OLIVET NAZARENE UNIVERSITY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN
401k plan membership statisitcs for OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2016 : OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-06-30 | $979,006 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-06-30 | $868,233 |
| Total income from all sources (including contributions) | 2016-06-30 | $7,758,645 |
| Total of all expenses incurred | 2016-06-30 | $7,757,373 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-06-30 | $7,183,279 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-06-30 | $7,758,008 |
| Value of total assets at end of year | 2016-06-30 | $981,778 |
| Value of total assets at beginning of year | 2016-06-30 | $869,733 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-06-30 | $574,094 |
| Total interest from all sources | 2016-06-30 | $637 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-06-30 | No |
| Was this plan covered by a fidelity bond | 2016-06-30 | Yes |
| Value of fidelity bond cover | 2016-06-30 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-06-30 | No |
| Contributions received from participants | 2016-06-30 | $1,558,240 |
| Assets. Other investments not covered elsewhere at beginning of year | 2016-06-30 | $7,917 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-06-30 | $15,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-06-30 | $15,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-06-30 | No |
| Value of net income/loss | 2016-06-30 | $1,272 |
| Value of net assets at end of year (total assets less liabilities) | 2016-06-30 | $2,772 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-06-30 | $1,500 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-06-30 | No |
| Investment advisory and management fees | 2016-06-30 | $574,094 |
| Value of interest in common/collective trusts at end of year | 2016-06-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-06-30 | $447,778 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-06-30 | $573,125 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-06-30 | $573,125 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-06-30 | $637 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-06-30 | $400,221 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-06-30 | No |
| Contributions received in cash from employer | 2016-06-30 | $6,199,768 |
| Employer contributions (assets) at end of year | 2016-06-30 | $534,000 |
| Employer contributions (assets) at beginning of year | 2016-06-30 | $288,691 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-06-30 | $6,783,058 |
| Liabilities. Value of benefit claims payable at end of year | 2016-06-30 | $964,006 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-06-30 | $853,233 |
| Did the plan have assets held for investment | 2016-06-30 | No |
| 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 | 2016-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-06-30 | Unqualified |
| Accountancy firm name | 2016-06-30 | BORSCHNACK PELLETIER & CO |
| Accountancy firm EIN | 2016-06-30 | 263596611 |
| 2015 : OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-06-30 | $868,233 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-06-30 | $515,364 |
| Total income from all sources (including contributions) | 2015-06-30 | $6,795,061 |
| Total of all expenses incurred | 2015-06-30 | $6,962,565 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-06-30 | $6,459,955 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-06-30 | $6,794,089 |
| Value of total assets at end of year | 2015-06-30 | $869,733 |
| Value of total assets at beginning of year | 2015-06-30 | $684,368 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-06-30 | $502,610 |
| Total interest from all sources | 2015-06-30 | $972 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-06-30 | No |
| Was this plan covered by a fidelity bond | 2015-06-30 | Yes |
| Value of fidelity bond cover | 2015-06-30 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-06-30 | No |
| Contributions received from participants | 2015-06-30 | $1,417,343 |
| Assets. Other investments not covered elsewhere at end of year | 2015-06-30 | $7,917 |
| Assets. Other investments not covered elsewhere at beginning of year | 2015-06-30 | $19,175 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-06-30 | $15,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-06-30 | $15,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-06-30 | No |
| Value of net income/loss | 2015-06-30 | $-167,504 |
| Value of net assets at end of year (total assets less liabilities) | 2015-06-30 | $1,500 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-06-30 | $169,004 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-06-30 | No |
| Investment advisory and management fees | 2015-06-30 | $502,610 |
| Value of interest in common/collective trusts at end of year | 2015-06-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-06-30 | $573,125 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-06-30 | $665,193 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-06-30 | $665,193 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-06-30 | $972 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-06-30 | $740,302 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-06-30 | No |
| Contributions received in cash from employer | 2015-06-30 | $5,376,746 |
| Employer contributions (assets) at end of year | 2015-06-30 | $288,691 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-06-30 | $5,719,653 |
| Liabilities. Value of benefit claims payable at end of year | 2015-06-30 | $853,233 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-06-30 | $500,364 |
| Did the plan have assets held for investment | 2015-06-30 | No |
| 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 | 2015-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-06-30 | Unqualified |
| Accountancy firm name | 2015-06-30 | BORSCHNACK PELLETIER & CO |
| Accountancy firm EIN | 2015-06-30 | 263596611 |
| 2014 : OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $515,364 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $720,424 |
| Total income from all sources (including contributions) | 2014-06-30 | $5,670,995 |
| Total of all expenses incurred | 2014-06-30 | $5,627,178 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-06-30 | $5,202,485 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-06-30 | $5,669,890 |
| Value of total assets at end of year | 2014-06-30 | $684,368 |
| Value of total assets at beginning of year | 2014-06-30 | $845,611 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-06-30 | $424,693 |
| Total interest from all sources | 2014-06-30 | $1,105 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-06-30 | No |
| Was this plan covered by a fidelity bond | 2014-06-30 | Yes |
| Value of fidelity bond cover | 2014-06-30 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-06-30 | No |
| Contributions received from participants | 2014-06-30 | $1,241,568 |
| Assets. Other investments not covered elsewhere at end of year | 2014-06-30 | $19,175 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-06-30 | $54,585 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-06-30 | $15,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-06-30 | $15,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-06-30 | No |
| Value of net income/loss | 2014-06-30 | $43,817 |
| Value of net assets at end of year (total assets less liabilities) | 2014-06-30 | $169,004 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-06-30 | $125,187 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-06-30 | No |
| Investment advisory and management fees | 2014-06-30 | $424,693 |
| Value of interest in common/collective trusts at end of year | 2014-06-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-06-30 | $665,193 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-06-30 | $791,026 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-06-30 | $791,026 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-06-30 | $1,105 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-06-30 | $802,630 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-06-30 | No |
| Contributions received in cash from employer | 2014-06-30 | $4,428,322 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-06-30 | $4,399,855 |
| Liabilities. Value of benefit claims payable at end of year | 2014-06-30 | $500,364 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-06-30 | $705,424 |
| Did the plan have assets held for investment | 2014-06-30 | No |
| 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 | 2014-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-06-30 | Unqualified |
| Accountancy firm name | 2014-06-30 | BORSCHNACK PELLETIER & CO |
| Accountancy firm EIN | 2014-06-30 | 263596611 |
| 2013 : OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-06-30 | $720,424 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-06-30 | $572,136 |
| Total income from all sources (including contributions) | 2013-06-30 | $4,388,974 |
| Total of all expenses incurred | 2013-06-30 | $5,329,344 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-06-30 | $5,284,619 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-06-30 | $4,386,847 |
| Value of total assets at end of year | 2013-06-30 | $845,611 |
| Value of total assets at beginning of year | 2013-06-30 | $1,637,693 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-06-30 | $44,725 |
| Total interest from all sources | 2013-06-30 | $2,127 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-06-30 | No |
| Was this plan covered by a fidelity bond | 2013-06-30 | Yes |
| Value of fidelity bond cover | 2013-06-30 | $2,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-06-30 | No |
| Contributions received from participants | 2013-06-30 | $895,530 |
| Assets. Other investments not covered elsewhere at end of year | 2013-06-30 | $54,585 |
| Assets. Other investments not covered elsewhere at beginning of year | 2013-06-30 | $30,691 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-06-30 | $15,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-06-30 | $15,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-06-30 | No |
| Value of net income/loss | 2013-06-30 | $-940,370 |
| Value of net assets at end of year (total assets less liabilities) | 2013-06-30 | $125,187 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-06-30 | $1,065,557 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-06-30 | No |
| Investment advisory and management fees | 2013-06-30 | $44,725 |
| Value of interest in common/collective trusts at end of year | 2013-06-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-06-30 | $791,026 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-06-30 | $1,607,002 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-06-30 | $1,607,002 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-06-30 | $2,127 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-06-30 | $837,577 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-06-30 | No |
| Contributions received in cash from employer | 2013-06-30 | $3,491,317 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-06-30 | $4,447,042 |
| Liabilities. Value of benefit claims payable at end of year | 2013-06-30 | $705,424 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-06-30 | $557,136 |
| Did the plan have assets held for investment | 2013-06-30 | No |
| 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 | 2013-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-06-30 | Unqualified |
| Accountancy firm name | 2013-06-30 | BORSCHNACK PELLETIER & CO |
| Accountancy firm EIN | 2013-06-30 | 263596611 |
| 2012 : OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-06-30 | $572,136 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-06-30 | $456,473 |
| Total income from all sources (including contributions) | 2012-06-30 | $4,083,357 |
| Total of all expenses incurred | 2012-06-30 | $5,258,908 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-06-30 | $5,223,283 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-06-30 | $4,075,856 |
| Value of total assets at end of year | 2012-06-30 | $1,637,693 |
| Value of total assets at beginning of year | 2012-06-30 | $2,697,581 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-06-30 | $35,625 |
| Total interest from all sources | 2012-06-30 | $7,501 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-06-30 | No |
| Was this plan covered by a fidelity bond | 2012-06-30 | Yes |
| Value of fidelity bond cover | 2012-06-30 | $2,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-06-30 | No |
| Contributions received from participants | 2012-06-30 | $893,612 |
| Assets. Other investments not covered elsewhere at end of year | 2012-06-30 | $30,691 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-06-30 | $15,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-06-30 | $15,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-06-30 | No |
| Value of net income/loss | 2012-06-30 | $-1,175,551 |
| Value of net assets at end of year (total assets less liabilities) | 2012-06-30 | $1,065,557 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-06-30 | $2,241,108 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-06-30 | No |
| Investment advisory and management fees | 2012-06-30 | $35,625 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-06-30 | $1,607,002 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-06-30 | $2,697,581 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-06-30 | $2,697,581 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-06-30 | $7,501 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-06-30 | $804,328 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-06-30 | No |
| Contributions received in cash from employer | 2012-06-30 | $3,182,244 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-06-30 | $4,418,955 |
| Liabilities. Value of benefit claims payable at end of year | 2012-06-30 | $557,136 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-06-30 | $441,473 |
| Did the plan have assets held for investment | 2012-06-30 | No |
| 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 | 2012-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-06-30 | Unqualified |
| Accountancy firm name | 2012-06-30 | BORSCHNACK PELLETIER & CO |
| Accountancy firm EIN | 2012-06-30 | 263596611 |
| 2011 : OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-06-30 | $456,473 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-06-30 | $456,343 |
| Total income from all sources (including contributions) | 2011-06-30 | $3,926,464 |
| Total of all expenses incurred | 2011-06-30 | $3,924,913 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-06-30 | $3,881,638 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-06-30 | $3,914,060 |
| Value of total assets at end of year | 2011-06-30 | $2,697,581 |
| Value of total assets at beginning of year | 2011-06-30 | $2,695,900 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-06-30 | $43,275 |
| Total interest from all sources | 2011-06-30 | $12,404 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-06-30 | No |
| Was this plan covered by a fidelity bond | 2011-06-30 | Yes |
| Value of fidelity bond cover | 2011-06-30 | $2,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-06-30 | No |
| Contributions received from participants | 2011-06-30 | $850,318 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-06-30 | $15,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-06-30 | $15,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-06-30 | No |
| Value of net income/loss | 2011-06-30 | $1,551 |
| Value of net assets at end of year (total assets less liabilities) | 2011-06-30 | $2,241,108 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-06-30 | $2,239,557 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-06-30 | No |
| Investment advisory and management fees | 2011-06-30 | $43,275 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-06-30 | $2,697,581 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-06-30 | $2,695,900 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-06-30 | $2,695,900 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-06-30 | $12,404 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-06-30 | $779,777 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-06-30 | No |
| Contributions received in cash from employer | 2011-06-30 | $3,063,742 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-06-30 | $3,101,861 |
| Liabilities. Value of benefit claims payable at end of year | 2011-06-30 | $441,473 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-06-30 | $441,343 |
| Did the plan have assets held for investment | 2011-06-30 | No |
| 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 | 2011-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-06-30 | Unqualified |
| Accountancy firm name | 2011-06-30 | BORSCHNACK PELLETIER & CO |
| Accountancy firm EIN | 2011-06-30 | 263596611 |
| 2010 : OLIVET NAZARENE UNIVERSITY HEALTH & LIFE INSURANCE PLAN 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-06-30 | $456,343 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-06-30 | $328,194 |
| Total income from all sources (including contributions) | 2010-06-30 | $1,306,098 |
| Total of all expenses incurred | 2010-06-30 | $1,172,718 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-06-30 | $1,148,968 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-06-30 | $1,300,668 |
| Value of total assets at end of year | 2010-06-30 | $2,695,900 |
| Value of total assets at beginning of year | 2010-06-30 | $2,434,371 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-06-30 | $23,750 |
| Total interest from all sources | 2010-06-30 | $5,430 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-06-30 | No |
| Was this plan covered by a fidelity bond | 2010-06-30 | Yes |
| Value of fidelity bond cover | 2010-06-30 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2010-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-06-30 | No |
| Contributions received from participants | 2010-06-30 | $283,332 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-06-30 | $15,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-06-30 | $15,000 |
| Liabilities. Value of operating payables at beginning of year | 2010-06-30 | $7,917 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-06-30 | No |
| Value of net income/loss | 2010-06-30 | $133,380 |
| Value of net assets at end of year (total assets less liabilities) | 2010-06-30 | $2,239,557 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-06-30 | $2,106,177 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-06-30 | No |
| Investment advisory and management fees | 2010-06-30 | $23,750 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-06-30 | $2,695,900 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-06-30 | $2,434,371 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-06-30 | $2,434,371 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-06-30 | $5,430 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-06-30 | $238,884 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-06-30 | No |
| Contributions received in cash from employer | 2010-06-30 | $1,017,336 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-06-30 | $910,084 |
| Liabilities. Value of benefit claims payable at end of year | 2010-06-30 | $441,343 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-06-30 | $305,277 |
| Did the plan have assets held for investment | 2010-06-30 | No |
| 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 | 2010-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-06-30 | Unqualified |
| Accountancy firm name | 2010-06-30 | BORSCHNACK, PELLETIER & CO. |
| Accountancy firm EIN | 2010-06-30 | 263596611 |
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | BTA-17190 |
| Policy instance | 5 |
| Insurance contract or identification number | BTA-17190 | | Number of Individuals Covered | 584 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2017-12-31 | | 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 | AD&D | | 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 $1,137 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010231045 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010231045 | | Number of Individuals Covered | 504 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $5,103 | | 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 | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | 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 $19,320 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,103 | | Insurance broker organization code? | 3 | | Insurance broker name | STHEALTH BENEFIT SOLUTIONS LLC |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 018507 |
| Policy instance | 1 |
| Insurance contract or identification number | 018507 | | Number of Individuals Covered | 1193 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $3,270 | | 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 | 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 | | Amount paid for insurance broker fees | 3270 | | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS | | Insurance broker organization code? | 3 | | Insurance broker name | RSC INSURANCE BROKERAGE |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 10231046 |
| Policy instance | 4 |
| Insurance contract or identification number | 10231046 | | Number of Individuals Covered | 504 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $4,763 | | 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 | 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 $17,704 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,763 | | Insurance broker organization code? | 3 | | Insurance broker name | STHEALTH BENEFIT SOLUTIONS LLC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 400001000 22875 |
| Policy instance | 3 |
| Insurance contract or identification number | 400001000 22875 | | Number of Individuals Covered | 204 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $5,249 | | 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 | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | VOL CHILD LIFE, VOL SPOUSE LIFE AND VOL LIFE | | 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 $18,961 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,249 | | Insurance broker organization code? | 3 | | Insurance broker name | STHEALTH BENEFIT SOLUTIONS LLC |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 283885 |
| Policy instance | 4 |
| Insurance contract or identification number | 283885 | | Number of Individuals Covered | 540 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $12,325 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $66,522 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,835 | | Insurance broker organization code? | 3 | | Insurance broker name | STHEALTH BENEFIT SOLUTIONS |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 230809 |
| Policy instance | 3 |
| Insurance contract or identification number | 230809 | | Number of Individuals Covered | 491 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $17,756 | | Welfare Benefit Premiums Paid to Carrier | USD $386,849 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,756 | | Insurance broker organization code? | 3 | | Insurance broker name | NORTHWEST COMPREHENSIVE, INC. |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010176715 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010176715 | | Number of Individuals Covered | 566 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2015-12-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $57,430 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | NORTHWEST COMPREHENSIVE, INC. |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | P18506, 053592 |
| Policy instance | 1 |
| Insurance contract or identification number | P18506, 053592 | | Number of Individuals Covered | 1303 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $3,570 | | Total amount of fees paid to insurance company | USD $465,052 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 465052 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE/IL ACCESS FEE/REBATE CREDIT | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $3,570 | | Insurance broker name | NORTHWEST COMPREHENSIVE, INC. |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010176715 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010176715 | | Number of Individuals Covered | 524 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $12,623 | | Total amount of fees paid to insurance company | USD $2,460 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $63,114 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,552 | | Amount paid for insurance broker fees | 2460 | | Additional information about fees paid to insurance broker | BROKER BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | RSC INSURANCE BROKERAGE INC |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 230809 |
| Policy instance | 3 |
| Insurance contract or identification number | 230809 | | Number of Individuals Covered | 482 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of fees paid to insurance company | USD $2,638 | | Welfare Benefit Premiums Paid to Carrier | USD $372,825 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2638 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | NORTHWEST COMPREHENSIVE INC. |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | P18506, 053592 |
| Policy instance | 1 |
| Insurance contract or identification number | P18506, 053592 | | Number of Individuals Covered | 1298 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $3,274 | | Total amount of fees paid to insurance company | USD $406,541 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 406541 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE/IL ACCESS FEE | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $3,274 | | Insurance broker name | NORTHWEST COMPREHENSIVE, INC. |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 230809 |
| Policy instance | 4 |
| Insurance contract or identification number | 230809 | | Number of Individuals Covered | 440 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Welfare Benefit Premiums Paid to Carrier | USD $260,292 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010176715 |
| Policy instance | 3 |
| Insurance contract or identification number | 000010176715 | | Number of Individuals Covered | 487 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $11,054 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $55,269 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,054 | | Insurance broker organization code? | 3 | | Insurance broker name | NORTHWEST COMPREHENSIVE INC. |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 62027 |
| Policy instance | 2 |
| Insurance contract or identification number | 62027 | | Number of Individuals Covered | 1155 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,346 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | P18506 |
| Policy instance | 1 |
| Insurance contract or identification number | P18506 | | Number of Individuals Covered | 1155 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $3,210 | | Total amount of fees paid to insurance company | USD $303,727 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 303727 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE/IL ACCESS FEE | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $3,210 | | Insurance broker name | NORTHWEST COMPREHENSIVE, INC. |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 62027 |
| Policy instance | 1 |
| Insurance contract or identification number | 62027 | | Number of Individuals Covered | 1137 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $389,781 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | P18506 |
| Policy instance | 3 |
| Insurance contract or identification number | P18506 | | Number of Individuals Covered | 1131 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $3,292 | | Total amount of fees paid to insurance company | USD $287,548 | | Welfare Benefit Premiums Paid to Carrier | USD $352,365 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,292 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 287548 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE/IL ACCESS FEE | | Insurance broker name | BLUE CROSS BLUE SHIELD OF ILLINOIS |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 150005 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 150005 | | Number of Individuals Covered | 488 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $14,426 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $72,127 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,426 | | Insurance broker organization code? | 3 | | Insurance broker name | NORTHWEST COMPREHENSIVE, INC. |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | P18506 |
| Policy instance | 4 |
| Insurance contract or identification number | P18506 | | Number of Individuals Covered | 427 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $3,241 | | Total amount of fees paid to insurance company | USD $334,227 | | Welfare Benefit Premiums Paid to Carrier | USD $274,669 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 ) |
| Policy contract number | 146287 |
| Policy instance | 2 |
| Insurance contract or identification number | 146287 | | Number of Individuals Covered | 443 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $7,440 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $156,638 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 62027 |
| Policy instance | 1 |
| Insurance contract or identification number | 62027 | | Number of Individuals Covered | 427 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-06-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $191,500 | | 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 150005 |
| Policy instance | 3 |
| Insurance contract or identification number | GL 150005 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $12,284 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,420 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | P18506 |
| Policy instance | 3 |
| Insurance contract or identification number | P18506 | | Number of Individuals Covered | 420 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $2,889 | | Total amount of fees paid to insurance company | USD $306,697 | | Welfare Benefit Premiums Paid to Carrier | USD $388,979 | | 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 150005 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 150005 | | Number of Individuals Covered | 469 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $13,124 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $65,343 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 ) |
| Policy contract number | 146287 |
| Policy instance | 1 |
| Insurance contract or identification number | 146287 | | Number of Individuals Covered | 420 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $14,295 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $357,363 | | 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 150005 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 150005 | | Number of Individuals Covered | 441 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2010-06-30 | | Total amount of commissions paid to insurance broker | USD $4,363 | | Total amount of fees paid to insurance company | USD $1,415 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,813 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,363 | | Amount paid for insurance broker fees | 1415 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker organization code? | 3 | | Insurance broker name | NORTHWEST COMPREHENSIVE |
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| UNICARE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80314 ) |
| Policy contract number | 145267 |
| Policy instance | 3 |
| Insurance contract or identification number | 145267 | | Number of Individuals Covered | 393 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2010-06-30 | | Total amount of commissions paid to insurance broker | USD $4,388 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $109,688 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,388 | | Insurance broker name | NORTHWEST COMPREHENSIVE INC |
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| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | P18506 P18507 |
| Policy instance | 1 |
| Insurance contract or identification number | P18506 P18507 | | Number of Individuals Covered | 399 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2010-06-30 | | Total amount of fees paid to insurance company | USD $90,143 | | Welfare Benefit Premiums Paid to Carrier | USD $66,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 90143 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE/IL ACCESS FEE | | Insurance broker organization code? | 3 | | Insurance broker name | NORTHWEST COMPREHENSIVE INC |
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