ATLAS CAPITAL SERVICES, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2017 : ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-07-31 | $0 |
| Total plan liabilities at beginning of year | 2017-07-31 | $11,038 |
| Total income from all sources | 2017-07-31 | $666,135 |
| Expenses. Total of all expenses incurred | 2017-07-31 | $762,635 |
| Benefits paid (including direct rollovers) | 2017-07-31 | $653,000 |
| Total plan assets at end of year | 2017-07-31 | $0 |
| Total plan assets at beginning of year | 2017-07-31 | $107,538 |
| Value of fidelity bond covering the plan | 2017-07-31 | $400,000 |
| Total contributions received or receivable from participants | 2017-07-31 | $135,112 |
| Net income (gross income less expenses) | 2017-07-31 | $-96,500 |
| Net plan assets at end of year (total assets less liabilities) | 2017-07-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-07-31 | $96,500 |
| Total contributions received or receivable from employer(s) | 2017-07-31 | $531,023 |
| Value of certain deemed distributions of participant loans | 2017-07-31 | $44,123 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-07-31 | $65,512 |
| 2016 : ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-07-31 | $11,038 |
| Total plan liabilities at beginning of year | 2016-07-31 | $69,675 |
| Total income from all sources | 2016-07-31 | $1,255,501 |
| Expenses. Total of all expenses incurred | 2016-07-31 | $1,205,250 |
| Benefits paid (including direct rollovers) | 2016-07-31 | $1,109,801 |
| Total plan assets at end of year | 2016-07-31 | $107,538 |
| Total plan assets at beginning of year | 2016-07-31 | $115,924 |
| Value of fidelity bond covering the plan | 2016-07-31 | $350,000 |
| Total contributions received or receivable from participants | 2016-07-31 | $233,952 |
| Expenses. Other expenses not covered elsewhere | 2016-07-31 | $32 |
| Net income (gross income less expenses) | 2016-07-31 | $50,251 |
| Net plan assets at end of year (total assets less liabilities) | 2016-07-31 | $96,500 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-07-31 | $46,249 |
| Total contributions received or receivable from employer(s) | 2016-07-31 | $1,021,549 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-07-31 | $95,417 |
| 2015 : ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-07-31 | $69,675 |
| Total plan liabilities at beginning of year | 2015-07-31 | $36,240 |
| Total income from all sources | 2015-07-31 | $1,080,522 |
| Expenses. Total of all expenses incurred | 2015-07-31 | $1,073,600 |
| Benefits paid (including direct rollovers) | 2015-07-31 | $979,438 |
| Total plan assets at end of year | 2015-07-31 | $115,924 |
| Total plan assets at beginning of year | 2015-07-31 | $75,567 |
| Value of fidelity bond covering the plan | 2015-07-31 | $350,000 |
| Total contributions received or receivable from participants | 2015-07-31 | $255,018 |
| Net income (gross income less expenses) | 2015-07-31 | $6,922 |
| Net plan assets at end of year (total assets less liabilities) | 2015-07-31 | $46,249 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-07-31 | $39,327 |
| Total contributions received or receivable from employer(s) | 2015-07-31 | $825,504 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-07-31 | $94,162 |
| 2014 : ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-07-31 | $36,240 |
| Total plan liabilities at beginning of year | 2014-07-31 | $13,960 |
| Total income from all sources | 2014-07-31 | $960,409 |
| Expenses. Total of all expenses incurred | 2014-07-31 | $963,979 |
| Benefits paid (including direct rollovers) | 2014-07-31 | $905,421 |
| Total plan assets at end of year | 2014-07-31 | $75,567 |
| Total plan assets at beginning of year | 2014-07-31 | $56,857 |
| Value of fidelity bond covering the plan | 2014-07-31 | $350,000 |
| Total contributions received or receivable from participants | 2014-07-31 | $240,210 |
| Net income (gross income less expenses) | 2014-07-31 | $-3,570 |
| Net plan assets at end of year (total assets less liabilities) | 2014-07-31 | $39,327 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-07-31 | $42,897 |
| Total contributions received or receivable from employer(s) | 2014-07-31 | $720,199 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-07-31 | $58,558 |
| 2013 : ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-07-31 | $13,960 |
| Total plan liabilities at beginning of year | 2013-07-31 | $19,598 |
| Total income from all sources | 2013-07-31 | $828,961 |
| Expenses. Total of all expenses incurred | 2013-07-31 | $820,580 |
| Benefits paid (including direct rollovers) | 2013-07-31 | $761,321 |
| Total plan assets at end of year | 2013-07-31 | $56,857 |
| Total plan assets at beginning of year | 2013-07-31 | $54,114 |
| Value of fidelity bond covering the plan | 2013-07-31 | $350,000 |
| Total contributions received or receivable from participants | 2013-07-31 | $238,674 |
| Expenses. Other expenses not covered elsewhere | 2013-07-31 | $32 |
| Net income (gross income less expenses) | 2013-07-31 | $8,381 |
| Net plan assets at end of year (total assets less liabilities) | 2013-07-31 | $42,897 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-07-31 | $34,516 |
| Total contributions received or receivable from employer(s) | 2013-07-31 | $590,287 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-07-31 | $59,227 |
| 2012 : ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-07-31 | $19,598 |
| Total plan liabilities at beginning of year | 2012-07-31 | $26,371 |
| Total income from all sources | 2012-07-31 | $816,364 |
| Expenses. Total of all expenses incurred | 2012-07-31 | $822,554 |
| Benefits paid (including direct rollovers) | 2012-07-31 | $766,351 |
| Total plan assets at end of year | 2012-07-31 | $54,114 |
| Total plan assets at beginning of year | 2012-07-31 | $67,077 |
| Value of fidelity bond covering the plan | 2012-07-31 | $250,000 |
| Total contributions received or receivable from participants | 2012-07-31 | $200,164 |
| Net income (gross income less expenses) | 2012-07-31 | $-6,190 |
| Net plan assets at end of year (total assets less liabilities) | 2012-07-31 | $34,516 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-07-31 | $40,706 |
| Total contributions received or receivable from employer(s) | 2012-07-31 | $616,200 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-07-31 | $56,203 |
| 2011 : ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-07-31 | $26,371 |
| Total plan liabilities at beginning of year | 2011-07-31 | $19,149 |
| Total income from all sources | 2011-07-31 | $771,412 |
| Expenses. Total of all expenses incurred | 2011-07-31 | $773,142 |
| Benefits paid (including direct rollovers) | 2011-07-31 | $718,928 |
| Total plan assets at end of year | 2011-07-31 | $67,077 |
| Total plan assets at beginning of year | 2011-07-31 | $61,585 |
| Value of fidelity bond covering the plan | 2011-07-31 | $250,000 |
| Total contributions received or receivable from participants | 2011-07-31 | $188,150 |
| Net income (gross income less expenses) | 2011-07-31 | $-1,730 |
| Net plan assets at end of year (total assets less liabilities) | 2011-07-31 | $40,706 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-07-31 | $42,436 |
| Total contributions received or receivable from employer(s) | 2011-07-31 | $583,262 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-07-31 | $54,214 |
| 2023: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 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 funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 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 funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | Yes |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | Submission has been amended | No |
| 2016-08-01 | This submission is the final filing | Yes |
| 2016-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-08-01 | Plan is a collectively bargained plan | No |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan funding arrangement – Trust | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement - Trust | Yes |
| 2015: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2015 form 5500 responses |
|---|
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Submission has been amended | No |
| 2015-08-01 | This submission is the final filing | No |
| 2015-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-08-01 | Plan is a collectively bargained plan | No |
| 2015-08-01 | Plan funding arrangement – Insurance | Yes |
| 2015-08-01 | Plan funding arrangement – Trust | Yes |
| 2015-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-08-01 | Plan benefit arrangement - Trust | Yes |
| 2014: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2014 form 5500 responses |
|---|
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Submission has been amended | No |
| 2014-08-01 | This submission is the final filing | No |
| 2014-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-08-01 | Plan is a collectively bargained plan | No |
| 2014-08-01 | Plan funding arrangement – Insurance | Yes |
| 2014-08-01 | Plan funding arrangement – Trust | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-08-01 | Plan benefit arrangement - Trust | Yes |
| 2013: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2013 form 5500 responses |
|---|
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | Submission has been amended | No |
| 2013-08-01 | This submission is the final filing | No |
| 2013-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-08-01 | Plan is a collectively bargained plan | No |
| 2013-08-01 | Plan funding arrangement – Insurance | Yes |
| 2013-08-01 | Plan funding arrangement – Trust | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-08-01 | Plan benefit arrangement - Trust | Yes |
| 2012: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2012 form 5500 responses |
|---|
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Submission has been amended | No |
| 2012-08-01 | This submission is the final filing | No |
| 2012-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-08-01 | Plan is a collectively bargained plan | No |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan funding arrangement – Trust | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement - Trust | Yes |
| 2011: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Submission has been amended | No |
| 2011-08-01 | This submission is the final filing | No |
| 2011-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-08-01 | Plan is a collectively bargained plan | No |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan funding arrangement – Trust | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement - Trust | Yes |
| 2010: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2010 form 5500 responses |
|---|
| 2010-08-01 | Type of plan entity | Single employer plan |
| 2010-08-01 | Submission has been amended | No |
| 2010-08-01 | This submission is the final filing | No |
| 2010-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-08-01 | Plan is a collectively bargained plan | No |
| 2010-08-01 | Plan funding arrangement – Insurance | Yes |
| 2010-08-01 | Plan funding arrangement – Trust | Yes |
| 2010-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-08-01 | Plan benefit arrangement - Trust | Yes |
| 2009: ATLAS CAPITAL SERVICES, INC. EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2009 form 5500 responses |
|---|
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Submission has been amended | No |
| 2009-08-01 | This submission is the final filing | No |
| 2009-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-08-01 | Plan is a collectively bargained plan | No |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan funding arrangement – Trust | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement - Trust | Yes |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 10092821001 |
| Policy instance | 3 |
| Insurance contract or identification number | 10092821001 | | Number of Individuals Covered | 426 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,126 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,272 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 2 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 152 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $9,919 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 948247 |
| Policy instance | 1 |
| Insurance contract or identification number | 948247 | | Number of Individuals Covered | 152 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $18,518 | | Total amount of fees paid to insurance company | USD $8,914 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $145,239 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 10092821001 |
| Policy instance | 3 |
| Insurance contract or identification number | 10092821001 | | Number of Individuals Covered | 199 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $964 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,834 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 2 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $9,202 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 948247 |
| Policy instance | 1 |
| Insurance contract or identification number | 948247 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $15,513 | | Total amount of fees paid to insurance company | USD $9,321 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $125,679 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 10092821001 |
| Policy instance | 1 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G006019530005 |
| Policy instance | 2 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G6019530005 |
| Policy instance | 2 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 10092821001 |
| Policy instance | 1 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G601953 |
| Policy instance | 2 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 1009282 |
| Policy instance | 1 |
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G00601953 |
| Policy instance | 2 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 1009282 |
| Policy instance | 1 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-200038 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 1000156 |
| Policy instance | 2 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-200038 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 1000156 |
| Policy instance | 2 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-200038 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 1000156 |
| Policy instance | 2 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 1000156 |
| Policy instance | 2 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-200038 |
| Policy instance | 1 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-200038 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 1000156 |
| Policy instance | 2 |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-200038 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 1000156 |
| Policy instance | 2 |
