WASSERSTROM HOLDINGS, INC. has sponsored the creation of one or more 401k plans.
Additional information about WASSERSTROM HOLDINGS, INC.
Submission information for form 5500 for 401k plan WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN
Measure | Date | Value |
---|
2021: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2021 401k membership |
---|
Total participants, beginning-of-year | 2021-07-01 | 0 |
Total of all active and inactive participants | 2021-07-01 | 0 |
2020: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2020 401k membership |
---|
Total participants, beginning-of-year | 2020-07-01 | 0 |
Total of all active and inactive participants | 2020-07-01 | 0 |
Total participants | 2020-07-01 | 0 |
2019: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2019 401k membership |
---|
Total participants, beginning-of-year | 2019-07-01 | 0 |
Total of all active and inactive participants | 2019-07-01 | 0 |
Total participants | 2019-07-01 | 0 |
2018: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2018 401k membership |
---|
Total participants, beginning-of-year | 2018-07-01 | 0 |
Total of all active and inactive participants | 2018-07-01 | 0 |
Total participants | 2018-07-01 | 0 |
2017: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2017 401k membership |
---|
Total participants, beginning-of-year | 2017-07-01 | 0 |
Total of all active and inactive participants | 2017-07-01 | 0 |
Total participants | 2017-07-01 | 0 |
2016: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2016 401k membership |
---|
Total participants, beginning-of-year | 2016-07-01 | 0 |
Total of all active and inactive participants | 2016-07-01 | 0 |
Total participants | 2016-07-01 | 0 |
2015: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2015 401k membership |
---|
Total participants, beginning-of-year | 2015-07-01 | 1,060 |
Total of all active and inactive participants | 2015-07-01 | 0 |
Total participants | 2015-07-01 | 0 |
2014: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2014 401k membership |
---|
Total participants, beginning-of-year | 2014-07-01 | 1,060 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 1,222 |
Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
Total of all active and inactive participants | 2014-07-01 | 1,222 |
Total participants | 2014-07-01 | 1,222 |
2012: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2012 401k membership |
---|
Total participants, beginning-of-year | 2012-07-01 | 1,285 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 1,295 |
Number of retired or separated participants receiving benefits | 2012-07-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
Total of all active and inactive participants | 2012-07-01 | 1,296 |
Total participants | 2012-07-01 | 1,296 |
2011: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2011 401k membership |
---|
Total participants, beginning-of-year | 2011-07-01 | 1,251 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 1,285 |
Number of retired or separated participants receiving benefits | 2011-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2011-07-01 | 0 |
Total of all active and inactive participants | 2011-07-01 | 1,285 |
Total participants | 2011-07-01 | 1,285 |
2010: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2010 401k membership |
---|
Total participants, beginning-of-year | 2010-07-01 | 1,221 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 1,251 |
Number of retired or separated participants receiving benefits | 2010-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2010-07-01 | 0 |
Total of all active and inactive participants | 2010-07-01 | 1,251 |
Total participants | 2010-07-01 | 1,251 |
2009: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2009 401k membership |
---|
Total participants, beginning-of-year | 2009-07-01 | 1,381 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 1,221 |
Number of retired or separated participants receiving benefits | 2009-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2009-07-01 | 0 |
Total of all active and inactive participants | 2009-07-01 | 1,221 |
Total participants | 2009-07-01 | 1,221 |
2008: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2008 401k membership |
---|
Total participants, beginning-of-year | 2008-07-01 | 1,458 |
Total number of active participants reported on line 7a of the Form 5500 | 2008-07-01 | 1,381 |
Number of retired or separated participants receiving benefits | 2008-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2008-07-01 | 0 |
Total of all active and inactive participants | 2008-07-01 | 1,381 |
Total participants | 2008-07-01 | 1,381 |
2021: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2021 form 5500 responses |
---|
2021-07-01 | Type of plan entity | Single employer plan |
2021-07-01 | Plan funding arrangement – Insurance | Yes |
2021-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-07-01 | Plan benefit arrangement – Insurance | Yes |
2021-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2020 form 5500 responses |
---|
2020-07-01 | Type of plan entity | Single employer plan |
2020-07-01 | Plan funding arrangement – Insurance | Yes |
2020-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-07-01 | Plan benefit arrangement – Insurance | Yes |
2020-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2019 form 5500 responses |
---|
2019-07-01 | Type of plan entity | Single employer plan |
2019-07-01 | Plan funding arrangement – Insurance | Yes |
2019-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-07-01 | Plan benefit arrangement – Insurance | Yes |
2019-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2018 form 5500 responses |
---|
2018-07-01 | Type of plan entity | Single employer plan |
2018-07-01 | Plan funding arrangement – Insurance | Yes |
2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-07-01 | Plan benefit arrangement – Insurance | Yes |
2018-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2017 form 5500 responses |
---|
2017-07-01 | Type of plan entity | Single employer plan |
2017-07-01 | Plan funding arrangement – Insurance | Yes |
2017-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-07-01 | Plan benefit arrangement – Insurance | Yes |
2017-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2016 form 5500 responses |
---|
2016-07-01 | Type of plan entity | Single employer plan |
2016-07-01 | Plan funding arrangement – Insurance | Yes |
2016-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-07-01 | Plan benefit arrangement – Insurance | Yes |
2016-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2015 form 5500 responses |
---|
2015-07-01 | Type of plan entity | Single employer plan |
2015-07-01 | Submission has been amended | Yes |
2015-07-01 | Plan funding arrangement – Insurance | Yes |
2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-07-01 | Plan benefit arrangement – Insurance | Yes |
2015-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2014 form 5500 responses |
---|
2014-07-01 | Type of plan entity | Single employer plan |
2014-07-01 | Plan funding arrangement – Insurance | Yes |
2014-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-07-01 | Plan benefit arrangement – Insurance | Yes |
2014-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2012 form 5500 responses |
---|
2012-07-01 | Type of plan entity | Single employer plan |
2012-07-01 | Plan funding arrangement – Insurance | Yes |
2012-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-07-01 | Plan benefit arrangement – Insurance | Yes |
2012-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2011 form 5500 responses |
---|
2011-07-01 | Type of plan entity | Single employer plan |
2011-07-01 | Plan funding arrangement – Insurance | Yes |
2011-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-07-01 | Plan benefit arrangement – Insurance | Yes |
2011-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2010: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2010 form 5500 responses |
---|
2010-07-01 | Type of plan entity | Single employer plan |
2010-07-01 | Plan funding arrangement – Insurance | Yes |
2010-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2010-07-01 | Plan benefit arrangement – Insurance | Yes |
2010-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2009 form 5500 responses |
---|
2009-07-01 | Type of plan entity | Single employer plan |
2009-07-01 | Plan funding arrangement – Insurance | Yes |
2009-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-07-01 | Plan benefit arrangement – Insurance | Yes |
2009-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2008: WASSERSTROM HOLDINGS HEALTH AND WELFARE PLAN 2008 form 5500 responses |
---|
2008-07-01 | Type of plan entity | Single employer plan |
2008-07-01 | Plan funding arrangement – Insurance | Yes |
2008-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2008-07-01 | Plan benefit arrangement – Insurance | Yes |
2008-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 0885528-SL |
Policy instance | 4 |
Insurance contract or identification number | 0885528-SL | Number of Individuals Covered | 654 | Insurance policy start date | 2021-07-01 | Insurance policy end date | 2022-06-30 | Total amount of commissions paid to insurance broker | USD $119,722 | Commission paid to Insurance Broker | USD $119,722 | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 2 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1170 | Total amount of commissions paid to insurance broker | USD $24,786 | Dental Insurance Welfare Benefit | Yes | Commission paid to Insurance Broker | USD $24,786 | Insurance broker organization code? | 3 |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 402988G |
Policy instance | 1 |
Insurance contract or identification number | 402988G | Number of Individuals Covered | 1055 | Total amount of commissions paid to insurance broker | USD $53,851 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADD -BAS AND ADD SUPP | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $53,851 | Insurance broker organization code? | 3 |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 0885528-SL |
Policy instance | 4 |
Insurance contract or identification number | 0885528-SL | Number of Individuals Covered | 649 | Insurance policy start date | 2020-07-01 | Insurance policy end date | 2021-06-30 | Total amount of commissions paid to insurance broker | USD $113,764 | Welfare Benefit Premiums Paid to Carrier | USD $894,876 | Commission paid to Insurance Broker | USD $113,764 | Insurance broker organization code? | 3 |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 402988G, 298452 |
Policy instance | 2 |
Insurance contract or identification number | 402988G, 298452 | Number of Individuals Covered | 1002 | Insurance policy start date | 2020-07-01 | Insurance policy end date | 2021-06-30 | Total amount of commissions paid to insurance broker | USD $52,175 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADD - BAS AND ADD SUPP | Commission paid to Insurance Broker | USD $20,340 | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 1 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1222 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $15,896 | Dental Insurance Welfare Benefit | Yes | Commission paid to Insurance Broker | USD $15,896 | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 1 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1222 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $15,896 | Dental Insurance Welfare Benefit | Yes | Commission paid to Insurance Broker | USD $15,896 | Insurance broker organization code? | 3 |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 402988G, 298452 |
Policy instance | 2 |
Insurance contract or identification number | 402988G, 298452 | Number of Individuals Covered | 873 | Insurance policy start date | 2019-07-01 | Insurance policy end date | 2020-06-30 | Total amount of commissions paid to insurance broker | USD $66,104 | Total amount of fees paid to insurance company | USD $4,662 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADD - BAS AND ADD SUPP | Commission paid to Insurance Broker | USD $66,104 | Amount paid for insurance broker fees | 4662 | Additional information about fees paid to insurance broker | BONUS | Insurance broker organization code? | 3 |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 0885528-SL |
Policy instance | 4 |
Insurance contract or identification number | 0885528-SL | Number of Individuals Covered | 657 | Insurance policy start date | 2019-07-01 | Insurance policy end date | 2020-06-30 | Total amount of commissions paid to insurance broker | USD $140,911 | Welfare Benefit Premiums Paid to Carrier | USD $1,101,169 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $140,911 |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 402988G |
Policy instance | 2 |
Insurance contract or identification number | 402988G | Number of Individuals Covered | 1296 | Insurance policy start date | 2018-07-01 | Insurance policy end date | 2019-06-30 | Total amount of commissions paid to insurance broker | USD $37,285 | Total amount of fees paid to insurance company | USD $3,467 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADD - BAS AND ADD SUPP | Commission paid to Insurance Broker | USD $37,285 | Amount paid for insurance broker fees | 3467 | Additional information about fees paid to insurance broker | BONUS PAID |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 1 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1501 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $12,417 | Total amount of fees paid to insurance company | USD $385 | Dental Insurance Welfare Benefit | Yes | Commission paid to Insurance Broker | USD $12,417 | Amount paid for insurance broker fees | 385 | Additional information about fees paid to insurance broker | NEW BUSINESS BONUS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0257790 |
Policy instance | 1 |
Insurance contract or identification number | R0257790 | Number of Individuals Covered | 356 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2019-01-01 | Total amount of fees paid to insurance company | USD $6,501 |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 2 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1408 | Insurance policy start date | 2017-11-01 | Insurance policy end date | 2018-10-31 | Total amount of commissions paid to insurance broker | USD $13,450 | Dental Insurance Welfare Benefit | Yes |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 885528-SL12 |
Policy instance | 3 |
Insurance contract or identification number | 885528-SL12 | Number of Individuals Covered | 1307 | Insurance policy start date | 2017-07-01 | Insurance policy end date | 2018-06-30 |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | 402998G |
Policy instance | 5 |
Insurance contract or identification number | 402998G | Number of Individuals Covered | 1307 | Insurance policy start date | 2017-07-01 | Insurance policy end date | 2018-06-30 | Total amount of commissions paid to insurance broker | USD $53,684 | Total amount of fees paid to insurance company | USD $56,782 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADD-BAS AND ADD SUPP |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 122541 |
Policy instance | 1 |
Insurance contract or identification number | 122541 | Number of Individuals Covered | 1417 | Insurance policy start date | 2015-10-01 | Insurance policy end date | 2016-06-01 | Total amount of commissions paid to insurance broker | USD $3,587 | Are there contracts with allocated funds for types other than group deferred annuity or individual? | Yes | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ADD | Welfare Benefit Premiums Paid to Carrier | USD $84,985 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Other information about contract | NON PARTICIPATING CONTRACTS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 578677 |
Policy instance | 2 |
Insurance contract or identification number | 578677 | Number of Individuals Covered | 538 | Insurance policy start date | 2016-01-01 | Insurance policy end date | 2016-06-01 | Total amount of fees paid to insurance company | USD $1,680 | Are there contracts with allocated funds for types other than group deferred annuity or individual? | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other information about contract | NON PARTICIPATING CONTRACTS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148173 |
Policy instance | 3 |
Insurance contract or identification number | 148173 | Number of Individuals Covered | 686 | Insurance policy start date | 2016-01-01 | Insurance policy end date | 2016-06-01 | Total amount of fees paid to insurance company | USD $9,655 | Are there contracts with allocated funds for types other than group deferred annuity or individual? | Yes | Life Insurance Welfare Benefit | Yes | Other information about contract | NON PARTICIPATING CONTRACTS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0257790 |
Policy instance | 4 |
Insurance contract or identification number | R0257790 |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148797 |
Policy instance | 5 |
Insurance contract or identification number | 148797 |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 6 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1322 | Insurance policy start date | 2015-11-01 | Insurance policy end date | 2016-10-31 | Total amount of fees paid to insurance company | USD $12,108 | Dental Insurance Welfare Benefit | Yes |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 885528-SL12 |
Policy instance | 7 |
Insurance contract or identification number | 885528-SL12 | Number of Individuals Covered | 811 | Insurance policy start date | 2015-07-01 | Insurance policy end date | 2016-06-30 | Total amount of fees paid to insurance company | USD $46,010 |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 122541 |
Policy instance | 1 |
Insurance contract or identification number | 122541 | Number of Individuals Covered | 1164 | Insurance policy start date | 2014-10-01 | Insurance policy end date | 2015-10-01 | Total amount of commissions paid to insurance broker | USD $3,765 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,765 | Additional information about fees paid to insurance broker | SALES AND ADDITIONAL COMPENSATION | Insurance broker organization code? | 3 | Insurance broker name | ASSURED NL INSURANCE AGENCY IN |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148173 |
Policy instance | 3 |
Insurance contract or identification number | 148173 | Number of Individuals Covered | 310 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2016-01-01 | Total amount of commissions paid to insurance broker | USD $16,816 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,816 | Insurance broker organization code? | 3 | Insurance broker name | NEACE LUKINS EMPLOYEE BENEFITS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0257790 |
Policy instance | 4 |
Insurance contract or identification number | R0257790 | Number of Individuals Covered | 431 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2016-01-01 | Total amount of commissions paid to insurance broker | USD $74,589 | Total amount of fees paid to insurance company | USD $2,899 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $21,857 | Amount paid for insurance broker fees | 2896 | Insurance broker organization code? | 3 | Insurance broker name | ASSURED NL INSURANCE |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148797 |
Policy instance | 5 |
Insurance contract or identification number | 148797 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 6 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1222 | Insurance policy start date | 2014-11-01 | Insurance policy end date | 2015-10-31 | Total amount of commissions paid to insurance broker | USD $13,511 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $13,511 | Insurance broker organization code? | 3 | Insurance broker name | NEACE LUKINS INSURANCE AGENCY |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 885528-SL12 |
Policy instance | 7 |
Insurance contract or identification number | 885528-SL12 | Number of Individuals Covered | 748 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $84,754 | Total amount of fees paid to insurance company | USD $6,625 | Commission paid to Insurance Broker | USD $84,754 | Amount paid for insurance broker fees | 6625 | Additional information about fees paid to insurance broker | 2013/2014 MM P3 BONUS | Insurance broker organization code? | 3 | Insurance broker name | ASSURED NL INSURANCE AGENCY |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 578677 |
Policy instance | 2 |
Insurance contract or identification number | 578677 | Number of Individuals Covered | 524 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2016-01-01 | Total amount of commissions paid to insurance broker | USD $5,645 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,645 | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOCIATES |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 885528-SL12 |
Policy instance | 7 |
Insurance contract or identification number | 885528-SL12 | Number of Individuals Covered | 641 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Total amount of commissions paid to insurance broker | USD $71,225 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $71,225 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | ASSURED NL INSURANCE AGENCY |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148797 |
Policy instance | 5 |
Insurance contract or identification number | 148797 | Number of Individuals Covered | 1 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2012-01-01 | 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 | 122541 |
Policy instance | 1 |
Insurance contract or identification number | 122541 | Number of Individuals Covered | 1001 | Insurance policy start date | 2012-10-01 | Insurance policy end date | 2013-10-01 | Total amount of commissions paid to insurance broker | USD $3,733 | Total amount of fees paid to insurance company | USD $1,211 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Additional information about fees paid to insurance broker | COMMISSIONS AND FEES | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $3,733 | Amount paid for insurance broker fees | 1211 | Insurance broker name | NEACE & ASSOC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 578677 |
Policy instance | 2 |
Insurance contract or identification number | 578677 | Number of Individuals Covered | 616 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2013-01-01 | Total amount of commissions paid to insurance broker | USD $5,305 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,305 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148173 |
Policy instance | 3 |
Insurance contract or identification number | 148173 | Number of Individuals Covered | 351 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2013-01-01 | Total amount of commissions paid to insurance broker | USD $15,501 | Total amount of fees paid to insurance company | USD $1,138 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,501 | Amount paid for insurance broker fees | 1138 | Additional information about fees paid to insurance broker | COMMISSION | Insurance broker organization code? | 3 | Insurance broker name | NEACE LUKENS EB |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0257790 |
Policy instance | 4 |
Insurance contract or identification number | R0257790 | Number of Individuals Covered | 95 | Insurance policy start date | 2012-05-01 | Insurance policy end date | 2013-05-01 | Total amount of commissions paid to insurance broker | USD $2,887 | Total amount of fees paid to insurance company | USD $40 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,308 | Amount paid for insurance broker fees | 15 | Additional information about fees paid to insurance broker | COMMISSIONS AND FEES | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOCIATE |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 6 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1295 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $11,126 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,126 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOCIATE |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148173 |
Policy instance | 3 |
Insurance contract or identification number | 148173 | Number of Individuals Covered | 351 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2012-01-01 | Total amount of commissions paid to insurance broker | USD $15,121 | Total amount of fees paid to insurance company | USD $1,138 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,121 | Amount paid for insurance broker fees | 1138 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE LUKENS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 122541 |
Policy instance | 1 |
Insurance contract or identification number | 122541 | Number of Individuals Covered | 1070 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2012-01-01 | Total amount of commissions paid to insurance broker | USD $3,548 | Total amount of fees paid to insurance company | USD $622 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,548 | Amount paid for insurance broker fees | 622 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 578677 |
Policy instance | 2 |
Insurance contract or identification number | 578677 | Number of Individuals Covered | 638 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2012-01-01 | Total amount of commissions paid to insurance broker | USD $5,237 | Total amount of fees paid to insurance company | USD $1,154 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,237 | Amount paid for insurance broker fees | 1154 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0257790 |
Policy instance | 4 |
Insurance contract or identification number | R0257790 | Number of Individuals Covered | 116 | Insurance policy start date | 2011-05-01 | Insurance policy end date | 2012-05-01 | Total amount of commissions paid to insurance broker | USD $4,527 | Total amount of fees paid to insurance company | USD $199 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,620 | Amount paid for insurance broker fees | 133 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOCIATES INS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148797 |
Policy instance | 5 |
Insurance contract or identification number | 148797 | Number of Individuals Covered | 1 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2012-01-01 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 6 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1285 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $10,422 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,422 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOCIATES |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 885528-SL11 |
Policy instance | 7 |
Insurance contract or identification number | 885528-SL11 | Number of Individuals Covered | 679 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Total amount of commissions paid to insurance broker | USD $68,761 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $68,761 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE LUKENS EMPLOYEE BENEFITS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0257790 |
Policy instance | 4 |
Insurance contract or identification number | R0257790 | Number of Individuals Covered | 125 | Insurance policy start date | 2010-05-01 | Insurance policy end date | 2011-05-01 | Total amount of commissions paid to insurance broker | USD $22,023 | Total amount of fees paid to insurance company | USD $1,966 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $17,618 | Amount paid for insurance broker fees | 1510 | Additional information about fees paid to insurance broker | COMMISSIONS AND FEES | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOCIATES |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 122541 |
Policy instance | 1 |
Insurance contract or identification number | 122541 | Number of Individuals Covered | 1069 | Insurance policy start date | 2010-10-01 | Insurance policy end date | 2011-10-01 | Total amount of commissions paid to insurance broker | USD $3,628 | Total amount of fees paid to insurance company | USD $847 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker organization code? | 3 | Commission paid to Insurance Broker | USD $3,628 | Amount paid for insurance broker fees | 847 | Additional information about fees paid to insurance broker | COMMISSIONS AND FEES | Insurance broker name | NEACE & ASSOC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 578677 |
Policy instance | 2 |
Insurance contract or identification number | 578677 | Number of Individuals Covered | 646 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2011-01-01 | Total amount of commissions paid to insurance broker | USD $5,290 | Total amount of fees paid to insurance company | USD $1,612 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,290 | Amount paid for insurance broker fees | 1612 | Additional information about fees paid to insurance broker | COMMISSIONS AND FEES | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148173 |
Policy instance | 3 |
Insurance contract or identification number | 148173 | Number of Individuals Covered | 344 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2011-01-01 | Total amount of commissions paid to insurance broker | USD $12,712 | Total amount of fees paid to insurance company | USD $2,052 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,712 | Amount paid for insurance broker fees | 2052 | Additional information about fees paid to insurance broker | COMMISSIONS AND FEES | Insurance broker organization code? | 3 | Insurance broker name | NEACE LUKENS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 148797 |
Policy instance | 5 |
Insurance contract or identification number | 148797 | Number of Individuals Covered | 1 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2011-01-01 |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 6 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1251 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $12,164 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,164 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOC |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 885528-SL |
Policy instance | 7 |
Insurance contract or identification number | 885528-SL | Number of Individuals Covered | 701 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | Total amount of commissions paid to insurance broker | USD $63,269 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $63,269 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE LUKENS |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 885528 |
Policy instance | 4 |
Insurance contract or identification number | 885528 | Number of Individuals Covered | 665 | Insurance policy start date | 2009-07-01 | Insurance policy end date | 2010-06-30 | Total amount of commissions paid to insurance broker | USD $61,073 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $61,073 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE LUKENS EMPLOYEE BENEFITS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 122541 |
Policy instance | 1 |
Insurance contract or identification number | 122541 | Number of Individuals Covered | 595 | Insurance policy start date | 2009-01-01 | Insurance policy end date | 2010-01-01 | Total amount of commissions paid to insurance broker | USD $4,666 | Total amount of fees paid to insurance company | USD $833 | Are there contracts with allocated funds for types other than group deferred annuity or individual? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Other information about contract | LTD | Commission paid to Insurance Broker | USD $4,666 | Amount paid for insurance broker fees | 833 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOC INS AGCY OF OHIO |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 578677 |
Policy instance | 2 |
Insurance contract or identification number | 578677 | Number of Individuals Covered | 1027 | Insurance policy start date | 2009-10-01 | Insurance policy end date | 2010-10-01 | Total amount of commissions paid to insurance broker | USD $3,607 | Total amount of fees paid to insurance company | USD $821 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,607 | Amount paid for insurance broker fees | 821 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOCIATES |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 3 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1221 | Insurance policy start date | 2009-01-01 | Insurance policy end date | 2009-12-31 | Total amount of commissions paid to insurance broker | USD $10,113 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,113 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOCIATES |
|
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | 885528 |
Policy instance | 4 |
Insurance contract or identification number | 885528 | Number of Individuals Covered | 657 | Insurance policy start date | 2008-07-01 | Insurance policy end date | 2009-06-30 | Total amount of commissions paid to insurance broker | USD $118,788 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $64,091 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOC INS |
|
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 ) |
Policy contract number | 9533 |
Policy instance | 3 |
Insurance contract or identification number | 9533 | Number of Individuals Covered | 1381 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $12,237 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,237 | Additional information about fees paid to insurance broker | SALES COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | NEACE & ASSOC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 578677 |
Policy instance | 2 |
Insurance contract or identification number | 578677 | Number of Individuals Covered | 721 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2009-01-01 | Total amount of commissions paid to insurance broker | USD $5,389 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,389 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 0 | Insurance broker name | ACTUARIAL AGENCY |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 122541 |
Policy instance | 1 |
Insurance contract or identification number | 122541 | Number of Individuals Covered | 988 | Insurance policy start date | 2008-10-01 | Insurance policy end date | 2009-10-01 | Total amount of commissions paid to insurance broker | USD $3,579 | Total amount of fees paid to insurance company | USD $265 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,301 | Additional information about fees paid to insurance broker | SERVICES | Insurance broker organization code? | 0 | Amount paid for insurance broker fees | 265 | Insurance broker name | NEACE & ASSOC |
|