MATT CASTRUCCI, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MATT CASTRUCCI, INC. HEALTH PLAN
401k plan membership statisitcs for MATT CASTRUCCI, INC. HEALTH PLAN
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
Policy contract number | 248233 |
Policy instance | 9 |
Insurance contract or identification number | 248233 | Number of Individuals Covered | 179 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $1,852 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $37,034 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,852 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
Policy contract number | 00172936 |
Policy instance | 1 |
Insurance contract or identification number | 00172936 | Number of Individuals Covered | 360 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $19,061 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $740,641 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,061 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 41125 |
Policy instance | 2 |
Insurance contract or identification number | 41125 | Number of Individuals Covered | 234 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $361 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $3,612 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $361 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WN474 |
Policy instance | 3 |
Insurance contract or identification number | WN474 | Number of Individuals Covered | 69 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $5,389 | Total amount of fees paid to insurance company | USD $449 | Other welfare benefits provided | ACCIDENT/HOSPITAL/LIFE/STD/CANCER | Welfare Benefit Premiums Paid to Carrier | USD $26,969 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,813 | Amount paid for insurance broker fees | 281 | Insurance broker organization code? | 3 | Insurance broker name | SCOTT SMITH |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WT871 |
Policy instance | 4 |
Insurance contract or identification number | WT871 | Number of Individuals Covered | 45 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $3,478 | Other welfare benefits provided | ACCIDENT, CANCER, SICKNESS | Welfare Benefit Premiums Paid to Carrier | USD $21,082 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,687 | Insurance broker organization code? | 3 | Insurance broker name | KEVIN SVARDA ENTERPRISES, LLC |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WJ683 |
Policy instance | 5 |
Insurance contract or identification number | WJ683 | Number of Individuals Covered | 71 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $3,239 | Total amount of fees paid to insurance company | USD $47 | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $22,273 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $970 | Amount paid for insurance broker fees | 29 | Insurance broker organization code? | 3 | Insurance broker name | ASSUREDPARTNERS OF KENTUCKY, LLC |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WJ714 |
Policy instance | 6 |
Insurance contract or identification number | WJ714 | Number of Individuals Covered | 42 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $2,525 | Total amount of fees paid to insurance company | USD $233 | Other welfare benefits provided | STD, HOSPITAL, PERSONAL TERM LIFE | Welfare Benefit Premiums Paid to Carrier | USD $15,499 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $904 | Amount paid for insurance broker fees | 146 | Insurance broker organization code? | 3 | Insurance broker name | MICHAEL QUINN |
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CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
Policy contract number | 0000009693 |
Policy instance | 7 |
Insurance contract or identification number | 0000009693 | Number of Individuals Covered | 45 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $410 | Other welfare benefits provided | ACCIDENT/CRITICAL ILLNESS/HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $4,000 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $118 | Insurance broker organization code? | 3 | Insurance broker name | SHAWN M MCDERMOTT |
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CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
Policy contract number | 0000009511 |
Policy instance | 8 |
Insurance contract or identification number | 0000009511 | Number of Individuals Covered | 322 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $8,470 | Other welfare benefits provided | ACCIDENT/CRITICAL ILLNESS/HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $49,346 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,131 | Insurance broker organization code? | 3 | Insurance broker name | INGER M PENNINGTON |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 41125 |
Policy instance | 3 |
Insurance contract or identification number | 41125 | Number of Individuals Covered | 240 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $648 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $12,964 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $648 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WN474 |
Policy instance | 4 |
Insurance contract or identification number | WN474 | Number of Individuals Covered | 68 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $10,050 | Total amount of fees paid to insurance company | USD $120 | Other welfare benefits provided | ACCIDENT/HOSPITAL/LIFE/STD/CANCER | Welfare Benefit Premiums Paid to Carrier | USD $52,358 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,345 | Amount paid for insurance broker fees | 75 | Insurance broker organization code? | 3 | Insurance broker name | JEFFREY XAVER |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WT871 |
Policy instance | 5 |
Insurance contract or identification number | WT871 | Number of Individuals Covered | 46 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $5,807 | Total amount of fees paid to insurance company | USD $70 | Other welfare benefits provided | ACCIDENT, CANCER, SICKNESS | Welfare Benefit Premiums Paid to Carrier | USD $42,194 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,809 | Amount paid for insurance broker fees | 43 | Insurance broker organization code? | 3 | Insurance broker name | KEVIN SVARDA ENTERPRISES, LLC |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WJ683 |
Policy instance | 6 |
Insurance contract or identification number | WJ683 | Number of Individuals Covered | 60 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $6,918 | Total amount of fees paid to insurance company | USD $80 | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $54,463 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,872 | Amount paid for insurance broker fees | 50 | Insurance broker organization code? | 3 | Insurance broker name | ASSUREDPARTNERS OF KENTUCKY, LLC |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WJ714 |
Policy instance | 7 |
Insurance contract or identification number | WJ714 | Number of Individuals Covered | 39 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $5,645 | Total amount of fees paid to insurance company | USD $279 | Other welfare benefits provided | STD, HOSPITAL, LIFE | Welfare Benefit Premiums Paid to Carrier | USD $29,439 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,104 | Amount paid for insurance broker fees | 174 | Insurance broker organization code? | 3 | Insurance broker name | MICHAEL MCCARTHY |
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CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
Policy contract number | 0000009693 |
Policy instance | 8 |
Insurance contract or identification number | 0000009693 | Number of Individuals Covered | 36 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $920 | Other welfare benefits provided | ACCIDENT/CRITICAL ILLNESS/HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $9,722 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $253 | Insurance broker organization code? | 3 | Insurance broker name | BRIAN J DAY |
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CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
Policy contract number | 0000009511 |
Policy instance | 9 |
Insurance contract or identification number | 0000009511 | Number of Individuals Covered | 295 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $18,421 | Other welfare benefits provided | ACCIDENT/CRITICAL ILLNESS/HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $92,573 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $82 | Insurance broker organization code? | 3 | Insurance broker name | BRIAN J DAY |
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0754102 |
Policy instance | 10 |
Insurance contract or identification number | 0754102 | Number of Individuals Covered | 304 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2014-06-30 | Total amount of commissions paid to insurance broker | USD $13,257 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $385,488 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $13,257 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
Policy contract number | 248233 |
Policy instance | 11 |
Insurance contract or identification number | 248233 | Number of Individuals Covered | 184 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $1,929 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $38,586 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,929 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 ) |
Policy contract number | 6915201-6915205 |
Policy instance | 2 |
Insurance contract or identification number | 6915201-6915205 | Number of Individuals Covered | 334 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $2,442 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,442 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
Policy contract number | 00170264 |
Policy instance | 1 |
Insurance contract or identification number | 00170264 | Number of Individuals Covered | 350 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $18,229 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $719,324 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $18,229 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0754102 |
Policy instance | 10 |
Insurance contract or identification number | 0754102 | Number of Individuals Covered | 304 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $41,299 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,391,119 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $41,299 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 ) |
Policy contract number | 6915201-6915205 |
Policy instance | 2 |
Insurance contract or identification number | 6915201-6915205 | Number of Individuals Covered | 346 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $4,339 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,339 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
Policy contract number | 00170264 |
Policy instance | 1 |
Insurance contract or identification number | 00170264 | Number of Individuals Covered | 330 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $6,260 | Total amount of fees paid to insurance company | USD $3,100 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $190,756 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,260 | Amount paid for insurance broker fees | 3100 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 41125 |
Policy instance | 3 |
Insurance contract or identification number | 41125 | Number of Individuals Covered | 204 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $602 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $12,042 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $602 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WN474 |
Policy instance | 4 |
Insurance contract or identification number | WN474 | Number of Individuals Covered | 62 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $11,671 | Total amount of fees paid to insurance company | USD $441 | Other welfare benefits provided | ACCIDENT/HOSPITAL/LIFE/STD/CANCER | Welfare Benefit Premiums Paid to Carrier | USD $56,634 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,023 | Amount paid for insurance broker fees | 276 | Insurance broker organization code? | 3 | Insurance broker name | TERESA CHRISTMAN |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WT871 |
Policy instance | 5 |
Insurance contract or identification number | WT871 | Number of Individuals Covered | 49 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $8,930 | Total amount of fees paid to insurance company | USD $699 | Other welfare benefits provided | ACCIDENT, CANCER, SICKNESS | Welfare Benefit Premiums Paid to Carrier | USD $50,487 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,283 | Amount paid for insurance broker fees | 437 | Insurance broker organization code? | 3 | Insurance broker name | KATHRYN BRAMLAGE |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WJ683 |
Policy instance | 6 |
Insurance contract or identification number | WJ683 | Number of Individuals Covered | 68 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $9,028 | Total amount of fees paid to insurance company | USD $677 | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $54,580 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,889 | Amount paid for insurance broker fees | 423 | Insurance broker organization code? | 3 | Insurance broker name | ASSUREDPARTNERS OF KENTUCKY, LLC |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WJ714 |
Policy instance | 7 |
Insurance contract or identification number | WJ714 | Number of Individuals Covered | 36 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $4,802 | Total amount of fees paid to insurance company | USD $174 | Other welfare benefits provided | STD, HOSPITAL, LIFE | Welfare Benefit Premiums Paid to Carrier | USD $28,198 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,619 | Amount paid for insurance broker fees | 108 | Insurance broker organization code? | 3 | Insurance broker name | THOMAS GENTZ |
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CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
Policy contract number | 0000009693 |
Policy instance | 8 |
Insurance contract or identification number | 0000009693 | Number of Individuals Covered | 36 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $1,089 | Other welfare benefits provided | ACCIDENT/CRITICAL ILLNESS/HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $12,019 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $293 | Insurance broker organization code? | 3 | Insurance broker name | BRIAN J DAY |
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CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
Policy contract number | 0000009511 |
Policy instance | 9 |
Insurance contract or identification number | 0000009511 | Number of Individuals Covered | 295 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $21,348 | Other welfare benefits provided | ACCIDENT/CRITICAL ILLNESS/HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $85,013 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,316 | Insurance broker organization code? | 3 | Insurance broker name | BRIAN J DAY |
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DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 ) |
Policy contract number | 6915201-6915205 |
Policy instance | 2 |
Insurance contract or identification number | 6915201-6915205 | Number of Individuals Covered | 372 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $4,406 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,406 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 41125 |
Policy instance | 3 |
Insurance contract or identification number | 41125 | Number of Individuals Covered | 219 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $660 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, BASIC LIFE INSURANCE | Welfare Benefit Premiums Paid to Carrier | USD $13,198 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $660 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WN474 |
Policy instance | 4 |
Insurance contract or identification number | WN474 | Number of Individuals Covered | 74 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $11,175 | Total amount of fees paid to insurance company | USD $49 | Other welfare benefits provided | ACCIDENT/HOSPITAL/LIFE/STD/CANCER | Welfare Benefit Premiums Paid to Carrier | USD $58,197 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,560 | Amount paid for insurance broker fees | 31 | Insurance broker organization code? | 3 | Insurance broker name | STEPHANIE KOLODZIEJSKI |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WT871 |
Policy instance | 5 |
Insurance contract or identification number | WT871 | Number of Individuals Covered | 67 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $11,846 | Total amount of fees paid to insurance company | USD $533 | Other welfare benefits provided | ACCIDENT, CANCER, SICKNESS | Welfare Benefit Premiums Paid to Carrier | USD $53,996 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,827 | Amount paid for insurance broker fees | 333 | Insurance broker organization code? | 3 | Insurance broker name | KATHRYN BRAMLAGE |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WJ683 |
Policy instance | 6 |
Insurance contract or identification number | WJ683 | Number of Individuals Covered | 61 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $10,159 | Total amount of fees paid to insurance company | USD $249 | Other welfare benefits provided | SHORT TERM DISABILITY | Welfare Benefit Premiums Paid to Carrier | USD $51,065 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,254 | Amount paid for insurance broker fees | 117 | Insurance broker organization code? | 3 | Insurance broker name | MICHAEL MCCARTHY |
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AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
Policy contract number | WJ714 |
Policy instance | 7 |
Insurance contract or identification number | WJ714 | Number of Individuals Covered | 33 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $5,625 | Total amount of fees paid to insurance company | USD $209 | Other welfare benefits provided | STD, HOSPITAL, LIFE | Welfare Benefit Premiums Paid to Carrier | USD $32,032 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,733 | Amount paid for insurance broker fees | 89 | Insurance broker organization code? | 3 | Insurance broker name | THOMAS GENTZ |
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CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
Policy contract number | 0000009693 |
Policy instance | 8 |
Insurance contract or identification number | 0000009693 | Number of Individuals Covered | 36 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $4,483 | Other welfare benefits provided | ACCIDENT/CRITICAL ILLNESS/HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $12,899 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,672 | Insurance broker organization code? | 3 | Insurance broker name | SHAWN M MCDERMOTT |
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CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
Policy contract number | 0000009511 |
Policy instance | 9 |
Insurance contract or identification number | 0000009511 | Number of Individuals Covered | 285 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $23,615 | Other welfare benefits provided | ACCIDENT/CRITICAL ILLNESS/HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $69,583 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $9,152 | Insurance broker organization code? | 3 | Insurance broker name | IAN B BRANYON |
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COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
Policy contract number | 00170264 |
Policy instance | 1 |
Insurance contract or identification number | 00170264 | Number of Individuals Covered | 335 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $37,900 | Total amount of fees paid to insurance company | USD $3,060 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,124,389 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $37,900 | Amount paid for insurance broker fees | 3060 | Insurance broker organization code? | 3 | Insurance broker name | LANG FINANCIAL GROUP, INC. |
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