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WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 401k Plan overview

Plan NameWM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN
Plan identification number 502

WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

WM. D. SCEPANIAK FRINGE BENEFIT PLAN has sponsored the creation of one or more 401k plans.

Company Name:WM. D. SCEPANIAK FRINGE BENEFIT PLAN
Employer identification number (EIN):201275316
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022021-05-01
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01JOSEPH SCEPANIAK
5022016-05-01JOSEPH SCEPANIAK
5022015-05-01JOSEPH SCEPANIAK
5022014-05-01JOSEPH SCEPANIAK
5022013-05-01JOSEPH SCEPANIAK
5022012-05-01JOSEPH SCEPANIAK
5022011-05-01JOSEPH SCEPANIAK
5022009-05-01JOSEPH SCEPANIAK

Plan Statistics for WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN

401k plan membership statisitcs for WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN

Measure Date Value
2022: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-0171
Total number of active participants reported on line 7a of the Form 55002022-05-0171
Number of retired or separated participants receiving benefits2022-05-0151
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-01122
2021: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01100
Total number of active participants reported on line 7a of the Form 55002021-05-0182
Number of retired or separated participants receiving benefits2021-05-0168
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01150
2020: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-0192
Total number of active participants reported on line 7a of the Form 55002020-05-01100
Number of retired or separated participants receiving benefits2020-05-0143
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01143
2019: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-0165
Total number of active participants reported on line 7a of the Form 55002019-05-0192
Number of retired or separated participants receiving benefits2019-05-0155
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01147
2018: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-0169
Total number of active participants reported on line 7a of the Form 55002018-05-0165
Number of retired or separated participants receiving benefits2018-05-0164
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-01129
2017: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01109
Total number of active participants reported on line 7a of the Form 55002017-05-0169
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0169
2016: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-0195
Total number of active participants reported on line 7a of the Form 55002016-05-01125
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01125
2015: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-0189
Total number of active participants reported on line 7a of the Form 55002015-05-0195
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0195
2014: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-0187
Total number of active participants reported on line 7a of the Form 55002014-05-0189
Number of retired or separated participants receiving benefits2014-05-0111
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-01100
2013: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-0194
Total number of active participants reported on line 7a of the Form 55002013-05-0187
Number of retired or separated participants receiving benefits2013-05-0120
Total of all active and inactive participants2013-05-01107
2012: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-0142
Total number of active participants reported on line 7a of the Form 55002012-05-0194
Number of retired or separated participants receiving benefits2012-05-0118
Total of all active and inactive participants2012-05-01112
2011: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-0160
Total number of active participants reported on line 7a of the Form 55002011-05-0142
Number of retired or separated participants receiving benefits2011-05-0131
Total of all active and inactive participants2011-05-0173
2009: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-0160
Total number of active participants reported on line 7a of the Form 55002009-05-0140
Number of retired or separated participants receiving benefits2009-05-0121
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-0161

Financial Data on WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN

Measure Date Value
2023 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2023 401k financial data
Total income from all sources2023-04-30$764,899
Expenses. Total of all expenses incurred2023-04-30$656,254
Benefits paid (including direct rollovers)2023-04-30$637,739
Total plan assets at end of year2023-04-30$593,536
Total plan assets at beginning of year2023-04-30$484,891
Expenses. Other expenses not covered elsewhere2023-04-30$18,515
Other income received2023-04-30$4,091
Net income (gross income less expenses)2023-04-30$108,645
Net plan assets at end of year (total assets less liabilities)2023-04-30$593,536
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$484,891
Total contributions received or receivable from employer(s)2023-04-30$760,808
2022 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2022 401k financial data
Total income from all sources2022-04-30$633,160
Expenses. Total of all expenses incurred2022-04-30$659,082
Benefits paid (including direct rollovers)2022-04-30$641,356
Total plan assets at end of year2022-04-30$484,891
Total plan assets at beginning of year2022-04-30$510,813
Expenses. Other expenses not covered elsewhere2022-04-30$17,726
Other income received2022-04-30$265
Net income (gross income less expenses)2022-04-30$-25,922
Net plan assets at end of year (total assets less liabilities)2022-04-30$484,891
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$510,813
Total contributions received or receivable from employer(s)2022-04-30$632,895
2021 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2021 401k financial data
Total income from all sources2021-04-30$648,653
Expenses. Total of all expenses incurred2021-04-30$536,259
Benefits paid (including direct rollovers)2021-04-30$520,752
Total plan assets at end of year2021-04-30$510,813
Total plan assets at beginning of year2021-04-30$398,419
Expenses. Other expenses not covered elsewhere2021-04-30$15,507
Other income received2021-04-30$264
Net income (gross income less expenses)2021-04-30$112,394
Net plan assets at end of year (total assets less liabilities)2021-04-30$510,813
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$398,419
Total contributions received or receivable from employer(s)2021-04-30$648,389
2020 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-04-30$486,906
Expenses. Total of all expenses incurred2020-04-30$406,756
Benefits paid (including direct rollovers)2020-04-30$392,845
Total plan assets at end of year2020-04-30$398,419
Total plan assets at beginning of year2020-04-30$318,269
Expenses. Other expenses not covered elsewhere2020-04-30$13,911
Other income received2020-04-30$892
Net income (gross income less expenses)2020-04-30$80,150
Net plan assets at end of year (total assets less liabilities)2020-04-30$398,419
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$318,269
Total contributions received or receivable from employer(s)2020-04-30$486,014
2018 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2018 401k financial data
Total income from all sources2018-04-30$343,510
Expenses. Total of all expenses incurred2018-04-30$358,691
Benefits paid (including direct rollovers)2018-04-30$345,829
Total plan assets at end of year2018-04-30$312,366
Total plan assets at beginning of year2018-04-30$327,547
Expenses. Other expenses not covered elsewhere2018-04-30$12,862
Other income received2018-04-30$963
Net income (gross income less expenses)2018-04-30$-15,181
Net plan assets at end of year (total assets less liabilities)2018-04-30$312,366
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$327,547
Total contributions received or receivable from employer(s)2018-04-30$342,547
2017 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-04-30$413,876
Expenses. Total of all expenses incurred2017-04-30$322,619
Benefits paid (including direct rollovers)2017-04-30$309,248
Total plan assets at end of year2017-04-30$327,547
Total plan assets at beginning of year2017-04-30$236,290
Expenses. Other expenses not covered elsewhere2017-04-30$13,371
Other income received2017-04-30$569
Net income (gross income less expenses)2017-04-30$91,257
Net plan assets at end of year (total assets less liabilities)2017-04-30$327,547
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$236,290
Total contributions received or receivable from employer(s)2017-04-30$413,307
2016 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-04-30$303,402
Expenses. Total of all expenses incurred2016-04-30$288,859
Benefits paid (including direct rollovers)2016-04-30$276,553
Total plan assets at end of year2016-04-30$236,290
Total plan assets at beginning of year2016-04-30$221,747
Expenses. Other expenses not covered elsewhere2016-04-30$12,306
Other income received2016-04-30$296
Net income (gross income less expenses)2016-04-30$14,543
Net plan assets at end of year (total assets less liabilities)2016-04-30$236,290
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$221,747
Total contributions received or receivable from employer(s)2016-04-30$303,106
2015 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-04-30$254,053
Expenses. Total of all expenses incurred2015-04-30$219,746
Benefits paid (including direct rollovers)2015-04-30$208,256
Total plan assets at end of year2015-04-30$221,747
Total plan assets at beginning of year2015-04-30$187,440
Expenses. Other expenses not covered elsewhere2015-04-30$11,490
Other income received2015-04-30$186
Net income (gross income less expenses)2015-04-30$34,307
Net plan assets at end of year (total assets less liabilities)2015-04-30$221,747
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$187,440
Total contributions received or receivable from employer(s)2015-04-30$253,867
2014 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2014 401k financial data
Total income from all sources2014-04-30$219,996
Expenses. Total of all expenses incurred2014-04-30$199,149
Benefits paid (including direct rollovers)2014-04-30$188,291
Total plan assets at end of year2014-04-30$187,440
Total plan assets at beginning of year2014-04-30$166,593
Expenses. Other expenses not covered elsewhere2014-04-30$10,858
Other income received2014-04-30$165
Net income (gross income less expenses)2014-04-30$20,847
Net plan assets at end of year (total assets less liabilities)2014-04-30$187,440
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$166,593
Total contributions received or receivable from employer(s)2014-04-30$219,831
2013 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-04-30$178,478
Expenses. Total of all expenses incurred2013-04-30$169,430
Benefits paid (including direct rollovers)2013-04-30$160,377
Total plan assets at end of year2013-04-30$166,593
Total plan assets at beginning of year2013-04-30$157,545
Expenses. Other expenses not covered elsewhere2013-04-30$9,053
Other income received2013-04-30$299
Net income (gross income less expenses)2013-04-30$9,048
Net plan assets at end of year (total assets less liabilities)2013-04-30$166,593
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$157,545
Total contributions received or receivable from employer(s)2013-04-30$178,179
2012 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-04-30$194,746
Expenses. Total of all expenses incurred2012-04-30$161,796
Benefits paid (including direct rollovers)2012-04-30$153,233
Total plan assets at end of year2012-04-30$157,545
Total plan assets at beginning of year2012-04-30$124,595
Expenses. Other expenses not covered elsewhere2012-04-30$8,563
Other income received2012-04-30$403
Net income (gross income less expenses)2012-04-30$32,950
Net plan assets at end of year (total assets less liabilities)2012-04-30$157,545
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$124,595
Total contributions received or receivable from employer(s)2012-04-30$194,343
2011 : WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2011 401k financial data
Total income from all sources2011-04-30$141,925
Expenses. Total of all expenses incurred2011-04-30$136,110
Benefits paid (including direct rollovers)2011-04-30$128,812
Total plan assets at end of year2011-04-30$124,595
Total plan assets at beginning of year2011-04-30$118,780
Expenses. Other expenses not covered elsewhere2011-04-30$7,298
Other income received2011-04-30$1,104
Net income (gross income less expenses)2011-04-30$5,815
Net plan assets at end of year (total assets less liabilities)2011-04-30$124,595
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$118,780
Total contributions received or receivable from employer(s)2011-04-30$140,821

Form 5500 Responses for WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN

2022: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2009: WM. D. SCEPANIAK, INC. EMPLOYEE'S FRINGE BENEFIT PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number284149
Policy instance 1
Insurance contract or identification number284149
Number of Individuals Covered122
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number309359
Policy instance 1
Insurance contract or identification number309359
Number of Individuals Covered143
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number309359
Policy instance 1
Insurance contract or identification number309359
Number of Individuals Covered143
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $14,869
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $521,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,869
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered110
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $7,095
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $544,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,095
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered110
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $17,762
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $455,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,762
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered110
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of fees paid to insurance companyUSD $13,587
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $340,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13587
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
Insurance broker nameJAMES ODEGARD
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered110
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of fees paid to insurance companyUSD $7,258
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $228,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7163
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
Insurance broker nameLISA RASMUSSEN
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered110
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $7,543
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $208,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,543
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
Insurance broker nameJAMES ODEGARD
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered112
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $5,320
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $171,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,320
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
Insurance broker nameJAMES ODEGARD
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered112
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $6,783
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,783
Additional information about fees paid to insurance brokerPRODUCTION BONUSES 3
Insurance broker nameJAMES ODEGARD
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered73
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $5,947
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $132,073
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number19529
Policy instance 1
Insurance contract or identification number19529
Number of Individuals Covered85
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $6,181
Total amount of fees paid to insurance companyUSD $1,117
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $140,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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