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BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 401k Plan overview

Plan NameBUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN
Plan identification number 501

BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

BUCHANAN AUTOMOTIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name:BUCHANAN AUTOMOTIVE, INC.
Employer identification number (EIN):205054809
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-07-01
5012023-07-01JULIE MUMMERT
5012022-07-01
5012022-07-01JULIE MUMMERT
5012021-07-01
5012021-07-01JULIE MUMMERT
5012020-07-01
5012019-07-01
5012017-07-01CARLA BUMBAUGH

Plan Statistics for BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN

401k plan membership statisitcs for BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN

Measure Date Value
2023: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-07-01100
Total number of active participants reported on line 7a of the Form 55002023-07-0187
Number of retired or separated participants receiving benefits2023-07-010
Number of other retired or separated participants entitled to future benefits2023-07-010
Total of all active and inactive participants2023-07-0187
2022: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0182
Total number of active participants reported on line 7a of the Form 55002022-07-01100
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 participants2022-07-01100
2021: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0180
Total number of active participants reported on line 7a of the Form 55002021-07-0182
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 participants2021-07-0182
2020: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0159
Total number of active participants reported on line 7a of the Form 55002020-07-0180
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 participants2020-07-0180
2019: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0171
Total number of active participants reported on line 7a of the Form 55002019-07-0159
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 participants2019-07-0159
2017: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0160
Total number of active participants reported on line 7a of the Form 55002017-07-0168
Number of retired or separated participants receiving benefits2017-07-011
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-0169

Financial Data on BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN

Measure Date Value
2024 : BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2024 401k financial data
Total plan liabilities at end of year2024-06-30$91,356
Total plan liabilities at beginning of year2024-06-30$113,660
Total income from all sources2024-06-30$1,221,492
Expenses. Total of all expenses incurred2024-06-30$1,156,535
Benefits paid (including direct rollovers)2024-06-30$590,013
Total plan assets at end of year2024-06-30$183,489
Total plan assets at beginning of year2024-06-30$140,836
Value of fidelity bond covering the plan2024-06-30$100,000
Total contributions received or receivable from participants2024-06-30$264,929
Expenses. Other expenses not covered elsewhere2024-06-30$457,436
Contributions received from other sources (not participants or employers)2024-06-30$0
Other income received2024-06-30$6,604
Net income (gross income less expenses)2024-06-30$64,957
Net plan assets at end of year (total assets less liabilities)2024-06-30$92,133
Net plan assets at beginning of year (total assets less liabilities)2024-06-30$27,176
Total contributions received or receivable from employer(s)2024-06-30$949,959
Value of corrective distributions2024-06-30$101,814
Expenses. Administrative service providers (salaries,fees and commissions)2024-06-30$7,272
2023 : BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2023 401k financial data
Total plan liabilities at end of year2023-06-30$113,660
Total plan liabilities at beginning of year2023-06-30$47,456
Total income from all sources2023-06-30$1,084,223
Expenses. Total of all expenses incurred2023-06-30$1,444,142
Benefits paid (including direct rollovers)2023-06-30$889,832
Total plan assets at end of year2023-06-30$140,836
Total plan assets at beginning of year2023-06-30$434,551
Value of fidelity bond covering the plan2023-06-30$150,000
Total contributions received or receivable from participants2023-06-30$335,837
Expenses. Other expenses not covered elsewhere2023-06-30$404,057
Contributions received from other sources (not participants or employers)2023-06-30$0
Other income received2023-06-30$1,594
Net income (gross income less expenses)2023-06-30$-359,919
Net plan assets at end of year (total assets less liabilities)2023-06-30$27,176
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$387,095
Total contributions received or receivable from employer(s)2023-06-30$746,792
Value of corrective distributions2023-06-30$143,436
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$6,817
2022 : BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2022 401k financial data
Total plan liabilities at end of year2022-06-30$47,456
Total plan liabilities at beginning of year2022-06-30$55,175
Total income from all sources2022-06-30$932,907
Expenses. Total of all expenses incurred2022-06-30$856,318
Benefits paid (including direct rollovers)2022-06-30$411,148
Total plan assets at end of year2022-06-30$434,551
Total plan assets at beginning of year2022-06-30$365,681
Value of fidelity bond covering the plan2022-06-30$150,000
Total contributions received or receivable from participants2022-06-30$307,550
Expenses. Other expenses not covered elsewhere2022-06-30$334,477
Contributions received from other sources (not participants or employers)2022-06-30$0
Other income received2022-06-30$1,084
Net income (gross income less expenses)2022-06-30$76,589
Net plan assets at end of year (total assets less liabilities)2022-06-30$387,095
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$310,506
Total contributions received or receivable from employer(s)2022-06-30$624,273
Value of corrective distributions2022-06-30$99,827
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$10,866
2021 : BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2021 401k financial data
Total plan liabilities at end of year2021-06-30$55,175
Total plan liabilities at beginning of year2021-06-30$33,588
Total income from all sources2021-06-30$824,489
Expenses. Total of all expenses incurred2021-06-30$762,413
Benefits paid (including direct rollovers)2021-06-30$504,263
Total plan assets at end of year2021-06-30$365,681
Total plan assets at beginning of year2021-06-30$282,018
Value of fidelity bond covering the plan2021-06-30$150,000
Total contributions received or receivable from participants2021-06-30$289,257
Expenses. Other expenses not covered elsewhere2021-06-30$230,150
Contributions received from other sources (not participants or employers)2021-06-30$0
Other income received2021-06-30$892
Net income (gross income less expenses)2021-06-30$62,076
Net plan assets at end of year (total assets less liabilities)2021-06-30$310,506
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$248,430
Total contributions received or receivable from employer(s)2021-06-30$534,340
Value of corrective distributions2021-06-30$2,682
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$25,318
2020 : BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2020 401k financial data
Total plan liabilities at end of year2020-06-30$33,588
Total plan liabilities at beginning of year2020-06-30$56,758
Total income from all sources2020-06-30$761,516
Expenses. Total of all expenses incurred2020-06-30$580,328
Benefits paid (including direct rollovers)2020-06-30$271,609
Total plan assets at end of year2020-06-30$282,018
Total plan assets at beginning of year2020-06-30$124,000
Value of fidelity bond covering the plan2020-06-30$150,000
Total contributions received or receivable from participants2020-06-30$267,671
Expenses. Other expenses not covered elsewhere2020-06-30$279,248
Contributions received from other sources (not participants or employers)2020-06-30$0
Other income received2020-06-30$514
Net income (gross income less expenses)2020-06-30$181,188
Net plan assets at end of year (total assets less liabilities)2020-06-30$248,430
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$67,242
Total contributions received or receivable from employer(s)2020-06-30$493,331
Value of corrective distributions2020-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$29,471
2019 : BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2019 401k financial data
Total plan liabilities at end of year2019-06-30$56,758
Total plan liabilities at beginning of year2019-06-30$68,569
Total income from all sources2019-06-30$733,328
Expenses. Total of all expenses incurred2019-06-30$598,471
Benefits paid (including direct rollovers)2019-06-30$348,020
Total plan assets at end of year2019-06-30$124,000
Total plan assets at beginning of year2019-06-30$954
Value of fidelity bond covering the plan2019-06-30$100,000
Total contributions received or receivable from participants2019-06-30$301,671
Expenses. Other expenses not covered elsewhere2019-06-30$222,515
Contributions received from other sources (not participants or employers)2019-06-30$7,479
Other income received2019-06-30$201
Net income (gross income less expenses)2019-06-30$134,857
Net plan assets at end of year (total assets less liabilities)2019-06-30$67,242
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$-67,615
Total contributions received or receivable from employer(s)2019-06-30$423,977
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$27,936
2018 : BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2018 401k financial data
Total plan liabilities at end of year2018-06-30$68,569
Total plan liabilities at beginning of year2018-06-30$0
Total income from all sources2018-06-30$595,478
Expenses. Total of all expenses incurred2018-06-30$663,093
Benefits paid (including direct rollovers)2018-06-30$426,730
Total plan assets at end of year2018-06-30$954
Total plan assets at beginning of year2018-06-30$0
Value of fidelity bond covering the plan2018-06-30$100,000
Total contributions received or receivable from participants2018-06-30$342,215
Expenses. Other expenses not covered elsewhere2018-06-30$201,803
Other income received2018-06-30$36
Net income (gross income less expenses)2018-06-30$-67,615
Net plan assets at end of year (total assets less liabilities)2018-06-30$-67,615
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$0
Total contributions received or receivable from employer(s)2018-06-30$253,227
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$34,560

Form 5500 Responses for BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN

2023: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01Submission has been amendedNo
2023-07-01This submission is the final filingNo
2023-07-01This return/report is a short plan year return/report (less than 12 months)No
2023-07-01Plan is a collectively bargained planNo
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan funding arrangement – TrustYes
2023-07-01Plan funding arrangement – General assets of the sponsorYes
2023-07-01Plan benefit arrangement – InsuranceYes
2023-07-01Plan benefit arrangement - TrustYes
2023-07-01Plan benefit arrangement – General assets of the sponsorYes
2022: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2017: BUCHANAN AUTOMOTIVE, INC. GROUP HEALTH PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01First time form 5500 has been submittedYes
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9012
Policy instance 8
Insurance contract or identification numberV9012
Number of Individuals Covered2
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $51
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 BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number30500284
Policy instance 1
Insurance contract or identification number30500284
Number of Individuals Covered87
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $389,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number18598
Policy instance 2
Insurance contract or identification number18598
Number of Individuals Covered52
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $4,768
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 BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT,CANCER,GROUP HI/GAP
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $44,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9014
Policy instance 3
Insurance contract or identification numberV9014
Number of Individuals Covered2
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $19
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9014
Policy instance 4
Insurance contract or identification numberV9014
Number of Individuals Covered3
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $20
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9015
Policy instance 5
Insurance contract or identification numberV9015
Number of Individuals Covered6
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $93
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9015
Policy instance 6
Insurance contract or identification numberV9015
Number of Individuals Covered2
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $39
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCANCER
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9015
Policy instance 7
Insurance contract or identification numberV9015
Number of Individuals Covered6
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $93
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,393
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9015
Policy instance 12
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9015
Policy instance 11
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9015
Policy instance 10
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9014
Policy instance 9
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9014
Policy instance 8
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9014
Policy instance 7
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500284
Policy instance 1
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number18598
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1078844-10001
Policy instance 3
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number24285
Policy instance 4
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number00295
Policy instance 5
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV9014
Policy instance 6
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1078844-10001
Policy instance 3
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number0
Policy instance 2
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500284
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1078844-10001
Policy instance 3
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number0
Policy instance 2
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500284
Policy instance 1

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