INNOCEAN WORLDWIDE AMERICAS, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION
401k plan membership statisitcs for INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION
| Measure | Date | Value |
|---|
| 2022: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 414 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 467 |
| Total of all active and inactive participants | 2022-01-01 | 467 |
| Total participants | 2022-01-01 | 467 |
| 2021: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 416 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 414 |
| Total of all active and inactive participants | 2021-01-01 | 414 |
| Total participants | 2021-01-01 | 414 |
| 2020: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 372 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 416 |
| Total of all active and inactive participants | 2020-01-01 | 416 |
| Total participants | 2020-01-01 | 416 |
| 2019: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 346 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 372 |
| Total of all active and inactive participants | 2019-01-01 | 372 |
| Total participants | 2019-01-01 | 372 |
| Number of participants with account balances | 2019-01-01 | 0 |
| 2018: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 334 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 346 |
| Total of all active and inactive participants | 2018-01-01 | 346 |
| Total participants | 2018-01-01 | 346 |
| 2017: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 284 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 334 |
| Total of all active and inactive participants | 2017-01-01 | 334 |
| Total participants | 2017-01-01 | 334 |
| 2016: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 261 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 284 |
| Total of all active and inactive participants | 2016-01-01 | 284 |
| Total participants | 2016-01-01 | 284 |
| 2015: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 247 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 261 |
| Total of all active and inactive participants | 2015-01-01 | 261 |
| Total participants | 2015-01-01 | 0 |
| 2014: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 239 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 247 |
| Total of all active and inactive participants | 2014-01-01 | 247 |
| Total participants | 2014-01-01 | 0 |
| 2013: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 203 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 239 |
| Total of all active and inactive participants | 2013-01-01 | 239 |
| Total participants | 2013-01-01 | 0 |
| 2012: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 155 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 203 |
| Total of all active and inactive participants | 2012-01-01 | 203 |
| Total participants | 2012-01-01 | 0 |
| 2011: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-08-01 | 155 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 155 |
| Total of all active and inactive participants | 2011-08-01 | 155 |
| Total participants | 2011-08-01 | 155 |
| 2022: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2022 form 5500 responses |
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| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: INNOCEAN WORLWIDE AMERICAS LLC WELFARE BENEFIT PLAN DENTAL, HEALTH AND VISION 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | First time form 5500 has been submitted | Yes |
| 2011-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA8380 |
| Policy instance | 1 |
| Insurance contract or identification number | GA8380 | | Number of Individuals Covered | 999 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $17,045 | | Total amount of fees paid to insurance company | USD $3,136 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,246,099 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,045 | | Amount paid for insurance broker fees | 3136 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | G0386 |
| Policy instance | 1 |
| Insurance contract or identification number | G0386 | | Number of Individuals Covered | 924 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $16,366 | | Total amount of fees paid to insurance company | USD $4,872 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,117,173 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,366 | | Amount paid for insurance broker fees | 4872 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | G0386 |
| Policy instance | 1 |
| Insurance contract or identification number | G0386 | | Number of Individuals Covered | 930 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $14,525 | | Total amount of fees paid to insurance company | USD $4,058 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,232,234 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,525 | | Amount paid for insurance broker fees | 4058 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0913238 |
| Policy instance | 2 |
| Insurance contract or identification number | 0913238 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $11,661 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $116,614 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,661 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | G0386 |
| Policy instance | 1 |
| Insurance contract or identification number | G0386 | | Number of Individuals Covered | 864 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $117,574 | | Total amount of fees paid to insurance company | USD $215 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $809,372 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $117,574 | | Amount paid for insurance broker fees | 215 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | G0385 |
| Policy instance | 2 |
| Insurance contract or identification number | G0385 | | Number of Individuals Covered | 783 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $9,790 | | Total amount of fees paid to insurance company | USD $537 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $323,056 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,403 | | Amount paid for insurance broker fees | 537 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 | | Insurance broker name | MARSH & MCLENNAN AGENCY LLC |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | G0386 |
| Policy instance | 1 |
| Insurance contract or identification number | G0386 | | Number of Individuals Covered | 792 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $121,516 | | Total amount of fees paid to insurance company | USD $6,671 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,009,951 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $79,474 | | Amount paid for insurance broker fees | 6671 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 | | Insurance broker name | MARSH & MCLENNAN AGENCY LLC |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | G0385 |
| Policy instance | 3 |
| Insurance contract or identification number | G0385 | | Number of Individuals Covered | 599 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $133 | | Total amount of fees paid to insurance company | USD $10 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,449 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $133 | | Amount paid for insurance broker fees | 10 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 | | Insurance broker name | J. SMITH LANIER & CO. |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GO385 |
| Policy instance | 2 |
| Insurance contract or identification number | GO385 | | Number of Individuals Covered | 600 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $836 | | Total amount of fees paid to insurance company | USD $62 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $222,880 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $836 | | Amount paid for insurance broker fees | 62 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 | | Insurance broker name | J. SMITH LANIER & CO. |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GO386 |
| Policy instance | 1 |
| Insurance contract or identification number | GO386 | | Number of Individuals Covered | 614 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $112,582 | | Total amount of fees paid to insurance company | USD $8,363 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,002,245 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $112,582 | | Amount paid for insurance broker fees | 8363 | | Additional information about fees paid to insurance broker | INCENTIVES,EDUCATION,COMMUNICATION AND TRAINING | | Insurance broker organization code? | 3 | | Insurance broker name | J. SMITH LANIER & CO. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 753117 |
| Policy instance | 1 |
| Insurance contract or identification number | 753117 | | Number of Individuals Covered | 619 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $58,602 | | Total amount of fees paid to insurance company | USD $432,998 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,581,636 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $58,602 | | Amount paid for insurance broker fees | 432998 | | Additional information about fees paid to insurance broker | GENERAL AGENT PAYMENTS | | Insurance broker organization code? | 3 | | Insurance broker name | J. SMITH LANIER & CO. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 753117 |
| Policy instance | 1 |
| Insurance contract or identification number | 753117 | | Number of Individuals Covered | 631 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $10,594 | | Total amount of fees paid to insurance company | USD $64,286 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,900,569 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,594 | | Amount paid for insurance broker fees | 64286 | | Additional information about fees paid to insurance broker | GENERAL AGENT PAYMENTS | | Insurance broker organization code? | 3 | | Insurance broker name | J. SMITH LANIER & CO. |
|
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) |
| Policy contract number | 3335472 |
| Policy instance | 1 |
| Insurance contract or identification number | 3335472 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $123,569 | | Total amount of fees paid to insurance company | USD $6,000 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,190,458 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $123,569 | | Amount paid for insurance broker fees | 6000 | | Additional information about fees paid to insurance broker | GENERAL AGENT PAYMENTS | | Insurance broker organization code? | 3 | | Insurance broker name | J. SMITH LANIER & CO. |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1052703000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1052703000 | | Number of Individuals Covered | 155 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $546,306 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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