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INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameINTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN
Plan identification number 501

INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

INTERNATIONAL DATA GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:INTERNATIONAL DATA GROUP, INC.
Employer identification number (EIN):042597651
NAIC Classification:511120
NAIC Description:Periodical Publishers

Additional information about INTERNATIONAL DATA GROUP, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1983-06-09
Company Identification Number: G45458
Legal Registered Office Address: 1140 WEST 50TH ST., SUITE 207

HIALEAH

33012

More information about INTERNATIONAL DATA GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01CHERYL TALAMINI2023-05-15
5012021-01-01CHERYL TALAMINI2022-04-14
5012020-01-01CHERYL TALAMINI2021-07-01
5012019-01-01CHERYL TALAMINI2020-07-28
5012018-10-01
5012017-10-01
5012016-10-01CHERYL TALAMINI
5012015-10-01CHERYL TALAMINI
5012014-10-01CHERYL TALAMINI
5012013-10-01CHERYL TALAMINI
5012012-10-01CHERYL TALAMINI
5012011-10-01CHERYL TALAMINI
5012010-10-01CHERYL TALAMINI
5012009-10-01CHERYL TALAMINI

Plan Statistics for INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2022: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01984
Total number of active participants reported on line 7a of the Form 55002022-01-011,079
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,079
Number of employers contributing to the scheme2022-01-010
2021: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01806
Total number of active participants reported on line 7a of the Form 55002021-01-01966
Number of retired or separated participants receiving benefits2021-01-0118
Number of other retired or separated participants entitled to future benefits2021-01-0128
Total of all active and inactive participants2021-01-011,012
Number of employers contributing to the scheme2021-01-010
2020: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01854
Total number of active participants reported on line 7a of the Form 55002020-01-01806
Number of retired or separated participants receiving benefits2020-01-0110
Number of other retired or separated participants entitled to future benefits2020-01-0115
Total of all active and inactive participants2020-01-01831
Number of employers contributing to the scheme2020-01-010
2019: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01871
Total number of active participants reported on line 7a of the Form 55002019-01-01848
Number of retired or separated participants receiving benefits2019-01-016
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01854
Number of employers contributing to the scheme2019-01-010
2018: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01871
Total number of active participants reported on line 7a of the Form 55002018-10-01814
Number of retired or separated participants receiving benefits2018-10-0134
Number of other retired or separated participants entitled to future benefits2018-10-0119
Total of all active and inactive participants2018-10-01867
Number of employers contributing to the scheme2018-10-010
2017: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01984
Total number of active participants reported on line 7a of the Form 55002017-10-01811
Number of retired or separated participants receiving benefits2017-10-0138
Number of other retired or separated participants entitled to future benefits2017-10-0122
Total of all active and inactive participants2017-10-01871
Number of employers contributing to the scheme2017-10-010
2016: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-011,091
Total number of active participants reported on line 7a of the Form 55002016-10-01859
Number of retired or separated participants receiving benefits2016-10-0161
Number of other retired or separated participants entitled to future benefits2016-10-0164
Total of all active and inactive participants2016-10-01984
Total participants2016-10-01984
2015: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-011,117
Total number of active participants reported on line 7a of the Form 55002015-10-011,005
Number of retired or separated participants receiving benefits2015-10-0117
Number of other retired or separated participants entitled to future benefits2015-10-0169
Total of all active and inactive participants2015-10-011,091
Total participants2015-10-011,091
2014: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-011,261
Total number of active participants reported on line 7a of the Form 55002014-10-011,040
Number of retired or separated participants receiving benefits2014-10-0144
Number of other retired or separated participants entitled to future benefits2014-10-0133
Total of all active and inactive participants2014-10-011,117
Total participants2014-10-011,117
2013: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-011,228
Total number of active participants reported on line 7a of the Form 55002013-10-011,129
Number of retired or separated participants receiving benefits2013-10-0122
Number of other retired or separated participants entitled to future benefits2013-10-01110
Total of all active and inactive participants2013-10-011,261
Total participants2013-10-011,261
2012: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-011,261
Total number of active participants reported on line 7a of the Form 55002012-10-011,153
Number of retired or separated participants receiving benefits2012-10-0137
Number of other retired or separated participants entitled to future benefits2012-10-0138
Total of all active and inactive participants2012-10-011,228
Total participants2012-10-011,228
2011: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-011,267
Total number of active participants reported on line 7a of the Form 55002011-10-011,184
Number of retired or separated participants receiving benefits2011-10-0134
Number of other retired or separated participants entitled to future benefits2011-10-0143
Total of all active and inactive participants2011-10-011,261
Total participants2011-10-011,261
2010: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-011,258
Total number of active participants reported on line 7a of the Form 55002010-10-011,207
Number of retired or separated participants receiving benefits2010-10-0123
Number of other retired or separated participants entitled to future benefits2010-10-0137
Total of all active and inactive participants2010-10-011,267
Total participants2010-10-011,267
2009: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-011,392
Total number of active participants reported on line 7a of the Form 55002009-10-011,123
Number of retired or separated participants receiving benefits2009-10-01101
Number of other retired or separated participants entitled to future benefits2009-10-0134
Total of all active and inactive participants2009-10-011,258
Total participants2009-10-011,258

Form 5500 Responses for INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN

2022: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – General assets of the sponsorYes
2017: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes
2016: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes
2015: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – General assets of the sponsorYes
2014: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes
2013: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – General assets of the sponsorYes
2012: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – General assets of the sponsorYes
2011: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – General assets of the sponsorYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – General assets of the sponsorYes
2010: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – General assets of the sponsorYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – General assets of the sponsorYes
2009: INTERNATIONAL DATA GROUP HEALTH & WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – General assets of the sponsorYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number386701
Policy instance 1
Insurance contract or identification number386701
Number of Individuals Covered1079
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $104,302
Total amount of fees paid to insurance companyUSD $44,105
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,454,502
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $104,302
Amount paid for insurance broker fees44105
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number386701
Policy instance 1
Insurance contract or identification number386701
Number of Individuals Covered966
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $97,179
Total amount of fees paid to insurance companyUSD $41,932
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,347,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $97,179
Amount paid for insurance broker fees41932
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number386701
Policy instance 1
Insurance contract or identification number386701
Number of Individuals Covered806
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $88,178
Total amount of fees paid to insurance companyUSD $19,507
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,195,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $88,178
Amount paid for insurance broker fees19507
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number386701
Policy instance 1
Insurance contract or identification number386701
Number of Individuals Covered848
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $92,093
Total amount of fees paid to insurance companyUSD $22,451
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,231,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $92,093
Amount paid for insurance broker fees22451
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00386701
Policy instance 1
Insurance contract or identification number00386701
Number of Individuals Covered811
Insurance policy start date2018-10-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $15,561
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $181,707
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,561
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00386701
Policy instance 1
Insurance contract or identification number00386701
Number of Individuals Covered811
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $83,167
Total amount of fees paid to insurance companyUSD $21,340
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,097,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,111
Amount paid for insurance broker fees21340
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameHUB INTERNATIONAL INS. SVCES., INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00386701
Policy instance 1
Insurance contract or identification number00386701
Number of Individuals Covered1005
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $94,070
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $892,451
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94,070
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL INSURANCE AGENCY
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3207152
Policy instance 2
Insurance contract or identification number3207152
Number of Individuals Covered2180
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $119,503
Welfare Benefit Premiums Paid to CarrierUSD $926,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $119,503
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL INSURANCE AGENCY
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3207152
Policy instance 2
Insurance contract or identification number3207152
Number of Individuals Covered2453
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $102,526
Welfare Benefit Premiums Paid to CarrierUSD $847,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,526
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL INSURANCE AGENCY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00386701
Policy instance 1
Insurance contract or identification number00386701
Number of Individuals Covered1040
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $88,997
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $849,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,524
Insurance broker organization code?3
Insurance broker nameELIOT LAPPEN INS AGCY
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100461400
Policy instance 3
Insurance contract or identification number100461400
Number of Individuals Covered15
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $778
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $778
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL INSURANCE AGENCY
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3207152
Policy instance 2
Insurance contract or identification number3207152
Number of Individuals Covered2311
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $110,637
Welfare Benefit Premiums Paid to CarrierUSD $918,281
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $110,637
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL INSURANCE AGENCY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00386701
Policy instance 1
Insurance contract or identification number00386701
Number of Individuals Covered1129
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $88,931
Total amount of fees paid to insurance companyUSD $13,203
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $843,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,149
Insurance broker organization code?3
Amount paid for insurance broker fees13203
Insurance broker nameELIOT LAPPEN INS AGCY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00386701
Policy instance 1
Insurance contract or identification number00386701
Number of Individuals Covered1153
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $89,771
Total amount of fees paid to insurance companyUSD $13,266
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $852,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,209
Insurance broker organization code?3
Amount paid for insurance broker fees13266
Insurance broker nameELIOT LAPPEN INS. AGCY
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100461400
Policy instance 3
Insurance contract or identification number100461400
Number of Individuals Covered22
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $884
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL INSURANCE AGENCY
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3207152
Policy instance 2
Insurance contract or identification number3207152
Number of Individuals Covered2363
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $114,162
Welfare Benefit Premiums Paid to CarrierUSD $958,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $114,162
Insurance broker organization code?3
Insurance broker nameSUMMIT FINANCIAL INSURANCE AGENCY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00386701
Policy instance 1
Insurance contract or identification number00386701
Number of Individuals Covered1184
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $89,320
Total amount of fees paid to insurance companyUSD $12,377
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $849,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3207152
Policy instance 2
Insurance contract or identification number3207152
Number of Individuals Covered2373
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $102,777
Welfare Benefit Premiums Paid to CarrierUSD $856,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100461400
Policy instance 3
Insurance contract or identification number100461400
Number of Individuals Covered20
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $884
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100461400
Policy instance 3
Insurance contract or identification number100461400
Number of Individuals Covered20
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $886
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00386701
Policy instance 1
Insurance contract or identification number00386701
Number of Individuals Covered1207
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $82,703
Total amount of fees paid to insurance companyUSD $16,945
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $730,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3207152
Policy instance 2
Insurance contract or identification number3207152
Number of Individuals Covered2400
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $101,061
Welfare Benefit Premiums Paid to CarrierUSD $852,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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