INVISION AUTOMOTIVE SYSTEMS, INC. has sponsored the creation of one or more 401k plans.
Additional information about INVISION AUTOMOTIVE SYSTEMS, INC.
Submission information for form 5500 for 401k plan INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN
401k plan membership statisitcs for INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN
| Measure | Date | Value |
|---|
| 2022: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 166 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 132 |
| Total of all active and inactive participants | 2022-01-01 | 132 |
| Total participants | 2022-01-01 | 132 |
| 2021: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 166 |
| Total of all active and inactive participants | 2021-01-01 | 166 |
| Total participants | 2021-01-01 | 166 |
| 2020: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 126 |
| Total of all active and inactive participants | 2020-01-01 | 126 |
| Total participants | 2020-01-01 | 126 |
| 2019: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 104 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 105 |
| Total participants | 2019-01-01 | 105 |
| 2018: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-03-01 | 135 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 114 |
| Number of retired or separated participants receiving benefits | 2018-03-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2018-03-01 | 0 |
| Total of all active and inactive participants | 2018-03-01 | 115 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-03-01 | 0 |
| Total participants | 2018-03-01 | 115 |
| Number of participants with account balances | 2018-03-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-03-01 | 0 |
| 2017: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-03-01 | 283 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 135 |
| Total of all active and inactive participants | 2017-03-01 | 135 |
| Total participants | 2017-03-01 | 135 |
| 2016: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-03-01 | 325 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 283 |
| Total of all active and inactive participants | 2016-03-01 | 283 |
| Total participants | 2016-03-01 | 283 |
| 2015: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-03-01 | 258 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 325 |
| Total of all active and inactive participants | 2015-03-01 | 325 |
| Total participants | 2015-03-01 | 325 |
| 2014: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-03-01 | 250 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-03-01 | 258 |
| Number of retired or separated participants receiving benefits | 2014-03-01 | 4 |
| Total of all active and inactive participants | 2014-03-01 | 262 |
| Total participants | 2014-03-01 | 262 |
| 2013: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-03-01 | 250 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-03-01 | 250 |
| Total of all active and inactive participants | 2013-03-01 | 250 |
| Total participants | 2013-03-01 | 250 |
| 2012: INVISION AUTOMOTIVE SYSTEMS GROUP BENEFITS PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-03-01 | 217 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-03-01 | 250 |
| Total of all active and inactive participants | 2012-03-01 | 250 |
| Total participants | 2012-03-01 | 250 |
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 749380 |
| Policy instance | 3 |
| Insurance contract or identification number | 749380 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $955 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,330 | | Commission paid to Insurance Broker | USD $955 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 2 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $6,414 | | Total amount of fees paid to insurance company | USD $34,575 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,079,680 | | Commission paid to Insurance Broker | USD $6,414 | | Amount paid for insurance broker fees | 34575 | | Insurance broker organization code? | 3 |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $617 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $7,021 | | Commission paid to Insurance Broker | USD $218 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $665 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $7,560 | | Commission paid to Insurance Broker | USD $233 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 2 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 241 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $7,266 | | Total amount of fees paid to insurance company | USD $43,688 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,253,128 | | Commission paid to Insurance Broker | USD $7,266 | | Amount paid for insurance broker fees | 42651 | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 749380 |
| Policy instance | 3 |
| Insurance contract or identification number | 749380 | | Number of Individuals Covered | 116 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $1,519 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,420 | | Commission paid to Insurance Broker | USD $1,519 | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 749380 |
| Policy instance | 3 |
| Insurance contract or identification number | 749380 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $754 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,693 | | Commission paid to Insurance Broker | USD $754 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 2 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 225 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,324 | | Total amount of fees paid to insurance company | USD $30,950 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,031,302 | | Commission paid to Insurance Broker | USD $1,324 | | Amount paid for insurance broker fees | 30950 | | Insurance broker organization code? | 3 |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $617 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $7,021 | | Commission paid to Insurance Broker | USD $218 | | Insurance broker organization code? | 3 |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $689 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $7,840 | | Commission paid to Insurance Broker | USD $246 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 2 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 193 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $8,959 | | Total amount of fees paid to insurance company | USD $31,963 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $899,804 | | Commission paid to Insurance Broker | USD $8,959 | | Amount paid for insurance broker fees | 31963 | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 749380 |
| Policy instance | 3 |
| Insurance contract or identification number | 749380 | | Number of Individuals Covered | 65 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $895 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,796 | | Commission paid to Insurance Broker | USD $895 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 749380 |
| Policy instance | 3 |
| Insurance contract or identification number | 749380 | | Number of Individuals Covered | 81 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,086 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,244 | | Commission paid to Insurance Broker | USD $244 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 2 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $6,306 | | Total amount of fees paid to insurance company | USD $2,066 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $975,192 | | Commission paid to Insurance Broker | USD $4,212 | | Amount paid for insurance broker fees | 2066 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $704 | | Total amount of fees paid to insurance company | USD $12 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $7,467 | | Commission paid to Insurance Broker | USD $213 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 8 |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 0004000020000 |
| Policy instance | 5 |
| Insurance contract or identification number | 0004000020000 | | Number of Individuals Covered | 48 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2018-01-01 | | Total amount of commissions paid to insurance broker | USD $1,235 | | Other welfare benefits provided | AD&D, LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $8,230 | | Commission paid to Insurance Broker | USD $1,235 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES INC. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 4 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $6,995 | | Total amount of fees paid to insurance company | USD $765 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $872,938 | | Commission paid to Insurance Broker | USD $6,995 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 765 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker name | GALLAGHER BENEFIT SEVCS INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088010 |
| Policy instance | 3 |
| Insurance contract or identification number | 000010088010 | | Long Term Disability Insurance Welfare Benefit | Yes | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFITS SERVICES INC |
|
| COMPBENEFITS COMPANY (National Association of Insurance Commissioners NAIC id number: 52015 ) |
| Policy contract number | 749380 |
| Policy instance | 2 |
| Insurance contract or identification number | 749380 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2001-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $990 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,770 | | Commission paid to Insurance Broker | USD $990 | | Insurance broker organization code? | 3 | | Insurance broker name | USI INSURANCE SERVICES NATIONAL INC |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,781 | | Total amount of fees paid to insurance company | USD $52 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $14,653 | | Commission paid to Insurance Broker | USD $359 | | Amount paid for insurance broker fees | 19 | | Insurance broker name | RUBICON REGION LLC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088009 |
| Policy instance | 5 |
| Insurance contract or identification number | 000010088009 | | Number of Individuals Covered | 181 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,296 | | Other welfare benefits provided | AD&D, LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $8,641 | | Commission paid to Insurance Broker | USD $1,296 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES INC. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 4 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $7,250 | | Total amount of fees paid to insurance company | USD $2,057 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $917,029 | | Commission paid to Insurance Broker | USD $7,250 | | Amount paid for insurance broker fees | 2057 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SEVCS INC-SYOSSET |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088010 |
| Policy instance | 3 |
| Insurance contract or identification number | 000010088010 | | Number of Individuals Covered | 187 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,511 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,074 | | Commission paid to Insurance Broker | USD $1,511 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFITS SERVICES INC |
|
| COMPBENEFITS COMPANY (National Association of Insurance Commissioners NAIC id number: 52015 ) |
| Policy contract number | VS5982 |
| Policy instance | 2 |
| Insurance contract or identification number | VS5982 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,076 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,792 | | Commission paid to Insurance Broker | USD $1,076 | | Insurance broker organization code? | 3 | | Insurance broker name | WELLS FARGO INS SERVICES USA INC |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $2,503 | | Total amount of fees paid to insurance company | USD $47 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $14,958 | | Commission paid to Insurance Broker | USD $502 | | Amount paid for insurance broker fees | 4 | | Insurance broker name | PO BOX |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $2,232 | | Total amount of fees paid to insurance company | USD $82 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $14,798 | | Commission paid to Insurance Broker | USD $324 | | Amount paid for insurance broker fees | 29 | | Insurance broker organization code? | 3 | | Insurance broker name | DANIEL J LONG |
|
| COMPBENEFITS COMPANY (National Association of Insurance Commissioners NAIC id number: 52015 ) |
| Policy contract number | VS5982 |
| Policy instance | 2 |
| Insurance contract or identification number | VS5982 | | Number of Individuals Covered | 81 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $1,154 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,680 | | Commission paid to Insurance Broker | USD $1,154 | | Insurance broker organization code? | 3 | | Insurance broker name | WELLS FARGO INS SERVICES USA INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088010 |
| Policy instance | 3 |
| Insurance contract or identification number | 000010088010 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $1,029 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,858 | | Commission paid to Insurance Broker | USD $1,029 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFITS SERVICES INC |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 4 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 156 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $6,942 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $776,318 | | Commission paid to Insurance Broker | USD $6,942 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SEVCS INC-SYOSSET |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088009 |
| Policy instance | 5 |
| Insurance contract or identification number | 000010088009 | | Number of Individuals Covered | 157 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $915 | | Other welfare benefits provided | AD&D, LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $6,100 | | Commission paid to Insurance Broker | USD $915 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES INC. |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 44 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $3,269 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $22,127 | | Commission paid to Insurance Broker | USD $701 | | Insurance broker organization code? | 3 | | Insurance broker name | TERESA M EGAN |
|
| COMPBENEFITS COMPANY (National Association of Insurance Commissioners NAIC id number: 52015 ) |
| Policy contract number | VS5982 |
| Policy instance | 2 |
| Insurance contract or identification number | VS5982 | | Number of Individuals Covered | 84 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $1,067 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,819 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $1,067 | | Insurance broker organization code? | 3 | | Insurance broker name | WELLS FARGO INS SERVICES USA INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088010 |
| Policy instance | 3 |
| Insurance contract or identification number | 000010088010 | | Number of Individuals Covered | 152 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $996 | | Total amount of fees paid to insurance company | USD $212 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,640 | | Commission paid to Insurance Broker | USD $996 | | Amount paid for insurance broker fees | 212 | | Additional information about fees paid to insurance broker | BROKER BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFITS SERVICES INC |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 4 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 250 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $7,225 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $801,694 | | Commission paid to Insurance Broker | USD $7,225 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SEVCS INC-SYOSSET |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088009 |
| Policy instance | 5 |
| Insurance contract or identification number | 000010088009 | | Number of Individuals Covered | 152 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $921 | | Total amount of fees paid to insurance company | USD $191 | | Other welfare benefits provided | AD&D, LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $6,140 | | Commission paid to Insurance Broker | USD $921 | | Amount paid for insurance broker fees | 191 | | Additional information about fees paid to insurance broker | BROKER BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES INC. |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088009 |
| Policy instance | 5 |
| Insurance contract or identification number | 000010088009 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $881 | | Total amount of fees paid to insurance company | USD $191 | | Other welfare benefits provided | AD&D, LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $5,875 | | Commission paid to Insurance Broker | USD $881 | | Amount paid for insurance broker fees | 191 | | Additional information about fees paid to insurance broker | BROKER BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES INC. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 713331 |
| Policy instance | 4 |
| Insurance contract or identification number | 713331 | | Number of Individuals Covered | 250 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $11,915 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $757,964 | | Commission paid to Insurance Broker | USD $11,915 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SEVCS INC-SYOSSET |
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010088010 |
| Policy instance | 3 |
| Insurance contract or identification number | 000010088010 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $978 | | Total amount of fees paid to insurance company | USD $213 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,521 | | Commission paid to Insurance Broker | USD $978 | | Amount paid for insurance broker fees | 213 | | Additional information about fees paid to insurance broker | BROKER BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFITS SERVICES INC |
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| COMPBENEFITS COMPANY (National Association of Insurance Commissioners NAIC id number: 52015 ) |
| Policy contract number | VS5982 |
| Policy instance | 2 |
| Insurance contract or identification number | VS5982 | | Number of Individuals Covered | 89 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $871 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,504 | | Commission paid to Insurance Broker | USD $871 | | Insurance broker organization code? | 3 | | Insurance broker name | WELLS FARGO INS SERVICES USA INC |
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| AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | AEF12 |
| Policy instance | 1 |
| Insurance contract or identification number | AEF12 | | Number of Individuals Covered | 55 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $12,348 | | Total amount of fees paid to insurance company | USD $22 | | Other welfare benefits provided | CANCER PROTECTION PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $31,146 | | Commission paid to Insurance Broker | USD $1,007 | | Amount paid for insurance broker fees | 3 | | Insurance broker organization code? | 3 | | Insurance broker name | BRIAN ALLEN BASS |
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