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COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 401k Plan overview

Plan NameCOLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES
Plan identification number 506

COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

COLGATE-PALMOLIVE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:COLGATE-PALMOLIVE COMPANY
Employer identification number (EIN):131815595
NAIC Classification:325600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01
5062021-01-01
5062020-01-01
5062019-01-01
5062018-01-01
5062017-01-01LAURA FLAVIN
5062016-01-01LAURA FLAVIN
5062015-01-01LAURA FLAVIN
5062014-01-01LAURA FLAVIN
5062013-01-01LAURA FLAVIN
5062012-01-01MARTIN COLLINS HECTOR EREZUMA2013-10-10
5062011-01-01MARTIN COLLINS HECTOR EREZUMA2012-10-09
5062009-01-01MARTIN COLLINS HECTOR EREZUMA2010-10-15
5062009-01-01MARTIN COLLINS HECTOR EREZUMA2013-02-21

Plan Statistics for COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES

401k plan membership statisitcs for COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES

Measure Date Value
2022: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2022 401k membership
Total participants, beginning-of-year2022-01-016,946
Total number of active participants reported on line 7a of the Form 55002022-01-014,892
Number of retired or separated participants receiving benefits2022-01-012,356
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-017,248
2021: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2021 401k membership
Total participants, beginning-of-year2021-01-017,056
Total number of active participants reported on line 7a of the Form 55002021-01-014,714
Number of retired or separated participants receiving benefits2021-01-012,232
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-016,946
2020: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2020 401k membership
Total participants, beginning-of-year2020-01-017,617
Total number of active participants reported on line 7a of the Form 55002020-01-014,890
Number of retired or separated participants receiving benefits2020-01-012,166
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-017,056
2019: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2019 401k membership
Total participants, beginning-of-year2019-01-017,638
Total number of active participants reported on line 7a of the Form 55002019-01-014,741
Number of retired or separated participants receiving benefits2019-01-012,876
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-017,617
2018: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2018 401k membership
Total participants, beginning-of-year2018-01-016,819
Total number of active participants reported on line 7a of the Form 55002018-01-014,860
Number of retired or separated participants receiving benefits2018-01-012,778
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-017,638
2017: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2017 401k membership
Total participants, beginning-of-year2017-01-016,954
Total number of active participants reported on line 7a of the Form 55002017-01-014,918
Number of retired or separated participants receiving benefits2017-01-011,901
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-016,819
2016: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2016 401k membership
Total participants, beginning-of-year2016-01-016,823
Total number of active participants reported on line 7a of the Form 55002016-01-015,209
Number of retired or separated participants receiving benefits2016-01-011,745
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-016,954
2015: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2015 401k membership
Total participants, beginning-of-year2015-01-016,836
Total number of active participants reported on line 7a of the Form 55002015-01-015,210
Number of retired or separated participants receiving benefits2015-01-011,613
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-016,823
2014: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2014 401k membership
Total participants, beginning-of-year2014-01-016,945
Total number of active participants reported on line 7a of the Form 55002014-01-015,258
Number of retired or separated participants receiving benefits2014-01-011,578
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-016,836
2013: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2013 401k membership
Total participants, beginning-of-year2013-01-016,912
Total number of active participants reported on line 7a of the Form 55002013-01-015,375
Number of retired or separated participants receiving benefits2013-01-011,570
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-016,945
2012: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2012 401k membership
Total participants, beginning-of-year2012-01-016,737
Total number of active participants reported on line 7a of the Form 55002012-01-015,373
Number of retired or separated participants receiving benefits2012-01-011,539
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-016,912
2011: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2011 401k membership
Total participants, beginning-of-year2011-01-017,079
Total number of active participants reported on line 7a of the Form 55002011-01-015,451
Number of retired or separated participants receiving benefits2011-01-011,286
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-016,737
2009: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2009 401k membership
Total participants, beginning-of-year2009-01-016,984
Total number of active participants reported on line 7a of the Form 55002009-01-015,772
Number of retired or separated participants receiving benefits2009-01-011,421
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-017,193

Form 5500 Responses for COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES

2022: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: COLGATE-PALMOLIVE COMPANY LIFE INSURANCE PLAN FOR ACTIVE EMPLOYEES AND NON VEBA-FUNDED RETIREES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number804019G
Policy instance 1
Insurance contract or identification number804019G
Number of Individuals Covered12918
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $186,864
Total amount of fees paid to insurance companyUSD $156,180
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,353,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $186,864
Amount paid for insurance broker fees156180
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number804019G
Policy instance 1
Insurance contract or identification number804019G
Number of Individuals Covered12655
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $207,335
Total amount of fees paid to insurance companyUSD $96,842
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,096,293
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $207,335
Amount paid for insurance broker fees96842
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number804019G
Policy instance 1
Insurance contract or identification number804019G
Number of Individuals Covered7056
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $195,906
Total amount of fees paid to insurance companyUSD $134,975
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,582,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $195,906
Amount paid for insurance broker fees134975
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number654092
Policy instance 1
Insurance contract or identification number654092
Number of Individuals Covered7617
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $148,733
Total amount of fees paid to insurance companyUSD $31,261
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,586,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $148,733
Amount paid for insurance broker fees31261
Additional information about fees paid to insurance brokerGI Q4 2018 BONUS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number654092
Policy instance 1
Insurance contract or identification number654092
Number of Individuals Covered5855
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $184,853
Total amount of fees paid to insurance companyUSD $140,430
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,671,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $184,853
Amount paid for insurance broker fees35028
Additional information about fees paid to insurance brokerGI Q2 2018 BONUS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number654092
Policy instance 1
Insurance contract or identification number654092
Number of Individuals Covered9719
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $214,089
Total amount of fees paid to insurance companyUSD $143,903
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,212,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $214,089
Amount paid for insurance broker fees108528
Additional information about fees paid to insurance brokerGI 2017 BONUS - NEW BUSINESS
Insurance broker organization code?3
Insurance broker namePACIFIC RESOURCES BENEFITS ADVISORS

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