NEIGHBOURS, INC. has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022: NI VEBA 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 88 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 86 |
| Total of all active and inactive participants | 2022-07-01 | 86 |
| 2021: NI VEBA 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 89 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 88 |
| Total of all active and inactive participants | 2021-07-01 | 88 |
| 2020: NI VEBA 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 76 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 89 |
| Total of all active and inactive participants | 2020-07-01 | 89 |
| 2019: NI VEBA 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 76 |
| Total of all active and inactive participants | 2019-07-01 | 76 |
| 2018: NI VEBA 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 71 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 78 |
| Total of all active and inactive participants | 2018-07-01 | 78 |
| 2017: NI VEBA 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 82 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 71 |
| Total of all active and inactive participants | 2017-07-01 | 71 |
| 2016: NI VEBA 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 80 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 82 |
| Total of all active and inactive participants | 2016-07-01 | 82 |
| 2015: NI VEBA 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-01 | 79 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 80 |
| Total of all active and inactive participants | 2015-07-01 | 80 |
| 2014: NI VEBA 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 77 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 79 |
| Total of all active and inactive participants | 2014-07-01 | 79 |
| 2013: NI VEBA 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 77 |
| Total of all active and inactive participants | 2013-07-01 | 77 |
| 2012: NI VEBA 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 70 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 78 |
| Total of all active and inactive participants | 2012-07-01 | 78 |
| Total participants | 2012-07-01 | 78 |
| Total participants, beginning-of-year | 2012-06-18 | 70 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-18 | 70 |
| Total of all active and inactive participants | 2012-06-18 | 70 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-06-18 | 0 |
| Total participants | 2012-06-18 | 70 |
| Measure | Date | Value |
|---|
| 2023 : NI VEBA 2023 401k financial data |
|---|
| Transfers to/from the plan | 2023-06-30 | $0 |
| Total plan liabilities at end of year | 2023-06-30 | $118,298 |
| Total plan liabilities at beginning of year | 2023-06-30 | $271,856 |
| Total income from all sources | 2023-06-30 | $1,838,249 |
| Expenses. Total of all expenses incurred | 2023-06-30 | $1,865,946 |
| Benefits paid (including direct rollovers) | 2023-06-30 | $1,865,466 |
| Total plan assets at end of year | 2023-06-30 | $1,601,478 |
| Total plan assets at beginning of year | 2023-06-30 | $1,782,733 |
| Value of fidelity bond covering the plan | 2023-06-30 | $500,000 |
| Total contributions received or receivable from participants | 2023-06-30 | $0 |
| Expenses. Other expenses not covered elsewhere | 2023-06-30 | $480 |
| Other income received | 2023-06-30 | $20,761 |
| Net income (gross income less expenses) | 2023-06-30 | $-27,697 |
| Net plan assets at end of year (total assets less liabilities) | 2023-06-30 | $1,483,180 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-06-30 | $1,510,877 |
| Total contributions received or receivable from employer(s) | 2023-06-30 | $1,817,488 |
| Value of certain deemed distributions of participant loans | 2023-06-30 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-06-30 | $0 |
| 2022 : NI VEBA 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-06-30 | $271,856 |
| Total plan liabilities at beginning of year | 2022-06-30 | $448,260 |
| Total income from all sources | 2022-06-30 | $1,911,215 |
| Expenses. Total of all expenses incurred | 2022-06-30 | $1,908,041 |
| Benefits paid (including direct rollovers) | 2022-06-30 | $1,906,398 |
| Total plan assets at end of year | 2022-06-30 | $1,782,733 |
| Total plan assets at beginning of year | 2022-06-30 | $1,955,963 |
| Value of fidelity bond covering the plan | 2022-06-30 | $500,000 |
| Other income received | 2022-06-30 | $4,817 |
| Net income (gross income less expenses) | 2022-06-30 | $3,174 |
| Net plan assets at end of year (total assets less liabilities) | 2022-06-30 | $1,510,877 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-06-30 | $1,507,703 |
| Total contributions received or receivable from employer(s) | 2022-06-30 | $1,906,398 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-06-30 | $1,643 |
| 2021 : NI VEBA 2021 401k financial data |
|---|
| Total income from all sources | 2021-06-30 | $1,267,632 |
| Expenses. Total of all expenses incurred | 2021-06-30 | $1,260,587 |
| Benefits paid (including direct rollovers) | 2021-06-30 | $1,259,341 |
| Total plan assets at end of year | 2021-06-30 | $1,507,703 |
| Total plan assets at beginning of year | 2021-06-30 | $1,500,658 |
| Value of fidelity bond covering the plan | 2021-06-30 | $500,000 |
| Other income received | 2021-06-30 | $8,291 |
| Net income (gross income less expenses) | 2021-06-30 | $7,045 |
| Net plan assets at end of year (total assets less liabilities) | 2021-06-30 | $1,507,703 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-06-30 | $1,500,658 |
| Total contributions received or receivable from employer(s) | 2021-06-30 | $1,259,341 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-06-30 | $1,246 |
| 2020 : NI VEBA 2020 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2020-06-30 | $8,124 |
| Total income from all sources | 2020-06-30 | $1,492,281 |
| Expenses. Total of all expenses incurred | 2020-06-30 | $1,475,797 |
| Benefits paid (including direct rollovers) | 2020-06-30 | $1,473,284 |
| Total plan assets at end of year | 2020-06-30 | $1,500,658 |
| Total plan assets at beginning of year | 2020-06-30 | $1,492,298 |
| Value of fidelity bond covering the plan | 2020-06-30 | $500,000 |
| Other income received | 2020-06-30 | $18,997 |
| Net income (gross income less expenses) | 2020-06-30 | $16,484 |
| Net plan assets at end of year (total assets less liabilities) | 2020-06-30 | $1,500,658 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-06-30 | $1,484,174 |
| Total contributions received or receivable from employer(s) | 2020-06-30 | $1,473,284 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-06-30 | $2,513 |
| 2019 : NI VEBA 2019 401k financial data |
|---|
| Total plan liabilities at end of year | 2019-06-30 | $8,124 |
| Total plan liabilities at beginning of year | 2019-06-30 | $27,915 |
| Total income from all sources | 2019-06-30 | $1,179,862 |
| Expenses. Total of all expenses incurred | 2019-06-30 | $1,179,447 |
| Benefits paid (including direct rollovers) | 2019-06-30 | $1,175,540 |
| Total plan assets at end of year | 2019-06-30 | $1,492,298 |
| Total plan assets at beginning of year | 2019-06-30 | $1,511,674 |
| Value of fidelity bond covering the plan | 2019-06-30 | $500,000 |
| Other income received | 2019-06-30 | $4,322 |
| Net income (gross income less expenses) | 2019-06-30 | $415 |
| Net plan assets at end of year (total assets less liabilities) | 2019-06-30 | $1,484,174 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-06-30 | $1,483,759 |
| Total contributions received or receivable from employer(s) | 2019-06-30 | $1,175,540 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-06-30 | $3,907 |
| 2018 : NI VEBA 2018 401k financial data |
|---|
| Total plan liabilities at end of year | 2018-06-30 | $27,915 |
| Total plan liabilities at beginning of year | 2018-06-30 | $18,665 |
| Total income from all sources | 2018-06-30 | $871,345 |
| Expenses. Total of all expenses incurred | 2018-06-30 | $872,556 |
| Benefits paid (including direct rollovers) | 2018-06-30 | $871,345 |
| Total plan assets at end of year | 2018-06-30 | $1,511,674 |
| Total plan assets at beginning of year | 2018-06-30 | $1,503,635 |
| Value of fidelity bond covering the plan | 2018-06-30 | $500,000 |
| Net income (gross income less expenses) | 2018-06-30 | $-1,211 |
| Net plan assets at end of year (total assets less liabilities) | 2018-06-30 | $1,483,759 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-06-30 | $1,484,970 |
| Total contributions received or receivable from employer(s) | 2018-06-30 | $871,345 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-06-30 | $1,211 |
| 2017 : NI VEBA 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-06-30 | $18,664 |
| Total plan liabilities at beginning of year | 2017-06-30 | $14,018 |
| Total income from all sources | 2017-06-30 | $904,587 |
| Expenses. Total of all expenses incurred | 2017-06-30 | $910,249 |
| Benefits paid (including direct rollovers) | 2017-06-30 | $904,587 |
| Total plan assets at end of year | 2017-06-30 | $1,503,635 |
| Total plan assets at beginning of year | 2017-06-30 | $1,504,651 |
| Value of fidelity bond covering the plan | 2017-06-30 | $500,000 |
| Expenses. Other expenses not covered elsewhere | 2017-06-30 | $5,662 |
| Net income (gross income less expenses) | 2017-06-30 | $-5,662 |
| Net plan assets at end of year (total assets less liabilities) | 2017-06-30 | $1,484,971 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-06-30 | $1,490,633 |
| Total contributions received or receivable from employer(s) | 2017-06-30 | $904,587 |
| 2016 : NI VEBA 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-06-30 | $14,018 |
| Total income from all sources | 2016-06-30 | $967,650 |
| Expenses. Total of all expenses incurred | 2016-06-30 | $903,465 |
| Benefits paid (including direct rollovers) | 2016-06-30 | $895,550 |
| Total plan assets at end of year | 2016-06-30 | $1,504,651 |
| Total plan assets at beginning of year | 2016-06-30 | $1,426,448 |
| Value of fidelity bond covering the plan | 2016-06-30 | $875,000 |
| Net income (gross income less expenses) | 2016-06-30 | $64,185 |
| Net plan assets at end of year (total assets less liabilities) | 2016-06-30 | $1,490,633 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-06-30 | $1,426,448 |
| Total contributions received or receivable from employer(s) | 2016-06-30 | $967,650 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-06-30 | $7,915 |
| 2015 : NI VEBA 2015 401k financial data |
|---|
| Total income from all sources | 2015-06-30 | $1,150,182 |
| Expenses. Total of all expenses incurred | 2015-06-30 | $856,868 |
| Benefits paid (including direct rollovers) | 2015-06-30 | $846,223 |
| Total plan assets at end of year | 2015-06-30 | $1,426,448 |
| Total plan assets at beginning of year | 2015-06-30 | $1,133,134 |
| Value of fidelity bond covering the plan | 2015-06-30 | $875,000 |
| Contributions received from other sources (not participants or employers) | 2015-06-30 | $0 |
| Net income (gross income less expenses) | 2015-06-30 | $293,314 |
| Net plan assets at end of year (total assets less liabilities) | 2015-06-30 | $1,426,448 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-06-30 | $1,133,134 |
| Total contributions received or receivable from employer(s) | 2015-06-30 | $1,150,182 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-06-30 | $10,645 |
| 2014 : NI VEBA 2014 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2014-06-30 | $9,999 |
| Total income from all sources | 2014-06-30 | $1,389,732 |
| Expenses. Total of all expenses incurred | 2014-06-30 | $948,546 |
| Benefits paid (including direct rollovers) | 2014-06-30 | $944,679 |
| Total plan assets at end of year | 2014-06-30 | $1,133,134 |
| Total plan assets at beginning of year | 2014-06-30 | $701,947 |
| Value of fidelity bond covering the plan | 2014-06-30 | $875,000 |
| Net income (gross income less expenses) | 2014-06-30 | $441,186 |
| Net plan assets at end of year (total assets less liabilities) | 2014-06-30 | $1,133,134 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-06-30 | $691,948 |
| Total contributions received or receivable from employer(s) | 2014-06-30 | $1,389,732 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-06-30 | $3,867 |
| 2013 : NI VEBA 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-06-30 | $9,999 |
| Total income from all sources | 2013-06-30 | $1,394,829 |
| Expenses. Total of all expenses incurred | 2013-06-30 | $1,009,596 |
| Benefits paid (including direct rollovers) | 2013-06-30 | $744,692 |
| Total plan assets at end of year | 2013-06-30 | $701,947 |
| Total plan assets at beginning of year | 2013-06-30 | $306,715 |
| Value of fidelity bond covering the plan | 2013-06-30 | $875,000 |
| Expenses. Other expenses not covered elsewhere | 2013-06-30 | $184,292 |
| Net income (gross income less expenses) | 2013-06-30 | $385,233 |
| Net plan assets at end of year (total assets less liabilities) | 2013-06-30 | $691,948 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-06-30 | $306,715 |
| Total contributions received or receivable from employer(s) | 2013-06-30 | $1,394,829 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-06-30 | $80,612 |
| 2012 : NI VEBA 2012 401k financial data |
|---|
| Total income from all sources | 2012-06-30 | $347,451 |
| Expenses. Total of all expenses incurred | 2012-06-30 | $40,736 |
| Benefits paid (including direct rollovers) | 2012-06-30 | $40,736 |
| Total plan assets at end of year | 2012-06-30 | $306,715 |
| Net income (gross income less expenses) | 2012-06-30 | $306,715 |
| Net plan assets at end of year (total assets less liabilities) | 2012-06-30 | $306,715 |
| Total contributions received or receivable from employer(s) | 2012-06-30 | $347,451 |
| 2022: NI VEBA 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Submission has been amended | No |
| 2022-07-01 | This submission is the final filing | No |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-07-01 | Plan is a collectively bargained plan | No |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan funding arrangement – Trust | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement - Trust | Yes |
| 2021: NI VEBA 2021 form 5500 responses |
|---|
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Submission has been amended | No |
| 2021-07-01 | This submission is the final filing | No |
| 2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-07-01 | Plan is a collectively bargained plan | No |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan funding arrangement – Trust | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement - Trust | Yes |
| 2020: NI VEBA 2020 form 5500 responses |
|---|
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Submission has been amended | No |
| 2020-07-01 | This submission is the final filing | No |
| 2020-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-07-01 | Plan is a collectively bargained plan | No |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan funding arrangement – Trust | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement - Trust | Yes |
| 2019: NI VEBA 2019 form 5500 responses |
|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Submission has been amended | No |
| 2019-07-01 | This submission is the final filing | No |
| 2019-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-07-01 | Plan is a collectively bargained plan | No |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan funding arrangement – Trust | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement - Trust | Yes |
| 2018: NI VEBA 2018 form 5500 responses |
|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Submission has been amended | No |
| 2018-07-01 | This submission is the final filing | No |
| 2018-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-07-01 | Plan is a collectively bargained plan | No |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan funding arrangement – Trust | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement - Trust | Yes |
| 2017: NI VEBA 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Submission has been amended | No |
| 2017-07-01 | This submission is the final filing | No |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-07-01 | Plan is a collectively bargained plan | No |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan funding arrangement – Trust | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement - Trust | Yes |
| 2016: NI VEBA 2016 form 5500 responses |
|---|
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Submission has been amended | No |
| 2016-07-01 | This submission is the final filing | No |
| 2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-01 | Plan is a collectively bargained plan | No |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan funding arrangement – Trust | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement - Trust | Yes |
| 2015: NI VEBA 2015 form 5500 responses |
|---|
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Submission has been amended | No |
| 2015-07-01 | This submission is the final filing | No |
| 2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-07-01 | Plan is a collectively bargained plan | No |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan funding arrangement – Trust | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement - Trust | Yes |
| 2014: NI VEBA 2014 form 5500 responses |
|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Submission has been amended | No |
| 2014-07-01 | This submission is the final filing | No |
| 2014-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-07-01 | Plan is a collectively bargained plan | No |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan funding arrangement – Trust | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement - Trust | Yes |
| 2013: NI VEBA 2013 form 5500 responses |
|---|
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Submission has been amended | No |
| 2013-07-01 | This submission is the final filing | No |
| 2013-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-07-01 | Plan is a collectively bargained plan | No |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan funding arrangement – Trust | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement - Trust | Yes |
| 2012: NI VEBA 2012 form 5500 responses |
|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | No |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-01 | Plan is a collectively bargained plan | No |
| 2012-07-01 | Plan funding arrangement – Trust | Yes |
| 2012-07-01 | Plan benefit arrangement - Trust | Yes |
| 2012-06-18 | Type of plan entity | Single employer plan |
| 2012-06-18 | First time form 5500 has been submitted | Yes |
| 2012-06-18 | Submission has been amended | No |
| 2012-06-18 | This submission is the final filing | No |
| 2012-06-18 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2012-06-18 | Plan is a collectively bargained plan | No |
| 2012-06-18 | Plan funding arrangement – Trust | Yes |
| 2012-06-18 | Plan benefit arrangement - Trust | Yes |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | EL-115-053 |
| Policy instance | 1 |
| Insurance contract or identification number | EL-115-053 | | Number of Individuals Covered | 134 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | EL-115-053 |
| Policy instance | 1 |
| Insurance contract or identification number | EL-115-053 | | Number of Individuals Covered | 119 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | EL-115-053 |
| Policy instance | 1 |
| Insurance contract or identification number | EL-115-053 | | Number of Individuals Covered | 135 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $596,230 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) |
| Policy contract number | N06557521 |
| Policy instance | 1 |
| Insurance contract or identification number | N06557521 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $318,462 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) |
| Policy contract number | N06557521 |
| Policy instance | 1 |
| Insurance contract or identification number | N06557521 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $292,516 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) |
| Policy contract number | N06557521 |
| Policy instance | 1 |
| Insurance contract or identification number | N06557521 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $268,773 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) |
| Policy contract number | N06557521 |
| Policy instance | 2 |
| Insurance contract or identification number | N06557521 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2015-09-01 | | Insurance policy end date | 2016-06-30 | | Welfare Benefit Premiums Paid to Carrier | USD $246,133 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL30035 |
| Policy instance | 1 |
| Insurance contract or identification number | HCL30035 | | Number of Individuals Covered | 75 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $1,031 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $41,247 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,031 | | Insurance broker organization code? | 3 | | Insurance broker name | MERITAIN HEALTH |
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| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL30035 |
| Policy instance | 1 |
| Insurance contract or identification number | HCL30035 | | Number of Individuals Covered | 79 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $6,225 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $249,018 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,225 | | Insurance broker organization code? | 3 | | Insurance broker name | MERITAIN HEALTH |
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| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL30035 |
| Policy instance | 1 |
| Insurance contract or identification number | HCL30035 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $5,165 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $206,602 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,165 | | Insurance broker organization code? | 3 | | Insurance broker name | MERITAIN HEALTH |
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