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EUROPASTRY USA HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameEUROPASTRY USA HEALTH AND WELFARE PLAN
Plan identification number 501

EUROPASTRY USA HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

EUROPASTRY USA has sponsored the creation of one or more 401k plans.

Company Name:EUROPASTRY USA
Employer identification number (EIN):112366431
NAIC Classification:111400
NAIC Description:Greenhouse, Nursery, and Floriculture Production

Additional information about EUROPASTRY USA

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1975-08-19
Company Identification Number: 377580
Legal Registered Office Address: 2001 orville drive n.
Suffolk
RONKONKOMA
United States of America (USA)
11779

More information about EUROPASTRY USA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EUROPASTRY USA HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01KIM BONACCORSO2023-07-24
5012021-01-01JESSENIA PERRY2022-07-21
5012020-01-01JESSENIA PERRY2021-10-13
5012020-01-01JESSENIA PERRY2021-10-05
5012019-01-01JESSENIA PERRY2020-09-29
5012018-01-01
5012017-01-01JACQUELINE ROBERTS JACQUELINE ROBERTS2018-06-28
5012016-01-01JACQUELINER ROBERTS JACQUELINE ROBERTS2017-07-13
5012015-01-01JACQUELINE ROBERTS
5012014-01-01JACQUELINE ROBERTS
5012013-01-01JACQUELINE ROBERTS
5012012-01-01JACQUELINE ROBERTS JACQUELINE ROBERTS2013-07-30
5012011-08-01ELISONIA VALLE ELISONIA VALLE2012-07-06
5012009-08-01WILLIAM WENNER
5012006-08-01WILLIAM WENNER
5012004-08-01WILLIAM WENNER
5012002-08-01WILLIAM WENNER
5012001-08-01WILLIAM WENNER
5011998-08-01WILLIAM WENNER
5011995-08-01WILLIAM WENNER
5011992-08-01WILLIAM WENNER
5011990-08-01WILLIAM WENNER

Plan Statistics for EUROPASTRY USA HEALTH AND WELFARE PLAN

401k plan membership statisitcs for EUROPASTRY USA HEALTH AND WELFARE PLAN

Measure Date Value
2022: EUROPASTRY USA HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01556
Total number of active participants reported on line 7a of the Form 55002022-01-01587
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01588
Number of employers contributing to the scheme2022-01-010
2021: EUROPASTRY USA HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01568
Total number of active participants reported on line 7a of the Form 55002021-01-01556
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01556
Number of employers contributing to the scheme2021-01-010
2020: EUROPASTRY USA HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01581
Total number of active participants reported on line 7a of the Form 55002020-01-01568
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01568
Number of employers contributing to the scheme2020-01-010
2019: EUROPASTRY USA HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01543
Total number of active participants reported on line 7a of the Form 55002019-01-01581
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01581
Number of employers contributing to the scheme2019-01-010
2018: EUROPASTRY USA HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01329
Total number of active participants reported on line 7a of the Form 55002018-01-01543
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01543
2017: EUROPASTRY USA HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01390
Total number of active participants reported on line 7a of the Form 55002017-01-01329
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01329
2016: EUROPASTRY USA HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01398
Total number of active participants reported on line 7a of the Form 55002016-01-01390
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01390
2015: EUROPASTRY USA HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01476
Total number of active participants reported on line 7a of the Form 55002015-01-01390
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01390
2014: EUROPASTRY USA HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01441
Total number of active participants reported on line 7a of the Form 55002014-01-01476
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01476
2013: EUROPASTRY USA HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01420
Total number of active participants reported on line 7a of the Form 55002013-01-01441
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01441
2012: EUROPASTRY USA HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01388
Total number of active participants reported on line 7a of the Form 55002012-01-01420
Total of all active and inactive participants2012-01-01420
2011: EUROPASTRY USA HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01362
Total number of active participants reported on line 7a of the Form 55002011-08-01384
Number of retired or separated participants receiving benefits2011-08-016
Number of other retired or separated participants entitled to future benefits2011-08-017
Total of all active and inactive participants2011-08-01397
2009: EUROPASTRY USA HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01427
Total number of active participants reported on line 7a of the Form 55002009-08-01402
Total of all active and inactive participants2009-08-01402
Total participants2009-08-01402
2006: EUROPASTRY USA HEALTH AND WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year2006-08-01396
Total number of active participants reported on line 7a of the Form 55002006-08-01350
Total of all active and inactive participants2006-08-01350
Total participants2006-08-01350
2004: EUROPASTRY USA HEALTH AND WELFARE PLAN 2004 401k membership
Total participants, beginning-of-year2004-08-01382
Total number of active participants reported on line 7a of the Form 55002004-08-01414
Total of all active and inactive participants2004-08-01414
Total participants2004-08-01414
2002: EUROPASTRY USA HEALTH AND WELFARE PLAN 2002 401k membership
Total participants, beginning-of-year2002-08-01315
Total number of active participants reported on line 7a of the Form 55002002-08-01349
Total of all active and inactive participants2002-08-01349
Total participants2002-08-01349
2001: EUROPASTRY USA HEALTH AND WELFARE PLAN 2001 401k membership
Total participants, beginning-of-year2001-08-01290
Total number of active participants reported on line 7a of the Form 55002001-08-01315
Total of all active and inactive participants2001-08-01315
Total participants2001-08-01315
1998: EUROPASTRY USA HEALTH AND WELFARE PLAN 1998 401k membership
Total participants, beginning-of-year1998-08-01193
Total number of active participants reported on line 7a of the Form 55001998-08-01209
Total of all active and inactive participants1998-08-01209
Total participants1998-08-01209
1995: EUROPASTRY USA HEALTH AND WELFARE PLAN 1995 401k membership
Total participants, beginning-of-year1995-08-01152
Total number of active participants reported on line 7a of the Form 55001995-08-01171
Total of all active and inactive participants1995-08-01171
Total participants1995-08-01171
1992: EUROPASTRY USA HEALTH AND WELFARE PLAN 1992 401k membership
Total participants, beginning-of-year1992-08-01152
Total number of active participants reported on line 7a of the Form 55001992-08-01138
Total of all active and inactive participants1992-08-01138
Total participants1992-08-01138
1990: EUROPASTRY USA HEALTH AND WELFARE PLAN 1990 401k membership
Total participants, beginning-of-year1990-08-01150
Total number of active participants reported on line 7a of the Form 55001990-08-01127
Total of all active and inactive participants1990-08-01127
Total participants1990-08-01127

Financial Data on EUROPASTRY USA HEALTH AND WELFARE PLAN

Measure Date Value
1999 : EUROPASTRY USA HEALTH AND WELFARE PLAN 1999 401k financial data
Total income from all sources1999-07-31$1,283,640
Expenses. Total of all expenses incurred1999-07-31$1,283,640
Benefits paid (including direct rollovers)1999-07-31$1,205,185
Total contributions received or receivable from participants1999-07-31$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 sources1998-07-31$1,174,819
Expenses. Total of all expenses incurred1998-07-31$1,174,819
Benefits paid (including direct rollovers)1998-07-31$1,016,061
Total contributions received or receivable from participants1998-07-31$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 sources1997-07-31$826,522
Expenses. Total of all expenses incurred1997-07-31$826,522
Benefits paid (including direct rollovers)1997-07-31$826,522
Total contributions received or receivable from participants1997-07-31$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 sources1996-07-31$838,811
Expenses. Total of all expenses incurred1996-07-31$838,811
Benefits paid (including direct rollovers)1996-07-31$838,811
Total contributions received or receivable from participants1996-07-31$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 sources1995-07-31$776,233
Expenses. Total of all expenses incurred1995-07-31$776,233
Benefits paid (including direct rollovers)1995-07-31$776,233
Total contributions received or receivable from participants1995-07-31$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 sources1994-07-31$625,964
Expenses. Total of all expenses incurred1994-07-31$625,964
Benefits paid (including direct rollovers)1994-07-31$625,964
Total contributions received or receivable from participants1994-07-31$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 sources1993-07-31$396,203
Expenses. Total of all expenses incurred1993-07-31$396,203
Benefits paid (including direct rollovers)1993-07-31$396,203
Total contributions received or receivable from participants1993-07-31$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 sources1992-07-31$206,155
Expenses. Total of all expenses incurred1992-07-31$206,155
Benefits paid (including direct rollovers)1992-07-31$206,155
Total contributions received or receivable from participants1992-07-31$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 sources1991-07-31$118,902
Expenses. Total of all expenses incurred1991-07-31$118,902
Benefits paid (including direct rollovers)1991-07-31$118,902
Total contributions received or receivable from participants1991-07-31$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 sources1990-07-31$68,743
Expenses. Total of all expenses incurred1990-07-31$68,743
Benefits paid (including direct rollovers)1990-07-31$68,743
Total contributions received or receivable from participants1990-07-31$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

Form 5500 Responses for EUROPASTRY USA HEALTH AND WELFARE PLAN

2022: EUROPASTRY USA HEALTH AND WELFARE 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: EUROPASTRY USA HEALTH AND WELFARE 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: EUROPASTRY USA HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
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: EUROPASTRY USA HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: EUROPASTRY USA HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: EUROPASTRY USA HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: EUROPASTRY USA HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: EUROPASTRY USA HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: EUROPASTRY USA HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: EUROPASTRY USA HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: EUROPASTRY USA HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: EUROPASTRY USA HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-08-01Plan is a collectively bargained planNo
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – General assets of the sponsorYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – General assets of the sponsorYes
2009: EUROPASTRY USA HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes
2006: EUROPASTRY USA HEALTH AND WELFARE PLAN 2006 form 5500 responses
2006-08-01Type of plan entitySingle employer plan
2006-08-01Submission has been amendedNo
2006-08-01This submission is the final filingNo
2006-08-01This return/report is a short plan year return/report (less than 12 months)No
2006-08-01Plan is a collectively bargained planNo
2006-08-01Plan funding arrangement – InsuranceYes
2006-08-01Plan benefit arrangement – InsuranceYes
2004: EUROPASTRY USA HEALTH AND WELFARE PLAN 2004 form 5500 responses
2004-08-01Type of plan entitySingle employer plan
2004-08-01Submission has been amendedNo
2004-08-01This submission is the final filingNo
2004-08-01This return/report is a short plan year return/report (less than 12 months)No
2004-08-01Plan is a collectively bargained planNo
2004-08-01Plan funding arrangement – InsuranceYes
2004-08-01Plan benefit arrangement – InsuranceYes
2002: EUROPASTRY USA HEALTH AND WELFARE PLAN 2002 form 5500 responses
2002-08-01Type of plan entitySingle employer plan
2002-08-01Submission has been amendedNo
2002-08-01This submission is the final filingNo
2002-08-01This return/report is a short plan year return/report (less than 12 months)No
2002-08-01Plan is a collectively bargained planNo
2002-08-01Plan funding arrangement – InsuranceYes
2002-08-01Plan benefit arrangement – InsuranceYes
2001: EUROPASTRY USA HEALTH AND WELFARE PLAN 2001 form 5500 responses
2001-08-01Type of plan entitySingle employer plan
2001-08-01Submission has been amendedNo
2001-08-01This submission is the final filingNo
2001-08-01This return/report is a short plan year return/report (less than 12 months)No
2001-08-01Plan is a collectively bargained planNo
2001-08-01Plan funding arrangement – InsuranceYes
2001-08-01Plan benefit arrangement – InsuranceYes
1998: EUROPASTRY USA HEALTH AND WELFARE PLAN 1998 form 5500 responses
1998-08-01Type of plan entitySingle employer plan
1998-08-01Submission has been amendedNo
1998-08-01This submission is the final filingNo
1998-08-01This return/report is a short plan year return/report (less than 12 months)No
1998-08-01Plan is a collectively bargained planNo
1998-08-01Plan funding arrangement – InsuranceYes
1998-08-01Plan funding arrangement – General assets of the sponsorYes
1998-08-01Plan benefit arrangement – InsuranceYes
1998-08-01Plan benefit arrangement – General assets of the sponsorYes
1995: EUROPASTRY USA HEALTH AND WELFARE PLAN 1995 form 5500 responses
1995-08-01Type of plan entitySingle employer plan
1995-08-01Submission has been amendedNo
1995-08-01This submission is the final filingNo
1995-08-01This return/report is a short plan year return/report (less than 12 months)No
1995-08-01Plan is a collectively bargained planNo
1995-08-01Plan funding arrangement – InsuranceYes
1995-08-01Plan benefit arrangement – InsuranceYes
1992: EUROPASTRY USA HEALTH AND WELFARE PLAN 1992 form 5500 responses
1992-08-01Type of plan entitySingle employer plan
1992-08-01Submission has been amendedNo
1992-08-01This submission is the final filingNo
1992-08-01This return/report is a short plan year return/report (less than 12 months)No
1992-08-01Plan is a collectively bargained planNo
1992-08-01Plan funding arrangement – InsuranceYes
1992-08-01Plan benefit arrangement – InsuranceYes
1990: EUROPASTRY USA HEALTH AND WELFARE PLAN 1990 form 5500 responses
1990-08-01Type of plan entitySingle employer plan
1990-08-01Submission has been amendedNo
1990-08-01This submission is the final filingNo
1990-08-01This return/report is a short plan year return/report (less than 12 months)No
1990-08-01Plan is a collectively bargained planNo
1990-08-01Plan funding arrangement – InsuranceYes
1990-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number10259259
Policy instance 6
Insurance contract or identification number10259259
Number of Individuals Covered587
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $18,083
Total amount of fees paid to insurance companyUSD $13,199
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,ACCIDENT,CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $152,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,083
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDES
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10260971001
Policy instance 5
Insurance contract or identification number10260971001
Number of Individuals Covered246
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,188
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $25,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,188
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN GENERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 39950 )
Policy contract number9903656
Policy instance 4
Insurance contract or identification number9903656
Number of Individuals Covered21
Insurance policy start date2022-10-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $119
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $1,502
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $119
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number9903656
Policy instance 3
Insurance contract or identification number9903656
Number of Individuals Covered19
Insurance policy start date2022-01-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $349
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $3,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $349
Amount paid for insurance broker fees0
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300394
Policy instance 2
Insurance contract or identification number300394
Number of Individuals Covered312
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $166,372
Total amount of fees paid to insurance companyUSD $42,345
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,617,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $166,372
Amount paid for insurance broker fees6900
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 number493969
Policy instance 1
Insurance contract or identification number493969
Number of Individuals Covered209
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,022
Total amount of fees paid to insurance companyUSD $3,013
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $167,384
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,022
Amount paid for insurance broker fees3013
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10260971001
Policy instance 5
Insurance contract or identification number10260971001
Number of Individuals Covered251
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,694
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $24,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,694
Amount paid for insurance broker fees0
Insurance broker organization code?3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number10259259
Policy instance 4
Insurance contract or identification number10259259
Number of Individuals Covered556
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $20,832
Total amount of fees paid to insurance companyUSD $13,648
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,ACCIDENT,CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $164,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,832
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDE
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number9903656
Policy instance 3
Insurance contract or identification number9903656
Number of Individuals Covered20
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $478
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $4,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $478
Amount paid for insurance broker fees0
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300394
Policy instance 2
Insurance contract or identification number300394
Number of Individuals Covered321
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $181,420
Total amount of fees paid to insurance companyUSD $17,985
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,351,096
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $181,420
Amount paid for insurance broker fees17985
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 number493969
Policy instance 1
Insurance contract or identification number493969
Number of Individuals Covered207
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,488
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $149,593
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,488
Amount paid for insurance broker fees0
Insurance broker organization code?3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number10259259
Policy instance 5
Insurance contract or identification number10259259
Number of Individuals Covered257
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $35,352
Total amount of fees paid to insurance companyUSD $13,177
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,ACCIDENT,CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $186,508
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,019
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDE BROKER BONUS
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number10260971001
Policy instance 4
Insurance contract or identification number10260971001
Number of Individuals Covered257
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,143
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $21,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,143
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number5020005
Policy instance 3
Insurance contract or identification number5020005
Number of Individuals Covered14
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $293
Total amount of fees paid to insurance companyUSD $129
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $2,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109
Amount paid for insurance broker fees129
Additional information about fees paid to insurance brokerPLATFORM FEE
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300394
Policy instance 2
Insurance contract or identification number300394
Number of Individuals Covered340
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $160,033
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,302,433
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $160,033
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 number493969
Policy instance 1
Insurance contract or identification number493969
Number of Individuals Covered226
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $6,464
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $173,541
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,464
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 number493969
Policy instance 1
Insurance contract or identification number493969
Number of Individuals Covered581
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $14,307
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $95,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,488
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 number493969
Policy instance 1
Insurance contract or identification number493969
Number of Individuals Covered329
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $8,876
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $59,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,876
Insurance broker organization code?3
Insurance broker nameCHERNOFF DIAMOND & CO., LLC

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