IBA GROUP INSURANCE TRUST has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2023 : IBA GROUP INSURANCE TRUST 2023 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2023-04-30 | $-205,406 |
| Total unrealized appreciation/depreciation of assets | 2023-04-30 | $-205,406 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $3,979,323 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $4,167,218 |
| Total income from all sources (including contributions) | 2023-04-30 | $39,374,249 |
| Total loss/gain on sale of assets | 2023-04-30 | $200,904 |
| Total of all expenses incurred | 2023-04-30 | $39,682,130 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-04-30 | $36,613,661 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-04-30 | $39,098,896 |
| Value of total assets at end of year | 2023-04-30 | $10,896,110 |
| Value of total assets at beginning of year | 2023-04-30 | $11,391,886 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-04-30 | $3,068,469 |
| Total interest from all sources | 2023-04-30 | $205,758 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-04-30 | $72,516 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-04-30 | No |
| Administrative expenses professional fees incurred | 2023-04-30 | $100,544 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2023-04-30 | $0 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2023-04-30 | $0 |
| Was this plan covered by a fidelity bond | 2023-04-30 | Yes |
| Value of fidelity bond cover | 2023-04-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2023-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-04-30 | No |
| Contributions received from participants | 2023-04-30 | $181,143 |
| Participant contributions at end of year | 2023-04-30 | $10,679 |
| Participant contributions at beginning of year | 2023-04-30 | $15,647 |
| Assets. Other investments not covered elsewhere at end of year | 2023-04-30 | $762,738 |
| Assets. Other investments not covered elsewhere at beginning of year | 2023-04-30 | $728,247 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-04-30 | $1,967,458 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-04-30 | $1,606,232 |
| Other income not declared elsewhere | 2023-04-30 | $1,581 |
| Administrative expenses (other) incurred | 2023-04-30 | $58,456 |
| Liabilities. Value of operating payables at end of year | 2023-04-30 | $74,071 |
| Liabilities. Value of operating payables at beginning of year | 2023-04-30 | $32,833 |
| Total non interest bearing cash at end of year | 2023-04-30 | $781,000 |
| Total non interest bearing cash at beginning of year | 2023-04-30 | $781,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Value of net income/loss | 2023-04-30 | $-307,881 |
| Value of net assets at end of year (total assets less liabilities) | 2023-04-30 | $6,916,787 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-04-30 | $7,224,668 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-04-30 | No |
| Investment advisory and management fees | 2023-04-30 | $20,143 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-04-30 | $289,635 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-04-30 | $441,222 |
| Interest earned on other investments | 2023-04-30 | $38,453 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-04-30 | $4,273,888 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-04-30 | $4,972,327 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-04-30 | $4,972,327 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-04-30 | $167,305 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-04-30 | $4,556,849 |
| Asset value of US Government securities at end of year | 2023-04-30 | $12,097 |
| Asset value of US Government securities at beginning of year | 2023-04-30 | $16,654 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-04-30 | No |
| Contributions received in cash from employer | 2023-04-30 | $38,917,753 |
| Employer contributions (assets) at end of year | 2023-04-30 | $102,152 |
| Employer contributions (assets) at beginning of year | 2023-04-30 | $326,519 |
| Income. Dividends from common stock | 2023-04-30 | $72,516 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-04-30 | $32,056,812 |
| Asset. Corporate debt instrument preferred debt at end of year | 2023-04-30 | $369,622 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2023-04-30 | $273,716 |
| Contract administrator fees | 2023-04-30 | $2,889,326 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2023-04-30 | $2,326,841 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2023-04-30 | $2,230,322 |
| Liabilities. Value of benefit claims payable at end of year | 2023-04-30 | $3,905,252 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-04-30 | $4,134,385 |
| Did the plan have assets held for investment | 2023-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-04-30 | No |
| Aggregate proceeds on sale of assets | 2023-04-30 | $1,513,204 |
| Aggregate carrying amount (costs) on sale of assets | 2023-04-30 | $1,312,300 |
| Opinion of an independent qualified public accountant for this plan | 2023-04-30 | Unqualified |
| Accountancy firm name | 2023-04-30 | BRADY WARE & SCHOENFED |
| Accountancy firm EIN | 2023-04-30 | 351476702 |
| 2022 : IBA GROUP INSURANCE TRUST 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2022-04-30 | $-963,884 |
| Total unrealized appreciation/depreciation of assets | 2022-04-30 | $-963,884 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $4,167,218 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $3,301,689 |
| Total income from all sources (including contributions) | 2022-04-30 | $33,527,248 |
| Total loss/gain on sale of assets | 2022-04-30 | $831,034 |
| Total of all expenses incurred | 2022-04-30 | $35,833,782 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-04-30 | $32,996,053 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-04-30 | $33,482,104 |
| Value of total assets at end of year | 2022-04-30 | $11,391,886 |
| Value of total assets at beginning of year | 2022-04-30 | $12,832,891 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-04-30 | $2,837,729 |
| Total interest from all sources | 2022-04-30 | $56,076 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-04-30 | $111,526 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-04-30 | No |
| Administrative expenses professional fees incurred | 2022-04-30 | $98,619 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2022-04-30 | $0 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2022-04-30 | $777,467 |
| Was this plan covered by a fidelity bond | 2022-04-30 | Yes |
| Value of fidelity bond cover | 2022-04-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-04-30 | No |
| Contributions received from participants | 2022-04-30 | $140,716 |
| Participant contributions at end of year | 2022-04-30 | $15,647 |
| Participant contributions at beginning of year | 2022-04-30 | $8,059 |
| Assets. Other investments not covered elsewhere at end of year | 2022-04-30 | $728,247 |
| Assets. Other investments not covered elsewhere at beginning of year | 2022-04-30 | $736,135 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-04-30 | $1,606,232 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-04-30 | $924,513 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-04-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-04-30 | $299,202 |
| Other income not declared elsewhere | 2022-04-30 | $10,392 |
| Administrative expenses (other) incurred | 2022-04-30 | $48,708 |
| Liabilities. Value of operating payables at end of year | 2022-04-30 | $32,833 |
| Liabilities. Value of operating payables at beginning of year | 2022-04-30 | $44,303 |
| Total non interest bearing cash at end of year | 2022-04-30 | $781,000 |
| Total non interest bearing cash at beginning of year | 2022-04-30 | $781,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Value of net income/loss | 2022-04-30 | $-2,306,534 |
| Value of net assets at end of year (total assets less liabilities) | 2022-04-30 | $7,224,668 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-04-30 | $9,531,202 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-04-30 | No |
| Investment advisory and management fees | 2022-04-30 | $29,252 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-04-30 | $441,222 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-04-30 | $746,611 |
| Interest earned on other investments | 2022-04-30 | $34,621 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-04-30 | $4,972,327 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-04-30 | $4,114,579 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-04-30 | $4,114,579 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-04-30 | $21,455 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-04-30 | $3,609,714 |
| Asset value of US Government securities at end of year | 2022-04-30 | $16,654 |
| Asset value of US Government securities at beginning of year | 2022-04-30 | $18,098 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-04-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-04-30 | No |
| Contributions received in cash from employer | 2022-04-30 | $33,341,388 |
| Employer contributions (assets) at end of year | 2022-04-30 | $326,519 |
| Employer contributions (assets) at beginning of year | 2022-04-30 | $32,729 |
| Income. Dividends from common stock | 2022-04-30 | $111,526 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-04-30 | $29,386,339 |
| Asset. Corporate debt instrument preferred debt at end of year | 2022-04-30 | $273,716 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2022-04-30 | $318,315 |
| Contract administrator fees | 2022-04-30 | $2,661,150 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2022-04-30 | $2,230,322 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2022-04-30 | $4,375,385 |
| Liabilities. Value of benefit claims payable at end of year | 2022-04-30 | $4,134,385 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-04-30 | $2,958,184 |
| Did the plan have assets held for investment | 2022-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-04-30 | No |
| Aggregate proceeds on sale of assets | 2022-04-30 | $6,629,481 |
| Aggregate carrying amount (costs) on sale of assets | 2022-04-30 | $5,798,447 |
| Opinion of an independent qualified public accountant for this plan | 2022-04-30 | Unqualified |
| Accountancy firm name | 2022-04-30 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2022-04-30 | 410746749 |
| 2021 : IBA GROUP INSURANCE TRUST 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-04-30 | $707,845 |
| Total unrealized appreciation/depreciation of assets | 2021-04-30 | $707,845 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $3,301,689 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $2,028,072 |
| Total income from all sources (including contributions) | 2021-04-30 | $34,819,094 |
| Total loss/gain on sale of assets | 2021-04-30 | $579,782 |
| Total of all expenses incurred | 2021-04-30 | $35,150,315 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-04-30 | $32,118,341 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-04-30 | $33,250,070 |
| Value of total assets at end of year | 2021-04-30 | $12,832,891 |
| Value of total assets at beginning of year | 2021-04-30 | $11,890,495 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-04-30 | $3,031,974 |
| Total interest from all sources | 2021-04-30 | $44,550 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-04-30 | $197,696 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-04-30 | $16,746 |
| Administrative expenses professional fees incurred | 2021-04-30 | $92,371 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2021-04-30 | $777,467 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2021-04-30 | $1,229,421 |
| Was this plan covered by a fidelity bond | 2021-04-30 | Yes |
| Value of fidelity bond cover | 2021-04-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-04-30 | No |
| Contributions received from participants | 2021-04-30 | $146,538 |
| Participant contributions at end of year | 2021-04-30 | $8,059 |
| Participant contributions at beginning of year | 2021-04-30 | $14,174 |
| Assets. Other investments not covered elsewhere at end of year | 2021-04-30 | $736,135 |
| Assets. Other investments not covered elsewhere at beginning of year | 2021-04-30 | $276,840 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-04-30 | $924,513 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-04-30 | $719,483 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-04-30 | $299,202 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-04-30 | $616,091 |
| Other income not declared elsewhere | 2021-04-30 | $45,060 |
| Administrative expenses (other) incurred | 2021-04-30 | $47,204 |
| Liabilities. Value of operating payables at end of year | 2021-04-30 | $44,303 |
| Liabilities. Value of operating payables at beginning of year | 2021-04-30 | $45,468 |
| Total non interest bearing cash at end of year | 2021-04-30 | $781,000 |
| Total non interest bearing cash at beginning of year | 2021-04-30 | $2,861,665 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Value of net income/loss | 2021-04-30 | $-331,221 |
| Value of net assets at end of year (total assets less liabilities) | 2021-04-30 | $9,531,202 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-04-30 | $9,862,423 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-04-30 | No |
| Investment advisory and management fees | 2021-04-30 | $35,813 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-04-30 | $746,611 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-04-30 | $1,075,758 |
| Interest earned on other investments | 2021-04-30 | $20,713 |
| Income. Interest from US Government securities | 2021-04-30 | $896 |
| Income. Interest from corporate debt instruments | 2021-04-30 | $9,126 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-04-30 | $4,114,579 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-04-30 | $333,322 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-04-30 | $333,322 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-04-30 | $13,815 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-04-30 | $2,925,873 |
| Asset value of US Government securities at end of year | 2021-04-30 | $18,098 |
| Asset value of US Government securities at beginning of year | 2021-04-30 | $29,746 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-04-30 | $-5,909 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-04-30 | No |
| Contributions received in cash from employer | 2021-04-30 | $33,103,532 |
| Employer contributions (assets) at end of year | 2021-04-30 | $32,729 |
| Employer contributions (assets) at beginning of year | 2021-04-30 | $1,314,134 |
| Income. Dividends from preferred stock | 2021-04-30 | $52,259 |
| Income. Dividends from common stock | 2021-04-30 | $128,691 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-04-30 | $29,192,468 |
| Asset. Corporate debt instrument preferred debt at end of year | 2021-04-30 | $318,315 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2021-04-30 | $195,997 |
| Contract administrator fees | 2021-04-30 | $2,856,586 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2021-04-30 | $4,375,385 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2021-04-30 | $3,839,955 |
| Liabilities. Value of benefit claims payable at end of year | 2021-04-30 | $2,958,184 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-04-30 | $1,366,513 |
| Did the plan have assets held for investment | 2021-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-04-30 | No |
| Aggregate proceeds on sale of assets | 2021-04-30 | $5,430,224 |
| Aggregate carrying amount (costs) on sale of assets | 2021-04-30 | $4,850,442 |
| Opinion of an independent qualified public accountant for this plan | 2021-04-30 | Unqualified |
| Accountancy firm name | 2021-04-30 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2021-04-30 | 410746749 |
| 2020 : IBA GROUP INSURANCE TRUST 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-04-30 | $-481,185 |
| Total unrealized appreciation/depreciation of assets | 2020-04-30 | $-481,185 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $2,028,072 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $3,054,554 |
| Total income from all sources (including contributions) | 2020-04-30 | $51,313,361 |
| Total loss/gain on sale of assets | 2020-04-30 | $304,130 |
| Total of all expenses incurred | 2020-04-30 | $50,671,631 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-04-30 | $48,591,598 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-04-30 | $51,129,980 |
| Value of total assets at end of year | 2020-04-30 | $11,890,495 |
| Value of total assets at beginning of year | 2020-04-30 | $12,275,247 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-04-30 | $2,080,033 |
| Total interest from all sources | 2020-04-30 | $155,794 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-04-30 | $204,642 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-04-30 | No |
| Administrative expenses professional fees incurred | 2020-04-30 | $321,233 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2020-04-30 | $1,229,421 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2020-04-30 | $1,372,241 |
| Was this plan covered by a fidelity bond | 2020-04-30 | Yes |
| Value of fidelity bond cover | 2020-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-04-30 | No |
| Contributions received from participants | 2020-04-30 | $293,376 |
| Participant contributions at end of year | 2020-04-30 | $14,174 |
| Participant contributions at beginning of year | 2020-04-30 | $30,624 |
| Assets. Other investments not covered elsewhere at end of year | 2020-04-30 | $276,840 |
| Assets. Other investments not covered elsewhere at beginning of year | 2020-04-30 | $329,814 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-04-30 | $719,483 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-04-30 | $796,186 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-04-30 | $616,091 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-04-30 | $803,018 |
| Administrative expenses (other) incurred | 2020-04-30 | $54,854 |
| Liabilities. Value of operating payables at end of year | 2020-04-30 | $45,468 |
| Liabilities. Value of operating payables at beginning of year | 2020-04-30 | $174,537 |
| Total non interest bearing cash at end of year | 2020-04-30 | $2,861,665 |
| Total non interest bearing cash at beginning of year | 2020-04-30 | $3,140,516 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Value of net income/loss | 2020-04-30 | $641,730 |
| Value of net assets at end of year (total assets less liabilities) | 2020-04-30 | $9,862,423 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-04-30 | $9,220,693 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-04-30 | No |
| Investment advisory and management fees | 2020-04-30 | $44,489 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-04-30 | $1,075,758 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-04-30 | $772,345 |
| Interest earned on other investments | 2020-04-30 | $24,103 |
| Income. Interest from US Government securities | 2020-04-30 | $1,514 |
| Income. Interest from corporate debt instruments | 2020-04-30 | $6,159 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-04-30 | $333,322 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-04-30 | $285,833 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-04-30 | $285,833 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-04-30 | $124,018 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-04-30 | $48,591,598 |
| Asset value of US Government securities at end of year | 2020-04-30 | $29,746 |
| Asset value of US Government securities at beginning of year | 2020-04-30 | $289,564 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-04-30 | No |
| Contributions received in cash from employer | 2020-04-30 | $50,836,604 |
| Employer contributions (assets) at end of year | 2020-04-30 | $1,314,134 |
| Employer contributions (assets) at beginning of year | 2020-04-30 | $843,873 |
| Income. Dividends from preferred stock | 2020-04-30 | $99,268 |
| Income. Dividends from common stock | 2020-04-30 | $105,374 |
| Asset. Corporate debt instrument preferred debt at end of year | 2020-04-30 | $195,997 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2020-04-30 | $66,053 |
| Contract administrator fees | 2020-04-30 | $1,659,457 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2020-04-30 | $3,839,955 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2020-04-30 | $4,348,198 |
| Liabilities. Value of benefit claims payable at end of year | 2020-04-30 | $1,366,513 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-04-30 | $2,076,999 |
| Did the plan have assets held for investment | 2020-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-04-30 | No |
| Aggregate proceeds on sale of assets | 2020-04-30 | $7,944,502 |
| Aggregate carrying amount (costs) on sale of assets | 2020-04-30 | $7,640,372 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-04-30 | Unqualified |
| Accountancy firm name | 2020-04-30 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2020-04-30 | 410746749 |
| 2019 : IBA GROUP INSURANCE TRUST 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-04-30 | $481,331 |
| Total unrealized appreciation/depreciation of assets | 2019-04-30 | $481,331 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $3,054,554 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $1,803,862 |
| Total income from all sources (including contributions) | 2019-04-30 | $53,034,574 |
| Total loss/gain on sale of assets | 2019-04-30 | $106,440 |
| Total of all expenses incurred | 2019-04-30 | $52,430,118 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-04-30 | $50,425,493 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-04-30 | $52,100,022 |
| Value of total assets at end of year | 2019-04-30 | $12,275,247 |
| Value of total assets at beginning of year | 2019-04-30 | $10,420,099 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-04-30 | $2,004,625 |
| Total interest from all sources | 2019-04-30 | $159,188 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-04-30 | $187,413 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-04-30 | No |
| Administrative expenses professional fees incurred | 2019-04-30 | $75,702 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2019-04-30 | $1,372,241 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2019-04-30 | $670,333 |
| Was this plan covered by a fidelity bond | 2019-04-30 | Yes |
| Value of fidelity bond cover | 2019-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2019-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-04-30 | No |
| Contributions received from participants | 2019-04-30 | $358,801 |
| Participant contributions at end of year | 2019-04-30 | $30,624 |
| Participant contributions at beginning of year | 2019-04-30 | $15,512 |
| Assets. Other investments not covered elsewhere at end of year | 2019-04-30 | $329,814 |
| Assets. Other investments not covered elsewhere at beginning of year | 2019-04-30 | $249,751 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-04-30 | $796,186 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-04-30 | $948,460 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-04-30 | $803,018 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-04-30 | $849,563 |
| Other income not declared elsewhere | 2019-04-30 | $180 |
| Administrative expenses (other) incurred | 2019-04-30 | $63,932 |
| Liabilities. Value of operating payables at end of year | 2019-04-30 | $174,537 |
| Liabilities. Value of operating payables at beginning of year | 2019-04-30 | $66,777 |
| Total non interest bearing cash at end of year | 2019-04-30 | $3,140,516 |
| Total non interest bearing cash at beginning of year | 2019-04-30 | $1,601,584 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Value of net income/loss | 2019-04-30 | $604,456 |
| Value of net assets at end of year (total assets less liabilities) | 2019-04-30 | $9,220,693 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-04-30 | $8,616,237 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-04-30 | No |
| Investment advisory and management fees | 2019-04-30 | $45,324 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-04-30 | $772,345 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-04-30 | $187,010 |
| Interest earned on other investments | 2019-04-30 | $19,623 |
| Income. Interest from US Government securities | 2019-04-30 | $2,884 |
| Income. Interest from corporate debt instruments | 2019-04-30 | $3,762 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-04-30 | $285,833 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-04-30 | $1,533,366 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-04-30 | $1,533,366 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-04-30 | $132,919 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-04-30 | $50,425,493 |
| Asset value of US Government securities at end of year | 2019-04-30 | $289,564 |
| Asset value of US Government securities at beginning of year | 2019-04-30 | $70,741 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-04-30 | No |
| Contributions received in cash from employer | 2019-04-30 | $51,741,221 |
| Employer contributions (assets) at end of year | 2019-04-30 | $843,873 |
| Employer contributions (assets) at beginning of year | 2019-04-30 | $1,150,973 |
| Income. Dividends from preferred stock | 2019-04-30 | $74,403 |
| Income. Dividends from common stock | 2019-04-30 | $113,010 |
| Asset. Corporate debt instrument preferred debt at end of year | 2019-04-30 | $66,053 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2019-04-30 | $121,566 |
| Contract administrator fees | 2019-04-30 | $1,819,667 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2019-04-30 | $4,348,198 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2019-04-30 | $3,870,803 |
| Liabilities. Value of benefit claims payable at end of year | 2019-04-30 | $2,076,999 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-04-30 | $887,522 |
| Did the plan have assets held for investment | 2019-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-04-30 | No |
| Aggregate proceeds on sale of assets | 2019-04-30 | $6,006,613 |
| Aggregate carrying amount (costs) on sale of assets | 2019-04-30 | $5,900,173 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-04-30 | Unqualified |
| Accountancy firm name | 2019-04-30 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2019-04-30 | 410746749 |
| 2018 : IBA GROUP INSURANCE TRUST 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-04-30 | $-124,853 |
| Total unrealized appreciation/depreciation of assets | 2018-04-30 | $-124,853 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $916,340 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $1,545,077 |
| Total income from all sources (including contributions) | 2018-04-30 | $46,733,436 |
| Total loss/gain on sale of assets | 2018-04-30 | $838,464 |
| Total of all expenses incurred | 2018-04-30 | $45,939,500 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-04-30 | $44,095,818 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-04-30 | $45,243,864 |
| Value of total assets at end of year | 2018-04-30 | $10,420,099 |
| Value of total assets at beginning of year | 2018-04-30 | $10,254,900 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-04-30 | $1,843,682 |
| Total interest from all sources | 2018-04-30 | $124,183 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-04-30 | $163,903 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-04-30 | No |
| Administrative expenses professional fees incurred | 2018-04-30 | $137,556 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2018-04-30 | $670,333 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2018-04-30 | $663,070 |
| Was this plan covered by a fidelity bond | 2018-04-30 | Yes |
| Value of fidelity bond cover | 2018-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2018-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-04-30 | No |
| Contributions received from participants | 2018-04-30 | $186,143 |
| Participant contributions at end of year | 2018-04-30 | $15,512 |
| Participant contributions at beginning of year | 2018-04-30 | $13,601 |
| Assets. Other investments not covered elsewhere at end of year | 2018-04-30 | $249,751 |
| Assets. Other investments not covered elsewhere at beginning of year | 2018-04-30 | $599,620 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-04-30 | $948,460 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-04-30 | $282,900 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-04-30 | $849,563 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-04-30 | $1,458,239 |
| Other income not declared elsewhere | 2018-04-30 | $487,875 |
| Administrative expenses (other) incurred | 2018-04-30 | $90,611 |
| Liabilities. Value of operating payables at end of year | 2018-04-30 | $66,777 |
| Liabilities. Value of operating payables at beginning of year | 2018-04-30 | $86,838 |
| Total non interest bearing cash at end of year | 2018-04-30 | $1,601,584 |
| Total non interest bearing cash at beginning of year | 2018-04-30 | $2,963,053 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Value of net income/loss | 2018-04-30 | $793,936 |
| Value of net assets at end of year (total assets less liabilities) | 2018-04-30 | $9,503,759 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-04-30 | $8,709,823 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-04-30 | No |
| Investment advisory and management fees | 2018-04-30 | $46,417 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-04-30 | $187,010 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-04-30 | $0 |
| Interest earned on other investments | 2018-04-30 | $28,532 |
| Income. Interest from US Government securities | 2018-04-30 | $3,196 |
| Income. Interest from corporate debt instruments | 2018-04-30 | $23,229 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-04-30 | $1,533,366 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-04-30 | $105,712 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-04-30 | $105,712 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-04-30 | $69,226 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-04-30 | $44,095,818 |
| Asset value of US Government securities at end of year | 2018-04-30 | $70,741 |
| Asset value of US Government securities at beginning of year | 2018-04-30 | $101,033 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-04-30 | No |
| Contributions received in cash from employer | 2018-04-30 | $45,057,721 |
| Employer contributions (assets) at end of year | 2018-04-30 | $1,150,973 |
| Employer contributions (assets) at beginning of year | 2018-04-30 | $193,784 |
| Income. Dividends from preferred stock | 2018-04-30 | $34,932 |
| Income. Dividends from common stock | 2018-04-30 | $128,971 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-04-30 | $0 |
| Asset. Corporate debt instrument preferred debt at end of year | 2018-04-30 | $121,566 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2018-04-30 | $493,951 |
| Contract administrator fees | 2018-04-30 | $1,569,098 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2018-04-30 | $3,870,803 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-04-30 | $4,838,176 |
| Liabilities. Value of benefit claims payable at end of year | 2018-04-30 | $0 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-04-30 | $0 |
| Did the plan have assets held for investment | 2018-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-04-30 | No |
| Aggregate proceeds on sale of assets | 2018-04-30 | $5,359,315 |
| Aggregate carrying amount (costs) on sale of assets | 2018-04-30 | $4,520,851 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-04-30 | Unqualified |
| Accountancy firm name | 2018-04-30 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2018-04-30 | 410746749 |
| 2017 : IBA GROUP INSURANCE TRUST 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2017-04-30 | $536,333 |
| Total unrealized appreciation/depreciation of assets | 2017-04-30 | $536,333 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-04-30 | $1,545,077 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-04-30 | $1,239,745 |
| Total income from all sources (including contributions) | 2017-04-30 | $40,414,682 |
| Total loss/gain on sale of assets | 2017-04-30 | $111,324 |
| Total of all expenses incurred | 2017-04-30 | $42,613,830 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-04-30 | $40,670,451 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-04-30 | $39,420,341 |
| Value of total assets at end of year | 2017-04-30 | $10,254,900 |
| Value of total assets at beginning of year | 2017-04-30 | $12,148,716 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-04-30 | $1,943,379 |
| Total interest from all sources | 2017-04-30 | $136,214 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-04-30 | $210,470 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-04-30 | No |
| Administrative expenses professional fees incurred | 2017-04-30 | $146,231 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2017-04-30 | $663,070 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2017-04-30 | $1,235,015 |
| Was this plan covered by a fidelity bond | 2017-04-30 | Yes |
| Value of fidelity bond cover | 2017-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-04-30 | No |
| Contributions received from participants | 2017-04-30 | $290,634 |
| Participant contributions at end of year | 2017-04-30 | $13,601 |
| Participant contributions at beginning of year | 2017-04-30 | $8,285 |
| Assets. Other investments not covered elsewhere at end of year | 2017-04-30 | $599,620 |
| Assets. Other investments not covered elsewhere at beginning of year | 2017-04-30 | $1,183,753 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-04-30 | $282,900 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-04-30 | $1,160,940 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-04-30 | $1,458,239 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-04-30 | $1,099,355 |
| Other income not declared elsewhere | 2017-04-30 | $0 |
| Administrative expenses (other) incurred | 2017-04-30 | $254,742 |
| Liabilities. Value of operating payables at end of year | 2017-04-30 | $86,838 |
| Liabilities. Value of operating payables at beginning of year | 2017-04-30 | $140,390 |
| Total non interest bearing cash at end of year | 2017-04-30 | $2,963,053 |
| Total non interest bearing cash at beginning of year | 2017-04-30 | $1,767,024 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-04-30 | No |
| Value of net income/loss | 2017-04-30 | $-2,199,148 |
| Value of net assets at end of year (total assets less liabilities) | 2017-04-30 | $8,709,823 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-04-30 | $10,908,971 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-04-30 | No |
| Investment advisory and management fees | 2017-04-30 | $55,260 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-04-30 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-04-30 | $0 |
| Interest earned on other investments | 2017-04-30 | $60,559 |
| Income. Interest from US Government securities | 2017-04-30 | $3,854 |
| Income. Interest from corporate debt instruments | 2017-04-30 | $26,641 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-04-30 | $105,712 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-04-30 | $612,153 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-04-30 | $612,153 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-04-30 | $45,160 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-04-30 | $40,670,451 |
| Asset value of US Government securities at end of year | 2017-04-30 | $101,033 |
| Asset value of US Government securities at beginning of year | 2017-04-30 | $131,089 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-04-30 | No |
| Contributions received in cash from employer | 2017-04-30 | $39,129,707 |
| Employer contributions (assets) at end of year | 2017-04-30 | $193,784 |
| Employer contributions (assets) at beginning of year | 2017-04-30 | $316,744 |
| Income. Dividends from preferred stock | 2017-04-30 | $62,127 |
| Income. Dividends from common stock | 2017-04-30 | $148,343 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-04-30 | $0 |
| Asset. Corporate debt instrument preferred debt at end of year | 2017-04-30 | $493,951 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2017-04-30 | $548,619 |
| Contract administrator fees | 2017-04-30 | $1,487,146 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2017-04-30 | $4,838,176 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-04-30 | $5,185,094 |
| Liabilities. Value of benefit claims payable at end of year | 2017-04-30 | $0 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-04-30 | $0 |
| Did the plan have assets held for investment | 2017-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-04-30 | No |
| Aggregate proceeds on sale of assets | 2017-04-30 | $4,174,840 |
| Aggregate carrying amount (costs) on sale of assets | 2017-04-30 | $4,063,516 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-04-30 | Unqualified |
| Accountancy firm name | 2017-04-30 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2017-04-30 | 410746749 |
| 2016 : IBA GROUP INSURANCE TRUST 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-04-30 | $-1,259,640 |
| Total unrealized appreciation/depreciation of assets | 2016-04-30 | $-1,259,640 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-04-30 | $1,239,745 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-04-30 | $5,162,448 |
| Total income from all sources (including contributions) | 2016-04-30 | $38,257,759 |
| Total loss/gain on sale of assets | 2016-04-30 | $397,902 |
| Total of all expenses incurred | 2016-04-30 | $45,308,587 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-04-30 | $43,219,198 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-04-30 | $34,097,543 |
| Value of total assets at end of year | 2016-04-30 | $12,148,716 |
| Value of total assets at beginning of year | 2016-04-30 | $23,122,247 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-04-30 | $2,089,389 |
| Total interest from all sources | 2016-04-30 | $124,007 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-04-30 | $360,941 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-04-30 | No |
| Administrative expenses professional fees incurred | 2016-04-30 | $170,005 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2016-04-30 | $1,235,015 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2016-04-30 | $2,148,221 |
| Was this plan covered by a fidelity bond | 2016-04-30 | Yes |
| Value of fidelity bond cover | 2016-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-04-30 | No |
| Contributions received from participants | 2016-04-30 | $208,327 |
| Participant contributions at end of year | 2016-04-30 | $8,285 |
| Participant contributions at beginning of year | 2016-04-30 | $21,845 |
| Assets. Other investments not covered elsewhere at end of year | 2016-04-30 | $1,183,753 |
| Assets. Other investments not covered elsewhere at beginning of year | 2016-04-30 | $1,004,569 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-04-30 | $1,160,940 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-04-30 | $72,698 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-04-30 | $1,099,355 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-04-30 | $1,510,605 |
| Other income not declared elsewhere | 2016-04-30 | $4,537,006 |
| Administrative expenses (other) incurred | 2016-04-30 | $386,143 |
| Liabilities. Value of operating payables at end of year | 2016-04-30 | $140,390 |
| Liabilities. Value of operating payables at beginning of year | 2016-04-30 | $630,236 |
| Total non interest bearing cash at end of year | 2016-04-30 | $1,767,024 |
| Total non interest bearing cash at beginning of year | 2016-04-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-04-30 | No |
| Value of net income/loss | 2016-04-30 | $-7,050,828 |
| Value of net assets at end of year (total assets less liabilities) | 2016-04-30 | $10,908,971 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-04-30 | $17,959,799 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-04-30 | No |
| Investment advisory and management fees | 2016-04-30 | $79,493 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-04-30 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-04-30 | $160,380 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-04-30 | $612,153 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-04-30 | $8,589,604 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-04-30 | $8,589,604 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-04-30 | $124,007 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-04-30 | $40,859,366 |
| Asset value of US Government securities at end of year | 2016-04-30 | $131,089 |
| Asset value of US Government securities at beginning of year | 2016-04-30 | $144,153 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-04-30 | No |
| Contributions received in cash from employer | 2016-04-30 | $33,889,216 |
| Employer contributions (assets) at end of year | 2016-04-30 | $316,744 |
| Employer contributions (assets) at beginning of year | 2016-04-30 | $256,919 |
| Income. Dividends from preferred stock | 2016-04-30 | $359,568 |
| Income. Dividends from common stock | 2016-04-30 | $1,373 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-04-30 | $2,359,832 |
| Asset. Corporate debt instrument preferred debt at end of year | 2016-04-30 | $548,619 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2016-04-30 | $567,206 |
| Contract administrator fees | 2016-04-30 | $1,453,748 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2016-04-30 | $5,185,094 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2016-04-30 | $10,156,652 |
| Liabilities. Value of benefit claims payable at end of year | 2016-04-30 | $0 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-04-30 | $3,021,607 |
| Did the plan have assets held for investment | 2016-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-04-30 | No |
| Aggregate proceeds on sale of assets | 2016-04-30 | $10,673,467 |
| Aggregate carrying amount (costs) on sale of assets | 2016-04-30 | $10,275,565 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-04-30 | Unqualified |
| Accountancy firm name | 2016-04-30 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2016-04-30 | 410745749 |
| 2015 : IBA GROUP INSURANCE TRUST 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-04-30 | $648,989 |
| Total unrealized appreciation/depreciation of assets | 2015-04-30 | $648,989 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-04-30 | $5,162,448 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-04-30 | $5,007,881 |
| Total income from all sources (including contributions) | 2015-04-30 | $40,501,504 |
| Total loss/gain on sale of assets | 2015-04-30 | $-65,547 |
| Total of all expenses incurred | 2015-04-30 | $38,501,787 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-04-30 | $33,067,538 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-04-30 | $39,427,326 |
| Value of total assets at end of year | 2015-04-30 | $23,122,247 |
| Value of total assets at beginning of year | 2015-04-30 | $20,967,963 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-04-30 | $5,434,249 |
| Total interest from all sources | 2015-04-30 | $107,943 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-04-30 | $380,895 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-04-30 | No |
| Administrative expenses professional fees incurred | 2015-04-30 | $126,483 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2015-04-30 | $2,148,221 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2015-04-30 | $1,910,251 |
| Was this plan covered by a fidelity bond | 2015-04-30 | Yes |
| Value of fidelity bond cover | 2015-04-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-04-30 | No |
| Contributions received from participants | 2015-04-30 | $198,874 |
| Participant contributions at end of year | 2015-04-30 | $21,845 |
| Participant contributions at beginning of year | 2015-04-30 | $17,611 |
| Assets. Other investments not covered elsewhere at end of year | 2015-04-30 | $1,004,569 |
| Assets. Other investments not covered elsewhere at beginning of year | 2015-04-30 | $982,450 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-04-30 | $72,698 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-04-30 | $89,413 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-04-30 | $1,510,605 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-04-30 | $927,077 |
| Other income not declared elsewhere | 2015-04-30 | $1,898 |
| Administrative expenses (other) incurred | 2015-04-30 | $1,072,858 |
| Liabilities. Value of operating payables at end of year | 2015-04-30 | $630,236 |
| Liabilities. Value of operating payables at beginning of year | 2015-04-30 | $304,120 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-04-30 | No |
| Value of net income/loss | 2015-04-30 | $1,999,717 |
| Value of net assets at end of year (total assets less liabilities) | 2015-04-30 | $17,959,799 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-04-30 | $15,960,082 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-04-30 | No |
| Investment advisory and management fees | 2015-04-30 | $87,226 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-04-30 | $160,380 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-04-30 | $155,630 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-04-30 | $8,589,604 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-04-30 | $8,870,092 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-04-30 | $8,870,092 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-04-30 | $107,943 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-04-30 | $3,156,057 |
| Asset value of US Government securities at end of year | 2015-04-30 | $144,153 |
| Asset value of US Government securities at beginning of year | 2015-04-30 | $169,719 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-04-30 | No |
| Contributions received in cash from employer | 2015-04-30 | $39,228,452 |
| Employer contributions (assets) at end of year | 2015-04-30 | $256,919 |
| Employer contributions (assets) at beginning of year | 2015-04-30 | $325,252 |
| Income. Dividends from preferred stock | 2015-04-30 | $363,369 |
| Income. Dividends from common stock | 2015-04-30 | $17,526 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-04-30 | $29,911,481 |
| Asset. Corporate debt instrument preferred debt at end of year | 2015-04-30 | $567,206 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2015-04-30 | $554,969 |
| Contract administrator fees | 2015-04-30 | $4,147,682 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2015-04-30 | $10,156,652 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2015-04-30 | $7,892,576 |
| Liabilities. Value of benefit claims payable at end of year | 2015-04-30 | $3,021,607 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-04-30 | $3,776,684 |
| Did the plan have assets held for investment | 2015-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-04-30 | No |
| Aggregate proceeds on sale of assets | 2015-04-30 | $2,892,870 |
| Aggregate carrying amount (costs) on sale of assets | 2015-04-30 | $2,958,417 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-04-30 | Unqualified |
| Accountancy firm name | 2015-04-30 | L.M. HENDERSON & COMPANY, LLP |
| Accountancy firm EIN | 2015-04-30 | 205520612 |
| 2014 : IBA GROUP INSURANCE TRUST 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-04-30 | $482,877 |
| Total unrealized appreciation/depreciation of assets | 2014-04-30 | $482,877 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-30 | $5,007,881 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-30 | $4,512,920 |
| Total income from all sources (including contributions) | 2014-04-30 | $40,190,960 |
| Total loss/gain on sale of assets | 2014-04-30 | $20,500 |
| Total of all expenses incurred | 2014-04-30 | $37,457,089 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-04-30 | $33,398,363 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-04-30 | $39,289,154 |
| Value of total assets at end of year | 2014-04-30 | $20,967,963 |
| Value of total assets at beginning of year | 2014-04-30 | $17,739,131 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-04-30 | $4,058,726 |
| Total interest from all sources | 2014-04-30 | $109,034 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-04-30 | $289,395 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-04-30 | No |
| Administrative expenses professional fees incurred | 2014-04-30 | $75,739 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2014-04-30 | $1,910,251 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2014-04-30 | $835,720 |
| Was this plan covered by a fidelity bond | 2014-04-30 | Yes |
| Value of fidelity bond cover | 2014-04-30 | $10,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-04-30 | No |
| Contributions received from participants | 2014-04-30 | $226,341 |
| Participant contributions at end of year | 2014-04-30 | $17,611 |
| Participant contributions at beginning of year | 2014-04-30 | $27,370 |
| Assets. Other investments not covered elsewhere at end of year | 2014-04-30 | $982,450 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-04-30 | $1,042,339 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-04-30 | $89,413 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-04-30 | $80,177 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-04-30 | $927,077 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-04-30 | $1,031,168 |
| Administrative expenses (other) incurred | 2014-04-30 | $57,051 |
| Liabilities. Value of operating payables at end of year | 2014-04-30 | $304,120 |
| Liabilities. Value of operating payables at beginning of year | 2014-04-30 | $57,254 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-30 | No |
| Value of net income/loss | 2014-04-30 | $2,733,871 |
| Value of net assets at end of year (total assets less liabilities) | 2014-04-30 | $15,960,082 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-04-30 | $13,226,211 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-04-30 | No |
| Investment advisory and management fees | 2014-04-30 | $71,129 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-04-30 | $155,630 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-04-30 | $164,410 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-04-30 | $8,870,092 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-04-30 | $8,816,299 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-04-30 | $8,816,299 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-04-30 | $109,034 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-04-30 | $3,026,031 |
| Asset value of US Government securities at end of year | 2014-04-30 | $169,719 |
| Asset value of US Government securities at beginning of year | 2014-04-30 | $201,288 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-04-30 | No |
| Contributions received in cash from employer | 2014-04-30 | $39,062,813 |
| Employer contributions (assets) at end of year | 2014-04-30 | $325,252 |
| Employer contributions (assets) at beginning of year | 2014-04-30 | $441,916 |
| Income. Dividends from preferred stock | 2014-04-30 | $270,452 |
| Income. Dividends from common stock | 2014-04-30 | $18,943 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-04-30 | $30,372,332 |
| Asset. Corporate debt instrument preferred debt at end of year | 2014-04-30 | $554,969 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2014-04-30 | $367,326 |
| Contract administrator fees | 2014-04-30 | $3,854,807 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2014-04-30 | $7,892,576 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-04-30 | $5,762,286 |
| Liabilities. Value of benefit claims payable at end of year | 2014-04-30 | $3,776,684 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-04-30 | $3,424,498 |
| Did the plan have assets held for investment | 2014-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-04-30 | No |
| Aggregate proceeds on sale of assets | 2014-04-30 | $2,034,101 |
| Aggregate carrying amount (costs) on sale of assets | 2014-04-30 | $2,013,601 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-04-30 | Unqualified |
| Accountancy firm name | 2014-04-30 | L.M. HENDERSON & COMPANY, LLP |
| Accountancy firm EIN | 2014-04-30 | 205520612 |
| 2013 : IBA GROUP INSURANCE TRUST 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-04-30 | $773,209 |
| Total unrealized appreciation/depreciation of assets | 2013-04-30 | $773,209 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-04-30 | $4,512,920 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-04-30 | $4,920,046 |
| Total income from all sources (including contributions) | 2013-04-30 | $35,263,482 |
| Total loss/gain on sale of assets | 2013-04-30 | $-29,828 |
| Total of all expenses incurred | 2013-04-30 | $30,234,023 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-04-30 | $26,862,850 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-04-30 | $34,262,597 |
| Value of total assets at end of year | 2013-04-30 | $17,739,131 |
| Value of total assets at beginning of year | 2013-04-30 | $13,116,798 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-04-30 | $3,371,173 |
| Total interest from all sources | 2013-04-30 | $91,560 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-04-30 | $165,944 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-04-30 | No |
| Administrative expenses professional fees incurred | 2013-04-30 | $102,933 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2013-04-30 | $835,720 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2013-04-30 | $763,680 |
| Was this plan covered by a fidelity bond | 2013-04-30 | Yes |
| Value of fidelity bond cover | 2013-04-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-04-30 | No |
| Contributions received from participants | 2013-04-30 | $246,888 |
| Participant contributions at end of year | 2013-04-30 | $27,370 |
| Participant contributions at beginning of year | 2013-04-30 | $28,648 |
| Assets. Other investments not covered elsewhere at end of year | 2013-04-30 | $1,042,339 |
| Assets. Other investments not covered elsewhere at beginning of year | 2013-04-30 | $998,415 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-04-30 | $80,177 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-04-30 | $1,731,533 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-04-30 | $548,486 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-04-30 | $1,266,760 |
| Administrative expenses (other) incurred | 2013-04-30 | $56,593 |
| Liabilities. Value of operating payables at end of year | 2013-04-30 | $57,254 |
| Liabilities. Value of operating payables at beginning of year | 2013-04-30 | $28,274 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-04-30 | No |
| Value of net income/loss | 2013-04-30 | $5,029,459 |
| Value of net assets at end of year (total assets less liabilities) | 2013-04-30 | $13,226,211 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-04-30 | $8,196,752 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-04-30 | No |
| Investment advisory and management fees | 2013-04-30 | $46,860 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-04-30 | $164,410 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-04-30 | $403,996 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-04-30 | $8,816,299 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-04-30 | $4,515,229 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-04-30 | $4,515,229 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-04-30 | $91,560 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-04-30 | $2,637,006 |
| Asset value of US Government securities at end of year | 2013-04-30 | $201,288 |
| Asset value of US Government securities at beginning of year | 2013-04-30 | $326,379 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-04-30 | No |
| Contributions received in cash from employer | 2013-04-30 | $34,015,709 |
| Employer contributions (assets) at end of year | 2013-04-30 | $441,916 |
| Employer contributions (assets) at beginning of year | 2013-04-30 | $1,185,083 |
| Income. Dividends from preferred stock | 2013-04-30 | $148,396 |
| Income. Dividends from common stock | 2013-04-30 | $17,548 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-04-30 | $24,225,844 |
| Asset. Corporate debt instrument preferred debt at end of year | 2013-04-30 | $367,326 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2013-04-30 | $271,349 |
| Contract administrator fees | 2013-04-30 | $3,164,787 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-04-30 | $5,762,286 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-04-30 | $2,892,486 |
| Liabilities. Value of benefit claims payable at end of year | 2013-04-30 | $3,907,180 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-04-30 | $3,625,012 |
| Did the plan have assets held for investment | 2013-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-04-30 | No |
| Aggregate proceeds on sale of assets | 2013-04-30 | $694,818 |
| Aggregate carrying amount (costs) on sale of assets | 2013-04-30 | $724,646 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-04-30 | Unqualified |
| Accountancy firm name | 2013-04-30 | L.M. HENDERSON & COMPANY, LLP |
| Accountancy firm EIN | 2013-04-30 | 205520612 |
| 2012 : IBA GROUP INSURANCE TRUST 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-04-30 | $321,867 |
| Total unrealized appreciation/depreciation of assets | 2012-04-30 | $321,867 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-04-30 | $4,920,046 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-04-30 | $4,346,531 |
| Total income from all sources (including contributions) | 2012-04-30 | $35,522,467 |
| Total loss/gain on sale of assets | 2012-04-30 | $-32,912 |
| Total of all expenses incurred | 2012-04-30 | $33,383,503 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-04-30 | $30,393,280 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-04-30 | $35,030,538 |
| Value of total assets at end of year | 2012-04-30 | $13,116,798 |
| Value of total assets at beginning of year | 2012-04-30 | $10,404,319 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-04-30 | $2,990,223 |
| Total interest from all sources | 2012-04-30 | $76,701 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-04-30 | $126,273 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-04-30 | No |
| Administrative expenses professional fees incurred | 2012-04-30 | $126,112 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2012-04-30 | $763,680 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2012-04-30 | $855,340 |
| Was this plan covered by a fidelity bond | 2012-04-30 | Yes |
| Value of fidelity bond cover | 2012-04-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-04-30 | No |
| Contributions received from participants | 2012-04-30 | $260,175 |
| Participant contributions at end of year | 2012-04-30 | $28,648 |
| Participant contributions at beginning of year | 2012-04-30 | $9,751 |
| Assets. Other investments not covered elsewhere at end of year | 2012-04-30 | $998,415 |
| Assets. Other investments not covered elsewhere at beginning of year | 2012-04-30 | $414,892 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-04-30 | $1,731,533 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-04-30 | $363,425 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-04-30 | $1,266,760 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-04-30 | $1,243,861 |
| Administrative expenses (other) incurred | 2012-04-30 | $68,491 |
| Liabilities. Value of operating payables at end of year | 2012-04-30 | $28,274 |
| Liabilities. Value of operating payables at beginning of year | 2012-04-30 | $102,670 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-04-30 | No |
| Value of net income/loss | 2012-04-30 | $2,138,964 |
| Value of net assets at end of year (total assets less liabilities) | 2012-04-30 | $8,196,752 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-04-30 | $6,057,788 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-04-30 | No |
| Investment advisory and management fees | 2012-04-30 | $30,907 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-04-30 | $403,996 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-04-30 | $360,443 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-04-30 | $4,515,229 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-04-30 | $5,548,321 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-04-30 | $5,548,321 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-04-30 | $76,701 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-04-30 | $2,624,623 |
| Asset value of US Government securities at end of year | 2012-04-30 | $326,379 |
| Asset value of US Government securities at beginning of year | 2012-04-30 | $362,986 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-04-30 | No |
| Contributions received in cash from employer | 2012-04-30 | $34,770,363 |
| Employer contributions (assets) at end of year | 2012-04-30 | $1,185,083 |
| Employer contributions (assets) at beginning of year | 2012-04-30 | $1,593,287 |
| Income. Dividends from preferred stock | 2012-04-30 | $109,728 |
| Income. Dividends from common stock | 2012-04-30 | $16,545 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-04-30 | $27,768,657 |
| Asset. Corporate debt instrument preferred debt at end of year | 2012-04-30 | $271,349 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2012-04-30 | $202,664 |
| Contract administrator fees | 2012-04-30 | $2,764,713 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2012-04-30 | $2,892,486 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2012-04-30 | $693,210 |
| Liabilities. Value of benefit claims payable at end of year | 2012-04-30 | $3,625,012 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-04-30 | $3,000,000 |
| Did the plan have assets held for investment | 2012-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-04-30 | No |
| Aggregate proceeds on sale of assets | 2012-04-30 | $1,050,592 |
| Aggregate carrying amount (costs) on sale of assets | 2012-04-30 | $1,083,504 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-04-30 | Unqualified |
| Accountancy firm name | 2012-04-30 | L.M. HENDERSON & COMPANY, LLP |
| Accountancy firm EIN | 2012-04-30 | 205520612 |
| 2011 : IBA GROUP INSURANCE TRUST 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-04-30 | $130,011 |
| Total unrealized appreciation/depreciation of assets | 2011-04-30 | $130,011 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-04-30 | $4,346,531 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-04-30 | $5,143,744 |
| Total income from all sources (including contributions) | 2011-04-30 | $40,840,825 |
| Total loss/gain on sale of assets | 2011-04-30 | $260,844 |
| Total of all expenses incurred | 2011-04-30 | $40,113,704 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-04-30 | $38,102,335 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-04-30 | $40,180,866 |
| Value of total assets at end of year | 2011-04-30 | $10,404,319 |
| Value of total assets at beginning of year | 2011-04-30 | $10,474,411 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-04-30 | $2,011,369 |
| Total interest from all sources | 2011-04-30 | $89,979 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-04-30 | $179,125 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-04-30 | No |
| Administrative expenses professional fees incurred | 2011-04-30 | $193,957 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2011-04-30 | $855,340 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2011-04-30 | $940,381 |
| Was this plan covered by a fidelity bond | 2011-04-30 | Yes |
| Value of fidelity bond cover | 2011-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-04-30 | No |
| Contributions received from participants | 2011-04-30 | $233,178 |
| Participant contributions at end of year | 2011-04-30 | $9,751 |
| Participant contributions at beginning of year | 2011-04-30 | $17,494 |
| Assets. Other investments not covered elsewhere at end of year | 2011-04-30 | $414,892 |
| Assets. Other investments not covered elsewhere at beginning of year | 2011-04-30 | $427,757 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-04-30 | $363,425 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-04-30 | $17,911 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-04-30 | $1,243,861 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-04-30 | $1,417,004 |
| Administrative expenses (other) incurred | 2011-04-30 | $40,290 |
| Liabilities. Value of operating payables at end of year | 2011-04-30 | $102,670 |
| Liabilities. Value of operating payables at beginning of year | 2011-04-30 | $15,887 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-04-30 | No |
| Value of net income/loss | 2011-04-30 | $727,121 |
| Value of net assets at end of year (total assets less liabilities) | 2011-04-30 | $6,057,788 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-04-30 | $5,330,667 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-04-30 | No |
| Investment advisory and management fees | 2011-04-30 | $38,671 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-04-30 | $360,443 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-04-30 | $250,445 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-04-30 | $5,548,321 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-04-30 | $1,746,367 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-04-30 | $1,746,367 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-04-30 | $89,979 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-04-30 | $4,501,911 |
| Asset value of US Government securities at end of year | 2011-04-30 | $362,986 |
| Asset value of US Government securities at beginning of year | 2011-04-30 | $428,102 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-04-30 | No |
| Contributions received in cash from employer | 2011-04-30 | $39,947,688 |
| Employer contributions (assets) at end of year | 2011-04-30 | $1,593,287 |
| Employer contributions (assets) at beginning of year | 2011-04-30 | $2,197,146 |
| Income. Dividends from preferred stock | 2011-04-30 | $150,025 |
| Income. Dividends from common stock | 2011-04-30 | $29,100 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-04-30 | $33,600,424 |
| Asset. Corporate debt instrument preferred debt at end of year | 2011-04-30 | $202,664 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2011-04-30 | $591,042 |
| Contract administrator fees | 2011-04-30 | $1,738,451 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2011-04-30 | $693,210 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2011-04-30 | $3,857,766 |
| Liabilities. Value of benefit claims payable at end of year | 2011-04-30 | $3,000,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-04-30 | $3,710,853 |
| Did the plan have assets held for investment | 2011-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-04-30 | No |
| Aggregate proceeds on sale of assets | 2011-04-30 | $5,578,291 |
| Aggregate carrying amount (costs) on sale of assets | 2011-04-30 | $5,317,447 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-04-30 | Unqualified |
| Accountancy firm name | 2011-04-30 | L.M. HENDERSON & COMPANY, LLP |
| Accountancy firm EIN | 2011-04-30 | 205520612 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 921032 |
| Policy instance | 17 |
| Insurance contract or identification number | 921032 | | Number of Individuals Covered | 2602 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,962,645 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 163949 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 163949 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $3,134 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $47,300 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 2838 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 132948 |
| Policy instance | 2 |
| Insurance contract or identification number | LTD 132948 | | Number of Individuals Covered | 170 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,633 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $23,269 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 1466 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAI 828182 |
| Policy instance | 3 |
| Insurance contract or identification number | VAI 828182 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $590 | | Total amount of fees paid to insurance company | USD $189 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | VOLUNTARY ACCICIDENT INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,951 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $590 | | Amount paid for insurance broker fees | 172 | | Additional information about fees paid to insurance broker | COMMISSION AND FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 209571 |
| Policy instance | 4 |
| Insurance contract or identification number | VAR 209571 | | Number of Individuals Covered | 115 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $111 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,696 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 101 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VCI 802899 |
| Policy instance | 5 |
| Insurance contract or identification number | VCI 802899 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $629 | | Total amount of fees paid to insurance company | USD $223 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | VOLUNTARY CRITICAL ILLNESS | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,145 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $629 | | Amount paid for insurance broker fees | 200 | | Additional information about fees paid to insurance broker | COMMISSION AND FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 164051 |
| Policy instance | 6 |
| Insurance contract or identification number | GL 164051 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,492 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $19,106 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 1319 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 132957 |
| Policy instance | 7 |
| Insurance contract or identification number | LTD 132957 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,977 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $35,581 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 1845 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 164052 |
| Policy instance | 8 |
| Insurance contract or identification number | GL 164052 | | Number of Individuals Covered | 304 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,952 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $41,361 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 1684 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 209581 |
| Policy instance | 9 |
| Insurance contract or identification number | VAR 209581 | | Number of Individuals Covered | 131 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $77 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,793 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 67 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | UHIC-600844 |
| Policy instance | 16 |
| Insurance contract or identification number | UHIC-600844 | | Number of Individuals Covered | 2701 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,828,581 | | 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 number | 10075 |
| Policy instance | 15 |
| Insurance contract or identification number | 10075 | | Number of Individuals Covered | 3058 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $26,104 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,167 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | NA | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 90001822 |
| Policy instance | 14 |
| Insurance contract or identification number | 90001822 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,034 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPS 328901 |
| Policy instance | 13 |
| Insurance contract or identification number | VPS 328901 | | Number of Individuals Covered | 65 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $1,359 | | Total amount of fees paid to insurance company | USD $668 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $13,593 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,359 | | Amount paid for insurance broker fees | 302 | | Additional information about fees paid to insurance broker | COMMISSION AND FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 209642 |
| Policy instance | 12 |
| Insurance contract or identification number | VAR 209642 | | Number of Individuals Covered | 87 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $163 | | Total amount of fees paid to insurance company | USD $70 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,632 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $163 | | Amount paid for insurance broker fees | 28 | | Additional information about fees paid to insurance broker | COMMISSION AND FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 132941 |
| Policy instance | 11 |
| Insurance contract or identification number | LTD 132941 | | Number of Individuals Covered | 191 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $3,640 | | Total amount of fees paid to insurance company | USD $1,708 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $36,400 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,640 | | Amount paid for insurance broker fees | 747 | | Additional information about fees paid to insurance broker | COMMISSION AND FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 163953 |
| Policy instance | 10 |
| Insurance contract or identification number | GL 163953 | | Number of Individuals Covered | 197 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $4,191 | | Total amount of fees paid to insurance company | USD $1,809 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $41,913 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,191 | | Amount paid for insurance broker fees | 740 | | Additional information about fees paid to insurance broker | COMMISSION AND FEES | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 921032 |
| Policy instance | 3 |
| Insurance contract or identification number | 921032 | | Number of Individuals Covered | 1114 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $114,293 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 163949 |
| Policy instance | 4 |
| Insurance contract or identification number | GL 163949 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $3,550 | | Total amount of fees paid to insurance company | USD $2,728 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | CRITICAL ILLNESS | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $68,191 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,550 | | Amount paid for insurance broker fees | 2728 | | Additional information about fees paid to insurance broker | COMMISSIONS AND FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 164051 |
| Policy instance | 5 |
| Insurance contract or identification number | GL 164051 | | Number of Individuals Covered | 147 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,357 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $33,925 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1357 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 164052 |
| Policy instance | 6 |
| Insurance contract or identification number | GL 164052 | | Number of Individuals Covered | 253 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $720 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $36,004 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 720 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 163953 |
| Policy instance | 7 |
| Insurance contract or identification number | GL 163953 | | Number of Individuals Covered | 182 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $7,692 | | Total amount of fees paid to insurance company | USD $1,538 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $76,921 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,692 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VARIOUS |
| Policy instance | 9 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 657 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | CRITICAL ILLNESS | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $269,842 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 ) |
| Policy contract number | 10075 |
| Policy instance | 2 |
| Insurance contract or identification number | 10075 | | Number of Individuals Covered | 1987 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $12,149 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,765 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 90001822 |
| Policy instance | 1 |
| Insurance contract or identification number | 90001822 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,222 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | UHIC-600844 |
| Policy instance | 8 |
| Insurance contract or identification number | UHIC-600844 | | Number of Individuals Covered | 2305 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,363,907 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | UHIC-600844 |
| Policy instance | 6 |
| Insurance contract or identification number | UHIC-600844 | | Number of Individuals Covered | 2511 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,781,186 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-0284940-02 |
| Policy instance | 2 |
| Insurance contract or identification number | GTU-0284940-02 | | Number of Individuals Covered | 216 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $7,687 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | N02437 |
| Policy instance | 1 |
| Insurance contract or identification number | N02437 | | Number of Individuals Covered | 1549 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $2,286 | | Total amount of fees paid to insurance company | USD $10,032 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $376,785 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 8607 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 90001822 |
| Policy instance | 3 |
| Insurance contract or identification number | 90001822 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $12,234 | | 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 number | 10075 |
| Policy instance | 4 |
| Insurance contract or identification number | 10075 | | Number of Individuals Covered | 1986 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $15,516 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,116 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 921032 |
| Policy instance | 5 |
| Insurance contract or identification number | 921032 | | Number of Individuals Covered | 1867 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $122,030 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | N02437 |
| Policy instance | 1 |
| Insurance contract or identification number | N02437 | | Number of Individuals Covered | 1873 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $5,174 | | Total amount of fees paid to insurance company | USD $1,603 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $445,021 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,011 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 001007178 |
| Policy instance | 2 |
| Insurance contract or identification number | 001007178 | | Number of Individuals Covered | 3397 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $523,001 | | Total amount of fees paid to insurance company | USD $19 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $190,226 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $148,447 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 524412 |
| Policy instance | 3 |
| Insurance contract or identification number | 524412 | | Number of Individuals Covered | 57 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $2,377 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $39,526 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,377 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 385637 |
| Policy instance | 4 |
| Insurance contract or identification number | 385637 | | Number of Individuals Covered | 1039 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $2,216 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $905,643 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,097 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-0284940-02 |
| Policy instance | 5 |
| Insurance contract or identification number | GTU-0284940-02 | | Number of Individuals Covered | 216 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $10,529 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 90001822 |
| Policy instance | 6 |
| Insurance contract or identification number | 90001822 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $28,940 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | N02437 |
| Policy instance | 1 |
| Insurance contract or identification number | N02437 | | Number of Individuals Covered | 1697 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $738 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $337,457 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $738 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 001007178 |
| Policy instance | 2 |
| Insurance contract or identification number | 001007178 | | Number of Individuals Covered | 8249 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $435,197 | | Total amount of fees paid to insurance company | USD $166 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,189,826 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $71,739 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 524412 |
| Policy instance | 3 |
| Insurance contract or identification number | 524412 | | Number of Individuals Covered | 53 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $2,104 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $34,915 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,104 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 385637 |
| Policy instance | 4 |
| Insurance contract or identification number | 385637 | | Number of Individuals Covered | 1045 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $3,669 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $951,022 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,237 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-0284940-00 |
| Policy instance | 5 |
| Insurance contract or identification number | GTU-0284940-00 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,787 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 90001822 |
| Policy instance | 6 |
| Insurance contract or identification number | 90001822 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $35,732 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 90001822 |
| Policy instance | 6 |
| Insurance contract or identification number | 90001822 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $41,893 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-0284940-00 |
| Policy instance | 5 |
| Insurance contract or identification number | GTU-0284940-00 | | Number of Individuals Covered | 216 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-04-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,951 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 385637 |
| Policy instance | 4 |
| Insurance contract or identification number | 385637 | | Number of Individuals Covered | 1126 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $2,769 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $924,842 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,163 | | Insurance broker organization code? | 3 | | Insurance broker name | VAN-BAR INCOPORATED |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 524412 |
| Policy instance | 3 |
| Insurance contract or identification number | 524412 | | Number of Individuals Covered | 45 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $1,598 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $28,103 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,598 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | ERTEL & COMPANY INC. |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | 001007178 |
| Policy instance | 2 |
| Insurance contract or identification number | 001007178 | | Number of Individuals Covered | 7680 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $431,297 | | Total amount of fees paid to insurance company | USD $125 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $12,656,124 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $124,315 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | RE SUTTON & ASSOCIATES LLC |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | N02437 |
| Policy instance | 1 |
| Insurance contract or identification number | N02437 | | Number of Individuals Covered | 2008 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $1,115 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $283,196 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $731 | | Insurance broker organization code? | 3 | | Insurance broker name | USI INSURANCE SERVICES LLC |
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