TRANS-CARRIERS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan TRANS-CARRIERS, INC. LIFE AND ADD PLAN
401k plan membership statisitcs for TRANS-CARRIERS, INC. LIFE AND ADD PLAN
Measure | Date | Value |
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2014: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-05-01 | 210 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 0 |
Number of retired or separated participants receiving benefits | 2014-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-05-01 | 0 |
Total of all active and inactive participants | 2014-05-01 | 0 |
2013: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-05-01 | 234 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 210 |
Number of retired or separated participants receiving benefits | 2013-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2013-05-01 | 0 |
Total of all active and inactive participants | 2013-05-01 | 210 |
2012: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-05-01 | 204 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 234 |
Number of retired or separated participants receiving benefits | 2012-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2012-05-01 | 0 |
Total of all active and inactive participants | 2012-05-01 | 234 |
2011: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-05-01 | 204 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 204 |
Number of retired or separated participants receiving benefits | 2011-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2011-05-01 | 0 |
Total of all active and inactive participants | 2011-05-01 | 204 |
2010: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-05-01 | 219 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-05-01 | 204 |
Number of retired or separated participants receiving benefits | 2010-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2010-05-01 | 0 |
Total of all active and inactive participants | 2010-05-01 | 204 |
2009: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-05-01 | 200 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 219 |
Number of retired or separated participants receiving benefits | 2009-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2009-05-01 | 0 |
Total of all active and inactive participants | 2009-05-01 | 219 |
2008: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2008 401k membership |
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Total participants, beginning-of-year | 2008-05-01 | 161 |
Total number of active participants reported on line 7a of the Form 5500 | 2008-05-01 | 200 |
Number of retired or separated participants receiving benefits | 2008-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2008-05-01 | 0 |
Total of all active and inactive participants | 2008-05-01 | 200 |
2007: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2007 401k membership |
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Total participants, beginning-of-year | 2007-05-01 | 123 |
Total number of active participants reported on line 7a of the Form 5500 | 2007-05-01 | 161 |
Number of retired or separated participants receiving benefits | 2007-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2007-05-01 | 0 |
Total of all active and inactive participants | 2007-05-01 | 161 |
2006: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2006 401k membership |
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Total participants, beginning-of-year | 2006-05-01 | 118 |
Total number of active participants reported on line 7a of the Form 5500 | 2006-05-01 | 123 |
Number of retired or separated participants receiving benefits | 2006-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2006-05-01 | 0 |
Total of all active and inactive participants | 2006-05-01 | 123 |
2005: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2005 401k membership |
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Total participants, beginning-of-year | 2005-05-01 | 118 |
Total number of active participants reported on line 7a of the Form 5500 | 2005-05-01 | 118 |
Number of retired or separated participants receiving benefits | 2005-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2005-05-01 | 0 |
Total of all active and inactive participants | 2005-05-01 | 118 |
2004: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2004 401k membership |
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Total participants, beginning-of-year | 2004-05-01 | 118 |
Total number of active participants reported on line 7a of the Form 5500 | 2004-05-01 | 118 |
Number of retired or separated participants receiving benefits | 2004-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2004-05-01 | 0 |
Total of all active and inactive participants | 2004-05-01 | 118 |
2003: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2003 401k membership |
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Total participants, beginning-of-year | 2003-05-01 | 118 |
Total number of active participants reported on line 7a of the Form 5500 | 2003-05-01 | 118 |
Number of retired or separated participants receiving benefits | 2003-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2003-05-01 | 0 |
Total of all active and inactive participants | 2003-05-01 | 118 |
2002: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2002 401k membership |
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Total participants, beginning-of-year | 2002-05-01 | 229 |
Total number of active participants reported on line 7a of the Form 5500 | 2002-05-01 | 118 |
Number of retired or separated participants receiving benefits | 2002-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2002-05-01 | 0 |
Total of all active and inactive participants | 2002-05-01 | 118 |
2001: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2001 401k membership |
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Total participants, beginning-of-year | 2001-05-01 | 229 |
Total number of active participants reported on line 7a of the Form 5500 | 2001-05-01 | 229 |
Number of retired or separated participants receiving benefits | 2001-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2001-05-01 | 0 |
Total of all active and inactive participants | 2001-05-01 | 229 |
2000: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2000 401k membership |
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Total participants, beginning-of-year | 2000-05-01 | 229 |
Total number of active participants reported on line 7a of the Form 5500 | 2000-05-01 | 229 |
Number of retired or separated participants receiving benefits | 2000-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2000-05-01 | 0 |
Total of all active and inactive participants | 2000-05-01 | 229 |
1999: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1999 401k membership |
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Total participants, beginning-of-year | 1999-05-01 | 229 |
Total number of active participants reported on line 7a of the Form 5500 | 1999-05-01 | 229 |
Number of retired or separated participants receiving benefits | 1999-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 1999-05-01 | 0 |
Total of all active and inactive participants | 1999-05-01 | 229 |
1998: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1998 401k membership |
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Total participants, beginning-of-year | 1998-05-01 | 147 |
Total number of active participants reported on line 7a of the Form 5500 | 1998-05-01 | 229 |
Number of retired or separated participants receiving benefits | 1998-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 1998-05-01 | 0 |
Total of all active and inactive participants | 1998-05-01 | 229 |
1997: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1997 401k membership |
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Total participants, beginning-of-year | 1997-05-01 | 147 |
Total number of active participants reported on line 7a of the Form 5500 | 1997-05-01 | 147 |
Number of retired or separated participants receiving benefits | 1997-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 1997-05-01 | 0 |
Total of all active and inactive participants | 1997-05-01 | 147 |
1996: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1996 401k membership |
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Total participants, beginning-of-year | 1996-05-01 | 147 |
Total number of active participants reported on line 7a of the Form 5500 | 1996-05-01 | 147 |
Number of retired or separated participants receiving benefits | 1996-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 1996-05-01 | 0 |
Total of all active and inactive participants | 1996-05-01 | 147 |
1995: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1995 401k membership |
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Total participants, beginning-of-year | 1995-05-01 | 147 |
Total number of active participants reported on line 7a of the Form 5500 | 1995-05-01 | 147 |
Number of retired or separated participants receiving benefits | 1995-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 1995-05-01 | 0 |
Total of all active and inactive participants | 1995-05-01 | 147 |
1994: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1994 401k membership |
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Total participants, beginning-of-year | 1994-05-01 | 147 |
Total number of active participants reported on line 7a of the Form 5500 | 1994-05-01 | 147 |
Number of retired or separated participants receiving benefits | 1994-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 1994-05-01 | 0 |
Total of all active and inactive participants | 1994-05-01 | 147 |
1993: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1993 401k membership |
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Total participants, beginning-of-year | 1993-05-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 1993-05-01 | 147 |
Number of retired or separated participants receiving benefits | 1993-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 1993-05-01 | 0 |
Total of all active and inactive participants | 1993-05-01 | 147 |
1992: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1992 401k membership |
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Total participants, beginning-of-year | 1992-05-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 1992-05-01 | 100 |
Number of retired or separated participants receiving benefits | 1992-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 1992-05-01 | 0 |
Total of all active and inactive participants | 1992-05-01 | 100 |
2014: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2014 form 5500 responses |
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2014-05-01 | Type of plan entity | Single employer plan |
2014-05-01 | Submission has been amended | No |
2014-05-01 | This submission is the final filing | Yes |
2014-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-05-01 | Plan is a collectively bargained plan | No |
2014-05-01 | Plan funding arrangement – Insurance | Yes |
2014-05-01 | Plan benefit arrangement – Insurance | Yes |
2013: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2013 form 5500 responses |
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2013-05-01 | Type of plan entity | Single employer plan |
2013-05-01 | Submission has been amended | No |
2013-05-01 | This submission is the final filing | No |
2013-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-05-01 | Plan is a collectively bargained plan | No |
2013-05-01 | Plan funding arrangement – Insurance | Yes |
2013-05-01 | Plan benefit arrangement – Insurance | Yes |
2012: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2012 form 5500 responses |
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2012-05-01 | Type of plan entity | Single employer plan |
2012-05-01 | Submission has been amended | No |
2012-05-01 | This submission is the final filing | No |
2012-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-05-01 | Plan is a collectively bargained plan | No |
2012-05-01 | Plan funding arrangement – Insurance | Yes |
2012-05-01 | Plan benefit arrangement – Insurance | Yes |
2011: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2011 form 5500 responses |
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2011-05-01 | Type of plan entity | Single employer plan |
2011-05-01 | Submission has been amended | No |
2011-05-01 | This submission is the final filing | No |
2011-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-05-01 | Plan is a collectively bargained plan | No |
2011-05-01 | Plan funding arrangement – Insurance | Yes |
2011-05-01 | Plan benefit arrangement – Insurance | Yes |
2010: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2010 form 5500 responses |
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2010-05-01 | Type of plan entity | Single employer plan |
2010-05-01 | Submission has been amended | No |
2010-05-01 | This submission is the final filing | No |
2010-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-05-01 | Plan is a collectively bargained plan | No |
2010-05-01 | Plan funding arrangement – Insurance | Yes |
2010-05-01 | Plan benefit arrangement – Insurance | Yes |
2009: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2009 form 5500 responses |
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2009-05-01 | Type of plan entity | Single employer plan |
2009-05-01 | Submission has been amended | No |
2009-05-01 | This submission is the final filing | No |
2009-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-05-01 | Plan is a collectively bargained plan | No |
2009-05-01 | Plan funding arrangement – Insurance | Yes |
2009-05-01 | Plan benefit arrangement – Insurance | Yes |
2008: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2008 form 5500 responses |
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2008-05-01 | Type of plan entity | Single employer plan |
2008-05-01 | Submission has been amended | No |
2008-05-01 | This submission is the final filing | No |
2008-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2008-05-01 | Plan is a collectively bargained plan | No |
2008-05-01 | Plan funding arrangement – Insurance | Yes |
2008-05-01 | Plan benefit arrangement – Insurance | Yes |
2007: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2007 form 5500 responses |
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2007-05-01 | Type of plan entity | Single employer plan |
2007-05-01 | Submission has been amended | No |
2007-05-01 | This submission is the final filing | No |
2007-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2007-05-01 | Plan is a collectively bargained plan | No |
2007-05-01 | Plan funding arrangement – Insurance | Yes |
2007-05-01 | Plan benefit arrangement – Insurance | Yes |
2006: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2006 form 5500 responses |
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2006-05-01 | Type of plan entity | Single employer plan |
2006-05-01 | Submission has been amended | No |
2006-05-01 | This submission is the final filing | No |
2006-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2006-05-01 | Plan is a collectively bargained plan | No |
2006-05-01 | Plan funding arrangement – Insurance | Yes |
2006-05-01 | Plan benefit arrangement – Insurance | Yes |
2005: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2005 form 5500 responses |
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2005-05-01 | Type of plan entity | Single employer plan |
2005-05-01 | Submission has been amended | No |
2005-05-01 | This submission is the final filing | No |
2005-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2005-05-01 | Plan is a collectively bargained plan | No |
2005-05-01 | Plan funding arrangement – Insurance | Yes |
2005-05-01 | Plan benefit arrangement – Insurance | Yes |
2004: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2004 form 5500 responses |
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2004-05-01 | Type of plan entity | Single employer plan |
2004-05-01 | Submission has been amended | No |
2004-05-01 | This submission is the final filing | No |
2004-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2004-05-01 | Plan is a collectively bargained plan | No |
2004-05-01 | Plan funding arrangement – Insurance | Yes |
2004-05-01 | Plan benefit arrangement – Insurance | Yes |
2003: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2003 form 5500 responses |
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2003-05-01 | Type of plan entity | Single employer plan |
2003-05-01 | Submission has been amended | No |
2003-05-01 | This submission is the final filing | No |
2003-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2003-05-01 | Plan is a collectively bargained plan | No |
2003-05-01 | Plan funding arrangement – Insurance | Yes |
2003-05-01 | Plan benefit arrangement – Insurance | Yes |
2002: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2002 form 5500 responses |
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2002-05-01 | Type of plan entity | Single employer plan |
2002-05-01 | Submission has been amended | No |
2002-05-01 | This submission is the final filing | No |
2002-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2002-05-01 | Plan is a collectively bargained plan | No |
2002-05-01 | Plan funding arrangement – Insurance | Yes |
2002-05-01 | Plan benefit arrangement – Insurance | Yes |
2001: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2001 form 5500 responses |
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2001-05-01 | Type of plan entity | Single employer plan |
2001-05-01 | Submission has been amended | No |
2001-05-01 | This submission is the final filing | No |
2001-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2001-05-01 | Plan is a collectively bargained plan | No |
2001-05-01 | Plan funding arrangement – Insurance | Yes |
2001-05-01 | Plan benefit arrangement – Insurance | Yes |
2000: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 2000 form 5500 responses |
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2000-05-01 | Type of plan entity | Single employer plan |
2000-05-01 | Submission has been amended | No |
2000-05-01 | This submission is the final filing | No |
2000-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2000-05-01 | Plan is a collectively bargained plan | No |
2000-05-01 | Plan funding arrangement – Insurance | Yes |
2000-05-01 | Plan benefit arrangement – Insurance | Yes |
1999: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1999 form 5500 responses |
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1999-05-01 | Type of plan entity | Single employer plan |
1999-05-01 | Submission has been amended | No |
1999-05-01 | This submission is the final filing | No |
1999-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
1999-05-01 | Plan is a collectively bargained plan | No |
1999-05-01 | Plan funding arrangement – Insurance | Yes |
1999-05-01 | Plan benefit arrangement – Insurance | Yes |
1998: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1998 form 5500 responses |
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1998-05-01 | Type of plan entity | Single employer plan |
1998-05-01 | Submission has been amended | No |
1998-05-01 | This submission is the final filing | No |
1998-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
1998-05-01 | Plan is a collectively bargained plan | No |
1998-05-01 | Plan funding arrangement – Insurance | Yes |
1998-05-01 | Plan benefit arrangement – Insurance | Yes |
1997: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1997 form 5500 responses |
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1997-05-01 | Type of plan entity | Single employer plan |
1997-05-01 | Submission has been amended | No |
1997-05-01 | This submission is the final filing | No |
1997-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
1997-05-01 | Plan is a collectively bargained plan | No |
1997-05-01 | Plan funding arrangement – Insurance | Yes |
1997-05-01 | Plan benefit arrangement – Insurance | Yes |
1996: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1996 form 5500 responses |
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1996-05-01 | Type of plan entity | Single employer plan |
1996-05-01 | Submission has been amended | No |
1996-05-01 | This submission is the final filing | No |
1996-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
1996-05-01 | Plan is a collectively bargained plan | No |
1996-05-01 | Plan funding arrangement – Insurance | Yes |
1996-05-01 | Plan benefit arrangement – Insurance | Yes |
1995: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1995 form 5500 responses |
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1995-05-01 | Type of plan entity | Single employer plan |
1995-05-01 | Submission has been amended | No |
1995-05-01 | This submission is the final filing | No |
1995-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
1995-05-01 | Plan is a collectively bargained plan | No |
1995-05-01 | Plan funding arrangement – Insurance | Yes |
1995-05-01 | Plan benefit arrangement – Insurance | Yes |
1994: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1994 form 5500 responses |
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1994-05-01 | Type of plan entity | Single employer plan |
1994-05-01 | Submission has been amended | No |
1994-05-01 | This submission is the final filing | No |
1994-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
1994-05-01 | Plan is a collectively bargained plan | No |
1994-05-01 | Plan funding arrangement – Insurance | Yes |
1994-05-01 | Plan benefit arrangement – Insurance | Yes |
1993: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1993 form 5500 responses |
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1993-05-01 | Type of plan entity | Single employer plan |
1993-05-01 | Submission has been amended | No |
1993-05-01 | This submission is the final filing | No |
1993-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
1993-05-01 | Plan is a collectively bargained plan | No |
1993-05-01 | Plan funding arrangement – Insurance | Yes |
1993-05-01 | Plan benefit arrangement – Insurance | Yes |
1992: TRANS-CARRIERS, INC. LIFE AND ADD PLAN 1992 form 5500 responses |
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1992-05-01 | Type of plan entity | Single employer plan |
1992-05-01 | First time form 5500 has been submitted | Yes |
1992-05-01 | Submission has been amended | No |
1992-05-01 | This submission is the final filing | No |
1992-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
1992-05-01 | Plan is a collectively bargained plan | No |
1992-05-01 | Plan funding arrangement – Insurance | Yes |
1992-05-01 | Plan benefit arrangement – Insurance | Yes |
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0APHG |
Policy instance | 1 |
Insurance contract or identification number | GLUG0APHG | Number of Individuals Covered | 231 | Insurance policy start date | 2014-05-01 | Insurance policy end date | 2015-04-30 | Total amount of commissions paid to insurance broker | USD $856 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $8,558 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $492 | Insurance broker organization code? | 3 | Insurance broker name | GALLAGHER BENEFIT SERVICES, INC. |
|
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0APHG |
Policy instance | 1 |
Insurance contract or identification number | GLUG0APHG | Number of Individuals Covered | 210 | Insurance policy start date | 2013-05-01 | Insurance policy end date | 2014-04-30 | Total amount of commissions paid to insurance broker | USD $802 | Total amount of fees paid to insurance company | USD $121 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $8,015 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $802 | Amount paid for insurance broker fees | 121 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 | Insurance broker name | ARGUS HOLDINGS, INC. |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 220 | Insurance policy start date | 2012-05-01 | Insurance policy end date | 2013-04-30 | Total amount of commissions paid to insurance broker | USD $1,229 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $8,190 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,229 | Insurance broker organization code? | 3 | Insurance broker name | JON R. CAMERON |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 234 | Insurance policy start date | 2011-05-01 | Insurance policy end date | 2012-04-30 | Total amount of commissions paid to insurance broker | USD $1,285 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $7,823 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 237 | Insurance policy start date | 2010-05-01 | Insurance policy end date | 2011-04-30 | Total amount of commissions paid to insurance broker | USD $1,290 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $9,347 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 204 | Insurance policy start date | 2009-05-01 | Insurance policy end date | 2010-04-30 | Total amount of commissions paid to insurance broker | USD $1,232 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $8,216 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,232 | Insurance broker organization code? | 3 | Insurance broker name | JON R. CAMERON |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 213 | Insurance policy start date | 2008-05-01 | Insurance policy end date | 2009-04-30 | Total amount of commissions paid to insurance broker | USD $1,257 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $7,719 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,257 | Insurance broker organization code? | 3 | Insurance broker name | JON R. CAMERON |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 190 | Insurance policy start date | 2007-05-01 | Insurance policy end date | 2008-04-30 | Total amount of commissions paid to insurance broker | USD $1,152 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $8,341 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,152 | Insurance broker organization code? | 3 | Insurance broker name | JON R. CAMERON |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 161 | Insurance policy start date | 2006-05-01 | Insurance policy end date | 2007-04-30 | Total amount of commissions paid to insurance broker | USD $835 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $5,567 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $835 | Insurance broker organization code? | 3 | Insurance broker name | JON R. CAMERON |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 123 | Insurance policy start date | 2005-05-01 | Insurance policy end date | 2006-04-30 | Total amount of commissions paid to insurance broker | USD $754 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $5,026 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $754 | Insurance broker organization code? | 3 | Insurance broker name | JON R. CAMERON |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 118 | Insurance policy start date | 2004-05-01 | Insurance policy end date | 2005-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 114971 |
Policy instance | 1 |
Insurance contract or identification number | 114971 | Number of Individuals Covered | 118 | Insurance policy start date | 2003-05-01 | Insurance policy end date | 2004-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
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PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | P85965 |
Policy instance | 1 |
Insurance contract or identification number | P85965 | Number of Individuals Covered | 118 | Insurance policy start date | 2002-05-01 | Insurance policy end date | 2003-04-30 | Total amount of commissions paid to insurance broker | USD $1,107 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $7,632 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,107 | Insurance broker organization code? | 3 | Insurance broker name | CAMERON BENEFITS LLC |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | P85965 |
Policy instance | 1 |
Insurance contract or identification number | P85965 | Number of Individuals Covered | 229 | Insurance policy start date | 2001-05-01 | Insurance policy end date | 2002-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 229 | Insurance policy start date | 2000-05-01 | Insurance policy end date | 2001-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 229 | Insurance policy start date | 1999-05-01 | Insurance policy end date | 2000-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 229 | Insurance policy start date | 1998-05-01 | Insurance policy end date | 1999-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 147 | Insurance policy start date | 1997-05-01 | Insurance policy end date | 1998-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 147 | Insurance policy start date | 1996-05-01 | Insurance policy end date | 1997-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 147 | Insurance policy start date | 1995-05-01 | Insurance policy end date | 1996-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 147 | Insurance policy start date | 1994-05-01 | Insurance policy end date | 1995-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 147 | Insurance policy start date | 1993-05-01 | Insurance policy end date | 1994-04-30 | Total amount of commissions paid to insurance broker | USD $828 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $8,279 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | Commission paid to Insurance Broker | USD $828 | Insurance broker organization code? | 3 | Insurance broker name | SONDRA FERRELL |
|
MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 5440 |
Policy instance | 1 |
Insurance contract or identification number | 5440 | Number of Individuals Covered | 100 | Insurance policy start date | 1992-05-01 | Insurance policy end date | 1993-04-30 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|