NATIONAL PIPE & PLASTICS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN
401k plan membership statisitcs for NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN
| Measure | Date | Value |
|---|
| 2022: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 231 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 218 |
| Total of all active and inactive participants | 2022-01-01 | 218 |
| Total participants | 2022-01-01 | 218 |
| 2021: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 228 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 231 |
| Total of all active and inactive participants | 2021-01-01 | 231 |
| Total participants | 2021-01-01 | 231 |
| 2020: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 226 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 228 |
| Total of all active and inactive participants | 2020-01-01 | 228 |
| Total participants | 2020-01-01 | 228 |
| 2019: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 239 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 226 |
| Total of all active and inactive participants | 2019-01-01 | 226 |
| Total participants | 2019-01-01 | 226 |
| Number of participants with account balances | 2019-01-01 | 0 |
| 2018: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 243 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 239 |
| Total of all active and inactive participants | 2018-01-01 | 239 |
| Total participants | 2018-01-01 | 239 |
| 2017: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 240 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 243 |
| Total of all active and inactive participants | 2017-01-01 | 243 |
| Total participants | 2017-01-01 | 243 |
| 2016: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 234 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 240 |
| Total of all active and inactive participants | 2016-01-01 | 240 |
| Total participants | 2016-01-01 | 240 |
| 2015: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 229 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 234 |
| Total of all active and inactive participants | 2015-01-01 | 234 |
| Total participants | 2015-01-01 | 0 |
| 2014: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 204 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 229 |
| Total of all active and inactive participants | 2014-01-01 | 229 |
| Total participants | 2014-01-01 | 0 |
| 2013: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 192 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 204 |
| Total of all active and inactive participants | 2013-01-01 | 204 |
| Total participants | 2013-01-01 | 0 |
| 2012: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 192 |
| Total of all active and inactive participants | 2012-01-01 | 192 |
| Total participants | 2012-01-01 | 0 |
| 2011: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 181 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 185 |
| Total of all active and inactive participants | 2011-01-01 | 185 |
| Total participants | 2011-01-01 | 185 |
| 2010: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 169 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 181 |
| Total of all active and inactive participants | 2010-01-01 | 181 |
| Total participants | 2010-01-01 | 181 |
| 2009: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 173 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 169 |
| Total of all active and inactive participants | 2009-01-01 | 169 |
| Total participants | 2009-01-01 | 169 |
| 2022: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: NATIONAL PIPE & PLASTICS, INC. CAFETERIA 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: NATIONAL PIPE & PLASTICS, INC. CAFETERIA 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: NATIONAL PIPE & PLASTICS, INC. CAFETERIA 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: NATIONAL PIPE & PLASTICS, INC. CAFETERIA 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: NATIONAL PIPE & PLASTICS, INC. CAFETERIA 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 |
| 2010: NATIONAL PIPE & PLASTICS, INC. CAFETERIA PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: NATIONAL PIPE & PLASTICS, INC. CAFETERIA 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 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 882321G |
| Policy instance | 2 |
| Insurance contract or identification number | 882321G | | Number of Individuals Covered | 144 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $3,464 | | Total amount of fees paid to insurance company | USD $620 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability 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 $3,464 | | Amount paid for insurance broker fees | 620 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00031670 |
| Policy instance | 1 |
| Insurance contract or identification number | 00031670 | | Number of Individuals Covered | 194 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $81,662 | | 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 $81,662 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 882321G |
| Policy instance | 2 |
| Insurance contract or identification number | 882321G | | Number of Individuals Covered | 149 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $3,469 | | Total amount of fees paid to insurance company | USD $631 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability 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 $3,469 | | Amount paid for insurance broker fees | 631 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00031670 |
| Policy instance | 1 |
| Insurance contract or identification number | 00031670 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $79,301 | | 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 $79,301 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 882321G |
| Policy instance | 2 |
| Insurance contract or identification number | 882321G | | Number of Individuals Covered | 145 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $2,867 | | Total amount of fees paid to insurance company | USD $842 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability 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 $2,867 | | Amount paid for insurance broker fees | 842 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00031670 |
| Policy instance | 1 |
| Insurance contract or identification number | 00031670 | | Number of Individuals Covered | 207 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $72,882 | | 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 $72,882 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00031670 |
| Policy instance | 1 |
| Insurance contract or identification number | 00031670 | | Number of Individuals Covered | 205 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $71,019 | | 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 $71,019 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 882321G |
| Policy instance | 2 |
| Insurance contract or identification number | 882321G | | Number of Individuals Covered | 153 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $3,030 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability 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 $3,030 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 882321G |
| Policy instance | 2 |
| Insurance contract or identification number | 882321G | | Number of Individuals Covered | 152 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $2,830 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability 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 $2,830 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON PERTENTAGE OF PREMIUMS | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00031670 |
| Policy instance | 1 |
| Insurance contract or identification number | 00031670 | | Number of Individuals Covered | 219 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $67,206 | | 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 $54,338 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00477683 |
| Policy instance | 3 |
| Insurance contract or identification number | 00477683 | | Number of Individuals Covered | 163 | | Insurance policy start date | 2016-05-01 | | Insurance policy end date | 2017-04-30 | | Total amount of commissions paid to insurance broker | USD $10,821 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,821 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | MMG AGENCY INC |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00477683 |
| Policy instance | 2 |
| Insurance contract or identification number | 00477683 | | Number of Individuals Covered | 155 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2017-09-30 | | Total amount of commissions paid to insurance broker | USD $4,649 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,649 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | MMG AGENCY INC |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00031670 |
| Policy instance | 1 |
| Insurance contract or identification number | 00031670 | | Number of Individuals Covered | 213 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $72,072 | | 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 $72,072 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | GEORGE L. WLADIS COMPANIES, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00477683 |
| Policy instance | 2 |
| Insurance contract or identification number | 00477683 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $10,689 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,689 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | MMG AGENCY INC |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00031670 |
| Policy instance | 1 |
| Insurance contract or identification number | 00031670 | | Number of Individuals Covered | 223 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $74,243 | | 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 $74,243 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | GEORGE L WALDIS CO |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00477683 |
| Policy instance | 2 |
| Insurance contract or identification number | 00477683 | | Number of Individuals Covered | 157 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $9,890 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,890 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | MMG AGENCY INC |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | CLPALLMRP_00794 |
| Policy instance | 1 |
| Insurance contract or identification number | CLPALLMRP_00794 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $69,272 | | 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 $69,272 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | GEORGE L WALDIS CO |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | CLPALLMRP_00794 |
| Policy instance | 1 |
| Insurance contract or identification number | CLPALLMRP_00794 | | Number of Individuals Covered | 195 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $7,260 | | 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 $7,260 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | GEORGE L WALDIS CO |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00477683 |
| Policy instance | 2 |
| Insurance contract or identification number | 00477683 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $9,313 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,313 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | MMG AGENCY INC |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | CLPALLMRP_00794 |
| Policy instance | 2 |
| Insurance contract or identification number | CLPALLMRP_00794 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00477683 |
| Policy instance | 1 |
| Insurance contract or identification number | 00477683 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $8,826 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,826 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | MMG AGENCY INC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 01813 |
| Policy instance | 1 |
| Insurance contract or identification number | 01813 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $5,025 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | CLPALLMRP_00794 |
| Policy instance | 2 |
| Insurance contract or identification number | CLPALLMRP_00794 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 01813 |
| Policy instance | 1 |
| Insurance contract or identification number | 01813 | | Number of Individuals Covered | 136 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $4,969 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,969 | | Additional information about fees paid to insurance broker | INCREMENTAL COMMISSION PROGRAM BASED ON TOTAL NEW CASES | | Insurance broker organization code? | 3 | | Insurance broker name | HAGEDORN & CO |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | CLPALLMRP_00794 |
| Policy instance | 2 |
| Insurance contract or identification number | CLPALLMRP_00794 | | Number of Individuals Covered | 341 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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