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INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 401k Plan overview

Plan NameINDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN
Plan identification number 501

INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

INDIANA INSTITUTE OF TECHNOLOGY has sponsored the creation of one or more 401k plans.

Company Name:INDIANA INSTITUTE OF TECHNOLOGY
Employer identification number (EIN):350845258
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JULIE HENDRYX2023-08-25
5012021-01-01JULIE HENDRYX2022-08-18
5012020-01-01JULIE A HENDRYX2021-06-08
5012019-01-01JULIE A HENDRYX2020-10-08
5012018-01-01
5012017-01-01
5012016-01-01
5012015-07-01
5012014-07-01
5012013-07-01JOYCE A. DULWORTH
5012012-07-01GWYN EASTOM
5012011-07-01GWYN EASTOM
5012009-07-01GWYN EASTOM
5012009-07-01GWYN EASTOM

Plan Statistics for INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN

401k plan membership statisitcs for INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN

Measure Date Value
2022: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01292
Total number of active participants reported on line 7a of the Form 55002022-01-01303
Total of all active and inactive participants2022-01-01303
Total participants2022-01-01303
2021: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01307
Total number of active participants reported on line 7a of the Form 55002021-01-01292
Total of all active and inactive participants2021-01-01292
Total participants2021-01-01292
2020: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01315
Total number of active participants reported on line 7a of the Form 55002020-01-01307
Total of all active and inactive participants2020-01-01307
Total participants2020-01-01307
2019: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01322
Total number of active participants reported on line 7a of the Form 55002019-01-01315
Total of all active and inactive participants2019-01-01315
Total participants2019-01-01315
2018: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01284
Total number of active participants reported on line 7a of the Form 55002018-01-01322
Total of all active and inactive participants2018-01-01322
Total participants2018-01-01322
2017: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01297
Total number of active participants reported on line 7a of the Form 55002017-01-01284
Total of all active and inactive participants2017-01-01284
Total participants2017-01-01284
2016: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01265
Total number of active participants reported on line 7a of the Form 55002016-01-01297
Total of all active and inactive participants2016-01-01297
Total participants2016-01-01297
2015: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01265
Total number of active participants reported on line 7a of the Form 55002015-07-01265
Total of all active and inactive participants2015-07-01265
Total participants2015-07-01265
2014: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01255
Total number of active participants reported on line 7a of the Form 55002014-07-01265
Total of all active and inactive participants2014-07-01265
Total participants2014-07-01265
2013: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01228
Total number of active participants reported on line 7a of the Form 55002013-07-01255
Total of all active and inactive participants2013-07-01255
Total participants2013-07-01255
2012: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01189
Total number of active participants reported on line 7a of the Form 55002012-07-01228
Total of all active and inactive participants2012-07-01228
Total participants2012-07-01228
2011: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01176
Total number of active participants reported on line 7a of the Form 55002011-07-01189
Total of all active and inactive participants2011-07-01189
Total participants2011-07-01189
2009: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01175
Total number of active participants reported on line 7a of the Form 55002009-07-01171
Total of all active and inactive participants2009-07-01171
Total participants2009-07-01171

Form 5500 Responses for INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN

2022: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: INDIANA INSTITUTE OF TECHNOLOGY WRAP PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000009
Policy instance 4
Insurance contract or identification number30000009
Number of Individuals Covered189
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,419
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,419
Insurance broker organization code?3
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number696
Policy instance 3
Insurance contract or identification number696
Number of Individuals Covered418
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $13,600
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,600
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00235483
Policy instance 2
Insurance contract or identification number00235483
Number of Individuals Covered244
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Other welfare benefits providedEAP
Welfare Benefit Premiums Paid to CarrierUSD $567,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AV5R
Policy instance 1
Insurance contract or identification numberG000AV5R
Number of Individuals Covered303
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $21,025
Total amount of fees paid to insurance companyUSD $6,264
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $194,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,025
Amount paid for insurance broker fees6264
Additional information about fees paid to insurance brokerBONUSES PAID
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AV5R
Policy instance 1
Insurance contract or identification numberG000AV5R
Number of Individuals Covered292
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $19,898
Total amount of fees paid to insurance companyUSD $8,056
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $179,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,898
Amount paid for insurance broker fees8056
Additional information about fees paid to insurance brokerBONUSES PAID
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00235483
Policy instance 2
Insurance contract or identification number00235483
Number of Individuals Covered246
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Other welfare benefits providedEAP
Welfare Benefit Premiums Paid to CarrierUSD $562,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number696
Policy instance 3
Insurance contract or identification number696
Number of Individuals Covered419
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $14,096
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,096
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000009
Policy instance 4
Insurance contract or identification number30000009
Number of Individuals Covered183
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,342
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,342
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000009
Policy instance 4
Insurance contract or identification number30000009
Number of Individuals Covered195
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,543
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,543
Insurance broker organization code?3
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number696
Policy instance 3
Insurance contract or identification number696
Number of Individuals Covered441
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,762
Total amount of fees paid to insurance companyUSD $2,502
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,762
Amount paid for insurance broker fees2502
Additional information about fees paid to insurance brokerBONUSES PAID
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00235483
Policy instance 2
Insurance contract or identification number00235483
Number of Individuals Covered252
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Other welfare benefits providedEAP
Welfare Benefit Premiums Paid to CarrierUSD $580,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AV5R
Policy instance 1
Insurance contract or identification numberG000AV5R
Number of Individuals Covered307
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $19,904
Total amount of fees paid to insurance companyUSD $5,531
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $179,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,904
Amount paid for insurance broker fees5531
Additional information about fees paid to insurance brokerBONUSES PAID
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000009
Policy instance 4
Insurance contract or identification number30000009
Number of Individuals Covered208
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,588
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,588
Insurance broker organization code?3
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number696
Policy instance 3
Insurance contract or identification number696
Number of Individuals Covered479
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $18,863
Total amount of fees paid to insurance companyUSD $455
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,863
Amount paid for insurance broker fees455
Additional information about fees paid to insurance brokerBONUSES PAID
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00235483
Policy instance 2
Insurance contract or identification number00235483
Number of Individuals Covered263
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedEAP
Welfare Benefit Premiums Paid to CarrierUSD $559,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AV5R
Policy instance 1
Insurance contract or identification numberG000AV5R
Number of Individuals Covered315
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $19,432
Total amount of fees paid to insurance companyUSD $7,893
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $172,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,432
Amount paid for insurance broker fees7893
Additional information about fees paid to insurance brokerBONUSES PAID
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AV5R
Policy instance 1
Insurance contract or identification numberG000AV5R
Number of Individuals Covered322
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $18,615
Total amount of fees paid to insurance companyUSD $7,111
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $161,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,615
Amount paid for insurance broker fees7111
Additional information about fees paid to insurance brokerBONUSES PAID
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00235483
Policy instance 2
Insurance contract or identification number00235483
Number of Individuals Covered271
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Other welfare benefits providedEAP
Welfare Benefit Premiums Paid to CarrierUSD $492,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number696
Policy instance 3
Insurance contract or identification number696
Number of Individuals Covered486
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $15,078
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,078
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000009
Policy instance 4
Insurance contract or identification number30000009
Number of Individuals Covered205
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,506
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,506
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30000009
Policy instance 4
Insurance contract or identification number30000009
Number of Individuals Covered184
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,405
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,405
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number0000696
Policy instance 3
Insurance contract or identification number0000696
Number of Individuals Covered412
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $12,826
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,826
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number001007108
Policy instance 2
Insurance contract or identification number001007108
Number of Individuals Covered236
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Other welfare benefits providedEAP
Welfare Benefit Premiums Paid to CarrierUSD $424,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AV5R
Policy instance 1
Insurance contract or identification numberG000AV5R
Number of Individuals Covered284
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $17,835
Total amount of fees paid to insurance companyUSD $7,278
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $157,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,835
Amount paid for insurance broker fees7278
Additional information about fees paid to insurance brokerBONUSES PAID
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC

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