CAMBA, INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CAMBA, INC. BENEFITS PLAN
401k plan membership statisitcs for CAMBA, INC. BENEFITS PLAN
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 935897 |
Policy instance | 1 |
Insurance contract or identification number | 935897 | Number of Individuals Covered | 1251 | Insurance policy start date | 2022-03-01 | Insurance policy end date | 2022-10-31 | Total amount of commissions paid to insurance broker | USD $44,851 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY,CHILD VOL. LIFE & AD&D, SPOUSE VOL. LIFE & AD&D | Welfare Benefit Premiums Paid to Carrier | USD $448,506 | Commission paid to Insurance Broker | USD $22,425 | Insurance broker organization code? | 3 |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 5 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 1514 | Insurance policy start date | 2022-03-01 | Insurance policy end date | 2023-02-28 | Total amount of commissions paid to insurance broker | USD $30,494 | Total amount of fees paid to insurance company | USD $6,900 | Dental Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $479,725 | Commission paid to Insurance Broker | USD $8,351 | Amount paid for insurance broker fees | 6900 | Insurance broker organization code? | 3 |
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THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 ) |
Policy contract number | 448441 |
Policy instance | 4 |
Insurance contract or identification number | 448441 | Number of Individuals Covered | 1176 | Insurance policy start date | 2022-11-01 | Insurance policy end date | 2023-02-28 | Total amount of commissions paid to insurance broker | USD $5,484 | Total amount of fees paid to insurance company | USD $4,675 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $49,857 | Commission paid to Insurance Broker | USD $2,094 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 4675 | Additional information about fees paid to insurance broker | CONTINGENT COMP |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 935898 |
Policy instance | 3 |
Insurance contract or identification number | 935898 | Number of Individuals Covered | 1639 | Insurance policy start date | 2022-03-01 | Insurance policy end date | 2022-10-31 | Total amount of commissions paid to insurance broker | USD $29,522 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | NY DISABILITY LAW, PAID FAMILY LEAVE | Welfare Benefit Premiums Paid to Carrier | USD $287,998 | Commission paid to Insurance Broker | USD $21,474 | Insurance broker organization code? | 3 |
|
EYE MED (National Association of Insurance Commissioners NAIC id number: 67288 ) |
Policy contract number | 10193671001 |
Policy instance | 2 |
Insurance contract or identification number | 10193671001 | Insurance policy start date | 2022-03-01 | Insurance policy end date | 2023-02-28 | Total amount of commissions paid to insurance broker | USD $8,199 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $62,353 | Commission paid to Insurance Broker | USD $8,199 | Insurance broker organization code? | 3 |
|
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 1141557 000 |
Policy instance | 6 |
Insurance contract or identification number | 1141557 000 | Number of Individuals Covered | 0 | Insurance policy start date | 2022-03-01 | Insurance policy end date | 2023-02-28 | Total amount of commissions paid to insurance broker | USD $274,852 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $11,452,152 | Commission paid to Insurance Broker | USD $274,852 | Insurance broker organization code? | 3 |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 935897 |
Policy instance | 1 |
Insurance contract or identification number | 935897 | Insurance policy start date | 2021-03-01 | Insurance policy end date | 2022-02-28 | Total amount of commissions paid to insurance broker | USD $68,879 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY,CHILD VOL. LIFE & AD&D, SPOUSE VOL. LIFE & AD&D | Welfare Benefit Premiums Paid to Carrier | USD $688,791 | Commission paid to Insurance Broker | USD $34,439 | Insurance broker organization code? | 3 |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 935898 |
Policy instance | 3 |
Insurance contract or identification number | 935898 | Insurance policy start date | 2021-03-01 | Insurance policy end date | 2022-02-28 | Total amount of commissions paid to insurance broker | USD $38,707 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | NY DISABILITY LAW, PAID FAMILY LEAVE | Welfare Benefit Premiums Paid to Carrier | USD $563,401 | Commission paid to Insurance Broker | USD $28,067 | Insurance broker organization code? | 3 |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0322627 |
Policy instance | 4 |
Insurance contract or identification number | 0322627 | Insurance policy start date | 2021-03-01 | Insurance policy end date | 2021-10-31 | Total amount of commissions paid to insurance broker | USD $195,225 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $8,722,659 | Commission paid to Insurance Broker | USD $136,658 | Insurance broker organization code? | 3 |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 5 |
Insurance contract or identification number | 00417347 | Insurance policy start date | 2021-03-01 | Insurance policy end date | 2022-02-28 | Total amount of commissions paid to insurance broker | USD $26,127 | Total amount of fees paid to insurance company | USD $10,207 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $522,538 | Commission paid to Insurance Broker | USD $26,127 | Amount paid for insurance broker fees | 10207 | Insurance broker organization code? | 3 |
|
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 1141557 000 |
Policy instance | 6 |
Insurance contract or identification number | 1141557 000 | Insurance policy start date | 2021-11-01 | Insurance policy end date | 2022-02-28 | Total amount of commissions paid to insurance broker | USD $101,460 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $4,227,488 | Commission paid to Insurance Broker | USD $101,460 | Insurance broker organization code? | 3 |
|
EYE MED (National Association of Insurance Commissioners NAIC id number: 67288 ) |
Policy contract number | 10193671001 |
Policy instance | 2 |
Insurance contract or identification number | 10193671001 | Insurance policy start date | 2021-03-01 | Insurance policy end date | 2022-02-28 | Total amount of commissions paid to insurance broker | USD $8,785 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $71,930 | Commission paid to Insurance Broker | USD $8,785 | Insurance broker organization code? | 3 |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 935897 |
Policy instance | 1 |
Insurance contract or identification number | 935897 | Number of Individuals Covered | 1334 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $80,327 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY,CHILD VOL. LIFE & AD&D, SPOUSE VOL. LIFE & AD&D | Welfare Benefit Premiums Paid to Carrier | USD $688,584 | Commission paid to Insurance Broker | USD $40,163 | Insurance broker organization code? | 3 |
|
EYE MED (National Association of Insurance Commissioners NAIC id number: 67288 ) |
Policy contract number | 10193671001 |
Policy instance | 2 |
Insurance contract or identification number | 10193671001 | Number of Individuals Covered | 1007 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $9,718 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $82,189 | Commission paid to Insurance Broker | USD $9,718 | Insurance broker organization code? | 3 |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 935898 |
Policy instance | 3 |
Insurance contract or identification number | 935898 | Number of Individuals Covered | 1546 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $31,887 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | NY DISABILITY LAW, PAID FAMILY LEAVE | Welfare Benefit Premiums Paid to Carrier | USD $299,122 | Commission paid to Insurance Broker | USD $20,562 | Insurance broker organization code? | 3 |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0322627 |
Policy instance | 4 |
Insurance contract or identification number | 0322627 | Number of Individuals Covered | 1260 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $118,461 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $2,211,338 | Commission paid to Insurance Broker | USD $52,571 | Insurance broker organization code? | 3 |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 5 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 896 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $28,112 | Total amount of fees paid to insurance company | USD $5,715 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $562,249 | Commission paid to Insurance Broker | USD $28,112 | Amount paid for insurance broker fees | 5715 | Insurance broker organization code? | 3 |
|
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 247F1GL28 |
Policy instance | 6 |
Insurance contract or identification number | 247F1GL28 | Number of Individuals Covered | 1313 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $197,119 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $8,570,800 | Commission paid to Insurance Broker | USD $197,119 | Insurance broker organization code? | 3 |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | GD3-820-095118- |
Policy instance | 2 |
Insurance contract or identification number | GD3-820-095118- | Number of Individuals Covered | 1318 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $19,066 | Total amount of fees paid to insurance company | USD $543 | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $162,835 | Commission paid to Insurance Broker | USD $19,066 | Amount paid for insurance broker fees | 543 | Insurance broker organization code? | 3 |
|
EYE MED (National Association of Insurance Commissioners NAIC id number: 67288 ) |
Policy contract number | 10193671001 |
Policy instance | 3 |
Insurance contract or identification number | 10193671001 | Number of Individuals Covered | 1024 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $9,763 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $68,764 | Commission paid to Insurance Broker | USD $9,763 | Insurance broker organization code? | 3 |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 935898 |
Policy instance | 4 |
Insurance contract or identification number | 935898 | Number of Individuals Covered | 1992 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $5,245 | Other welfare benefits provided | NY DISABILITY LAW, PAID FAMILY LEAVE | Welfare Benefit Premiums Paid to Carrier | USD $174,015 | Commission paid to Insurance Broker | USD $3,095 | Insurance broker organization code? | 3 |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | GF3-820-095118- |
Policy instance | 5 |
Insurance contract or identification number | GF3-820-095118- | Number of Individuals Covered | 1318 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $22,489 | Total amount of fees paid to insurance company | USD $711 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $186,705 | Commission paid to Insurance Broker | USD $22,489 | Amount paid for insurance broker fees | 711 | Insurance broker organization code? | 3 |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 935897 |
Policy instance | 1 |
Insurance contract or identification number | 935897 | Number of Individuals Covered | 1384 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $11,365 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY,CHILD VOL. LIFE & AD&D, SPOUSE VOL. LIFE & AD&D | Welfare Benefit Premiums Paid to Carrier | USD $228,332 | Commission paid to Insurance Broker | USD $5,682 | Insurance broker organization code? | 3 |
|
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
Policy contract number | 247F1GL28 |
Policy instance | 8 |
Insurance contract or identification number | 247F1GL28 | Number of Individuals Covered | 872 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $279,689 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $12,160,406 | Commission paid to Insurance Broker | USD $279,689 | Insurance broker organization code? | 3 |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 7 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 913 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $24,567 | Total amount of fees paid to insurance company | USD $5,632 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $491,335 | Commission paid to Insurance Broker | USD $24,567 | Amount paid for insurance broker fees | 5632 | Insurance broker organization code? | 3 |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | SA3-820-095118- |
Policy instance | 6 |
Insurance contract or identification number | SA3-820-095118- | Number of Individuals Covered | 1318 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $20,240 | Total amount of fees paid to insurance company | USD $617 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $168,492 | Commission paid to Insurance Broker | USD $20,240 | Amount paid for insurance broker fees | 617 | Insurance broker organization code? | 3 |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | SA382009511801 |
Policy instance | 1 |
Insurance contract or identification number | SA382009511801 | Number of Individuals Covered | 1349 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $18,908 | Total amount of fees paid to insurance company | USD $7,798 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $187,040 | Commission paid to Insurance Broker | USD $18,908 | Amount paid for insurance broker fees | 7798 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION & GENERAL AGENT FEES | Insurance broker organization code? | 3 |
|
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
Policy contract number | 247F1GL28 |
Policy instance | 7 |
Insurance contract or identification number | 247F1GL28 | Number of Individuals Covered | 898 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $272,473 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $11,856,024 | Commission paid to Insurance Broker | USD $272,473 | Insurance broker organization code? | 3 |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 6 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 956 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $2,660 | Total amount of fees paid to insurance company | USD $3,643 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $532,800 | Commission paid to Insurance Broker | USD $2,660 | Amount paid for insurance broker fees | 3643 | Insurance broker organization code? | 3 |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | GD382009511801 |
Policy instance | 5 |
Insurance contract or identification number | GD382009511801 | Number of Individuals Covered | 1349 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $16,362 | Total amount of fees paid to insurance company | USD $6,598 | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $161,393 | Commission paid to Insurance Broker | USD $16,362 | Amount paid for insurance broker fees | 6598 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION & GENERAL AGENT FEES | Insurance broker organization code? | 3 |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | GF382009511801 |
Policy instance | 4 |
Insurance contract or identification number | GF382009511801 | Number of Individuals Covered | 1349 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $20,587 | Total amount of fees paid to insurance company | USD $9,480 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $211,417 | Commission paid to Insurance Broker | USD $20,587 | Amount paid for insurance broker fees | 9480 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION & GENERAL AGENT FEES | Insurance broker organization code? | 3 |
|
EYE MED (National Association of Insurance Commissioners NAIC id number: 67288 ) |
Policy contract number | 10193671001 |
Policy instance | 3 |
Insurance contract or identification number | 10193671001 | Number of Individuals Covered | 1003 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $670 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $24,655 | Commission paid to Insurance Broker | USD $670 | Insurance broker organization code? | 3 |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | |
Policy instance | 2 |
Number of Individuals Covered | 957 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2018-11-30 | Total amount of commissions paid to insurance broker | USD $5,318 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $53,176 | Commission paid to Insurance Broker | USD $3,191 | Insurance broker organization code? | 3 |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 411179 |
Policy instance | 1 |
Insurance contract or identification number | 411179 | Number of Individuals Covered | 1302 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $2,973 | Total amount of fees paid to insurance company | USD $438 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $23,446 | Commission paid to Insurance Broker | USD $2,973 | Amount paid for insurance broker fees | 438 | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SERV |
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LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | GD382009511801 |
Policy instance | 2 |
Insurance contract or identification number | GD382009511801 | Number of Individuals Covered | 1897 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $5,142 | Total amount of fees paid to insurance company | USD $4,285 | Other welfare benefits provided | DBL | Welfare Benefit Premiums Paid to Carrier | USD $85,694 | Commission paid to Insurance Broker | USD $5,142 | Amount paid for insurance broker fees | 4285 | Additional information about fees paid to insurance broker | OTHER | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MALL |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | 504891 |
Policy instance | 4 |
Insurance contract or identification number | 504891 | Number of Individuals Covered | 908 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $6,565 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $65,647 | Commission paid to Insurance Broker | USD $3,939 | Insurance broker organization code? | 3 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | SA382009511801 |
Policy instance | 3 |
Insurance contract or identification number | SA382009511801 | Number of Individuals Covered | 1306 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $5,404 | Total amount of fees paid to insurance company | USD $4,116 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $62,760 | Commission paid to Insurance Broker | USD $5,404 | Amount paid for insurance broker fees | 4116 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION & OTHER | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MALL |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 000000420991 |
Policy instance | 5 |
Insurance contract or identification number | 000000420991 | Number of Individuals Covered | 508 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $21,096 | Total amount of fees paid to insurance company | USD $1,846 | Other welfare benefits provided | LIFESTYLE LIFE, LIFESTYLE AD&D | Welfare Benefit Premiums Paid to Carrier | USD $93,239 | Commission paid to Insurance Broker | USD $21,096 | Amount paid for insurance broker fees | 1846 | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SERV |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | GD382009511801 |
Policy instance | 6 |
Insurance contract or identification number | GD382009511801 | Number of Individuals Covered | 1894 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Other welfare benefits provided | PAID LEAVE | Welfare Benefit Premiums Paid to Carrier | USD $22,575 |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | GF382009511801 |
Policy instance | 7 |
Insurance contract or identification number | GF382009511801 | Number of Individuals Covered | 1306 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $5,138 | Total amount of fees paid to insurance company | USD $5,297 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $68,789 | Commission paid to Insurance Broker | USD $5,138 | Amount paid for insurance broker fees | 5297 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION & OTHER | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MALL |
|
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
Policy contract number | GD382009511801 |
Policy instance | 9 |
Insurance contract or identification number | GD382009511801 | Number of Individuals Covered | 1306 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $4,568 | Total amount of fees paid to insurance company | USD $3,404 | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $52,563 | Commission paid to Insurance Broker | USD $4,568 | Amount paid for insurance broker fees | 3404 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION & OTHER | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MALL |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 11 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 905 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $25,271 | Total amount of fees paid to insurance company | USD $3,811 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $505,413 | Commission paid to Insurance Broker | USD $25,271 | Amount paid for insurance broker fees | 3811 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
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EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
Policy contract number | 247F1GL28 |
Policy instance | 12 |
Insurance contract or identification number | 247F1GL28 | Number of Individuals Covered | 874 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $259,319 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $10,418,244 | Commission paid to Insurance Broker | USD $259,319 | Insurance broker organization code? | 3 | Insurance broker name | DKG INSURANCE & FINANCIAL SERVICES |
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LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182086 |
Policy instance | 11 |
Insurance contract or identification number | 000010182086 | Number of Individuals Covered | 57 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-28 | Total amount of commissions paid to insurance broker | USD $1,245 | Total amount of fees paid to insurance company | USD $1,333 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | DEPENDENT LIFE & AD&D | Welfare Benefit Premiums Paid to Carrier | USD $14,915 | Amount paid for insurance broker fees | 1333 | Additional information about fees paid to insurance broker | OVERRIDES AND BROKER BONUS | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $747 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | L00738 |
Policy instance | 7 |
Insurance contract or identification number | L00738 | Number of Individuals Covered | 1463 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-29 | Total amount of commissions paid to insurance broker | USD $3,056 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | EXEC DBL | Welfare Benefit Premiums Paid to Carrier | USD $144,028 | Commission paid to Insurance Broker | USD $3,056 | Insurance broker organization code? | 3 | Insurance broker name | EDWARD P. LEVINS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010184788 |
Policy instance | 9 |
Insurance contract or identification number | 000010184788 | Number of Individuals Covered | 1047 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-28 | Total amount of commissions paid to insurance broker | USD $1,263 | Total amount of fees paid to insurance company | USD $1,701 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $17,094 | Amount paid for insurance broker fees | 1701 | Additional information about fees paid to insurance broker | OVERRIDES AND BROKER BONUS | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $758 | Insurance broker name | CORPORATE HEALTH INNOVIATIONS |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 000000420991 |
Policy instance | 8 |
Insurance contract or identification number | 000000420991 | Number of Individuals Covered | 520 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-29 | Other welfare benefits provided | LIFESTYLE LIFE, LIFESTYLE AD&D | Welfare Benefit Premiums Paid to Carrier | USD $43,414 |
|
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
Policy contract number | 247F1GL28 |
Policy instance | 14 |
Insurance contract or identification number | 247F1GL28 | Number of Individuals Covered | 550 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-28 | Total amount of commissions paid to insurance broker | USD $232,681 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $8,949,265 | Commission paid to Insurance Broker | USD $232,681 | Insurance broker organization code? | 3 | Insurance broker name | DKG INSURANCE & FINANCIAL SERVICES |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182089 |
Policy instance | 12 |
Insurance contract or identification number | 000010182089 | Number of Individuals Covered | 1050 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-28 | Total amount of commissions paid to insurance broker | USD $1,305 | Total amount of fees paid to insurance company | USD $6,397 | Other welfare benefits provided | WEEKLY INCOME | Welfare Benefit Premiums Paid to Carrier | USD $66,960 | Commission paid to Insurance Broker | USD $783 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 6397 | Additional information about fees paid to insurance broker | OVERRIDES AND BROKER BONUS | Insurance broker name | CENTERSTONE INS & FNCL SVCS |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 411179 |
Policy instance | 1 |
Insurance contract or identification number | 411179 | Number of Individuals Covered | 1224 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-29 | Total amount of commissions paid to insurance broker | USD $1,195 | Total amount of fees paid to insurance company | USD $199 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $10,431 | Commission paid to Insurance Broker | USD $1,195 | Amount paid for insurance broker fees | 199 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INSURANCE AND FINANCE |
|
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 ) |
Policy contract number | J946E0 |
Policy instance | 6 |
Insurance contract or identification number | J946E0 | Number of Individuals Covered | 1174 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-29 | Total amount of commissions paid to insurance broker | USD $10,149 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $101,490 | Commission paid to Insurance Broker | USD $2,537 | Insurance broker organization code? | 3 | Insurance broker name | CORPORATE HEALTH INN |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182087 |
Policy instance | 5 |
Insurance contract or identification number | 000010182087 | Number of Individuals Covered | 1051 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-28 | Total amount of commissions paid to insurance broker | USD $1,286 | Total amount of fees paid to insurance company | USD $9,681 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $101,024 | Amount paid for insurance broker fees | 9681 | Additional information about fees paid to insurance broker | OVERRIDES AND BROKER BONUS | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $772 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000400182088 |
Policy instance | 4 |
Insurance contract or identification number | 000400182088 | Number of Individuals Covered | 482 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-28 | Total amount of commissions paid to insurance broker | USD $11,329 | Total amount of fees paid to insurance company | USD $7,403 | Other welfare benefits provided | VOL CHILD LIFE, VOL SPOUSE LIFE, VOLUNTARY LIFE | Welfare Benefit Premiums Paid to Carrier | USD $75,528 | Amount paid for insurance broker fees | 7403 | Additional information about fees paid to insurance broker | OVERRIDES AND BROKER BONUS | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $6,797 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 ) |
Policy contract number | G280708 |
Policy instance | 3 |
Insurance contract or identification number | G280708 | Number of Individuals Covered | 1603 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-29 | Total amount of fees paid to insurance company | USD $235 | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $4,704 | Amount paid for insurance broker fees | 235 | Additional information about fees paid to insurance broker | ADMINSTRATIVE SERVICES | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FIN SVCS |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | 504891 |
Policy instance | 2 |
Insurance contract or identification number | 504891 | Number of Individuals Covered | 426 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-28 | Total amount of commissions paid to insurance broker | USD $4,918 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $49,175 | Commission paid to Insurance Broker | USD $2,951 | Insurance broker organization code? | 3 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 13 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 840 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-28 | Total amount of commissions paid to insurance broker | USD $21,990 | Total amount of fees paid to insurance company | USD $4,968 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $439,800 | Commission paid to Insurance Broker | USD $21,990 | Amount paid for insurance broker fees | 4968 | Additional information about fees paid to insurance broker | SPECIAL PRODUCER COMPENSATION | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | L00729 |
Policy instance | 10 |
Insurance contract or identification number | L00729 | Number of Individuals Covered | 1463 | Insurance policy start date | 2015-03-01 | Insurance policy end date | 2016-02-29 | Total amount of commissions paid to insurance broker | USD $389 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | STAFF DBL | Welfare Benefit Premiums Paid to Carrier | USD $2,844 | Commission paid to Insurance Broker | USD $389 | Insurance broker organization code? | 3 | Insurance broker name | EDWARD P LEVINS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010184788 |
Policy instance | 5 |
Insurance contract or identification number | 000010184788 | Number of Individuals Covered | 1018 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $2,283 | Total amount of fees paid to insurance company | USD $2,402 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $24,970 | Amount paid for insurance broker fees | 2402 | Additional information about fees paid to insurance broker | OVERRIDES, BROKER BONUS | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $1,370 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
Policy contract number | 247F1GL28 |
Policy instance | 8 |
Insurance contract or identification number | 247F1GL28 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $201,217 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $7,739,116 | Commission paid to Insurance Broker | USD $201,217 | Insurance broker organization code? | 3 | Insurance broker name | DKG INSURANCE & FINANCIAL SERVICES |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 7 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 761 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $20,049 | Total amount of fees paid to insurance company | USD $6,898 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $400,973 | Commission paid to Insurance Broker | USD $20,049 | Amount paid for insurance broker fees | 6898 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182086 |
Policy instance | 4 |
Insurance contract or identification number | 000010182086 | Number of Individuals Covered | 59 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $2,198 | Total amount of fees paid to insurance company | USD $2,283 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | DEPENDENT LIFE, AD & D | Welfare Benefit Premiums Paid to Carrier | USD $23,531 | Amount paid for insurance broker fees | 2283 | Additional information about fees paid to insurance broker | OVERRIDES, BROKER BONUS | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $1,319 | Insurance broker name | CORPORATE HEALTH INNOVIATIONS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182087 |
Policy instance | 3 |
Insurance contract or identification number | 000010182087 | Number of Individuals Covered | 1024 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $6,232 | Total amount of fees paid to insurance company | USD $13,442 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $144,373 | Amount paid for insurance broker fees | 13442 | Additional information about fees paid to insurance broker | OVERRIDES, BROKER BONUS | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $3,739 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000400182088 |
Policy instance | 2 |
Insurance contract or identification number | 000400182088 | Number of Individuals Covered | 463 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $9,113 | Total amount of fees paid to insurance company | USD $10,580 | Other welfare benefits provided | VOL CHILD LIFE, VOL SPOUSE LIFE, VOLUNTARY LIFE | Welfare Benefit Premiums Paid to Carrier | USD $109,602 | Amount paid for insurance broker fees | 10580 | Additional information about fees paid to insurance broker | OVERRIDES, BROKER BONUS | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $2,537 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | |
Policy instance | 1 |
Number of Individuals Covered | 511 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $1,428 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,079 | Commission paid to Insurance Broker | USD $917 | Insurance broker organization code? | 3 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182089 |
Policy instance | 6 |
Insurance contract or identification number | 000010182089 | Number of Individuals Covered | 1024 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $4,138 | Total amount of fees paid to insurance company | USD $8,831 | Other welfare benefits provided | WEEKLY INCOME | Welfare Benefit Premiums Paid to Carrier | USD $94,948 | Commission paid to Insurance Broker | USD $2,483 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 8831 | Additional information about fees paid to insurance broker | OVERRIDES, BROKER BONUS | Insurance broker name | CENTERSTONE INS & FNCL SVCS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182087 |
Policy instance | 2 |
Insurance contract or identification number | 000010182087 | Number of Individuals Covered | 940 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $3,648 | Total amount of fees paid to insurance company | USD $1,252 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $25,045 | Amount paid for insurance broker fees | 1252 | Additional information about fees paid to insurance broker | OVERRIDES | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $2,189 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182086 |
Policy instance | 3 |
Insurance contract or identification number | 000010182086 | Number of Individuals Covered | 61 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $709 | Total amount of fees paid to insurance company | USD $274 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | DEPENDENT LIFE, AD & D | Welfare Benefit Premiums Paid to Carrier | USD $5,478 | Amount paid for insurance broker fees | 274 | Additional information about fees paid to insurance broker | OVERRIDES | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $425 | Insurance broker name | CORPORATE HEALTH INNOVIATIONS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010184788 |
Policy instance | 4 |
Insurance contract or identification number | 000010184788 | Number of Individuals Covered | 929 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $958 | Total amount of fees paid to insurance company | USD $386 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $7,712 | Amount paid for insurance broker fees | 386 | Additional information about fees paid to insurance broker | OVERRIDES | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $575 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000010182089 |
Policy instance | 5 |
Insurance contract or identification number | 000010182089 | Number of Individuals Covered | 940 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $1,855 | Total amount of fees paid to insurance company | USD $777 | Other welfare benefits provided | WEEKLY INCOME | Welfare Benefit Premiums Paid to Carrier | USD $15,531 | Commission paid to Insurance Broker | USD $1,113 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 777 | Additional information about fees paid to insurance broker | OVERRIDES | Insurance broker name | CENTERSTONE INS & FNCL SVCS |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 454-5455-00 |
Policy instance | 7 |
Insurance contract or identification number | 454-5455-00 | Number of Individuals Covered | 875 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $12,024 | Total amount of fees paid to insurance company | USD $3,532 | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $99,201 | Amount paid for insurance broker fees | 3532 | Additional information about fees paid to insurance broker | BONUS PAID TO PRODUCER FOR PERIOD FROM 1/1/2011 TO 1/1/2012 | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $3,126 | Insurance broker name | DKG INS & FINANCIAL SVCS |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 8 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 711 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $18,212 | Total amount of fees paid to insurance company | USD $8,153 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $364,246 | Commission paid to Insurance Broker | USD $18,212 | Amount paid for insurance broker fees | 8153 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 463249 |
Policy instance | 10 |
Insurance contract or identification number | 463249 | Number of Individuals Covered | 49 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | DBL | Welfare Benefit Premiums Paid to Carrier | USD $2,052 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 100-4820-00 |
Policy instance | 9 |
Insurance contract or identification number | 100-4820-00 | Number of Individuals Covered | 1264 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $9,915 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $68,512 | Commission paid to Insurance Broker | USD $2,677 | Insurance broker organization code? | 3 | Insurance broker name | DKG INS & FINANCIAL SERVICES |
|
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
Policy contract number | 247F1GL28 |
Policy instance | 11 |
Insurance contract or identification number | 247F1GL28 | Number of Individuals Covered | 461 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $155,757 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $5,983,720 | Commission paid to Insurance Broker | USD $155,757 | Insurance broker organization code? | 3 | Insurance broker name | DKG INSURANCE & FINANCIAL SERVICES |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 458497 |
Policy instance | 12 |
Insurance contract or identification number | 458497 | Number of Individuals Covered | 49 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $32,998 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 458881 |
Policy instance | 13 |
Insurance contract or identification number | 458881 | Number of Individuals Covered | 48 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $23,488 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 ) |
Policy contract number | 000400182088 |
Policy instance | 1 |
Insurance contract or identification number | 000400182088 | Number of Individuals Covered | 418 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $2,702 | Total amount of fees paid to insurance company | USD $1,641 | Other welfare benefits provided | VOL CHILD LIFE, VOL SPOUSE LIFE, VOLUNTARY LIFE | Welfare Benefit Premiums Paid to Carrier | USD $32,824 | Amount paid for insurance broker fees | 1641 | Additional information about fees paid to insurance broker | OVERRIDES | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $733 | Insurance broker name | CORPORATE HEALTH INNOVATIONS |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 463469 |
Policy instance | 6 |
Insurance contract or identification number | 463469 | Number of Individuals Covered | 935 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | FLEX AD&D & FLEX LIFE | Welfare Benefit Premiums Paid to Carrier | USD $85,014 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 454-5455-00 |
Policy instance | 2 |
Insurance contract or identification number | 454-5455-00 | Number of Individuals Covered | 880 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $20,413 | Total amount of fees paid to insurance company | USD $3,532 | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $139,462 | Commission paid to Insurance Broker | USD $12,310 | Amount paid for insurance broker fees | 3532 | Additional information about fees paid to insurance broker | BONUS PAID FOR PERIOD 1/1/11 TO 1/1/12 | Insurance broker organization code? | 3 | Insurance broker name | DKG INS & FINANCIAL SVCS |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 3 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 653 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $17,090 | Total amount of fees paid to insurance company | USD $8,040 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $341,800 | Commission paid to Insurance Broker | USD $0 | Amount paid for insurance broker fees | 8040 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 100-4820-00 |
Policy instance | 4 |
Insurance contract or identification number | 100-4820-00 | Number of Individuals Covered | 1186 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $10,896 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $90,276 | Commission paid to Insurance Broker | USD $7,624 | Insurance broker organization code? | 3 | Insurance broker name | DKG INS & FINANCIAL SERVICES |
|
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 463249 |
Policy instance | 5 |
Insurance contract or identification number | 463249 | Number of Individuals Covered | 49 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $178 | Total amount of fees paid to insurance company | USD $10 | Other welfare benefits provided | DBL | Welfare Benefit Premiums Paid to Carrier | USD $2,888 | Commission paid to Insurance Broker | USD $178 | Amount paid for insurance broker fees | 10 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
Policy contract number | 247F1GL28 |
Policy instance | 6 |
Insurance contract or identification number | 247F1GL28 | Number of Individuals Covered | 604 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $114,383 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | POS CONTRACT - COMPREHENSIVE MEDICAL AND SURGICAL | Welfare Benefit Premiums Paid to Carrier | USD $4,399,372 | Commission paid to Insurance Broker | USD $114,383 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
|
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | CI22890 |
Policy instance | 7 |
Insurance contract or identification number | CI22890 | Number of Individuals Covered | 935 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $30,382 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $407,853 | Commission paid to Insurance Broker | USD $30,382 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 458881 |
Policy instance | 9 |
Insurance contract or identification number | 458881 | Number of Individuals Covered | 49 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $1,017 | Total amount of fees paid to insurance company | USD $101 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $30,556 | Commission paid to Insurance Broker | USD $1,017 | Amount paid for insurance broker fees | 101 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 458497 |
Policy instance | 8 |
Insurance contract or identification number | 458497 | Number of Individuals Covered | 49 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $2,145 | Total amount of fees paid to insurance company | USD $158 | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $47,457 | Commission paid to Insurance Broker | USD $2,145 | Amount paid for insurance broker fees | 158 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 463469 |
Policy instance | 1 |
Insurance contract or identification number | 463469 | Number of Individuals Covered | 922 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $1,758 | Total amount of fees paid to insurance company | USD $378 | Other welfare benefits provided | FLEX AD&D & FLEX LIFE | Welfare Benefit Premiums Paid to Carrier | USD $121,808 | Commission paid to Insurance Broker | USD $1,758 | Amount paid for insurance broker fees | 378 | Insurance broker organization code? | 3 | Insurance broker name | CENTERSTONE INS & FINANCIAL SVCS |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 3 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 635 | Insurance policy start date | 2011-03-01 | Total amount of commissions paid to insurance broker | USD $34,462 | Total amount of fees paid to insurance company | USD $6,097 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $313,291 |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 458881 |
Policy instance | 9 |
Insurance contract or identification number | 458881 | Number of Individuals Covered | 43 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $2,840 | Total amount of fees paid to insurance company | USD $164 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $31,421 |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 458497 |
Policy instance | 8 |
Insurance contract or identification number | 458497 | Number of Individuals Covered | 43 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $5,457 | Total amount of fees paid to insurance company | USD $236 | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $47,681 |
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OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | CI22890 |
Policy instance | 7 |
Insurance contract or identification number | CI22890 | Number of Individuals Covered | 902 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $94,869 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $4,411,986 |
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HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 100284E 000 |
Policy instance | 6 |
Insurance contract or identification number | 100284E 000 | Number of Individuals Covered | 290 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $311 | Other welfare benefits provided | POS CONTRACT - COMPREHENSIVE MEDICAL AND SURGICAL | Welfare Benefit Premiums Paid to Carrier | USD $194,166 |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 459389 |
Policy instance | 5 |
Insurance contract or identification number | 459389 | Number of Individuals Covered | 259 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $10,502 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $535,683 |
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SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 100-4820-00 |
Policy instance | 4 |
Insurance contract or identification number | 100-4820-00 | Number of Individuals Covered | 1068 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $8,110 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $92,137 |
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SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 454-5455-00 |
Policy instance | 2 |
Insurance contract or identification number | 454-5455-00 | Number of Individuals Covered | 811 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $13,632 | Total amount of fees paid to insurance company | USD $317 | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $154,359 |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 463469 |
Policy instance | 1 |
Insurance contract or identification number | 463469 | Number of Individuals Covered | 853 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $5,022 | Total amount of fees paid to insurance company | USD $577 | Other welfare benefits provided | FLEX AD&D & FLEX LIFE | Welfare Benefit Premiums Paid to Carrier | USD $107,130 |
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SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 454-5455-00 |
Policy instance | 10 |
Insurance contract or identification number | 454-5455-00 | Number of Individuals Covered | 781 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $16,466 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $145,369 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,320 | Insurance broker organization code? | 3 | Insurance broker name | BENEFITS WEB COM, INC. |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 458881 |
Policy instance | 9 |
Insurance contract or identification number | 458881 | Number of Individuals Covered | 37 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $2,416 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $29,188 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,208 | Insurance broker organization code? | 3 | Insurance broker name | JIMCO ASSOCIATES,INC. |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00417347 |
Policy instance | 7 |
Insurance contract or identification number | 00417347 | Number of Individuals Covered | 536 | Insurance policy start date | 2009-10-01 | Insurance policy end date | 2010-09-30 | Total amount of commissions paid to insurance broker | USD $16,632 | Total amount of fees paid to insurance company | USD $10,988 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $277,205 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,632 | Amount paid for insurance broker fees | 10988 | Additional information about fees paid to insurance broker | FEES | Insurance broker organization code? | 3 | Insurance broker name | PROFESSIONAL GROUP PLANS, INC. |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 463249 |
Policy instance | 4 |
Insurance contract or identification number | 463249 | Number of Individuals Covered | 37 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $434 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $2,893 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $217 | Insurance broker organization code? | 3 | Insurance broker name | JIMCO ASSOCIATES, INC. |
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HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 100284E 000 |
Policy instance | 8 |
Insurance contract or identification number | 100284E 000 | Number of Individuals Covered | 415 | Insurance policy start date | 2010-11-01 | Insurance policy end date | 2011-04-30 | Total amount of commissions paid to insurance broker | USD $19,434 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $978,240 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $9,717 | Insurance broker organization code? | 3 | Insurance broker name | JIMCO ASSOCIATES |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 459389 |
Policy instance | 1 |
Insurance contract or identification number | 459389 | Number of Individuals Covered | 27 | Insurance policy start date | 2010-03-01 | Insurance policy end date | 2011-02-28 | Total amount of commissions paid to insurance broker | USD $20,862 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $326,480 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,852 | Insurance broker organization code? | 3 | Insurance broker name | JIMCO ASSOCIATES, INC. |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 463469 |
Policy instance | 5 |
Insurance contract or identification number | 463469 | Number of Individuals Covered | 772 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $3,908 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $95,785 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,954 | Insurance broker organization code? | 3 | Insurance broker name | JIMCO ASSOCIATES, INC. |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | US104144 |
Policy instance | 2 |
Insurance contract or identification number | US104144 | Number of Individuals Covered | 541 | Insurance policy start date | 2010-03-01 | Insurance policy end date | 2011-02-28 | Total amount of commissions paid to insurance broker | USD $115,714 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $2,591,145 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $34,323 | Insurance broker organization code? | 3 | Insurance broker name | PROFESSIONAL GROUP PLANS |
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FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
Policy contract number | 458497 |
Policy instance | 3 |
Insurance contract or identification number | 458497 | Number of Individuals Covered | 37 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $4,654 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $42,263 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,327 | Insurance broker organization code? | 3 | Insurance broker name | JIMCO ASSOCIATES,INC. |
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SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
Policy contract number | 100-4820-00 |
Policy instance | 6 |
Insurance contract or identification number | 100-4820-00 | Number of Individuals Covered | 1122 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $8,585 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $88,583 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,585 | Insurance broker organization code? | 3 | Insurance broker name | PROFESSIONAL GROUP PLANS |
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