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MATT CASTRUCCI, INC. HEALTH PLAN 401k Plan overview

Plan NameMATT CASTRUCCI, INC. HEALTH PLAN
Plan identification number 502

MATT CASTRUCCI, INC. HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Other welfare benefit cover

401k Sponsoring company profile

MATT CASTRUCCI, INC. has sponsored the creation of one or more 401k plans.

Company Name:MATT CASTRUCCI, INC.
Employer identification number (EIN):310871089
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MATT CASTRUCCI, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-01-01
5022014-01-01
5022013-01-01
5022012-01-01

Plan Statistics for MATT CASTRUCCI, INC. HEALTH PLAN

401k plan membership statisitcs for MATT CASTRUCCI, INC. HEALTH PLAN

Measure Date Value
2015: MATT CASTRUCCI, INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01240
Total number of active participants reported on line 7a of the Form 55002015-01-010
Total of all active and inactive participants2015-01-010
Total participants2015-01-010
2014: MATT CASTRUCCI, INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01204
Total number of active participants reported on line 7a of the Form 55002014-01-01240
Total of all active and inactive participants2014-01-01240
Total participants2014-01-01240
2013: MATT CASTRUCCI, INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01219
Total number of active participants reported on line 7a of the Form 55002013-01-01204
Total of all active and inactive participants2013-01-01204
Total participants2013-01-01204
2012: MATT CASTRUCCI, INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01124
Total number of active participants reported on line 7a of the Form 55002012-01-01219
Total of all active and inactive participants2012-01-01219
Total participants2012-01-01219

Form 5500 Responses for MATT CASTRUCCI, INC. HEALTH PLAN

2015: MATT CASTRUCCI, INC. HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01This submission is the final filingYes
2015-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MATT CASTRUCCI, INC. HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MATT CASTRUCCI, INC. HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MATT CASTRUCCI, INC. HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number248233
Policy instance 9
Insurance contract or identification number248233
Number of Individuals Covered179
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $1,852
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,852
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00172936
Policy instance 1
Insurance contract or identification number00172936
Number of Individuals Covered360
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $19,061
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $740,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,061
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number41125
Policy instance 2
Insurance contract or identification number41125
Number of Individuals Covered234
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $361
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, BASIC LIFE INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $3,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $361
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWN474
Policy instance 3
Insurance contract or identification numberWN474
Number of Individuals Covered69
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $5,389
Total amount of fees paid to insurance companyUSD $449
Other welfare benefits providedACCIDENT/HOSPITAL/LIFE/STD/CANCER
Welfare Benefit Premiums Paid to CarrierUSD $26,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,813
Amount paid for insurance broker fees281
Insurance broker organization code?3
Insurance broker nameSCOTT SMITH
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWT871
Policy instance 4
Insurance contract or identification numberWT871
Number of Individuals Covered45
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $3,478
Other welfare benefits providedACCIDENT, CANCER, SICKNESS
Welfare Benefit Premiums Paid to CarrierUSD $21,082
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,687
Insurance broker organization code?3
Insurance broker nameKEVIN SVARDA ENTERPRISES, LLC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWJ683
Policy instance 5
Insurance contract or identification numberWJ683
Number of Individuals Covered71
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $3,239
Total amount of fees paid to insurance companyUSD $47
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $22,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $970
Amount paid for insurance broker fees29
Insurance broker organization code?3
Insurance broker nameASSUREDPARTNERS OF KENTUCKY, LLC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWJ714
Policy instance 6
Insurance contract or identification numberWJ714
Number of Individuals Covered42
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $2,525
Total amount of fees paid to insurance companyUSD $233
Other welfare benefits providedSTD, HOSPITAL, PERSONAL TERM LIFE
Welfare Benefit Premiums Paid to CarrierUSD $15,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $904
Amount paid for insurance broker fees146
Insurance broker organization code?3
Insurance broker nameMICHAEL QUINN
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000009693
Policy instance 7
Insurance contract or identification number0000009693
Number of Individuals Covered45
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $410
Other welfare benefits providedACCIDENT/CRITICAL ILLNESS/HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $4,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $118
Insurance broker organization code?3
Insurance broker nameSHAWN M MCDERMOTT
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000009511
Policy instance 8
Insurance contract or identification number0000009511
Number of Individuals Covered322
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $8,470
Other welfare benefits providedACCIDENT/CRITICAL ILLNESS/HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $49,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,131
Insurance broker organization code?3
Insurance broker nameINGER M PENNINGTON
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number41125
Policy instance 3
Insurance contract or identification number41125
Number of Individuals Covered240
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $648
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, BASIC LIFE INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $12,964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $648
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWN474
Policy instance 4
Insurance contract or identification numberWN474
Number of Individuals Covered68
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,050
Total amount of fees paid to insurance companyUSD $120
Other welfare benefits providedACCIDENT/HOSPITAL/LIFE/STD/CANCER
Welfare Benefit Premiums Paid to CarrierUSD $52,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,345
Amount paid for insurance broker fees75
Insurance broker organization code?3
Insurance broker nameJEFFREY XAVER
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWT871
Policy instance 5
Insurance contract or identification numberWT871
Number of Individuals Covered46
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $5,807
Total amount of fees paid to insurance companyUSD $70
Other welfare benefits providedACCIDENT, CANCER, SICKNESS
Welfare Benefit Premiums Paid to CarrierUSD $42,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,809
Amount paid for insurance broker fees43
Insurance broker organization code?3
Insurance broker nameKEVIN SVARDA ENTERPRISES, LLC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWJ683
Policy instance 6
Insurance contract or identification numberWJ683
Number of Individuals Covered60
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,918
Total amount of fees paid to insurance companyUSD $80
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $54,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,872
Amount paid for insurance broker fees50
Insurance broker organization code?3
Insurance broker nameASSUREDPARTNERS OF KENTUCKY, LLC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWJ714
Policy instance 7
Insurance contract or identification numberWJ714
Number of Individuals Covered39
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $5,645
Total amount of fees paid to insurance companyUSD $279
Other welfare benefits providedSTD, HOSPITAL, LIFE
Welfare Benefit Premiums Paid to CarrierUSD $29,439
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,104
Amount paid for insurance broker fees174
Insurance broker organization code?3
Insurance broker nameMICHAEL MCCARTHY
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000009693
Policy instance 8
Insurance contract or identification number0000009693
Number of Individuals Covered36
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $920
Other welfare benefits providedACCIDENT/CRITICAL ILLNESS/HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $9,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $253
Insurance broker organization code?3
Insurance broker nameBRIAN J DAY
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000009511
Policy instance 9
Insurance contract or identification number0000009511
Number of Individuals Covered295
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $18,421
Other welfare benefits providedACCIDENT/CRITICAL ILLNESS/HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $92,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $82
Insurance broker organization code?3
Insurance broker nameBRIAN J DAY
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754102
Policy instance 10
Insurance contract or identification number0754102
Number of Individuals Covered304
Insurance policy start date2014-03-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $13,257
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $385,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,257
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number248233
Policy instance 11
Insurance contract or identification number248233
Number of Individuals Covered184
Insurance policy start date2014-07-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,929
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,929
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number6915201-6915205
Policy instance 2
Insurance contract or identification number6915201-6915205
Number of Individuals Covered334
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,442
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,442
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00170264
Policy instance 1
Insurance contract or identification number00170264
Number of Individuals Covered350
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $18,229
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $719,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,229
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754102
Policy instance 10
Insurance contract or identification number0754102
Number of Individuals Covered304
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $41,299
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 BrokerUSD $41,299
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number6915201-6915205
Policy instance 2
Insurance contract or identification number6915201-6915205
Number of Individuals Covered346
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,339
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,339
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00170264
Policy instance 1
Insurance contract or identification number00170264
Number of Individuals Covered330
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $6,260
Total amount of fees paid to insurance companyUSD $3,100
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $190,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,260
Amount paid for insurance broker fees3100
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number41125
Policy instance 3
Insurance contract or identification number41125
Number of Individuals Covered204
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $602
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, BASIC LIFE INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $12,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $602
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWN474
Policy instance 4
Insurance contract or identification numberWN474
Number of Individuals Covered62
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,671
Total amount of fees paid to insurance companyUSD $441
Other welfare benefits providedACCIDENT/HOSPITAL/LIFE/STD/CANCER
Welfare Benefit Premiums Paid to CarrierUSD $56,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,023
Amount paid for insurance broker fees276
Insurance broker organization code?3
Insurance broker nameTERESA CHRISTMAN
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWT871
Policy instance 5
Insurance contract or identification numberWT871
Number of Individuals Covered49
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $8,930
Total amount of fees paid to insurance companyUSD $699
Other welfare benefits providedACCIDENT, CANCER, SICKNESS
Welfare Benefit Premiums Paid to CarrierUSD $50,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,283
Amount paid for insurance broker fees437
Insurance broker organization code?3
Insurance broker nameKATHRYN BRAMLAGE
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWJ683
Policy instance 6
Insurance contract or identification numberWJ683
Number of Individuals Covered68
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $9,028
Total amount of fees paid to insurance companyUSD $677
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $54,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,889
Amount paid for insurance broker fees423
Insurance broker organization code?3
Insurance broker nameASSUREDPARTNERS OF KENTUCKY, LLC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWJ714
Policy instance 7
Insurance contract or identification numberWJ714
Number of Individuals Covered36
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,802
Total amount of fees paid to insurance companyUSD $174
Other welfare benefits providedSTD, HOSPITAL, LIFE
Welfare Benefit Premiums Paid to CarrierUSD $28,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,619
Amount paid for insurance broker fees108
Insurance broker organization code?3
Insurance broker nameTHOMAS GENTZ
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000009693
Policy instance 8
Insurance contract or identification number0000009693
Number of Individuals Covered36
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,089
Other welfare benefits providedACCIDENT/CRITICAL ILLNESS/HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $12,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $293
Insurance broker organization code?3
Insurance broker nameBRIAN J DAY
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000009511
Policy instance 9
Insurance contract or identification number0000009511
Number of Individuals Covered295
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $21,348
Other welfare benefits providedACCIDENT/CRITICAL ILLNESS/HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $85,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,316
Insurance broker organization code?3
Insurance broker nameBRIAN J DAY
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number6915201-6915205
Policy instance 2
Insurance contract or identification number6915201-6915205
Number of Individuals Covered372
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,406
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,406
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number41125
Policy instance 3
Insurance contract or identification number41125
Number of Individuals Covered219
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $660
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, BASIC LIFE INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $13,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $660
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWN474
Policy instance 4
Insurance contract or identification numberWN474
Number of Individuals Covered74
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $11,175
Total amount of fees paid to insurance companyUSD $49
Other welfare benefits providedACCIDENT/HOSPITAL/LIFE/STD/CANCER
Welfare Benefit Premiums Paid to CarrierUSD $58,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,560
Amount paid for insurance broker fees31
Insurance broker organization code?3
Insurance broker nameSTEPHANIE KOLODZIEJSKI
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWT871
Policy instance 5
Insurance contract or identification numberWT871
Number of Individuals Covered67
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $11,846
Total amount of fees paid to insurance companyUSD $533
Other welfare benefits providedACCIDENT, CANCER, SICKNESS
Welfare Benefit Premiums Paid to CarrierUSD $53,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,827
Amount paid for insurance broker fees333
Insurance broker organization code?3
Insurance broker nameKATHRYN BRAMLAGE
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWJ683
Policy instance 6
Insurance contract or identification numberWJ683
Number of Individuals Covered61
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $10,159
Total amount of fees paid to insurance companyUSD $249
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $51,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,254
Amount paid for insurance broker fees117
Insurance broker organization code?3
Insurance broker nameMICHAEL MCCARTHY
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberWJ714
Policy instance 7
Insurance contract or identification numberWJ714
Number of Individuals Covered33
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,625
Total amount of fees paid to insurance companyUSD $209
Other welfare benefits providedSTD, HOSPITAL, LIFE
Welfare Benefit Premiums Paid to CarrierUSD $32,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,733
Amount paid for insurance broker fees89
Insurance broker organization code?3
Insurance broker nameTHOMAS GENTZ
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000009693
Policy instance 8
Insurance contract or identification number0000009693
Number of Individuals Covered36
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,483
Other welfare benefits providedACCIDENT/CRITICAL ILLNESS/HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $12,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,672
Insurance broker organization code?3
Insurance broker nameSHAWN M MCDERMOTT
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number0000009511
Policy instance 9
Insurance contract or identification number0000009511
Number of Individuals Covered285
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $23,615
Other welfare benefits providedACCIDENT/CRITICAL ILLNESS/HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $69,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,152
Insurance broker organization code?3
Insurance broker nameIAN B BRANYON
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00170264
Policy instance 1
Insurance contract or identification number00170264
Number of Individuals Covered335
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $37,900
Total amount of fees paid to insurance companyUSD $3,060
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $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 BrokerUSD $37,900
Amount paid for insurance broker fees3060
Insurance broker organization code?3
Insurance broker nameLANG FINANCIAL GROUP, INC.

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