INDIANA INSTITUTE OF TECHNOLOGY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN
Measure | Date | Value |
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2022: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 292 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 303 |
Total of all active and inactive participants | 2022-01-01 | 303 |
Total participants | 2022-01-01 | 303 |
2021: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 307 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 292 |
Total of all active and inactive participants | 2021-01-01 | 292 |
Total participants | 2021-01-01 | 292 |
2020: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 315 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 307 |
Total of all active and inactive participants | 2020-01-01 | 307 |
Total participants | 2020-01-01 | 307 |
2019: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 322 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 315 |
Total of all active and inactive participants | 2019-01-01 | 315 |
Total participants | 2019-01-01 | 315 |
2018: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 284 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 322 |
Total of all active and inactive participants | 2018-01-01 | 322 |
Total participants | 2018-01-01 | 322 |
2017: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 297 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 284 |
Total of all active and inactive participants | 2017-01-01 | 284 |
Total participants | 2017-01-01 | 284 |
2016: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 265 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 297 |
Total of all active and inactive participants | 2016-01-01 | 297 |
Total participants | 2016-01-01 | 297 |
2015: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-07-01 | 265 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 265 |
Total of all active and inactive participants | 2015-07-01 | 265 |
Total participants | 2015-07-01 | 265 |
2014: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-07-01 | 255 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 265 |
Total of all active and inactive participants | 2014-07-01 | 265 |
Total participants | 2014-07-01 | 265 |
2013: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-07-01 | 228 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 255 |
Total of all active and inactive participants | 2013-07-01 | 255 |
Total participants | 2013-07-01 | 255 |
2012: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-07-01 | 189 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 228 |
Total of all active and inactive participants | 2012-07-01 | 228 |
Total participants | 2012-07-01 | 228 |
2011: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-07-01 | 176 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 189 |
Total of all active and inactive participants | 2011-07-01 | 189 |
Total participants | 2011-07-01 | 189 |
2009: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-07-01 | 175 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 171 |
Total of all active and inactive participants | 2009-07-01 | 171 |
Total participants | 2009-07-01 | 171 |
2022: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2022 form 5500 responses |
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2021: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2021 form 5500 responses |
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2020: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2020 form 5500 responses |
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2019: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2018: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2017: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2016: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2015: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2015 form 5500 responses |
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2015-07-01 | Type of plan entity | Single employer plan |
2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2015-07-01 | Plan funding arrangement – Insurance | Yes |
2015-07-01 | Plan benefit arrangement – Insurance | Yes |
2014: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2014 form 5500 responses |
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2014-07-01 | Type of plan entity | Single employer plan |
2014-07-01 | Plan funding arrangement – Insurance | Yes |
2014-07-01 | Plan benefit arrangement – Insurance | Yes |
2013: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2013 form 5500 responses |
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2013-07-01 | Type of plan entity | Single employer plan |
2013-07-01 | Plan funding arrangement – Insurance | Yes |
2013-07-01 | Plan benefit arrangement – Insurance | Yes |
2012: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2012 form 5500 responses |
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2012-07-01 | Type of plan entity | Single employer plan |
2012-07-01 | Plan funding arrangement – Insurance | Yes |
2012-07-01 | Plan benefit arrangement – Insurance | Yes |
2011: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2011 form 5500 responses |
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2011-07-01 | Type of plan entity | Single employer plan |
2011-07-01 | Plan funding arrangement – Insurance | Yes |
2011-07-01 | Plan benefit arrangement – Insurance | Yes |
2009: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2009 form 5500 responses |
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2009-07-01 | Type of plan entity | Single employer plan |
2009-07-01 | Submission has been amended | Yes |
2009-07-01 | Plan funding arrangement – Insurance | Yes |
2009-07-01 | Plan benefit arrangement – Insurance | Yes |
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30000009 |
Policy instance | 4 |
Insurance contract or identification number | 30000009 | Number of Individuals Covered | 189 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $1,419 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $30,586 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,419 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 ) |
Policy contract number | 696 |
Policy instance | 3 |
Insurance contract or identification number | 696 | Number of Individuals Covered | 418 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $13,600 | 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 $13,600 | Insurance broker organization code? | 3 |
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ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
Policy contract number | 00235483 |
Policy instance | 2 |
Insurance contract or identification number | 00235483 | Number of Individuals Covered | 244 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Other welfare benefits provided | EAP | Welfare Benefit Premiums Paid to Carrier | USD $567,463 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | G000AV5R |
Policy instance | 1 |
Insurance contract or identification number | G000AV5R | Number of Individuals Covered | 303 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $21,025 | Total amount of fees paid to insurance company | USD $6,264 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $194,689 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $21,025 | Amount paid for insurance broker fees | 6264 | Additional information about fees paid to insurance broker | BONUSES PAID | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | G000AV5R |
Policy instance | 1 |
Insurance contract or identification number | G000AV5R | Number of Individuals Covered | 292 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $19,898 | Total amount of fees paid to insurance company | USD $8,056 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $179,016 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,898 | Amount paid for insurance broker fees | 8056 | Additional information about fees paid to insurance broker | BONUSES PAID | Insurance broker organization code? | 3 |
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ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
Policy contract number | 00235483 |
Policy instance | 2 |
Insurance contract or identification number | 00235483 | Number of Individuals Covered | 246 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Other welfare benefits provided | EAP | Welfare Benefit Premiums Paid to Carrier | USD $562,114 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 ) |
Policy contract number | 696 |
Policy instance | 3 |
Insurance contract or identification number | 696 | Number of Individuals Covered | 419 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $14,096 | 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 $14,096 | Insurance broker organization code? | 3 |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30000009 |
Policy instance | 4 |
Insurance contract or identification number | 30000009 | Number of Individuals Covered | 183 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $1,342 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $31,756 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,342 | Insurance broker organization code? | 3 |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30000009 |
Policy instance | 4 |
Insurance contract or identification number | 30000009 | Number of Individuals Covered | 195 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $1,543 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $33,391 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,543 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 ) |
Policy contract number | 696 |
Policy instance | 3 |
Insurance contract or identification number | 696 | Number of Individuals Covered | 441 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $13,762 | Total amount of fees paid to insurance company | USD $2,502 | 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 $13,762 | Amount paid for insurance broker fees | 2502 | Additional information about fees paid to insurance broker | BONUSES PAID | Insurance broker organization code? | 3 |
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ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
Policy contract number | 00235483 |
Policy instance | 2 |
Insurance contract or identification number | 00235483 | Number of Individuals Covered | 252 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Other welfare benefits provided | EAP | Welfare Benefit Premiums Paid to Carrier | USD $580,922 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | G000AV5R |
Policy instance | 1 |
Insurance contract or identification number | G000AV5R | Number of Individuals Covered | 307 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $19,904 | Total amount of fees paid to insurance company | USD $5,531 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $179,013 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,904 | Amount paid for insurance broker fees | 5531 | Additional information about fees paid to insurance broker | BONUSES PAID | Insurance broker organization code? | 3 |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30000009 |
Policy instance | 4 |
Insurance contract or identification number | 30000009 | Number of Individuals Covered | 208 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,588 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $37,282 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,588 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 ) |
Policy contract number | 696 |
Policy instance | 3 |
Insurance contract or identification number | 696 | Number of Individuals Covered | 479 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $18,863 | Total amount of fees paid to insurance company | USD $455 | 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 $18,863 | Amount paid for insurance broker fees | 455 | Additional information about fees paid to insurance broker | BONUSES PAID | Insurance broker organization code? | 3 |
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ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
Policy contract number | 00235483 |
Policy instance | 2 |
Insurance contract or identification number | 00235483 | Number of Individuals Covered | 263 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Other welfare benefits provided | EAP | Welfare Benefit Premiums Paid to Carrier | USD $559,623 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | G000AV5R |
Policy instance | 1 |
Insurance contract or identification number | G000AV5R | Number of Individuals Covered | 315 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $19,432 | Total amount of fees paid to insurance company | USD $7,893 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $172,370 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,432 | Amount paid for insurance broker fees | 7893 | Additional information about fees paid to insurance broker | BONUSES PAID | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | G000AV5R |
Policy instance | 1 |
Insurance contract or identification number | G000AV5R | Number of Individuals Covered | 322 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $18,615 | Total amount of fees paid to insurance company | USD $7,111 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $161,093 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $18,615 | Amount paid for insurance broker fees | 7111 | Additional information about fees paid to insurance broker | BONUSES PAID | Insurance broker organization code? | 3 |
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ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
Policy contract number | 00235483 |
Policy instance | 2 |
Insurance contract or identification number | 00235483 | Number of Individuals Covered | 271 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Other welfare benefits provided | EAP | Welfare Benefit Premiums Paid to Carrier | USD $492,290 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 ) |
Policy contract number | 696 |
Policy instance | 3 |
Insurance contract or identification number | 696 | Number of Individuals Covered | 486 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $15,078 | 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 $15,078 | Insurance broker organization code? | 3 |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
Policy contract number | 30000009 |
Policy instance | 4 |
Insurance contract or identification number | 30000009 | Number of Individuals Covered | 205 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $1,506 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $33,113 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,506 | Insurance broker organization code? | 3 |
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
Policy contract number | 30000009 |
Policy instance | 4 |
Insurance contract or identification number | 30000009 | Number of Individuals Covered | 184 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $1,405 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $30,695 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,405 | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 ) |
Policy contract number | 0000696 |
Policy instance | 3 |
Insurance contract or identification number | 0000696 | Number of Individuals Covered | 412 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $12,826 | 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 $12,826 | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
Policy contract number | 001007108 |
Policy instance | 2 |
Insurance contract or identification number | 001007108 | Number of Individuals Covered | 236 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Other welfare benefits provided | EAP | Welfare Benefit Premiums Paid to Carrier | USD $424,627 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | G000AV5R |
Policy instance | 1 |
Insurance contract or identification number | G000AV5R | Number of Individuals Covered | 284 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $17,835 | Total amount of fees paid to insurance company | USD $7,278 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $157,991 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $17,835 | Amount paid for insurance broker fees | 7278 | Additional information about fees paid to insurance broker | BONUSES PAID | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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