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IBEW/NECA HEALTH AND BENEFIT PLAN 401k Plan overview

Plan NameIBEW/NECA HEALTH AND BENEFIT PLAN
Plan identification number 501

IBEW/NECA HEALTH AND BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

IBEW/NECA HEALTH BENEFIT PLAN has sponsored the creation of one or more 401k plans.

Company Name:IBEW/NECA HEALTH BENEFIT PLAN
Employer identification number (EIN):141885053
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IBEW/NECA HEALTH AND BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01

Plan Statistics for IBEW/NECA HEALTH AND BENEFIT PLAN

401k plan membership statisitcs for IBEW/NECA HEALTH AND BENEFIT PLAN

Measure Date Value
2021: IBEW/NECA HEALTH AND BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-010
Total number of active participants reported on line 7a of the Form 55002021-07-010
Total of all active and inactive participants2021-07-010
2020: IBEW/NECA HEALTH AND BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-010
Total number of active participants reported on line 7a of the Form 55002020-07-010
Total of all active and inactive participants2020-07-010
2019: IBEW/NECA HEALTH AND BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-010
Total number of active participants reported on line 7a of the Form 55002019-07-010
Total of all active and inactive participants2019-07-010
2018: IBEW/NECA HEALTH AND BENEFIT PLAN 2018 401k membership
Total number of active participants reported on line 7a of the Form 55002018-07-010
Total of all active and inactive participants2018-07-010
2016: IBEW/NECA HEALTH AND BENEFIT PLAN 2016 401k membership
Total number of active participants reported on line 7a of the Form 55002016-07-010
Total of all active and inactive participants2016-07-010
2015: IBEW/NECA HEALTH AND BENEFIT PLAN 2015 401k membership
Total number of active participants reported on line 7a of the Form 55002015-07-010
Total of all active and inactive participants2015-07-010
2014: IBEW/NECA HEALTH AND BENEFIT PLAN 2014 401k membership
Total number of active participants reported on line 7a of the Form 55002014-07-01174
Total of all active and inactive participants2014-07-01174
2013: IBEW/NECA HEALTH AND BENEFIT PLAN 2013 401k membership
Total number of active participants reported on line 7a of the Form 55002013-07-01231
Total of all active and inactive participants2013-07-01231

Financial Data on IBEW/NECA HEALTH AND BENEFIT PLAN

Measure Date Value
2022 : IBEW/NECA HEALTH AND BENEFIT PLAN 2022 401k financial data
Total income from all sources2022-06-30$266
Expenses. Total of all expenses incurred2022-06-30$33,975
Total plan assets at end of year2022-06-30$649,185
Total plan assets at beginning of year2022-06-30$682,894
Other income received2022-06-30$266
Net income (gross income less expenses)2022-06-30$-33,709
Net plan assets at end of year (total assets less liabilities)2022-06-30$649,185
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$682,894
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$33,975
2021 : IBEW/NECA HEALTH AND BENEFIT PLAN 2021 401k financial data
Total income from all sources2021-06-30$268
Expenses. Total of all expenses incurred2021-06-30$4,434
Total plan assets at end of year2021-06-30$682,894
Total plan assets at beginning of year2021-06-30$687,060
Other income received2021-06-30$268
Net income (gross income less expenses)2021-06-30$-4,166
Net plan assets at end of year (total assets less liabilities)2021-06-30$682,894
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$687,060
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$4,434
2020 : IBEW/NECA HEALTH AND BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-06-30$3,196
Expenses. Total of all expenses incurred2020-06-30$170,307
Benefits paid (including direct rollovers)2020-06-30$166,099
Total plan assets at end of year2020-06-30$687,060
Total plan assets at beginning of year2020-06-30$854,171
Contributions received from other sources (not participants or employers)2020-06-30$1,025
Other income received2020-06-30$2,171
Net income (gross income less expenses)2020-06-30$-167,111
Net plan assets at end of year (total assets less liabilities)2020-06-30$687,060
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$854,171
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$4,208
2019 : IBEW/NECA HEALTH AND BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-06-30$4,760
Expenses. Total of all expenses incurred2019-06-30$360,849
Benefits paid (including direct rollovers)2019-06-30$352,241
Total plan assets at end of year2019-06-30$854,171
Total plan assets at beginning of year2019-06-30$1,210,260
Other income received2019-06-30$4,760
Net income (gross income less expenses)2019-06-30$-356,089
Net plan assets at end of year (total assets less liabilities)2019-06-30$854,171
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$1,210,260
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$8,608
2018 : IBEW/NECA HEALTH AND BENEFIT PLAN 2018 401k financial data
Total income from all sources2018-06-30$3,328
Expenses. Total of all expenses incurred2018-06-30$10,729
Total plan assets at end of year2018-06-30$1,210,260
Total plan assets at beginning of year2018-06-30$1,217,661
Other income received2018-06-30$3,328
Net income (gross income less expenses)2018-06-30$-7,401
Net plan assets at end of year (total assets less liabilities)2018-06-30$1,210,260
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$1,217,661
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$10,729
2017 : IBEW/NECA HEALTH AND BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-06-30$0
Total plan liabilities at beginning of year2017-06-30$68,781
Total income from all sources2017-06-30$98,922
Expenses. Total of all expenses incurred2017-06-30$218,637
Benefits paid (including direct rollovers)2017-06-30$193,911
Total plan assets at end of year2017-06-30$1,217,661
Total plan assets at beginning of year2017-06-30$1,406,157
Total contributions received or receivable from participants2017-06-30$97,882
Expenses. Other expenses not covered elsewhere2017-06-30$726
Other income received2017-06-30$1,040
Net income (gross income less expenses)2017-06-30$-119,715
Net plan assets at end of year (total assets less liabilities)2017-06-30$1,217,661
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$1,337,376
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$24,000
2016 : IBEW/NECA HEALTH AND BENEFIT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$68,781
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$82,108
Total income from all sources (including contributions)2016-06-30$1,337,792
Total of all expenses incurred2016-06-30$1,106,901
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$672,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$1,336,868
Value of total assets at end of year2016-06-30$1,406,157
Value of total assets at beginning of year2016-06-30$1,188,593
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$434,434
Total interest from all sources2016-06-30$924
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$36,000
Was this plan covered by a fidelity bond2016-06-30No
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$90,799
Administrative expenses (other) incurred2016-06-30$7,095
Total non interest bearing cash at end of year2016-06-30$846,879
Total non interest bearing cash at beginning of year2016-06-30$528,538
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$230,891
Value of net assets at end of year (total assets less liabilities)2016-06-30$1,337,376
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,106,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$520,201
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$519,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$519,192
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$924
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$1,246,069
Employer contributions (assets) at end of year2016-06-30$39,077
Employer contributions (assets) at beginning of year2016-06-30$140,863
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$672,467
Contract administrator fees2016-06-30$391,339
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Liabilities. Value of benefit claims payable at end of year2016-06-30$68,781
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$82,108
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30STRICKLER & PRIETO, LLP
Accountancy firm EIN2016-06-30742929617
2015 : IBEW/NECA HEALTH AND BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$82,108
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$231,783
Total income from all sources (including contributions)2015-06-30$1,786,086
Total of all expenses incurred2015-06-30$2,160,086
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$2,055,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$1,785,308
Value of total assets at end of year2015-06-30$1,188,593
Value of total assets at beginning of year2015-06-30$1,712,268
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$104,873
Total interest from all sources2015-06-30$778
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30No
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$88,203
Administrative expenses (other) incurred2015-06-30$104,873
Total non interest bearing cash at end of year2015-06-30$528,538
Total non interest bearing cash at beginning of year2015-06-30$1,084,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-374,000
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,106,485
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$1,480,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$519,192
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$518,414
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$518,414
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$778
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$206,792
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$1,697,105
Employer contributions (assets) at end of year2015-06-30$140,863
Employer contributions (assets) at beginning of year2015-06-30$109,752
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$1,848,421
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Liabilities. Value of benefit claims payable at end of year2015-06-30$82,108
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$231,783
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30STRICKLER & PRIETO, LLP
Accountancy firm EIN2015-06-30742929617
2014 : IBEW/NECA HEALTH AND BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$231,783
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$682,392
Total income from all sources (including contributions)2014-06-30$1,969,502
Total of all expenses incurred2014-06-30$1,940,277
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$1,624,912
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$1,836,089
Value of total assets at end of year2014-06-30$1,712,268
Value of total assets at beginning of year2014-06-30$2,133,652
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$315,365
Total interest from all sources2014-06-30$932
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30No
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$19,517
Other income not declared elsewhere2014-06-30$132,481
Administrative expenses (other) incurred2014-06-30$315,365
Total non interest bearing cash at end of year2014-06-30$1,084,102
Total non interest bearing cash at beginning of year2014-06-30$1,424,629
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$29,225
Value of net assets at end of year (total assets less liabilities)2014-06-30$1,480,485
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,451,260
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$518,414
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$517,482
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$517,482
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$932
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$284,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$1,816,572
Employer contributions (assets) at end of year2014-06-30$109,752
Employer contributions (assets) at beginning of year2014-06-30$191,541
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$1,340,523
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Liabilities. Value of benefit claims payable at end of year2014-06-30$231,783
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$682,392
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30FERNIE ACEVES

Form 5500 Responses for IBEW/NECA HEALTH AND BENEFIT PLAN

2021: IBEW/NECA HEALTH AND BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement - TrustYes
2020: IBEW/NECA HEALTH AND BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement - TrustYes
2019: IBEW/NECA HEALTH AND BENEFIT PLAN 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement - TrustYes
2018: IBEW/NECA HEALTH AND BENEFIT PLAN 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement - TrustYes
2017: IBEW/NECA HEALTH AND BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement - TrustYes
2016: IBEW/NECA HEALTH AND BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement - TrustYes
2015: IBEW/NECA HEALTH AND BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement - TrustYes
2014: IBEW/NECA HEALTH AND BENEFIT PLAN 2014 form 5500 responses
2014-07-01Type of plan entityMulitple employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement - TrustYes
2013: IBEW/NECA HEALTH AND BENEFIT PLAN 2013 form 5500 responses
2013-07-01Type of plan entityMulitple employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberPOT52669
Policy instance 1
Insurance contract or identification numberPOT52669
Number of Individuals Covered42
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $161,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTERN RESERVE LIFE ASSURANCE-NORTHWIND, LLC (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract number6600575337
Policy instance 2
Insurance contract or identification number6600575337
Number of Individuals Covered1
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberPOT52669
Policy instance 1
Insurance contract or identification numberPOT52669
Number of Individuals Covered46
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $202,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees202241
Additional information about fees paid to insurance brokerINSURANCE CARRIER
Insurance broker organization code?0
WESTERN RESERVE LIFE ASSURANCE-NORTHWIND, LLC (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract number6600575337
Policy instance 2
Insurance contract or identification number6600575337
Number of Individuals Covered13
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $65,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees65000
Additional information about fees paid to insurance brokerINSURANCE CARRIER
Insurance broker organization code?0
STATE FARM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69108 )
Policy contract number3795-4157U
Policy instance 3
Insurance contract or identification number3795-4157U
Number of Individuals Covered17
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $85,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees85000
Additional information about fees paid to insurance brokerINSURANCE CARRIER
Insurance broker organization code?0
UNIVERSITY FIDELITY ADMINISTRATION (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract number
Policy instance 1
Number of Individuals Covered226
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $402,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees253314
Additional information about fees paid to insurance brokerSTOP LOSS CARRIER
Insurance broker organization code?0
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number
Policy instance 1
Number of Individuals Covered174
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $242,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees172500
Additional information about fees paid to insurance brokerSTOP LOSS CARRIER
Insurance broker organization code?0
PERICO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract numberPX00399
Policy instance 1
Insurance contract or identification numberPX00399
Number of Individuals Covered231
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $267,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees185373
Additional information about fees paid to insurance brokerSTOP LOSS CARRIER
Insurance broker organization code?0

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