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DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan NameDEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN
Plan identification number 501

DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

DEE HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name:DEE HOLDINGS, INC.
Employer identification number (EIN):200572514
NAIC Classification:484200
NAIC Description: Specialized Freight Trucking

Additional information about DEE HOLDINGS, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2003-11-03
Company Identification Number: 1421215
Legal Registered Office Address: 7021 STATE ROUTE 703
-
CELINA
United States of America (USA)
45822

More information about DEE HOLDINGS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01F. EDWARD VOELKER
5012016-07-01F. EDWARD VOELKER
5012015-07-01F. EDWARD VOELKER
5012014-07-01F. EDWARD VOELKER
5012014-07-01F. EDWARD VOELKER
5012014-07-01F. EDWARD VOELKER
5012013-07-01F. EDWARD VOELKER
5012012-07-01F. EDWARD VOELKER
5012011-07-01F EDWARD VOELKER
5012010-07-01F EDWARD VOELKER
5012009-07-01T EDWARD VOELKER
5012009-07-01T EDWARD VOELKER

Plan Statistics for DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN

Measure Date Value
2022: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-011,552
Total number of active participants reported on line 7a of the Form 55002022-07-01834
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01834
2021: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-011,326
Total number of active participants reported on line 7a of the Form 55002021-07-01906
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01906
2020: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01812
Total number of active participants reported on line 7a of the Form 55002020-07-01963
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01963
2019: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01764
Total number of active participants reported on line 7a of the Form 55002019-07-01812
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01812
2018: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01682
Total number of active participants reported on line 7a of the Form 55002018-07-01764
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01764
2017: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01644
Total number of active participants reported on line 7a of the Form 55002017-07-01682
Total of all active and inactive participants2017-07-01682
Total participants2017-07-01682
2016: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01658
Total number of active participants reported on line 7a of the Form 55002016-07-01644
Total of all active and inactive participants2016-07-01644
Total participants2016-07-01644
2015: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01627
Total number of active participants reported on line 7a of the Form 55002015-07-01658
Total of all active and inactive participants2015-07-01658
Total participants2015-07-010
2014: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01575
Total number of active participants reported on line 7a of the Form 55002014-07-01627
Total of all active and inactive participants2014-07-01627
Total participants2014-07-010
2013: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01491
Total number of active participants reported on line 7a of the Form 55002013-07-01575
Total of all active and inactive participants2013-07-01575
Total participants2013-07-010
2012: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01478
Total number of active participants reported on line 7a of the Form 55002012-07-01491
Total of all active and inactive participants2012-07-01491
Total participants2012-07-010
2011: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01363
Total number of active participants reported on line 7a of the Form 55002011-07-01478
Total of all active and inactive participants2011-07-01478
Total participants2011-07-01478
2010: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01355
Total number of active participants reported on line 7a of the Form 55002010-07-01363
Total of all active and inactive participants2010-07-01363
Total participants2010-07-01363
2009: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01360
Total number of active participants reported on line 7a of the Form 55002009-07-01355
Total of all active and inactive participants2009-07-01355
Total participants2009-07-01355

Form 5500 Responses for DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN

2022: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: DEE HOLDINGS, INC. EMPLOYEE FLEXIBLE BENEFITS PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000021151
Policy instance 4
Insurance contract or identification number0000021151
Number of Individuals Covered433
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $60,232
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $339,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $142
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number72970-1
Policy instance 3
Insurance contract or identification number72970-1
Number of Individuals Covered834
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Other welfare benefits providedINDIVIDUAL EXCESS RISK
Welfare Benefit Premiums Paid to CarrierUSD $1,229,110
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 number00478561
Policy instance 2
Insurance contract or identification number00478561
Number of Individuals Covered1112
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $151,608
Total amount of fees paid to insurance companyUSD $18,251
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,281,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $151,608
Amount paid for insurance broker fees18251
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberW40228
Policy instance 1
Insurance contract or identification numberW40228
Number of Individuals Covered856
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Welfare Benefit Premiums Paid to CarrierUSD $118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberW40228
Policy instance 1
Insurance contract or identification numberW40228
Number of Individuals Covered714
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Welfare Benefit Premiums Paid to CarrierUSD $1,047,619
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 number00478561
Policy instance 2
Insurance contract or identification number00478561
Number of Individuals Covered906
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $154,309
Total amount of fees paid to insurance companyUSD $22,867
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,306,741
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $154,309
Amount paid for insurance broker fees22867
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberBB509
Policy instance 3
Insurance contract or identification numberBB509
Number of Individuals Covered33
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $3,207
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $903
Insurance broker organization code?3
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000021151
Policy instance 4
Insurance contract or identification number0000021151
Number of Individuals Covered815
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $64,300
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $333,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,799
Insurance broker organization code?3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberW40228
Policy instance 1
Insurance contract or identification numberW40228
Number of Individuals Covered769
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Welfare Benefit Premiums Paid to CarrierUSD $1,831,119
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 number00478561
Policy instance 2
Insurance contract or identification number00478561
Number of Individuals Covered963
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $165,457
Total amount of fees paid to insurance companyUSD $16,241
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,410,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $165,457
Amount paid for insurance broker fees16241
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberBB509
Policy instance 3
Insurance contract or identification numberBB509
Number of Individuals Covered48
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $3,386
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $993
Insurance broker organization code?3
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000021151
Policy instance 4
Insurance contract or identification number0000021151
Number of Individuals Covered729
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $77,673
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $342,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,072
Insurance broker organization code?3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberW40228
Policy instance 1
Insurance contract or identification numberW40228
Number of Individuals Covered812
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Welfare Benefit Premiums Paid to CarrierUSD $3,879,771
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 number00478561
Policy instance 2
Insurance contract or identification number00478561
Number of Individuals Covered1002
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $121,927
Total amount of fees paid to insurance companyUSD $23,646
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,042,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $121,927
Amount paid for insurance broker fees23646
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000021151
Policy instance 4
Insurance contract or identification number0000021151
Number of Individuals Covered717
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $75,240
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $324,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,072
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberBB509
Policy instance 3
Insurance contract or identification numberBB509
Number of Individuals Covered50
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $3,873
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,965
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,175
Insurance broker organization code?3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberW40228
Policy instance 1
Insurance contract or identification numberW40228
Number of Individuals Covered764
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Welfare Benefit Premiums Paid to CarrierUSD $1,313,627
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 number00478561
Policy instance 2
Insurance contract or identification number00478561
Number of Individuals Covered914
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $138,761
Total amount of fees paid to insurance companyUSD $23,360
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,190,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $138,761
Amount paid for insurance broker fees23360
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberBB509
Policy instance 3
Insurance contract or identification numberBB509
Number of Individuals Covered59
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $5,433
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,697
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberBB509
Policy instance 4
Insurance contract or identification numberBB509
Number of Individuals Covered66
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,544
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,931
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 number00478561
Policy instance 3
Insurance contract or identification number00478561
Number of Individuals Covered832
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $133,605
Total amount of fees paid to insurance companyUSD $19,701
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,147,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000021151
Policy instance 2
Insurance contract or identification number0000021151
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $51,431
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00091472
Policy instance 1
Insurance contract or identification number00091472
Number of Individuals Covered682
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $8,937
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $826,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00091472
Policy instance 1
Insurance contract or identification number00091472
Number of Individuals Covered658
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $687,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000021151
Policy instance 2
Insurance contract or identification number0000021151
Number of Individuals Covered278
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of fees paid to insurance companyUSD $66,420
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees40769
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameKRISTEN D PRESTON
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00478561
Policy instance 3
Insurance contract or identification number00478561
Number of Individuals Covered792
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $117,969
Total amount of fees paid to insurance companyUSD $22,407
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,020,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $117,969
Amount paid for insurance broker fees22407
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberBB509
Policy instance 4
Insurance contract or identification numberBB509
Number of Individuals Covered98
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $11,055
Total amount of fees paid to insurance companyUSD $244
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $95,420
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,600
Insurance broker organization code?3
Amount paid for insurance broker fees23
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker nameJOSEPH EVANS
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000021151
Policy instance 2
Insurance contract or identification number0000021151
Number of Individuals Covered204
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $34,598
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,057
Insurance broker organization code?3
Insurance broker nameKRISTEN D PRESTON
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00478561
Policy instance 3
Insurance contract or identification number00478561
Number of Individuals Covered740
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of fees paid to insurance companyUSD $116,883
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $919,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees116883
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00091472
Policy instance 1
Insurance contract or identification number00091472
Number of Individuals Covered627
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $635,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00091472
Policy instance 1
Insurance contract or identification number00091472
Number of Individuals Covered575
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $334,311
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 numberBB509
Policy instance 2
Insurance contract or identification numberBB509
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $25,135
Total amount of fees paid to insurance companyUSD $1,064
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $124,354
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,164
Amount paid for insurance broker fees665
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameJOHN TYLER
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number
Policy instance 3
Number of Individuals Covered650
Total amount of commissions paid to insurance brokerUSD $91,500
Total amount of fees paid to insurance companyUSD $9,850
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $697,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91,500
Amount paid for insurance broker fees9850
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameFIRST INSURANCE & INVESTMENTS
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberBB509
Policy instance 2
Insurance contract or identification numberBB509
Number of Individuals Covered140
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $23,254
Total amount of fees paid to insurance companyUSD $503
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $111,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Amount paid for insurance broker fees63
Insurance broker nameMICHEAL C. HURLEY
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00091472
Policy instance 3
Insurance contract or identification number00091472
Number of Individuals Covered491
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $77,416
Total amount of fees paid to insurance companyUSD $322,937
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $579,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,416
Amount paid for insurance broker fees9120
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameCOMMUNITY INSURANCE COMPANY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number
Policy instance 1
Number of Individuals Covered626
Total amount of commissions paid to insurance brokerUSD $88,541
Total amount of fees paid to insurance companyUSD $9,444
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $681,028
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $88,541
Amount paid for insurance broker fees9444
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWE
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00091472
Policy instance 3
Insurance contract or identification number00091472
Number of Individuals Covered383
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $124,577
Total amount of fees paid to insurance companyUSD $224,077
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $363,713
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 numberBB509
Policy instance 2
Insurance contract or identification numberBB509
Number of Individuals Covered139
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $23,883
Total amount of fees paid to insurance companyUSD $187
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1007469
Policy instance 1
Insurance contract or identification number1007469
Number of Individuals Covered478
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $79,666
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $484,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00091472
Policy instance 3
Insurance contract or identification number00091472
Number of Individuals Covered293
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $35,996
Total amount of fees paid to insurance companyUSD $197,834
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $269,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1007469
Policy instance 1
Insurance contract or identification number1007469
Number of Individuals Covered363
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $68,299
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $416,130
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 numberBB509
Policy instance 2
Insurance contract or identification numberBB509
Number of Individuals Covered123
Insurance policy start date2010-07-10
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $16,103
Total amount of fees paid to insurance companyUSD $316
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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