FABER COE AND GREGG INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan FABER, COE & GREGG INC. GROUP INSURANCE PLAN
401k plan membership statisitcs for FABER, COE & GREGG INC. GROUP INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2022: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 282 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 239 |
| Total of all active and inactive participants | 2022-01-01 | 239 |
| Total participants | 2022-01-01 | 239 |
| 2021: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 254 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 282 |
| Total of all active and inactive participants | 2021-01-01 | 282 |
| Total participants | 2021-01-01 | 282 |
| 2020: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 254 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 254 |
| Total of all active and inactive participants | 2020-01-01 | 254 |
| Total participants | 2020-01-01 | 254 |
| 2019: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 407 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 445 |
| Total of all active and inactive participants | 2019-01-01 | 445 |
| Total participants | 2019-01-01 | 445 |
| 2018: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 428 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 407 |
| Total of all active and inactive participants | 2018-01-01 | 407 |
| Total participants | 2018-01-01 | 407 |
| 2017: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 425 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 428 |
| Total of all active and inactive participants | 2017-01-01 | 428 |
| Total participants | 2017-01-01 | 428 |
| 2016: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 454 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 425 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 425 |
| Total participants | 2016-01-01 | 425 |
| 2015: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 441 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 454 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 454 |
| 2014: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 442 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 0 |
| 2013: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 442 |
| Total of all active and inactive participants | 2013-01-01 | 0 |
| 2012: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 324 |
| Total of all active and inactive participants | 2012-01-01 | 0 |
| 2011: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 203 |
| Total of all active and inactive participants | 2011-01-01 | 0 |
| 2009: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 202 |
| Total of all active and inactive participants | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2022 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-12-31 | $3,923,919 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $3,821,007 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $3,821,007 |
| Total plan assets at end of year | 2022-12-31 | $357,911 |
| Total plan assets at beginning of year | 2022-12-31 | $254,999 |
| Total contributions received or receivable from participants | 2022-12-31 | $546,004 |
| Net income (gross income less expenses) | 2022-12-31 | $102,912 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $357,911 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $254,999 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $3,377,915 |
| 2021 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2021 401k financial data |
|---|
| Transfers to/from the plan | 2021-12-31 | $0 |
| Total income from all sources | 2021-12-31 | $3,680,896 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $3,710,896 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $3,710,896 |
| Total plan assets at end of year | 2021-12-31 | $255,000 |
| Total plan assets at beginning of year | 2021-12-31 | $285,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $610,645 |
| Net income (gross income less expenses) | 2021-12-31 | $-30,000 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $255,000 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $285,000 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $3,070,251 |
| 2020 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-12-31 | $0 |
| Total plan liabilities at beginning of year | 2020-12-31 | $0 |
| Total income from all sources | 2020-12-31 | $4,250,632 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $4,350,631 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $4,350,631 |
| Total plan assets at end of year | 2020-12-31 | $285,000 |
| Total plan assets at beginning of year | 2020-12-31 | $384,999 |
| Total contributions received or receivable from participants | 2020-12-31 | $720,401 |
| Net income (gross income less expenses) | 2020-12-31 | $-99,999 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $285,000 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $384,999 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $3,530,231 |
| 2019 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $4,533,175 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $4,443,175 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $4,443,175 |
| Total plan assets at end of year | 2019-12-31 | $385,000 |
| Total plan assets at beginning of year | 2019-12-31 | $295,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $653,064 |
| Net income (gross income less expenses) | 2019-12-31 | $90,000 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $385,000 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $295,000 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $3,880,111 |
| 2018 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $4,011,416 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $4,012,815 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $4,012,815 |
| Total plan assets at end of year | 2018-12-31 | $295,000 |
| Total plan assets at beginning of year | 2018-12-31 | $296,399 |
| Total contributions received or receivable from participants | 2018-12-31 | $662,095 |
| Net income (gross income less expenses) | 2018-12-31 | $-1,399 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $295,000 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $296,399 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $3,349,321 |
| 2017 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $3,045,755 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $2,979,621 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $2,979,621 |
| Total plan assets at end of year | 2017-12-31 | $296,399 |
| Total plan assets at beginning of year | 2017-12-31 | $230,265 |
| Total contributions received or receivable from participants | 2017-12-31 | $411,755 |
| Net income (gross income less expenses) | 2017-12-31 | $66,134 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $296,399 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $230,265 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $2,634,000 |
| 2016 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $2,420,491 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $2,449,270 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $2,449,270 |
| Total plan assets at end of year | 2016-12-31 | $230,265 |
| Total plan assets at beginning of year | 2016-12-31 | $259,044 |
| Total contributions received or receivable from participants | 2016-12-31 | $384,491 |
| Net income (gross income less expenses) | 2016-12-31 | $-28,779 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $230,265 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $259,044 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $2,036,000 |
| 2015 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $2,511,385 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $2,527,341 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $2,527,341 |
| Total plan assets at end of year | 2015-12-31 | $259,044 |
| Total plan assets at beginning of year | 2015-12-31 | $275,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $615,100 |
| Net income (gross income less expenses) | 2015-12-31 | $-15,956 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $259,044 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $275,000 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $1,896,285 |
| 2014 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $2,166,541 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $2,234,268 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $2,234,268 |
| Total plan assets at end of year | 2014-12-31 | $275,000 |
| Total plan assets at beginning of year | 2014-12-31 | $342,727 |
| Total contributions received or receivable from participants | 2014-12-31 | $349,740 |
| Net income (gross income less expenses) | 2014-12-31 | $-67,727 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $275,000 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $342,727 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $1,816,801 |
| 2013 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $1,986,596 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $1,943,869 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $1,943,869 |
| Total plan assets at end of year | 2013-12-31 | $342,727 |
| Total plan assets at beginning of year | 2013-12-31 | $300,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $352,996 |
| Net income (gross income less expenses) | 2013-12-31 | $42,727 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $342,727 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $300,000 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $1,633,600 |
| 2012 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $1,828,012 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $1,978,012 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $1,978,012 |
| Total plan assets at end of year | 2012-12-31 | $300,000 |
| Total plan assets at beginning of year | 2012-12-31 | $450,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $354,418 |
| Net income (gross income less expenses) | 2012-12-31 | $-150,000 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $300,000 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $450,000 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $1,473,594 |
| 2011 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $2,221,442 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $2,158,933 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $2,158,933 |
| Total plan assets at end of year | 2011-12-31 | $450,000 |
| Total plan assets at beginning of year | 2011-12-31 | $387,491 |
| Total contributions received or receivable from participants | 2011-12-31 | $316,315 |
| Net income (gross income less expenses) | 2011-12-31 | $62,509 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $450,000 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $387,491 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $1,905,127 |
| 2010 : FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $2,579,615 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $2,457,809 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $2,457,809 |
| Total plan assets at end of year | 2010-12-31 | $387,491 |
| Total plan assets at beginning of year | 2010-12-31 | $265,685 |
| Total contributions received or receivable from participants | 2010-12-31 | $282,616 |
| Net income (gross income less expenses) | 2010-12-31 | $121,806 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $387,491 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $265,685 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $2,296,999 |
| 2022: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: FABER, COE & GREGG INC. GROUP INSURANCE PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235030 |
| Policy instance | 2 |
| Insurance contract or identification number | 235030 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Total amount of commissions paid to insurance broker | USD $86,922 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $86,922 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05958126 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05958126 | | Number of Individuals Covered | 441 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Total amount of commissions paid to insurance broker | USD $5,097 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,097 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235030 |
| Policy instance | 2 |
| Insurance contract or identification number | 235030 | | Number of Individuals Covered | 190 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2022-02-28 | | Total amount of commissions paid to insurance broker | USD $76,555 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $76,555 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05958126 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05958126 | | Number of Individuals Covered | 282 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $3,963 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,963 | | Insurance broker organization code? | 3 |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235030 |
| Policy instance | 2 |
| Insurance contract or identification number | 235030 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $8,064,071 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $80,641 | | Insurance broker organization code? | 3 |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5958126 |
| Policy instance | 1 |
| Insurance contract or identification number | 5958126 | | Number of Individuals Covered | 254 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $4,716 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,716 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235030 |
| Policy instance | 2 |
| Insurance contract or identification number | 235030 | | Number of Individuals Covered | 257 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $107,050 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $107,050 | | Insurance broker organization code? | 3 |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5958126 |
| Policy instance | 1 |
| Insurance contract or identification number | 5958126 | | Number of Individuals Covered | 445 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $4,769 | | Total amount of fees paid to insurance company | USD $12 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,769 | | Amount paid for insurance broker fees | 12 | | Insurance broker organization code? | 3 |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235212 |
| Policy instance | 1 |
| Insurance contract or identification number | 235212 | | Number of Individuals Covered | 407 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $6,194 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,194 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235030 |
| Policy instance | 2 |
| Insurance contract or identification number | 235030 | | Number of Individuals Covered | 238 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $84,653 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,982 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235212 |
| Policy instance | 1 |
| Insurance contract or identification number | 235212 | | Number of Individuals Covered | 428 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $6,218 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,218 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | ALLEN AND STULTS CO |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235030 |
| Policy instance | 2 |
| Insurance contract or identification number | 235030 | | Number of Individuals Covered | 231 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $78,835 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $75,336 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | MERITAIN HEALTH INC |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235212 |
| Policy instance | 1 |
| Insurance contract or identification number | 235212 | | Number of Individuals Covered | 454 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $5,354 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,354 | | Insurance broker organization code? | 3 | | Insurance broker name | ALLEN AND STULTS CO |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235030 |
| Policy instance | 2 |
| Insurance contract or identification number | 235030 | | Number of Individuals Covered | 208 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $75,447 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $67,393 | | Insurance broker organization code? | 3 | | Insurance broker name | MERITAIN HEALTH INC |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235212 |
| Policy instance | 2 |
| Insurance contract or identification number | 235212 | | Number of Individuals Covered | 185 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $56,688 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $56,688 | | Insurance broker organization code? | 3 | | Insurance broker name | ALLEN AND STULTS CO |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 235212 |
| Policy instance | 1 |
| Insurance contract or identification number | 235212 | | Number of Individuals Covered | 441 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $5,790 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,790 | | Insurance broker organization code? | 3 | | Insurance broker name | ALLEN AND STULTS CO |
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| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 648159 |
| Policy instance | 1 |
| Insurance contract or identification number | 648159 | | Number of Individuals Covered | 396 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $4,058 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,058 | | Insurance broker organization code? | 3 | | Insurance broker name | ALLEN AND STULTS CO |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05732021 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05732021 | | Number of Individuals Covered | 442 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | METROPOLITAN LIFE INSURANCE COMPANY |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05732021 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05732021 | | Number of Individuals Covered | 442 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05732021 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05732021 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $2,493 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $13,596 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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