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ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 401k Plan overview

Plan NameILA LOCAL 153 AND INDUSTRY WELFARE PLAN
Plan identification number 501

ILA LOCAL 153 AND INDUSTRY WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

INTERNATIONAL LONGSHOREMEN'S LOCAL 153 AND INDUSTRY WELFARE TRUST has sponsored the creation of one or more 401k plans.

Company Name:INTERNATIONAL LONGSHOREMEN'S LOCAL 153 AND INDUSTRY WELFARE TRUST
Employer identification number (EIN):203675865
NAIC Classification:483000
NAIC Description: Water Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ILA LOCAL 153 AND INDUSTRY WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01WILLIAM J BACARELLA
5012016-01-01WILLIAM BACARELLA
5012015-01-01WILLIAM BACARELLA
5012014-01-01WILLIAM BACARELLA
5012013-01-01WILLIAM BACARELLA
5012012-01-01WILLIAM BACARELLA
5012011-01-01WILLIAM BACARELLA
5012010-01-01WILLIAM BACARELLA
5012009-01-01WILLIAM BACARELLA

Plan Statistics for ILA LOCAL 153 AND INDUSTRY WELFARE PLAN

401k plan membership statisitcs for ILA LOCAL 153 AND INDUSTRY WELFARE PLAN

Measure Date Value
2022: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0114
Total number of active participants reported on line 7a of the Form 55002022-01-0131
Total of all active and inactive participants2022-01-0131
Total participants2022-01-0131
2021: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-016
Total number of active participants reported on line 7a of the Form 55002021-01-0114
Total of all active and inactive participants2021-01-0114
2020: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-016
Number of retired or separated participants receiving benefits2020-01-016
Number of other retired or separated participants entitled to future benefits2020-01-016
Total of all active and inactive participants2020-01-0112
Number of employers contributing to the scheme2020-01-016
2019: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-016
Total number of active participants reported on line 7a of the Form 55002019-01-016
Total of all active and inactive participants2019-01-016
2018: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0110
Total number of active participants reported on line 7a of the Form 55002018-01-019
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-0110
2017: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-018
Number of retired or separated participants receiving benefits2017-01-018
Total of all active and inactive participants2017-01-018
2016: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-018
Number of retired or separated participants receiving benefits2016-01-018
Total of all active and inactive participants2016-01-018
2015: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-018
Number of retired or separated participants receiving benefits2015-01-0112
Total of all active and inactive participants2015-01-0112
2014: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-015
Total number of active participants reported on line 7a of the Form 55002014-01-018
Total of all active and inactive participants2014-01-018
2013: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-015
Total number of active participants reported on line 7a of the Form 55002013-01-015
Total of all active and inactive participants2013-01-015
2012: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-015
Total number of active participants reported on line 7a of the Form 55002012-01-015
Total of all active and inactive participants2012-01-015
2011: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-015
Total number of active participants reported on line 7a of the Form 55002011-01-015
Total of all active and inactive participants2011-01-015
2010: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-017
Total number of active participants reported on line 7a of the Form 55002010-01-015
Total of all active and inactive participants2010-01-015
2009: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0112
Total number of active participants reported on line 7a of the Form 55002009-01-017
Total of all active and inactive participants2009-01-017
Number of employers contributing to the scheme2009-01-012

Financial Data on ILA LOCAL 153 AND INDUSTRY WELFARE PLAN

Measure Date Value
2022 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2022 401k financial data
Total income from all sources2022-12-31$182,517
Expenses. Total of all expenses incurred2022-12-31$260,190
Benefits paid (including direct rollovers)2022-12-31$208,501
Total plan assets at end of year2022-12-31$59,546
Total plan assets at beginning of year2022-12-31$137,219
Other income received2022-12-31$1,638
Net income (gross income less expenses)2022-12-31$-77,673
Net plan assets at end of year (total assets less liabilities)2022-12-31$59,546
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$137,219
Total contributions received or receivable from employer(s)2022-12-31$180,879
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$51,689
2021 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2021 401k financial data
Total income from all sources2021-12-31$89,016
Expenses. Total of all expenses incurred2021-12-31$257,442
Benefits paid (including direct rollovers)2021-12-31$227,910
Total plan assets at end of year2021-12-31$137,219
Total plan assets at beginning of year2021-12-31$305,645
Other income received2021-12-31$17
Net income (gross income less expenses)2021-12-31$-168,426
Net plan assets at end of year (total assets less liabilities)2021-12-31$137,219
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$305,645
Total contributions received or receivable from employer(s)2021-12-31$88,999
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$29,532
2020 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2020 401k financial data
Total income from all sources2020-12-31$276,630
Expenses. Total of all expenses incurred2020-12-31$171,136
Benefits paid (including direct rollovers)2020-12-31$139,689
Total plan assets at end of year2020-12-31$305,645
Total plan assets at beginning of year2020-12-31$200,151
Other income received2020-12-31$701
Net income (gross income less expenses)2020-12-31$105,494
Net plan assets at end of year (total assets less liabilities)2020-12-31$305,645
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$200,151
Total contributions received or receivable from employer(s)2020-12-31$275,929
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$31,447
2019 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2019 401k financial data
Total income from all sources2019-12-31$168,433
Expenses. Total of all expenses incurred2019-12-31$266,760
Benefits paid (including direct rollovers)2019-12-31$235,184
Total plan assets at end of year2019-12-31$200,151
Total plan assets at beginning of year2019-12-31$298,478
Other income received2019-12-31$2,087
Net income (gross income less expenses)2019-12-31$-98,327
Net plan assets at end of year (total assets less liabilities)2019-12-31$200,151
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$298,478
Total contributions received or receivable from employer(s)2019-12-31$166,346
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$31,576
2018 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2018 401k financial data
Total income from all sources2018-12-31$272,529
Expenses. Total of all expenses incurred2018-12-31$147,482
Benefits paid (including direct rollovers)2018-12-31$122,041
Total plan assets at end of year2018-12-31$298,478
Total plan assets at beginning of year2018-12-31$173,431
Other income received2018-12-31$1,352
Net income (gross income less expenses)2018-12-31$125,047
Net plan assets at end of year (total assets less liabilities)2018-12-31$298,478
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$173,431
Total contributions received or receivable from employer(s)2018-12-31$271,177
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$25,441
2017 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2017 401k financial data
Total income from all sources2017-12-31$141,672
Expenses. Total of all expenses incurred2017-12-31$188,434
Benefits paid (including direct rollovers)2017-12-31$162,400
Total plan assets at end of year2017-12-31$173,431
Total plan assets at beginning of year2017-12-31$220,193
Other income received2017-12-31$483
Net income (gross income less expenses)2017-12-31$-46,762
Net plan assets at end of year (total assets less liabilities)2017-12-31$173,431
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$220,193
Total contributions received or receivable from employer(s)2017-12-31$141,189
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$26,034
2016 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2016 401k financial data
Total income from all sources2016-12-31$182,250
Expenses. Total of all expenses incurred2016-12-31$172,141
Benefits paid (including direct rollovers)2016-12-31$145,152
Total plan assets at end of year2016-12-31$220,193
Total plan assets at beginning of year2016-12-31$210,084
Other income received2016-12-31$290
Net income (gross income less expenses)2016-12-31$10,109
Net plan assets at end of year (total assets less liabilities)2016-12-31$220,193
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$210,084
Total contributions received or receivable from employer(s)2016-12-31$181,960
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$26,989
2015 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2015 401k financial data
Total income from all sources2015-12-31$181,761
Expenses. Total of all expenses incurred2015-12-31$216,782
Benefits paid (including direct rollovers)2015-12-31$183,548
Total plan assets at end of year2015-12-31$210,084
Total plan assets at beginning of year2015-12-31$245,105
Other income received2015-12-31$65
Net income (gross income less expenses)2015-12-31$-35,021
Net plan assets at end of year (total assets less liabilities)2015-12-31$210,084
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$245,105
Total contributions received or receivable from employer(s)2015-12-31$181,696
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$33,234
2014 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2014 401k financial data
Total income from all sources2014-12-31$236,206
Expenses. Total of all expenses incurred2014-12-31$134,359
Benefits paid (including direct rollovers)2014-12-31$111,685
Total plan assets at end of year2014-12-31$245,105
Total plan assets at beginning of year2014-12-31$143,258
Other income received2014-12-31$322
Net income (gross income less expenses)2014-12-31$101,847
Net plan assets at end of year (total assets less liabilities)2014-12-31$245,105
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$143,258
Total contributions received or receivable from employer(s)2014-12-31$235,884
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$22,674
2013 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2013 401k financial data
Total plan liabilities at beginning of year2013-12-31$1,290
Total income from all sources2013-12-31$207,440
Expenses. Total of all expenses incurred2013-12-31$125,410
Benefits paid (including direct rollovers)2013-12-31$105,546
Total plan assets at end of year2013-12-31$143,258
Total plan assets at beginning of year2013-12-31$62,518
Other income received2013-12-31$17
Net income (gross income less expenses)2013-12-31$82,030
Net plan assets at end of year (total assets less liabilities)2013-12-31$143,258
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$61,228
Total contributions received or receivable from employer(s)2013-12-31$207,423
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$19,864
2012 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$1,290
Total income from all sources2012-12-31$66,936
Expenses. Total of all expenses incurred2012-12-31$44,669
Benefits paid (including direct rollovers)2012-12-31$32,775
Total plan assets at end of year2012-12-31$62,518
Total plan assets at beginning of year2012-12-31$38,961
Other income received2012-12-31$6
Net income (gross income less expenses)2012-12-31$22,267
Net plan assets at end of year (total assets less liabilities)2012-12-31$61,228
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$38,961
Total contributions received or receivable from employer(s)2012-12-31$66,930
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$11,894
2011 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2011 401k financial data
Total income from all sources2011-12-31$42,689
Expenses. Total of all expenses incurred2011-12-31$48,869
Benefits paid (including direct rollovers)2011-12-31$38,056
Total plan assets at end of year2011-12-31$38,961
Total plan assets at beginning of year2011-12-31$45,141
Contributions received from other sources (not participants or employers)2011-12-31$75
Other income received2011-12-31$7
Net income (gross income less expenses)2011-12-31$-6,180
Net plan assets at end of year (total assets less liabilities)2011-12-31$38,961
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$45,141
Total contributions received or receivable from employer(s)2011-12-31$42,607
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$10,813
2010 : ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2010 401k financial data
Total income from all sources2010-12-31$46,876
Expenses. Total of all expenses incurred2010-12-31$53,098
Benefits paid (including direct rollovers)2010-12-31$41,241
Total plan assets at end of year2010-12-31$45,141
Total plan assets at beginning of year2010-12-31$51,363
Contributions received from other sources (not participants or employers)2010-12-31$75
Other income received2010-12-31$12
Net income (gross income less expenses)2010-12-31$-6,222
Net plan assets at end of year (total assets less liabilities)2010-12-31$45,141
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$51,363
Total contributions received or receivable from employer(s)2010-12-31$46,789
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$11,857

Form 5500 Responses for ILA LOCAL 153 AND INDUSTRY WELFARE PLAN

2022: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: ILA LOCAL 153 AND INDUSTRY WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Number of Individuals Covered31
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Number of Individuals Covered14
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,229
Total amount of fees paid to insurance companyUSD $410
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,229
Amount paid for insurance broker fees410
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,543
Total amount of fees paid to insurance companyUSD $514
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,543
Amount paid for insurance broker fees514
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,731
Total amount of fees paid to insurance companyUSD $577
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,731
Amount paid for insurance broker fees577
Insurance broker organization code?3
Insurance broker nameRON L. KING
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,431
Total amount of fees paid to insurance companyUSD $477
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,431
Amount paid for insurance broker fees477
Insurance broker organization code?3
Insurance broker nameRON L. KING
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,105
Total amount of fees paid to insurance companyUSD $368
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,105
Amount paid for insurance broker fees368
Insurance broker organization code?3
Insurance broker nameRON L. KING
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,006
Total amount of fees paid to insurance companyUSD $335
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,006
Amount paid for insurance broker fees335
Insurance broker organization code?3
Insurance broker nameRON L. KING
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Number of Individuals Covered5
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,126
Total amount of fees paid to insurance companyUSD $375
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,126
Amount paid for insurance broker fees375
Insurance broker organization code?3
Insurance broker nameRON L. KING
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Number of Individuals Covered5
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,086
Total amount of fees paid to insurance companyUSD $362
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFMH243716
Policy instance 1
Insurance contract or identification numberFMH243716
Number of Individuals Covered5
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $955
Total amount of fees paid to insurance companyUSD $318
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $955
Amount paid for insurance broker fees318
Insurance broker organization code?3
Insurance broker nameRON L. KING

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