COLONIAL ELECTRIC SUPPLY COMPANY, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN
Measure | Date | Value |
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2022: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-08-01 | 332 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-08-01 | 372 |
Number of retired or separated participants receiving benefits | 2022-08-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2022-08-01 | 7 |
Total of all active and inactive participants | 2022-08-01 | 382 |
2021: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-08-01 | 410 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-08-01 | 331 |
Number of retired or separated participants receiving benefits | 2021-08-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2021-08-01 | 1 |
Total of all active and inactive participants | 2021-08-01 | 334 |
2020: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-08-01 | 461 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 410 |
Number of retired or separated participants receiving benefits | 2020-08-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2020-08-01 | 0 |
Total of all active and inactive participants | 2020-08-01 | 411 |
2019: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-08-01 | 441 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 461 |
Number of retired or separated participants receiving benefits | 2019-08-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
Total of all active and inactive participants | 2019-08-01 | 463 |
2018: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-08-01 | 493 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 441 |
Number of retired or separated participants receiving benefits | 2018-08-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2018-08-01 | 0 |
Total of all active and inactive participants | 2018-08-01 | 442 |
2017: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-08-01 | 333 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 491 |
Number of retired or separated participants receiving benefits | 2017-08-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
Total of all active and inactive participants | 2017-08-01 | 493 |
2016: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-08-01 | 332 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 332 |
Number of retired or separated participants receiving benefits | 2016-08-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 1 |
Total of all active and inactive participants | 2016-08-01 | 333 |
2015: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-08-01 | 279 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 332 |
Number of retired or separated participants receiving benefits | 2015-08-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
Total of all active and inactive participants | 2015-08-01 | 332 |
2014: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-08-01 | 261 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 279 |
Number of retired or separated participants receiving benefits | 2014-08-01 | 4 |
Number of other retired or separated participants entitled to future benefits | 2014-08-01 | 4 |
Total of all active and inactive participants | 2014-08-01 | 287 |
2013: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-08-01 | 249 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-08-01 | 260 |
Number of retired or separated participants receiving benefits | 2013-08-01 | 1 |
Total of all active and inactive participants | 2013-08-01 | 261 |
2012: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-08-01 | 222 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 247 |
Number of retired or separated participants receiving benefits | 2012-08-01 | 2 |
Total of all active and inactive participants | 2012-08-01 | 249 |
Total participants, beginning-of-year | 2012-01-01 | 226 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 222 |
Number of retired or separated participants receiving benefits | 2012-01-01 | 3 |
Total of all active and inactive participants | 2012-01-01 | 225 |
2011: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 217 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 224 |
Number of retired or separated participants receiving benefits | 2011-01-01 | 2 |
Total of all active and inactive participants | 2011-01-01 | 226 |
2009: COLONIAL ELECTRIC SUPPLY PREMIUM ONLY PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 219 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 237 |
Number of retired or separated participants receiving benefits | 2009-01-01 | 10 |
Total of all active and inactive participants | 2009-01-01 | 247 |
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 170385 |
Policy instance | 7 |
Insurance contract or identification number | 170385 | Number of Individuals Covered | 165 | Insurance policy start date | 2022-08-01 | Insurance policy end date | 2023-07-31 | Total amount of commissions paid to insurance broker | USD $11,838 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $69,953 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,459 | Insurance broker organization code? | 3 |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00360770 |
Policy instance | 1 |
Insurance contract or identification number | 00360770 | Number of Individuals Covered | 357 | Insurance policy start date | 2022-08-01 | Insurance policy end date | 2023-07-31 | Total amount of commissions paid to insurance broker | USD $6,022 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENT, HI, VCI, VHI | Welfare Benefit Premiums Paid to Carrier | USD $234,012 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,022 | Insurance broker organization code? | 3 |
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INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) |
Policy contract number | 109120 |
Policy instance | 2 |
Insurance contract or identification number | 109120 | Number of Individuals Covered | 351 | Insurance policy start date | 2022-08-01 | Insurance policy end date | 2023-07-31 | Total amount of commissions paid to insurance broker | USD $65,337 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $703,486 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $65,337 | Insurance broker organization code? | 3 |
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NVA VISION (National Association of Insurance Commissioners NAIC id number: 11686 ) |
Policy contract number | 4224 |
Policy instance | 3 |
Insurance contract or identification number | 4224 | Number of Individuals Covered | 312 | Insurance policy start date | 2022-08-01 | Insurance policy end date | 2023-07-31 | Total amount of commissions paid to insurance broker | USD $2,350 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $23,496 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,350 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 170385 |
Policy instance | 4 |
Insurance contract or identification number | 170385 | Number of Individuals Covered | 118 | Insurance policy start date | 2022-08-01 | Insurance policy end date | 2023-07-31 | Total amount of commissions paid to insurance broker | USD $42,509 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $66,092 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,926 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 170385 |
Policy instance | 5 |
Insurance contract or identification number | 170385 | Number of Individuals Covered | 521 | Insurance policy start date | 2022-08-01 | Insurance policy end date | 2023-07-31 | Total amount of commissions paid to insurance broker | USD $13,311 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $96,844 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,507 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 170385 |
Policy instance | 6 |
Insurance contract or identification number | 170385 | Number of Individuals Covered | 156 | Insurance policy start date | 2022-08-01 | Insurance policy end date | 2023-07-31 | Total amount of commissions paid to insurance broker | USD $13,622 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $79,271 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,301 | Insurance broker organization code? | 3 |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00360770 |
Policy instance | 1 |
Insurance contract or identification number | 00360770 | Number of Individuals Covered | 338 | Insurance policy start date | 2021-08-01 | Insurance policy end date | 2022-07-31 | Total amount of commissions paid to insurance broker | USD $10,057 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENT, HI, VCI, VHI, AD&D | Welfare Benefit Premiums Paid to Carrier | USD $191,164 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,057 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 151448 |
Policy instance | 2 |
Insurance contract or identification number | GL 151448 | Number of Individuals Covered | 407 | Insurance policy start date | 2021-08-01 | Insurance policy end date | 2022-07-31 | Total amount of commissions paid to insurance broker | USD $3,453 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEM | Welfare Benefit Premiums Paid to Carrier | USD $90,327 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,453 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VAR 205835 |
Policy instance | 3 |
Insurance contract or identification number | VAR 205835 | Number of Individuals Covered | 129 | Insurance policy start date | 2021-08-01 | Insurance policy end date | 2022-07-31 | Total amount of commissions paid to insurance broker | USD $1,286 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $8,574 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,286 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPL 300458 |
Policy instance | 4 |
Insurance contract or identification number | VPL 300458 | Number of Individuals Covered | 116 | Insurance policy start date | 2021-08-01 | Insurance policy end date | 2022-07-31 | Total amount of commissions paid to insurance broker | USD $10,351 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY LONG TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $69,009 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,351 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPS 325411 |
Policy instance | 5 |
Insurance contract or identification number | VPS 325411 | Number of Individuals Covered | 105 | Insurance policy start date | 2021-08-01 | Insurance policy end date | 2022-07-31 | Total amount of commissions paid to insurance broker | USD $8,852 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $59,014 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,852 | Insurance broker organization code? | 3 |
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INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) |
Policy contract number | 109120 |
Policy instance | 6 |
Insurance contract or identification number | 109120 | Number of Individuals Covered | 306 | Insurance policy start date | 2021-08-01 | Insurance policy end date | 2022-07-31 | Total amount of commissions paid to insurance broker | USD $48,293 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $551,016 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $48,293 | Insurance broker organization code? | 3 |
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NVA VISION (National Association of Insurance Commissioners NAIC id number: 11686 ) |
Policy contract number | 4224 |
Policy instance | 7 |
Insurance contract or identification number | 4224 | Number of Individuals Covered | 278 | Insurance policy start date | 2021-08-01 | Insurance policy end date | 2022-07-31 | Total amount of commissions paid to insurance broker | USD $2,016 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,161 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,016 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 151448 |
Policy instance | 2 |
Insurance contract or identification number | GL 151448 | Number of Individuals Covered | 461 | Insurance policy start date | 2020-08-01 | Insurance policy end date | 2021-07-31 | Total amount of commissions paid to insurance broker | USD $3,304 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEM | Welfare Benefit Premiums Paid to Carrier | USD $74,742 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,304 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VAR 205835 |
Policy instance | 3 |
Insurance contract or identification number | VAR 205835 | Number of Individuals Covered | 127 | Insurance policy start date | 2020-08-01 | Insurance policy end date | 2021-07-31 | Total amount of commissions paid to insurance broker | USD $1,106 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $7,374 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,106 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPL 300458 |
Policy instance | 4 |
Insurance contract or identification number | VPL 300458 | Number of Individuals Covered | 126 | Insurance policy start date | 2020-08-01 | Insurance policy end date | 2021-07-31 | Total amount of commissions paid to insurance broker | USD $9,985 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY LONG TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $66,564 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $9,985 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPS 325411 |
Policy instance | 5 |
Insurance contract or identification number | VPS 325411 | Number of Individuals Covered | 110 | Insurance policy start date | 2020-08-01 | Insurance policy end date | 2021-07-31 | Total amount of commissions paid to insurance broker | USD $7,622 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $50,816 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,622 | Insurance broker organization code? | 3 |
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INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) |
Policy contract number | 109120 |
Policy instance | 6 |
Insurance contract or identification number | 109120 | Number of Individuals Covered | 295 | Insurance policy start date | 2020-08-01 | Insurance policy end date | 2021-07-31 | Total amount of commissions paid to insurance broker | USD $51,393 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $536,961 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $51,393 | Insurance broker organization code? | 3 |
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NVA VISION (National Association of Insurance Commissioners NAIC id number: 11686 ) |
Policy contract number | 4224 |
Policy instance | 7 |
Insurance contract or identification number | 4224 | Number of Individuals Covered | 241 | Insurance policy start date | 2020-08-01 | Insurance policy end date | 2021-07-31 | Total amount of commissions paid to insurance broker | USD $2,136 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $21,360 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,136 | Insurance broker organization code? | 3 |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00360770 |
Policy instance | 1 |
Insurance contract or identification number | 00360770 | Number of Individuals Covered | 287 | Insurance policy start date | 2020-08-01 | Insurance policy end date | 2021-07-31 | Total amount of commissions paid to insurance broker | USD $9,938 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENT, HI, VCI, VHI | Welfare Benefit Premiums Paid to Carrier | USD $205,605 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $9,938 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPS 325411 |
Policy instance | 2 |
Insurance contract or identification number | VPS 325411 | Number of Individuals Covered | 131 | Insurance policy start date | 2019-08-01 | Insurance policy end date | 2020-07-31 | Total amount of commissions paid to insurance broker | USD $7,852 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $52,346 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,852 | Insurance broker organization code? | 3 |
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NVA VISION (National Association of Insurance Commissioners NAIC id number: 11686 ) |
Policy contract number | 4224 |
Policy instance | 7 |
Insurance contract or identification number | 4224 | Number of Individuals Covered | 486 | Insurance policy start date | 2019-08-01 | Insurance policy end date | 2020-07-31 | Total amount of commissions paid to insurance broker | USD $2,048 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $20,485 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,048 | Insurance broker organization code? | 3 |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00360770 |
Policy instance | 1 |
Insurance contract or identification number | 00360770 | Number of Individuals Covered | 349 | Insurance policy start date | 2019-08-01 | Insurance policy end date | 2020-07-31 | Total amount of commissions paid to insurance broker | USD $17,611 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D, HOSPITAL INDEMNITY, VCI | Welfare Benefit Premiums Paid to Carrier | USD $252,167 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $17,611 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPL 300458 |
Policy instance | 3 |
Insurance contract or identification number | VPL 300458 | Number of Individuals Covered | 147 | Insurance policy start date | 2019-08-01 | Insurance policy end date | 2020-07-31 | Total amount of commissions paid to insurance broker | USD $10,334 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY LONG TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $68,895 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,334 | Insurance broker organization code? | 3 |
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INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) |
Policy contract number | 109120 |
Policy instance | 4 |
Insurance contract or identification number | 109120 | Number of Individuals Covered | 313 | Insurance policy start date | 2019-08-01 | Insurance policy end date | 2020-07-31 | Total amount of commissions paid to insurance broker | USD $49,544 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $524,094 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $49,544 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 151448 |
Policy instance | 5 |
Insurance contract or identification number | GL 151448 | Number of Individuals Covered | 434 | Insurance policy start date | 2019-08-01 | Insurance policy end date | 2020-07-31 | Total amount of commissions paid to insurance broker | USD $3,300 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEM | Welfare Benefit Premiums Paid to Carrier | USD $74,965 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,300 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VAR 205835 |
Policy instance | 6 |
Insurance contract or identification number | VAR 205835 | Number of Individuals Covered | 139 | Insurance policy start date | 2019-08-01 | Insurance policy end date | 2020-07-31 | Total amount of commissions paid to insurance broker | USD $1,028 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $6,855 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,028 | Insurance broker organization code? | 3 |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00360770 |
Policy instance | 1 |
Insurance contract or identification number | 00360770 | Number of Individuals Covered | 336 | Insurance policy start date | 2018-08-01 | Insurance policy end date | 2019-07-31 | Total amount of commissions paid to insurance broker | USD $17,176 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENT, HOSPITAL INDEMNITY | Welfare Benefit Premiums Paid to Carrier | USD $247,929 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $17,176 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPS 325411 |
Policy instance | 2 |
Insurance contract or identification number | VPS 325411 | Number of Individuals Covered | 138 | Insurance policy start date | 2018-08-01 | Insurance policy end date | 2019-07-31 | Total amount of commissions paid to insurance broker | USD $8,711 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $58,071 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,711 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPL 300458 |
Policy instance | 3 |
Insurance contract or identification number | VPL 300458 | Number of Individuals Covered | 163 | Insurance policy start date | 2018-08-01 | Insurance policy end date | 2019-07-31 | Total amount of commissions paid to insurance broker | USD $11,485 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY LONG TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $76,568 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,485 | Insurance broker organization code? | 3 |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
Policy contract number | 9883133 |
Policy instance | 4 |
Insurance contract or identification number | 9883133 | Number of Individuals Covered | 484 | Insurance policy start date | 2018-08-01 | Insurance policy end date | 2019-07-31 | Total amount of commissions paid to insurance broker | USD $2,367 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $22,158 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,367 | Insurance broker organization code? | 3 |
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INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) |
Policy contract number | 109120 |
Policy instance | 5 |
Insurance contract or identification number | 109120 | Number of Individuals Covered | 316 | Insurance policy start date | 2018-08-01 | Insurance policy end date | 2019-07-31 | Total amount of commissions paid to insurance broker | USD $54,594 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $156,010 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $54,594 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 151448 |
Policy instance | 6 |
Insurance contract or identification number | GL 151448 | Number of Individuals Covered | 495 | Insurance policy start date | 2018-08-01 | Insurance policy end date | 2019-07-31 | Total amount of commissions paid to insurance broker | USD $3,525 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEM | Welfare Benefit Premiums Paid to Carrier | USD $87,683 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,525 | Insurance broker organization code? | 3 |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 900297 |
Policy instance | 8 |
Insurance contract or identification number | 900297 | Number of Individuals Covered | 307 | Insurance policy start date | 2018-08-01 | Insurance policy end date | 2019-07-31 | Total amount of commissions paid to insurance broker | USD $78,910 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $394,552 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $78,910 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VAR 205835 |
Policy instance | 7 |
Insurance contract or identification number | VAR 205835 | Number of Individuals Covered | 139 | Insurance policy start date | 2018-08-01 | Insurance policy end date | 2019-07-31 | Total amount of commissions paid to insurance broker | USD $1,176 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $7,839 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,176 | Insurance broker organization code? | 3 |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPS 325411 |
Policy instance | 2 |
Insurance contract or identification number | VPS 325411 | Number of Individuals Covered | 153 | Insurance policy start date | 2017-08-01 | Insurance policy end date | 2018-07-31 | Total amount of commissions paid to insurance broker | USD $8,892 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $59,280 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,892 | Insurance broker organization code? | 3 | Insurance broker name | AP BENEFIT ADVISORS LLC |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VPL 300458 |
Policy instance | 3 |
Insurance contract or identification number | VPL 300458 | Number of Individuals Covered | 178 | Insurance policy start date | 2017-08-01 | Insurance policy end date | 2018-07-31 | Total amount of commissions paid to insurance broker | USD $11,883 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | VOLUNTARY LONG TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $79,221 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,883 | Insurance broker organization code? | 3 | Insurance broker name | AP BENEFIT ADVISORS LLC |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
Policy contract number | 98831331001 |
Policy instance | 4 |
Insurance contract or identification number | 98831331001 | Number of Individuals Covered | 517 | Insurance policy start date | 2017-08-01 | Insurance policy end date | 2018-07-31 | Total amount of commissions paid to insurance broker | USD $2,385 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $24,111 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,904 | Insurance broker organization code? | 3 | Insurance broker name | M.F. IRVINE CORPORATE SOLUTIONS |
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INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) |
Policy contract number | 109120 |
Policy instance | 5 |
Insurance contract or identification number | 109120 | Number of Individuals Covered | 324 | Insurance policy start date | 2017-08-01 | Insurance policy end date | 2018-07-31 | Total amount of commissions paid to insurance broker | USD $62,307 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $599,421 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $62,307 | Insurance broker organization code? | 3 | Insurance broker name | INDEPENDENCE ADMINISTRATORS |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | GL 151448 |
Policy instance | 6 |
Insurance contract or identification number | GL 151448 | Number of Individuals Covered | 526 | Insurance policy start date | 2017-08-01 | Insurance policy end date | 2018-07-31 | Total amount of commissions paid to insurance broker | USD $2,919 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | GROUP LIFE,ACCIDENTAL DEATH/DISMEMB | Welfare Benefit Premiums Paid to Carrier | USD $46,727 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,919 | Insurance broker organization code? | 3 | Insurance broker name | AP BENEFIT ADVISORS LLC |
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
Policy contract number | VAR 205835 |
Policy instance | 7 |
Insurance contract or identification number | VAR 205835 | Number of Individuals Covered | 162 | Insurance policy start date | 2017-08-01 | Insurance policy end date | 2018-07-31 | Total amount of commissions paid to insurance broker | USD $1,978 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH/DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $13,186 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,978 | Insurance broker organization code? | 3 | Insurance broker name | AP BENEFIT ADVISORS LLC |
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00360770 |
Policy instance | 1 |
Insurance contract or identification number | 00360770 | Number of Individuals Covered | 323 | Insurance policy start date | 2017-08-01 | Insurance policy end date | 2018-07-31 | Total amount of commissions paid to insurance broker | USD $8,332 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENT,VOLUNTARY CRITICAL ILLNESS | Welfare Benefit Premiums Paid to Carrier | USD $215,553 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,332 | Insurance broker organization code? | 3 | Insurance broker name | CRAWFORD ADVISORS LLC |
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