AUTOMOTIVE DISTRIBUTORS, CO., INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP.
401k plan membership statisitcs for AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP.
| Measure | Date | Value |
|---|
| 2021: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 155 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 0 |
| 2020: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 172 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 155 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 155 |
| 2019: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 177 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 172 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 172 |
| 2018: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 198 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 177 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 177 |
| 2017: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 211 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 198 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 198 |
| 2016: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 186 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 211 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 211 |
| 2015: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 162 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 186 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 186 |
| 2014: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 176 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 162 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 162 |
| 2013: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 180 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 176 |
| Total of all active and inactive participants | 2013-01-01 | 176 |
| 2012: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 174 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 180 |
| Total of all active and inactive participants | 2012-01-01 | 180 |
| 2011: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 96 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 174 |
| Total of all active and inactive participants | 2011-01-01 | 174 |
| 2010: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 96 |
| Total of all active and inactive participants | 2010-01-01 | 96 |
| 2009: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 97 |
| Total of all active and inactive participants | 2009-01-01 | 97 |
| 2021: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: AUTOMOTIVE DISTRIBUTORS EMPLOYEE TERM LIFE, AD&D & DEPENDENTS TERM LIFE COVERAGE FOR ALL F-T EMP. 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00ALRH |
| Policy instance | 1 |
| Insurance contract or identification number | G00ALRH | | Number of Individuals Covered | 119 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-07-01 | | Total amount of commissions paid to insurance broker | USD $9,711 | | Total amount of fees paid to insurance company | USD $3,297 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $80,916 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,711 | | Amount paid for insurance broker fees | 3297 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00ALRH |
| Policy instance | 1 |
| Insurance contract or identification number | G00ALRH | | Number of Individuals Covered | 155 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-07-01 | | Total amount of commissions paid to insurance broker | USD $12,079 | | Total amount of fees paid to insurance company | USD $5,481 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $100,655 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,079 | | Amount paid for insurance broker fees | 5481 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00ALRH |
| Policy instance | 1 |
| Insurance contract or identification number | G00ALRH | | Number of Individuals Covered | 172 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-07-01 | | Total amount of commissions paid to insurance broker | USD $12,456 | | Total amount of fees paid to insurance company | USD $3,780 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $103,800 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,456 | | Amount paid for insurance broker fees | 3780 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00ALRH |
| Policy instance | 1 |
| Insurance contract or identification number | G00ALRH | | Number of Individuals Covered | 198 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-07-01 | | Total amount of commissions paid to insurance broker | USD $13,343 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $111,194 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,258 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00ALRH |
| Policy instance | 1 |
| Insurance contract or identification number | G00ALRH | | Number of Individuals Covered | 198 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-07-01 | | Total amount of commissions paid to insurance broker | USD $13,545 | | Total amount of fees paid to insurance company | USD $3,731 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $112,869 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,545 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3731 | | Insurance broker name | WELLS FARGO INS SVCS OF OHIO LLC |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00ALRH |
| Policy instance | 1 |
| Insurance contract or identification number | G00ALRH | | Number of Individuals Covered | 186 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-07-01 | | Total amount of commissions paid to insurance broker | USD $9,651 | | Total amount of fees paid to insurance company | USD $2,882 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $80,422 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,651 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 2882 | | Insurance broker name | WELLS FARGO INS SVCS OF OHIO LLC |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00ALRH |
| Policy instance | 1 |
| Insurance contract or identification number | G00ALRH | | Number of Individuals Covered | 162 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-07-01 | | Total amount of commissions paid to insurance broker | USD $8,675 | | Total amount of fees paid to insurance company | USD $4,101 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $72,651 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,675 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 4101 | | Insurance broker name | WELLS FARGO INS SVCS OF OHIO LLC |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G00ALRH |
| Policy instance | 1 |
| Insurance contract or identification number | G00ALRH | | Number of Individuals Covered | 176 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-07-01 | | Total amount of commissions paid to insurance broker | USD $9,071 | | Total amount of fees paid to insurance company | USD $899 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $75,595 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,071 | | Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 899 | | Insurance broker name | WELLS FARGO INS SVCS OF OHIO LLC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 20407 |
| Policy instance | 1 |
| Insurance contract or identification number | 20407 | | Number of Individuals Covered | 174 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $7,661 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORT-TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $57,365 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,884 | | Additional information about fees paid to insurance broker | SALES & SERVICE COMPENSATION SALES AND SERVICE COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | WELLS FARGO INS SVCS OF OHIO |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 20407 |
| Policy instance | 1 |
| Insurance contract or identification number | 20407 | | Number of Individuals Covered | 174 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $6,279 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORTTERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $48,668 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 20407 |
| Policy instance | 1 |
| Insurance contract or identification number | 20407 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2009-10-01 | | Insurance policy end date | 2010-09-30 | | Total amount of commissions paid to insurance broker | USD $5,653 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SHORTTERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $43,491 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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