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VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 401k Plan overview

Plan NameVEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN
Plan identification number 501

VEADA INDUSTRIES, INC. HEALTH INSURANCE 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

401k Sponsoring company profile

VEADA INDUSTRIES, INC has sponsored the creation of one or more 401k plans.

Company Name:VEADA INDUSTRIES, INC
Employer identification number (EIN):351143592
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-09-01
5012018-09-01
5012017-09-01ROBERT W STEURY ROBERT W STEURY2019-02-18
5012016-09-01ROBERT W STEURY ROBERT W STEURY2018-01-16
5012015-09-01ROBERT W STEURY ROBERT W STEURY2017-03-19
5012014-09-01ROBERT W STEURY ROBERT W STEURY2016-03-09
5012013-09-01ROBERT W STEURY ROBERT W STEURY2015-02-11
5012012-09-01ROBERT W STEURY ROBERT W STEURY2014-03-20
5012011-09-01ROBERT W STEURY ROBERT W STEURY2013-02-04
5012009-09-01ROBERT W. STEURY ROBERT W. STEURY2011-01-19

Plan Statistics for VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN

401k plan membership statisitcs for VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN

Measure Date Value
2019: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01334
Total number of active participants reported on line 7a of the Form 55002019-09-01317
Total of all active and inactive participants2019-09-01317
Total participants2019-09-01317
2018: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01307
Total number of active participants reported on line 7a of the Form 55002018-09-01334
Total of all active and inactive participants2018-09-01334
Total participants2018-09-01334
2017: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01292
Total number of active participants reported on line 7a of the Form 55002017-09-01307
Total of all active and inactive participants2017-09-01307
Total participants2017-09-01307
2016: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01295
Total number of active participants reported on line 7a of the Form 55002016-09-01292
Total of all active and inactive participants2016-09-01292
Total participants2016-09-01292
2015: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01272
Total number of active participants reported on line 7a of the Form 55002015-09-01295
Total of all active and inactive participants2015-09-01295
Total participants2015-09-01295
2014: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01275
Total number of active participants reported on line 7a of the Form 55002014-09-01272
Total of all active and inactive participants2014-09-01272
Total participants2014-09-01272
2013: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01234
Total number of active participants reported on line 7a of the Form 55002013-09-01275
Total of all active and inactive participants2013-09-01275
Total participants2013-09-01275
2012: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01217
Total number of active participants reported on line 7a of the Form 55002012-09-01234
Total of all active and inactive participants2012-09-01234
Total participants2012-09-01234
2011: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01217
Total number of active participants reported on line 7a of the Form 55002011-09-01217
Number of retired or separated participants receiving benefits2011-09-011
Total of all active and inactive participants2011-09-01218
Total participants2011-09-01218
2009: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01134
Total number of active participants reported on line 7a of the Form 55002009-09-01165
Number of retired or separated participants receiving benefits2009-09-011
Total of all active and inactive participants2009-09-01166
Total participants2009-09-01166

Form 5500 Responses for VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN

2019: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – General assets of the sponsorYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – General assets of the sponsorYes
2018: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – General assets of the sponsorYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – General assets of the sponsorYes
2017: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – General assets of the sponsorYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2015: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – General assets of the sponsorYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – General assets of the sponsorYes
2014: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2013: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2012: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – General assets of the sponsorYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – General assets of the sponsorYes
2011: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – General assets of the sponsorYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – General assets of the sponsorYes
2009: VEADA INDUSTRIES, INC. HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – General assets of the sponsorYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number241997
Policy instance 4
Insurance contract or identification number241997
Number of Individuals Covered280
Insurance policy start date2019-09-01
Insurance policy end date2020-08-30
Total amount of commissions paid to insurance brokerUSD $2,792
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,792
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number933440
Policy instance 3
Insurance contract or identification number933440
Number of Individuals Covered217
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $4,637
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,637
Insurance broker organization code?3
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract numberANTX-44195
Policy instance 2
Insurance contract or identification numberANTX-44195
Number of Individuals Covered317
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Welfare Benefit Premiums Paid to CarrierUSD $802,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 1
Insurance contract or identification number253182083010
Number of Individuals Covered270
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $11,614
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $116,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,614
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number241997
Policy instance 4
Insurance contract or identification number241997
Number of Individuals Covered334
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $1,661
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,661
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number241997
Policy instance 3
Insurance contract or identification number241997
Number of Individuals Covered334
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $1,681
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,681
Insurance broker organization code?3
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract numberANTX-44195
Policy instance 2
Insurance contract or identification numberANTX-44195
Number of Individuals Covered331
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Welfare Benefit Premiums Paid to CarrierUSD $756,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 1
Insurance contract or identification number253182083010
Number of Individuals Covered315
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $11,266
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,266
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30087148
Policy instance 5
Insurance contract or identification number30087148
Number of Individuals Covered266
Insurance policy start date2019-01-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $4,817
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,817
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number241997
Policy instance 3
Insurance contract or identification number241997
Number of Individuals Covered307
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $1,644
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract numberANTX-44195
Policy instance 2
Insurance contract or identification numberANTX-44195
Number of Individuals Covered306
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Welfare Benefit Premiums Paid to CarrierUSD $702,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number241997
Policy instance 4
Insurance contract or identification number241997
Number of Individuals Covered307
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $1,678
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 1
Insurance contract or identification number253182083010
Number of Individuals Covered279
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $10,269
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract numberANTX-44195
Policy instance 2
Insurance contract or identification numberANTX-44195
Number of Individuals Covered292
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Welfare Benefit Premiums Paid to CarrierUSD $425,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 1
Insurance contract or identification number253182083010
Number of Individuals Covered273
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $9,327
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $93,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,327
Insurance broker organization code?3
Insurance broker nameDONALD RAY ANDERSON
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number241997
Policy instance 4
Insurance contract or identification number241997
Number of Individuals Covered274
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $1,281
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $551
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number241997
Policy instance 3
Insurance contract or identification number241997
Number of Individuals Covered274
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $1,370
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $639
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093342000
Policy instance 4
Insurance contract or identification number000010093342000
Number of Individuals Covered275
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $1,291
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,291
Insurance broker organization code?3
Insurance broker nameUSI MIDWEST LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093343000
Policy instance 3
Insurance contract or identification number000010093343000
Number of Individuals Covered28
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $727
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $727
Insurance broker organization code?3
Insurance broker nameUSI MIDWEST LLC
AMERICAN NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract numberANTX-44195
Policy instance 2
Insurance contract or identification numberANTX-44195
Number of Individuals Covered278
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Welfare Benefit Premiums Paid to CarrierUSD $380,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 1
Insurance contract or identification number253182083010
Number of Individuals Covered252
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $10,673
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,586
Insurance broker organization code?3
Insurance broker nameDONALD RAY ANDERSON
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093342000
Policy instance 4
Insurance contract or identification number000010093342000
Number of Individuals Covered275
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $1,268
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $331
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093343000
Policy instance 3
Insurance contract or identification number000010093343000
Number of Individuals Covered31
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $1,142
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $525
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMLI039296
Policy instance 2
Insurance contract or identification numberMLI039296
Number of Individuals Covered277
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Welfare Benefit Premiums Paid to CarrierUSD $438,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 1
Insurance contract or identification number253182083010
Number of Individuals Covered249
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $8,991
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,991
Insurance broker organization code?3
Insurance broker nameDONALD C NEWMAN JR
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMLI039296
Policy instance 2
Insurance contract or identification numberMLI039296
Number of Individuals Covered247
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Welfare Benefit Premiums Paid to CarrierUSD $390,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 1
Insurance contract or identification number253182083010
Number of Individuals Covered217
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $7,609
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,095
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,498
Insurance broker organization code?3
Insurance broker nameDONALD C NEWMAN JR
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093343000
Policy instance 3
Insurance contract or identification number000010093343000
Number of Individuals Covered32
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $844
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $844
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093342000
Policy instance 4
Insurance contract or identification number000010093342000
Number of Individuals Covered238
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $892
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,950
Commission paid to Insurance BrokerUSD $892
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093343000
Policy instance 4
Insurance contract or identification number000010093343000
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $719
Total amount of fees paid to insurance companyUSD $116
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 3
Insurance contract or identification number253182083010
Number of Individuals Covered187
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $8,039
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093342000
Policy instance 2
Insurance contract or identification number000010093342000
Number of Individuals Covered218
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $897
Total amount of fees paid to insurance companyUSD $168
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMLI036008
Policy instance 1
Insurance contract or identification numberMLI036008
Number of Individuals Covered218
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Welfare Benefit Premiums Paid to CarrierUSD $264,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number99605560
Policy instance 1
Insurance contract or identification number99605560
Number of Individuals Covered232
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Welfare Benefit Premiums Paid to CarrierUSD $194,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093342
Policy instance 2
Insurance contract or identification number000010093342
Number of Individuals Covered237
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $812
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,411
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010093343
Policy instance 4
Insurance contract or identification number000010093343
Number of Individuals Covered29
Insurance policy start date2011-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $636
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number253182083010
Policy instance 3
Insurance contract or identification number253182083010
Number of Individuals Covered183
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $6,438
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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