J&L VENTURES, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan J&L VENTURES, LLC HEALTH INSURANCE & DENTAL
| Measure | Date | Value |
|---|
| 2021: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 627 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 627 |
| Total of all active and inactive participants | 2021-07-01 | 627 |
| 2020: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 622 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 627 |
| Total of all active and inactive participants | 2020-07-01 | 627 |
| 2019: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 610 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 622 |
| Total of all active and inactive participants | 2019-07-01 | 622 |
| 2018: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 626 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 610 |
| Total of all active and inactive participants | 2018-07-01 | 610 |
| 2017: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 648 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 626 |
| Total of all active and inactive participants | 2017-07-01 | 626 |
| 2016: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 650 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 648 |
| Total of all active and inactive participants | 2016-07-01 | 648 |
| 2015: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-08-01 | 644 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 650 |
| Total of all active and inactive participants | 2015-08-01 | 650 |
| 2014: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 272 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 644 |
| Total of all active and inactive participants | 2014-07-01 | 644 |
| 2013: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 328 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 312 |
| Total of all active and inactive participants | 2013-07-01 | 312 |
| 2012: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 320 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 328 |
| Total of all active and inactive participants | 2012-07-01 | 328 |
| 2011: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 326 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 320 |
| Total of all active and inactive participants | 2011-07-01 | 320 |
| 2009: J&L VENTURES, LLC HEALTH INSURANCE & DENTAL 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 302 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 325 |
| Total of all active and inactive participants | 2009-07-01 | 325 |
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 3 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 523 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $765 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $37,201 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $765 | | 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 | GA6096 |
| Policy instance | 2 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 627 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $3,365 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $163,413 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,365 | | 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 | GA6096 |
| Policy instance | 1 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 521 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $65,404 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,177,701 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $65,404 | | 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 | GA6096 |
| Policy instance | 3 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 523 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $754 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $37,630 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $754 | | 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 | GA6096 |
| Policy instance | 2 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 627 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $3,195 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $158,870 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,195 | | 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 | GA6096 |
| Policy instance | 1 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 521 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $64,895 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,241,149 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $64,895 | | 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 | GA6096 |
| Policy instance | 2 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 622 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $3,333 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $155,658 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,333 | | 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 | GA6096 |
| Policy instance | 1 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 505 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $61,302 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,888,507 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $61,302 | | 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 | GA6096 |
| Policy instance | 3 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 493 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $719 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,982 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $719 | | 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 | GA6096 |
| Policy instance | 1 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 500 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $61,970 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,918,976 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $61,911 | | 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 | GA6096 |
| Policy instance | 2 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 610 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $3,578 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $166,898 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,575 | | 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 | GA6096 |
| Policy instance | 3 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 480 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $729 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,428 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $728 | | 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 | GA6096 |
| Policy instance | 3 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 486 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $851 | | Total amount of fees paid to insurance company | USD $20 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,279 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA6096 |
| Policy instance | 1 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 557 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $63,879 | | Total amount of fees paid to insurance company | USD $1,438 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,659,184 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 2 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 626 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $4,060 | | Total amount of fees paid to insurance company | USD $94 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $169,087 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA6096 |
| Policy instance | 1 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 558 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $77,234 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,921,659 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $77,234 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 2 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 650 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $5,158 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $195,103 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,158 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 3 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 518 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $1,068 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,439 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,068 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 4 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 454 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $738 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,109 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $738 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 3 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 0 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health 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 $0 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 2 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 644 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $4,155 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $158,148 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,155 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA6096 |
| Policy instance | 1 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 587 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $63,451 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,416,815 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $63,451 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 2 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 588 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $4,463 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $146,038 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,463 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 3 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 0 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $-5,799 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA6096 |
| Policy instance | 1 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 533 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $64,954 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,124,920 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $64,954 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 4 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 397 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $750 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,503 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $750 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 6 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 107 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $12,007 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $454,879 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,007 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1031956000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 0 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $426 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $-357 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $426 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1031956000 |
| Policy instance | 3 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 0 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $1,399 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $-1,174 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,399 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | 1031956000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 0 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $3,265 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $-2,740 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,265 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA6096 |
| Policy instance | 4 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 443 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $42,449 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,607,783 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $42,449 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA6096 |
| Policy instance | 5 |
| Insurance contract or identification number | GA6096 | | Number of Individuals Covered | 629 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $3,973 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $150,461 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,973 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | KNIGHT-RAWLS |
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| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1031956000 |
| Policy instance | 3 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 164 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $20,560 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $585,970 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | 1031956000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 414 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $41,239 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,247,736 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1031956000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 650 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $5,301 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $153,207 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | 1031956000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 422 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $49,219 | | Total amount of fees paid to insurance company | USD $759 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,231,966 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1031956000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 681 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $6,327 | | Total amount of fees paid to insurance company | USD $98 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $158,354 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1031956000 |
| Policy instance | 3 |
| Insurance contract or identification number | 1031956000 | | Number of Individuals Covered | 188 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $24,537 | | Total amount of fees paid to insurance company | USD $378 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $614,276 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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