BANCROFT CONTRACTING CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN
401k plan membership statisitcs for BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN
| Measure | Date | Value |
|---|
| 2022: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-11-01 | 153 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-11-01 | 162 |
| Total of all active and inactive participants | 2022-11-01 | 162 |
| Total participants | 2022-11-01 | 162 |
| 2021: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-11-01 | 160 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-11-01 | 153 |
| Total of all active and inactive participants | 2021-11-01 | 153 |
| Total participants | 2021-11-01 | 153 |
| 2020: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-11-01 | 169 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-11-01 | 160 |
| Total of all active and inactive participants | 2020-11-01 | 160 |
| Total participants | 2020-11-01 | 160 |
| 2019: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-11-01 | 165 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-11-01 | 169 |
| Total of all active and inactive participants | 2019-11-01 | 169 |
| Total participants | 2019-11-01 | 169 |
| 2018: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-11-01 | 158 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-11-01 | 165 |
| Total of all active and inactive participants | 2018-11-01 | 165 |
| Total participants | 2018-11-01 | 165 |
| 2017: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-11-01 | 164 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 158 |
| Total of all active and inactive participants | 2017-11-01 | 158 |
| Total participants | 2017-11-01 | 158 |
| 2016: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-11-01 | 172 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 164 |
| Total of all active and inactive participants | 2016-11-01 | 164 |
| Total participants | 2016-11-01 | 164 |
| 2015: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-11-01 | 181 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 172 |
| Total of all active and inactive participants | 2015-11-01 | 172 |
| Total participants | 2015-11-01 | 172 |
| 2014: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-11-01 | 161 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 181 |
| Number of retired or separated participants receiving benefits | 2014-11-01 | 0 |
| Total of all active and inactive participants | 2014-11-01 | 181 |
| Total participants | 2014-11-01 | 181 |
| 2013: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-11-01 | 202 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-11-01 | 161 |
| Number of retired or separated participants receiving benefits | 2013-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-11-01 | 0 |
| Total of all active and inactive participants | 2013-11-01 | 161 |
| 2012: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-11-01 | 207 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-11-01 | 202 |
| Total of all active and inactive participants | 2012-11-01 | 202 |
| 2011: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-11-01 | 174 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-11-01 | 207 |
| Total of all active and inactive participants | 2011-11-01 | 207 |
| 2009: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-11-01 | 151 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-11-01 | 142 |
| Number of retired or separated participants receiving benefits | 2009-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-11-01 | 0 |
| Total of all active and inactive participants | 2009-11-01 | 142 |
| 2022: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2022 form 5500 responses |
|---|
| 2022-11-01 | Type of plan entity | Single employer plan |
| 2022-11-01 | Plan funding arrangement – Insurance | Yes |
| 2022-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2021 form 5500 responses |
|---|
| 2021-11-01 | Type of plan entity | Single employer plan |
| 2021-11-01 | Plan funding arrangement – Insurance | Yes |
| 2021-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2020 form 5500 responses |
|---|
| 2020-11-01 | Type of plan entity | Single employer plan |
| 2020-11-01 | Plan funding arrangement – Insurance | Yes |
| 2020-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2019 form 5500 responses |
|---|
| 2019-11-01 | Type of plan entity | Single employer plan |
| 2019-11-01 | Plan funding arrangement – Insurance | Yes |
| 2019-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2018 form 5500 responses |
|---|
| 2018-11-01 | Type of plan entity | Single employer plan |
| 2018-11-01 | Plan funding arrangement – Insurance | Yes |
| 2018-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2017 form 5500 responses |
|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2016 form 5500 responses |
|---|
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2015 form 5500 responses |
|---|
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2014 form 5500 responses |
|---|
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2013 form 5500 responses |
|---|
| 2013-11-01 | Type of plan entity | Single employer plan |
| 2013-11-01 | Submission has been amended | No |
| 2013-11-01 | This submission is the final filing | No |
| 2013-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-11-01 | Plan is a collectively bargained plan | No |
| 2013-11-01 | Plan funding arrangement – Insurance | Yes |
| 2013-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2012 form 5500 responses |
|---|
| 2012-11-01 | Type of plan entity | Single employer plan |
| 2012-11-01 | Submission has been amended | No |
| 2012-11-01 | This submission is the final filing | No |
| 2012-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-11-01 | Plan is a collectively bargained plan | No |
| 2012-11-01 | Plan funding arrangement – Insurance | Yes |
| 2012-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2011 form 5500 responses |
|---|
| 2011-11-01 | Type of plan entity | Single employer plan |
| 2011-11-01 | Submission has been amended | No |
| 2011-11-01 | This submission is the final filing | No |
| 2011-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-11-01 | Plan is a collectively bargained plan | No |
| 2011-11-01 | Plan funding arrangement – Insurance | Yes |
| 2011-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BANCROFT CONTRACTING GROUP LIFE, LTD AND STD PLAN 2009 form 5500 responses |
|---|
| 2009-11-01 | Type of plan entity | Single employer plan |
| 2009-11-01 | Submission has been amended | Yes |
| 2009-11-01 | This submission is the final filing | No |
| 2009-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-11-01 | Plan is a collectively bargained plan | No |
| 2009-11-01 | Plan funding arrangement – Insurance | Yes |
| 2009-11-01 | Plan benefit arrangement – Insurance | Yes |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 3 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2022-11-01 | | Insurance policy end date | 2023-10-31 | | Total amount of commissions paid to insurance broker | USD $6,145 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,209 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 2 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2022-11-01 | | Insurance policy end date | 2023-10-31 | | Total amount of commissions paid to insurance broker | USD $6,125 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,065 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 1 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 367 | | Insurance policy start date | 2022-11-01 | | Insurance policy end date | 2023-10-31 | | Total amount of commissions paid to insurance broker | USD $5,329 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,904 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 3 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Total amount of commissions paid to insurance broker | USD $5,697 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,085 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 1 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 367 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Total amount of commissions paid to insurance broker | USD $5,306 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,914 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 2 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Total amount of commissions paid to insurance broker | USD $5,737 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,874 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 2 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $5,197 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,597 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 3 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $5,148 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,845 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 168048 |
| Policy instance | 1 |
| Insurance contract or identification number | 168048 | | Number of Individuals Covered | 370 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $4,887 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,728 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 4 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 358 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $3,546 | | Total amount of fees paid to insurance company | USD $3,074 | | Other welfare benefits provided | LIFE & AD&D - VOLUNTARY | | Welfare Benefit Premiums Paid to Carrier | USD $23,641 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,546 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3074 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 2 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 169 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $2,695 | | Total amount of fees paid to insurance company | USD $3,173 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $26,953 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3173 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $2,695 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 1 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 169 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $4,409 | | Total amount of fees paid to insurance company | USD $5,181 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,090 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 5181 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $4,409 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 3 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 169 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $5,695 | | Total amount of fees paid to insurance company | USD $6,698 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $56,950 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 6698 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $5,695 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 4 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 396 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Total amount of commissions paid to insurance broker | USD $4,544 | | Total amount of fees paid to insurance company | USD $3,422 | | Other welfare benefits provided | LIFE & AD&D - VOLUNTARY | | Welfare Benefit Premiums Paid to Carrier | USD $30,494 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,544 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3422 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 3 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 165 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Total amount of commissions paid to insurance broker | USD $5,337 | | Total amount of fees paid to insurance company | USD $5,372 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $53,366 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 5372 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $5,337 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 2 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 165 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Total amount of commissions paid to insurance broker | USD $2,538 | | Total amount of fees paid to insurance company | USD $2,661 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $25,376 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2661 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $2,538 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 1 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 165 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Total amount of commissions paid to insurance broker | USD $4,123 | | Total amount of fees paid to insurance company | USD $4,307 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $41,233 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 4307 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $4,123 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 4 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 493 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $5,012 | | Total amount of fees paid to insurance company | USD $3,442 | | Other welfare benefits provided | LIFE & AD&D - VOLUNTARY | | Welfare Benefit Premiums Paid to Carrier | USD $35,689 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 2 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 158 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $4,236 | | Total amount of fees paid to insurance company | USD $4,147 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $42,362 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 3 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 158 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $3,851 | | Total amount of fees paid to insurance company | USD $3,770 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $38,514 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B3XQ |
| Policy instance | 1 |
| Insurance contract or identification number | G000B3XQ | | Number of Individuals Covered | 158 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $2,410 | | Total amount of fees paid to insurance company | USD $2,364 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $24,096 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
