PLAYWORLD SYSTEMS INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN
Measure | Date | Value |
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2016: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 320 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
Total of all active and inactive participants | 2016-01-01 | 0 |
2015: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-07-01 | 337 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 338 |
Number of retired or separated participants receiving benefits | 2015-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-07-01 | 0 |
Total of all active and inactive participants | 2015-07-01 | 338 |
2014: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-07-01 | 344 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 337 |
Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
Total of all active and inactive participants | 2014-07-01 | 337 |
2013: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-07-01 | 308 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 344 |
Total of all active and inactive participants | 2013-07-01 | 344 |
2012: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-07-01 | 285 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 308 |
Total of all active and inactive participants | 2012-07-01 | 308 |
2011: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-07-01 | 284 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 285 |
Total of all active and inactive participants | 2011-07-01 | 285 |
2010: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-07-01 | 301 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 284 |
Total of all active and inactive participants | 2010-07-01 | 284 |
2009: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-07-01 | 352 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 301 |
Total of all active and inactive participants | 2009-07-01 | 301 |
2016: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Submission has been amended | No |
2016-01-01 | This submission is the final filing | Yes |
2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-01-01 | Plan is a collectively bargained plan | No |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2015 form 5500 responses |
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2015-07-01 | Type of plan entity | Single employer plan |
2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-07-01 | Plan benefit arrangement – Insurance | Yes |
2014: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2014 form 5500 responses |
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2014-07-01 | Type of plan entity | Single employer plan |
2014-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-07-01 | Plan benefit arrangement – Insurance | Yes |
2013: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2013 form 5500 responses |
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2013-07-01 | Type of plan entity | Single employer plan |
2013-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-07-01 | Plan benefit arrangement – Insurance | Yes |
2012: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2012 form 5500 responses |
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2012-07-01 | Type of plan entity | Single employer plan |
2012-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-07-01 | Plan benefit arrangement – Insurance | Yes |
2011: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2011 form 5500 responses |
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2011-07-01 | Type of plan entity | Single employer plan |
2011-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-07-01 | Plan benefit arrangement – Insurance | Yes |
2010: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2010 form 5500 responses |
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2010-07-01 | Type of plan entity | Single employer plan |
2010-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2010-07-01 | Plan benefit arrangement – Insurance | Yes |
2009: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2009 form 5500 responses |
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2009-07-01 | Type of plan entity | Single employer plan |
2009-07-01 | Submission has been amended | Yes |
2009-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-07-01 | Plan benefit arrangement – Insurance | Yes |
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 9304-LFG |
Policy instance | 1 |
Insurance contract or identification number | 9304-LFG | Number of Individuals Covered | 338 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $3,825 | Total amount of fees paid to insurance company | USD $2,682 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $28,224 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,825 | Amount paid for insurance broker fees | 706 | Additional information about fees paid to insurance broker | OVERRIDES | Insurance broker organization code? | 3 | Insurance broker name | NORTH AMERICAN BENEFITS CO |
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DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
Policy contract number | 15483 |
Policy instance | 4 |
Insurance contract or identification number | 15483 | Number of Individuals Covered | 216 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $2,460 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $48,781 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,460 | Insurance broker organization code? | 3 | Insurance broker name | PENTRA INC |
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AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 ) |
Policy contract number | 00521902 |
Policy instance | 3 |
Insurance contract or identification number | 00521902 | Number of Individuals Covered | 329 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $17,715 | Welfare Benefit Premiums Paid to Carrier | USD $253,068 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $17,715 | Insurance broker organization code? | 3 | Insurance broker name | PENTRA INC |
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VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) |
Policy contract number | 3772 |
Policy instance | 2 |
Insurance contract or identification number | 3772 | Number of Individuals Covered | 204 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $959 | Total amount of fees paid to insurance company | USD $1,916 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $19,159 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $959 | Amount paid for insurance broker fees | 1916 | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE & CONTINGENC | Insurance broker organization code? | 3 | Insurance broker name | PENTRA INC |
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AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 ) |
Policy contract number | 00521902 |
Policy instance | 3 |
Insurance contract or identification number | 00521902 | Number of Individuals Covered | 324 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $36,662 | Welfare Benefit Premiums Paid to Carrier | USD $244,415 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $36,662 | Insurance broker organization code? | 3 | Insurance broker name | PENTRA INC |
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VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) |
Policy contract number | 3772 |
Policy instance | 2 |
Insurance contract or identification number | 3772 | Number of Individuals Covered | 205 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $1,117 | Total amount of fees paid to insurance company | USD $2,181 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $21,810 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,117 | Amount paid for insurance broker fees | 2181 | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE & CONTINGENC | Insurance broker organization code? | 3 | Insurance broker name | PENTRA INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 9304-LFG |
Policy instance | 1 |
Insurance contract or identification number | 9304-LFG | Number of Individuals Covered | 337 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $7,269 | Total amount of fees paid to insurance company | USD $5,375 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $55,987 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,269 | Additional information about fees paid to insurance broker | OVERRIDES | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 5375 | Insurance broker name | NORTH AMERICAN BENEFITS CO |
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DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
Policy contract number | 15483 |
Policy instance | 4 |
Insurance contract or identification number | 15483 | Number of Individuals Covered | 215 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $1,806 | Total amount of fees paid to insurance company | USD $11,079 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $32,608 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,806 | Amount paid for insurance broker fees | 11079 | Insurance broker organization code? | 3 | Insurance broker name | PENTRA INC |
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DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
Policy contract number | 15483 |
Policy instance | 4 |
Insurance contract or identification number | 15483 | Number of Individuals Covered | 336 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Total amount of fees paid to insurance company | USD $15,795 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $58,354 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 15795 | Insurance broker organization code? | 3 | Insurance broker name | INTEGRATED BENEFIT SVCS |
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VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) |
Policy contract number | 1848 |
Policy instance | 2 |
Insurance contract or identification number | 1848 | Number of Individuals Covered | 284 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Total amount of commissions paid to insurance broker | USD $525 | Total amount of fees paid to insurance company | USD $4,753 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $26,401 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $525 | Amount paid for insurance broker fees | 4753 | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE & CONTINGENC | Insurance broker organization code? | 3 | Insurance broker name | INTEGRATED BENEFIT SERVICES INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 9304-LFG |
Policy instance | 1 |
Insurance contract or identification number | 9304-LFG | Number of Individuals Covered | 344 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Total amount of commissions paid to insurance broker | USD $5,891 | Total amount of fees paid to insurance company | USD $5,321 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $43,775 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,891 | Amount paid for insurance broker fees | 5321 | Additional information about fees paid to insurance broker | TPA FEES | Insurance broker organization code? | 5 | Insurance broker name | NORTH AMERICAN BENEFITS CO |
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AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 ) |
Policy contract number | 00521902 |
Policy instance | 3 |
Insurance contract or identification number | 00521902 | Number of Individuals Covered | 338 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Total amount of commissions paid to insurance broker | USD $35,161 | Welfare Benefit Premiums Paid to Carrier | USD $234,404 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $35,161 | Insurance broker organization code? | 3 | Insurance broker name | INTEGRATED BENEFIT SVCS |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 9304-LFG |
Policy instance | 1 |
Insurance contract or identification number | 9304-LFG | Number of Individuals Covered | 303 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Total amount of commissions paid to insurance broker | USD $4,376 | Total amount of fees paid to insurance company | USD $4,275 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $43,853 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,376 | Amount paid for insurance broker fees | 1205 | Additional information about fees paid to insurance broker | OVERRIDES | Insurance broker organization code? | 3 | Insurance broker name | NORTH AMERICAN BENEFITS CO |
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DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
Policy contract number | 15483 |
Policy instance | 4 |
Insurance contract or identification number | 15483 | Number of Individuals Covered | 297 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Total amount of fees paid to insurance company | USD $14,832 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $50,765 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 14832 | Insurance broker organization code? | 3 | Insurance broker name | INTEGRATED BENEFIT SVCS |
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GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
Policy contract number | ELSL-293 |
Policy instance | 3 |
Insurance contract or identification number | ELSL-293 | Number of Individuals Covered | 308 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Total amount of commissions paid to insurance broker | USD $28,330 | Welfare Benefit Premiums Paid to Carrier | USD $188,865 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $28,330 | Insurance broker organization code? | 3 | Insurance broker name | INTEGRATED BENEFIT SVCS |
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VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) |
Policy contract number | 1848 |
Policy instance | 2 |
Insurance contract or identification number | 1848 | Number of Individuals Covered | 243 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Total amount of commissions paid to insurance broker | USD $1,189 | Total amount of fees paid to insurance company | USD $3,279 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $24,824 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,189 | Amount paid for insurance broker fees | 3279 | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE & CONTINGENC | Insurance broker organization code? | 3 | Insurance broker name | INTEGRATED BENEFIT SERVICES INC |
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GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
Policy contract number | ELSL-293 |
Policy instance | 4 |
Insurance contract or identification number | ELSL-293 | Number of Individuals Covered | 285 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Total amount of commissions paid to insurance broker | USD $29,007 | Welfare Benefit Premiums Paid to Carrier | USD $193,381 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 24125 |
Policy instance | 3 |
Insurance contract or identification number | 24125 | Number of Individuals Covered | 281 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $37,850 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) |
Policy contract number | 1848 |
Policy instance | 2 |
Insurance contract or identification number | 1848 | Number of Individuals Covered | 230 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Total amount of commissions paid to insurance broker | USD $485 | Total amount of fees paid to insurance company | USD $2,203 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $22,400 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 068206 |
Policy instance | 1 |
Insurance contract or identification number | 068206 | Number of Individuals Covered | 281 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $10,748 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
Policy contract number | 15483 |
Policy instance | 5 |
Insurance contract or identification number | 15483 | Number of Individuals Covered | 279 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Total amount of fees paid to insurance company | USD $14,077 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $51,728 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) |
Policy contract number | 1848 |
Policy instance | 2 |
Insurance contract or identification number | 1848 | Number of Individuals Covered | 224 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | Total amount of commissions paid to insurance broker | USD $1,110 | Total amount of fees paid to insurance company | USD $2,952 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $22,566 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $782 | Amount paid for insurance broker fees | 2066 | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE CONTINGENC | Insurance broker organization code? | 3 | Insurance broker name | ELITE BROKERAGE SERVICES INC |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 068206 |
Policy instance | 1 |
Insurance contract or identification number | 068206 | Number of Individuals Covered | 286 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $10,642 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker organization code? | 3 | Insurance broker name | ELITE BROKERAGE SERVICES INC |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 24125 |
Policy instance | 3 |
Insurance contract or identification number | 24125 | Number of Individuals Covered | 284 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $36,746 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker organization code? | 3 | Insurance broker name | ELITE BROKERAGE SERVICES INC |
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