982
Number of retired or separated participants receiving benefits2013-01-01842
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012,824
2012: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2012 401k membership
Total participants, beginning-of-year2012-01-012,766
Total number of active participants reported on line 7a of the Form 55002012-01-011,999
Number of retired or separated participants receiving benefits2012-01-01810
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012,809
2011: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2011 401k membership
Total participants, beginning-of-year2011-01-012,740
Total number of active participants reported on line 7a of the Form 55002011-01-011,984
Number of retired or separated participants receiving benefits2011-01-01782
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-012,766
2010: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2010 401k membership
Total participants, beginning-of-year2010-01-012,724
Total number of active participants reported on line 7a of the Form 55002010-01-011,987
Number of retired or separated participants receiving benefits2010-01-01753
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-012,740
2009: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2009 401k membership
Total participants, beginning-of-year2009-01-012,790
Total number of active participants reported on line 7a of the Form 55002009-01-011,984
Number of retired or separated participants receiving benefits2009-01-01736
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-012,720

Form 5500 Responses for GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE

2022: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE INSURANCE PLAN EMPLOYEE & DEPENDENT COVERAGE 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered3213
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
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 number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered3112
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
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 number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered3080
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
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 number626792
Policy instance 5
Insurance contract or identification number626792
Number of Individuals Covered364
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,354
Total amount of fees paid to insurance companyUSD $0
Life 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 $5,354
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 4
Insurance contract or identification number626792
Number of Individuals Covered1410
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $11,019
Total amount of fees paid to insurance companyUSD $0
Life 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 $11,019
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 3
Insurance contract or identification number626792
Number of Individuals Covered1839
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 2
Insurance contract or identification number626792
Number of Individuals Covered1121
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,553
Total amount of fees paid to insurance companyUSD $0
Life 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 $3,553
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered1972
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,074
Total amount of fees paid to insurance companyUSD $0
Life 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 $5,074
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 3
Insurance contract or identification number626792
Number of Individuals Covered1821
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life 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 $0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 5
Insurance contract or identification number626792
Number of Individuals Covered369
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,530
Total amount of fees paid to insurance companyUSD $0
Life 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 $2,530
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 4
Insurance contract or identification number626792
Number of Individuals Covered1413
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,360
Total amount of fees paid to insurance companyUSD $0
Life 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 $5,360
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered1965
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,436
Total amount of fees paid to insurance companyUSD $0
Life 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 $2,436
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 2
Insurance contract or identification number626792
Number of Individuals Covered1104
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,925
Total amount of fees paid to insurance companyUSD $0
Life 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 $1,925
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered4807
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $25,000
Total amount of fees paid to insurance companyUSD $0
Life 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 $25,000
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC DEPT 999228
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered4609
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $15,337
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,337
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC DEPT 999228
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered4578
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $36,148
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
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,148
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC DEPT 999228
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered4579
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $70,109
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
Life 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 $55,983
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered4563
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $23,006
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,006
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH AND BENEFITS LLC.
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered4503
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $64,917
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
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 number626792
Policy instance 1
Insurance contract or identification number626792
Number of Individuals Covered4479
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $84,186
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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 BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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