EUROPASTRY USA has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan EUROPASTRY USA HEALTH AND WELFARE PLAN
| Measure | Date | Value |
|---|
| 1999 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1999 401k financial data |
|---|
| Total income from all sources | 1999-07-31 | $1,283,640 |
| Expenses. Total of all expenses incurred | 1999-07-31 | $1,283,640 |
| Benefits paid (including direct rollovers) | 1999-07-31 | $1,205,185 |
| Total contributions received or receivable from participants | 1999-07-31 | $192,546 |
| Net income (gross income less expenses) | 1999-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1999-07-31 | $1,091,094 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 1999-07-31 | $78,455 |
| 1998 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1998 401k financial data |
|---|
| Total income from all sources | 1998-07-31 | $1,174,819 |
| Expenses. Total of all expenses incurred | 1998-07-31 | $1,174,819 |
| Benefits paid (including direct rollovers) | 1998-07-31 | $1,016,061 |
| Total contributions received or receivable from participants | 1998-07-31 | $176,223 |
| Net income (gross income less expenses) | 1998-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1998-07-31 | $998,596 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 1998-07-31 | $158,758 |
| 1997 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1997 401k financial data |
|---|
| Total income from all sources | 1997-07-31 | $826,522 |
| Expenses. Total of all expenses incurred | 1997-07-31 | $826,522 |
| Benefits paid (including direct rollovers) | 1997-07-31 | $826,522 |
| Total contributions received or receivable from participants | 1997-07-31 | $123,978 |
| Net income (gross income less expenses) | 1997-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1997-07-31 | $702,544 |
| 1996 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1996 401k financial data |
|---|
| Total income from all sources | 1996-07-31 | $838,811 |
| Expenses. Total of all expenses incurred | 1996-07-31 | $838,811 |
| Benefits paid (including direct rollovers) | 1996-07-31 | $838,811 |
| Total contributions received or receivable from participants | 1996-07-31 | $125,822 |
| Net income (gross income less expenses) | 1996-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1996-07-31 | $712,989 |
| 1995 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1995 401k financial data |
|---|
| Total income from all sources | 1995-07-31 | $776,233 |
| Expenses. Total of all expenses incurred | 1995-07-31 | $776,233 |
| Benefits paid (including direct rollovers) | 1995-07-31 | $776,233 |
| Total contributions received or receivable from participants | 1995-07-31 | $116,435 |
| Net income (gross income less expenses) | 1995-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1995-07-31 | $659,798 |
| 1994 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1994 401k financial data |
|---|
| Total income from all sources | 1994-07-31 | $625,964 |
| Expenses. Total of all expenses incurred | 1994-07-31 | $625,964 |
| Benefits paid (including direct rollovers) | 1994-07-31 | $625,964 |
| Total contributions received or receivable from participants | 1994-07-31 | $93,895 |
| Net income (gross income less expenses) | 1994-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1994-07-31 | $532,069 |
| 1993 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1993 401k financial data |
|---|
| Total income from all sources | 1993-07-31 | $396,203 |
| Expenses. Total of all expenses incurred | 1993-07-31 | $396,203 |
| Benefits paid (including direct rollovers) | 1993-07-31 | $396,203 |
| Total contributions received or receivable from participants | 1993-07-31 | $59,430 |
| Net income (gross income less expenses) | 1993-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1993-07-31 | $336,773 |
| 1992 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1992 401k financial data |
|---|
| Total income from all sources | 1992-07-31 | $206,155 |
| Expenses. Total of all expenses incurred | 1992-07-31 | $206,155 |
| Benefits paid (including direct rollovers) | 1992-07-31 | $206,155 |
| Total contributions received or receivable from participants | 1992-07-31 | $30,923 |
| Net income (gross income less expenses) | 1992-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1992-07-31 | $175,232 |
| 1991 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1991 401k financial data |
|---|
| Total income from all sources | 1991-07-31 | $118,902 |
| Expenses. Total of all expenses incurred | 1991-07-31 | $118,902 |
| Benefits paid (including direct rollovers) | 1991-07-31 | $118,902 |
| Total contributions received or receivable from participants | 1991-07-31 | $17,835 |
| Net income (gross income less expenses) | 1991-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1991-07-31 | $101,067 |
| 1990 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1990 401k financial data |
|---|
| Total income from all sources | 1990-07-31 | $68,743 |
| Expenses. Total of all expenses incurred | 1990-07-31 | $68,743 |
| Benefits paid (including direct rollovers) | 1990-07-31 | $68,743 |
| Total contributions received or receivable from participants | 1990-07-31 | $10,311 |
| Net income (gross income less expenses) | 1990-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 1990-07-31 | $58,432 |
| 2023: EUROPASTRY USA HEALTH AND WELFARE PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: EUROPASTRY USA HEALTH AND WELFARE PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: EUROPASTRY USA HEALTH AND WELFARE PLAN 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 funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: EUROPASTRY USA HEALTH AND WELFARE PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: EUROPASTRY USA HEALTH AND WELFARE PLAN 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: EUROPASTRY USA HEALTH AND WELFARE PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: EUROPASTRY USA HEALTH AND WELFARE PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: EUROPASTRY USA HEALTH AND WELFARE PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: EUROPASTRY USA HEALTH AND WELFARE PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: EUROPASTRY USA HEALTH AND WELFARE PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: EUROPASTRY USA HEALTH AND WELFARE PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: EUROPASTRY USA HEALTH AND WELFARE PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: EUROPASTRY USA HEALTH AND WELFARE PLAN 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Submission has been amended | No |
| 2011-08-01 | This submission is the final filing | No |
| 2011-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011-08-01 | Plan is a collectively bargained plan | No |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: EUROPASTRY USA HEALTH AND WELFARE PLAN 2009 form 5500 responses |
|---|
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: EUROPASTRY USA HEALTH AND WELFARE PLAN 2006 form 5500 responses |
|---|
| 2006-08-01 | Type of plan entity | Single employer plan |
| 2006-08-01 | Submission has been amended | No |
| 2006-08-01 | This submission is the final filing | No |
| 2006-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2006-08-01 | Plan is a collectively bargained plan | No |
| 2006-08-01 | Plan funding arrangement – Insurance | Yes |
| 2006-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: EUROPASTRY USA HEALTH AND WELFARE PLAN 2004 form 5500 responses |
|---|
| 2004-08-01 | Type of plan entity | Single employer plan |
| 2004-08-01 | Submission has been amended | No |
| 2004-08-01 | This submission is the final filing | No |
| 2004-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2004-08-01 | Plan is a collectively bargained plan | No |
| 2004-08-01 | Plan funding arrangement – Insurance | Yes |
| 2004-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2002: EUROPASTRY USA HEALTH AND WELFARE PLAN 2002 form 5500 responses |
|---|
| 2002-08-01 | Type of plan entity | Single employer plan |
| 2002-08-01 | Submission has been amended | No |
| 2002-08-01 | This submission is the final filing | No |
| 2002-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2002-08-01 | Plan is a collectively bargained plan | No |
| 2002-08-01 | Plan funding arrangement – Insurance | Yes |
| 2002-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: EUROPASTRY USA HEALTH AND WELFARE PLAN 2001 form 5500 responses |
|---|
| 2001-08-01 | Type of plan entity | Single employer plan |
| 2001-08-01 | Submission has been amended | No |
| 2001-08-01 | This submission is the final filing | No |
| 2001-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2001-08-01 | Plan is a collectively bargained plan | No |
| 2001-08-01 | Plan funding arrangement – Insurance | Yes |
| 2001-08-01 | Plan benefit arrangement – Insurance | Yes |
| 1998: EUROPASTRY USA HEALTH AND WELFARE PLAN 1998 form 5500 responses |
|---|
| 1998-08-01 | Type of plan entity | Single employer plan |
| 1998-08-01 | Submission has been amended | No |
| 1998-08-01 | This submission is the final filing | No |
| 1998-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1998-08-01 | Plan is a collectively bargained plan | No |
| 1998-08-01 | Plan funding arrangement – Insurance | Yes |
| 1998-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 1998-08-01 | Plan benefit arrangement – Insurance | Yes |
| 1998-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 1995: EUROPASTRY USA HEALTH AND WELFARE PLAN 1995 form 5500 responses |
|---|
| 1995-08-01 | Type of plan entity | Single employer plan |
| 1995-08-01 | Submission has been amended | No |
| 1995-08-01 | This submission is the final filing | No |
| 1995-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1995-08-01 | Plan is a collectively bargained plan | No |
| 1995-08-01 | Plan funding arrangement – Insurance | Yes |
| 1995-08-01 | Plan benefit arrangement – Insurance | Yes |
| 1992: EUROPASTRY USA HEALTH AND WELFARE PLAN 1992 form 5500 responses |
|---|
| 1992-08-01 | Type of plan entity | Single employer plan |
| 1992-08-01 | Submission has been amended | No |
| 1992-08-01 | This submission is the final filing | No |
| 1992-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1992-08-01 | Plan is a collectively bargained plan | No |
| 1992-08-01 | Plan funding arrangement – Insurance | Yes |
| 1992-08-01 | Plan benefit arrangement – Insurance | Yes |
| 1990: EUROPASTRY USA HEALTH AND WELFARE PLAN 1990 form 5500 responses |
|---|
| 1990-08-01 | Type of plan entity | Single employer plan |
| 1990-08-01 | Submission has been amended | No |
| 1990-08-01 | This submission is the final filing | No |
| 1990-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1990-08-01 | Plan is a collectively bargained plan | No |
| 1990-08-01 | Plan funding arrangement – Insurance | Yes |
| 1990-08-01 | Plan benefit arrangement – Insurance | Yes |
| LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
| Policy contract number | 10259259 |
| Policy instance | 5 |
| Insurance contract or identification number | 10259259 | | Number of Individuals Covered | 655 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $20,514 | | Total amount of fees paid to insurance company | USD $9,389 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT,ACCIDENT,CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $167,037 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 10260981001 |
| Policy instance | 4 |
| Insurance contract or identification number | 10260981001 | | Number of Individuals Covered | 225 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $2,174 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Welfare Benefit Premiums Paid to Carrier | USD $19,621 | | 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 number | 637491 |
| Policy instance | 3 |
| Insurance contract or identification number | 637491 | | Number of Individuals Covered | 266 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $203,040 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,045,669 | | 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 number | 637491 |
| Policy instance | 2 |
| Insurance contract or identification number | 637491 | | Number of Individuals Covered | 185 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $7,876 | | Total amount of fees paid to insurance company | USD $5,626 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $114,162 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN GENERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 39950 ) |
| Policy contract number | 9903656 |
| Policy instance | 1 |
| Insurance contract or identification number | 9903656 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $569 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LEGAL | | Welfare Benefit Premiums Paid to Carrier | USD $5,655 | | 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 number | 493969 |
| Policy instance | 1 |
| Insurance contract or identification number | 493969 | | Number of Individuals Covered | 209 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $5,022 | | Total amount of fees paid to insurance company | USD $3,013 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $167,384 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 300394 |
| Policy instance | 2 |
| Insurance contract or identification number | 300394 | | Number of Individuals Covered | 312 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $166,372 | | Total amount of fees paid to insurance company | USD $42,345 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,617,802 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 ) |
| Policy contract number | 9903656 |
| Policy instance | 3 |
| Insurance contract or identification number | 9903656 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $349 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LEGAL | | Welfare Benefit Premiums Paid to Carrier | USD $3,159 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN GENERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 39950 ) |
| Policy contract number | 9903656 |
| Policy instance | 4 |
| Insurance contract or identification number | 9903656 | | Number of Individuals Covered | 21 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $119 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LEGAL | | Welfare Benefit Premiums Paid to Carrier | USD $1,502 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 10260971001 |
| Policy instance | 5 |
| Insurance contract or identification number | 10260971001 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $2,188 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Welfare Benefit Premiums Paid to Carrier | USD $25,614 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
| Policy contract number | 10259259 |
| Policy instance | 6 |
| Insurance contract or identification number | 10259259 | | Number of Individuals Covered | 587 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $18,083 | | Total amount of fees paid to insurance company | USD $13,199 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT,ACCIDENT,CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $152,826 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 10260971001 |
| Policy instance | 5 |
| LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
| Policy contract number | 10259259 |
| Policy instance | 4 |
| METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 ) |
| Policy contract number | 9903656 |
| Policy instance | 3 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 300394 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 493969 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 493969 |
| Policy instance | 1 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 300394 |
| Policy instance | 2 |
| METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 ) |
| Policy contract number | 5020005 |
| Policy instance | 3 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 10260971001 |
| Policy instance | 4 |
| LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
| Policy contract number | 10259259 |
| Policy instance | 5 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 493969 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 493969 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 493969 |
| Policy instance | 1 |
