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RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 401k Plan overview

Plan NameRUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN
Plan identification number 504

RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

RUMPKE CONSOLIDATED COMPANIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:RUMPKE CONSOLIDATED COMPANIES, INC.
Employer identification number (EIN):311247560
NAIC Classification:562000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01
5042022-01-01KELLY LYNCH2023-10-06
5042021-01-01
5042020-01-01
5042019-01-01
5042018-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2019-06-13
5042017-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2018-06-28
5042016-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2017-06-23
5042015-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2016-06-14
5042014-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2015-05-20
5042013-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2014-05-19
5042012-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2013-05-29
5042011-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2012-04-27
5042010-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2011-06-10
5042009-01-01PHILIP E. WEHRMAN PHILIP E. WEHRMAN2010-07-12

Plan Statistics for RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN

401k plan membership statisitcs for RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN

Measure Date Value
2022: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,693
Total number of active participants reported on line 7a of the Form 55002022-01-012,905
Number of retired or separated participants receiving benefits2022-01-019
Total of all active and inactive participants2022-01-012,914
Number of other retired or separated participants entitled to future benefits2022-01-010
Number of employers contributing to the scheme2022-01-010
2021: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,637
Total number of active participants reported on line 7a of the Form 55002021-01-012,683
Number of retired or separated participants receiving benefits2021-01-0110
Total of all active and inactive participants2021-01-012,693
2020: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,537
Total number of active participants reported on line 7a of the Form 55002020-01-012,637
Total of all active and inactive participants2020-01-012,637
2019: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,401
Total number of active participants reported on line 7a of the Form 55002019-01-012,537
Total of all active and inactive participants2019-01-012,537
2018: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,337
Total number of active participants reported on line 7a of the Form 55002018-01-012,401
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012,401
2017: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,230
Total number of active participants reported on line 7a of the Form 55002017-01-012,337
Number of retired or separated participants receiving benefits2017-01-010
Total of all active and inactive participants2017-01-012,337
2016: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,168
Total number of active participants reported on line 7a of the Form 55002016-01-012,210
Number of retired or separated participants receiving benefits2016-01-0120
Total of all active and inactive participants2016-01-012,230
2015: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,204
Total number of active participants reported on line 7a of the Form 55002015-01-012,168
Number of retired or separated participants receiving benefits2015-01-0125
Total of all active and inactive participants2015-01-012,193
2014: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,032
Total number of active participants reported on line 7a of the Form 55002014-01-012,180
Number of retired or separated participants receiving benefits2014-01-0124
Total of all active and inactive participants2014-01-012,204
2013: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,072
Total number of active participants reported on line 7a of the Form 55002013-01-012,088
Number of retired or separated participants receiving benefits2013-01-0144
Total of all active and inactive participants2013-01-012,132
2012: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,065
Total number of active participants reported on line 7a of the Form 55002012-01-012,022
Number of retired or separated participants receiving benefits2012-01-0150
Total of all active and inactive participants2012-01-012,072
2011: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,936
Total number of active participants reported on line 7a of the Form 55002011-01-012,015
Number of retired or separated participants receiving benefits2011-01-0150
Total of all active and inactive participants2011-01-012,065
2010: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,947
Total number of active participants reported on line 7a of the Form 55002010-01-011,887
Number of retired or separated participants receiving benefits2010-01-0149
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-011,936
2009: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,873
Total number of active participants reported on line 7a of the Form 55002009-01-011,898
Number of retired or separated participants receiving benefits2009-01-0149
Total of all active and inactive participants2009-01-011,947

Form 5500 Responses for RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN

2022: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: RUMPKE CONSOLIDATED COMPANIES, INC. & AFFILIATTES DENTAL AND LIFE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017586-00
Policy instance 2
Insurance contract or identification number01-017586-00
Number of Individuals Covered2914
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,028
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,014
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017586-00
Policy instance 1
Insurance contract or identification number01-017586-00
Number of Individuals Covered2914
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $21,998
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,099,911
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,999
Insurance broker organization code?3
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Amount paid for insurance broker fees12013
Additional information about fees paid to insurance brokerFEES
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017586-00
Policy instance 2
Insurance contract or identification number01-017586-00
Number of Individuals Covered3060
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,028
Total amount of fees paid to insurance companyUSD $243
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,014
Insurance broker organization code?3
Amount paid for insurance broker fees243
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017586-00
Policy instance 1
Insurance contract or identification number01-017586-00
Number of Individuals Covered3060
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $19,870
Total amount of fees paid to insurance companyUSD $2,380
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $993,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,935
Insurance broker organization code?3
Amount paid for insurance broker fees2380
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0156249
Policy instance 1
Insurance contract or identification number0156249
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017586-00
Policy instance 2
Insurance contract or identification number01-017586-00
Number of Individuals Covered3062
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $18,788
Total amount of fees paid to insurance companyUSD $29,987
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $939,366
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,394
Amount paid for insurance broker fees20929
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017586-00
Policy instance 3
Insurance contract or identification number01-017586-00
Number of Individuals Covered3062
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,968
Total amount of fees paid to insurance companyUSD $3,142
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $98,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $984
Amount paid for insurance broker fees2193
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017586-00
Policy instance 2
Insurance contract or identification number01-017586-00
Number of Individuals Covered2909
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $19,254
Total amount of fees paid to insurance companyUSD $33,153
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $962,658
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,627
Amount paid for insurance broker fees23681
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0156249
Policy instance 1
Insurance contract or identification number0156249
Number of Individuals Covered5183
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,000
Total amount of fees paid to insurance companyUSD $213
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,039,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,000
Amount paid for insurance broker fees213
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017586-00
Policy instance 2
Insurance contract or identification number01-017586-00
Number of Individuals Covered2754
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $17,997
Total amount of fees paid to insurance companyUSD $23,417
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $899,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,999
Amount paid for insurance broker fees16696
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0156249
Policy instance 1
Insurance contract or identification number0156249
Number of Individuals Covered5034
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,000
Total amount of fees paid to insurance companyUSD $3,581
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,017,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,000
Amount paid for insurance broker fees3581
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 967555
Policy instance 3
Insurance contract or identification numberOK 967555
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $769
Total amount of fees paid to insurance companyUSD $1,667
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1667
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?7
Commission paid to Insurance BrokerUSD $769
Insurance broker nameBENEFIT ADVISORS SERVICES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965999
Policy instance 2
Insurance contract or identification numberFLX965999
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,577
Total amount of fees paid to insurance companyUSD $14,568
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $757,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14568
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?7
Commission paid to Insurance BrokerUSD $7,577
Insurance broker nameBENEFIT ADVISORS SERVICES
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0156249
Policy instance 1
Insurance contract or identification number0156249
Number of Individuals Covered4922
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,000
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $958,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,000
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBASE COMMISSIONS
Insurance broker organization code?3
Insurance broker nameHORAN ASSOCIATION INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0156249
Policy instance 3
Insurance contract or identification number0156249
Number of Individuals Covered4946
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,000
Total amount of fees paid to insurance companyUSD $40,819
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $921,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,000
Amount paid for insurance broker fees40819
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameHORAN ASSOCIATES INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967555
Policy instance 2
Insurance contract or identification numberOK967555
Insurance policy start date2015-05-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $775
Total amount of fees paid to insurance companyUSD $3,048
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $77,537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3048
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameBENEFIT ADVISORS SERVICES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965999
Policy instance 1
Insurance contract or identification numberFLX965999
Number of Individuals Covered2193
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,548
Total amount of fees paid to insurance companyUSD $26,643
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $654,807
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees26643
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameBENEFIT ADVISORS SERVICES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675487G
Policy instance 1
Insurance contract or identification number675487G
Number of Individuals Covered2394
Insurance policy start date2014-01-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $264,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHORAN ASSOCIATES INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965999
Policy instance 2
Insurance contract or identification numberFLX965999
Number of Individuals Covered2408
Insurance policy start date2014-05-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,251
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $425,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,251
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHORAN ASSOCIATES INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967555
Policy instance 3
Insurance contract or identification numberOK967555
Insurance policy start date2014-05-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $509
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $50,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $509
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHORAN ASSOCIATES INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0156249
Policy instance 4
Insurance contract or identification number0156249
Number of Individuals Covered4931
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $852,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker name
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675487G
Policy instance 1
Insurance contract or identification number675487G
Number of Individuals Covered2293
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $735,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHORAN ASSOCIATES INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675487G
Policy instance 1
Insurance contract or identification number675487G
Number of Individuals Covered2201
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,536
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $699,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13536
Additional information about fees paid to insurance brokerPRODUCER FEES
Insurance broker organization code?3
Insurance broker nameHORAN ASSOCIATES INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675487G
Policy instance 1
Insurance contract or identification number675487G
Number of Individuals Covered2164
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,750
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $636,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675487G
Policy instance 1
Insurance contract or identification number675487G
Number of Individuals Covered2041
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,250
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $581,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4250
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
Insurance broker nameHORAN ASSOCIATES INC

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