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ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 401k Plan overview

Plan NameANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN
Plan identification number 501

ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN Benefits

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

401k Sponsoring company profile

ANDERSON AUTOMOTIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name:ANDERSON AUTOMOTIVE, INC.
Employer identification number (EIN):363060829
NAIC Classification:441110
NAIC Description:New Car Dealers

Additional information about ANDERSON AUTOMOTIVE, INC.

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 068493
Legal Registered Office Address: 1750 S TELEGRAPH RD STE 301BLOOMFIELD HILLS


United States of America (USA)
48302

More information about ANDERSON AUTOMOTIVE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01DAVID A KIEFFER DAVID A KIEFFER2019-06-27
5012017-01-01DAVID A KIEFFER DAVID A KIEFFER2018-06-01
5012016-01-01DAVID A KIEFFER DAVID A KIEFFER2017-06-06
5012015-01-01DAVID A KIEFFER DAVID A KIEFFER2016-07-14
5012014-01-01DAVID A KIEFFER DAVID A KIEFFER2015-07-20
5012013-01-01DAVID A KIEFFER DAVID A KIEFFER2014-07-07
5012012-01-01DAVID A KIEFFER DAVID A KIEFFER2013-07-16
5012011-01-01DAVID A KIEFFER DAVID A KIEFFER2012-07-16
5012010-01-01DAVID A KIEFFER DAVID A KIEFFER2011-07-27
5012009-01-01DAVID A KIEFFER DAVID A KIEFFER2010-08-19

Plan Statistics for ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN

401k plan membership statisitcs for ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN

Measure Date Value
2022: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01320
Total number of active participants reported on line 7a of the Form 55002022-01-01314
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01314
2021: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01315
Total number of active participants reported on line 7a of the Form 55002021-01-01320
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01320
2020: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01393
Total number of active participants reported on line 7a of the Form 55002020-01-01315
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01315
2019: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01370
Total number of active participants reported on line 7a of the Form 55002019-01-01393
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01393
2018: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01349
Total number of active participants reported on line 7a of the Form 55002018-01-01370
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01370
2017: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01347
Total number of active participants reported on line 7a of the Form 55002017-01-01349
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01349
2016: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01342
Total number of active participants reported on line 7a of the Form 55002016-01-01347
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01347
2015: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01319
Total number of active participants reported on line 7a of the Form 55002015-01-01342
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01342
2014: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01310
Total number of active participants reported on line 7a of the Form 55002014-01-01319
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01319
2013: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01270
Total number of active participants reported on line 7a of the Form 55002013-01-01310
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01310
2012: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01246
Total number of active participants reported on line 7a of the Form 55002012-01-01270
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01270
2011: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01303
Total number of active participants reported on line 7a of the Form 55002011-01-01246
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01246
2010: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01267
Total number of active participants reported on line 7a of the Form 55002010-01-01303
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01303
2009: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01240
Total number of active participants reported on line 7a of the Form 55002009-01-01267
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01267

Form 5500 Responses for ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN

2022: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: ANDERSON DODGE TOYOTA INC AND ITS AFFILIATES INSURANCE PREMIUM PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014340
Policy instance 2
Insurance contract or identification numberF014340
Number of Individuals Covered97
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $2,147
Total amount of fees paid to insurance companyUSD $1,042
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $21,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,147
Insurance broker organization code?3
Amount paid for insurance broker fees1042
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number130204
Policy instance 1
Insurance contract or identification number130204
Number of Individuals Covered342
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $73,431
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,341,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,431
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014340
Policy instance 3
Insurance contract or identification numberF014340
Number of Individuals Covered98
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $3,129
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $21,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,131
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number770927
Policy instance 2
Insurance contract or identification number770927
Number of Individuals Covered199
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,758
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number130204
Policy instance 1
Insurance contract or identification number130204
Number of Individuals Covered317
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $67,133
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,176,911
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,133
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014340
Policy instance 3
Insurance contract or identification numberF014340
Number of Individuals Covered247
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $2,817
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $23,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,375
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number770927
Policy instance 2
Insurance contract or identification number770927
Number of Individuals Covered183
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of fees paid to insurance companyUSD $6
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number130204
Policy instance 1
Insurance contract or identification number130204
Number of Individuals Covered301
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $69,518
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,254,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69,518
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number130204
Policy instance 1
Insurance contract or identification number130204
Number of Individuals Covered369
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $67,288
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,389,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,789
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number770927
Policy instance 2
Insurance contract or identification number770927
Number of Individuals Covered237
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $1,055
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,055
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014340
Policy instance 3
Insurance contract or identification numberF014340
Number of Individuals Covered110
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $1,085
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $11,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,085
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014340
Policy instance 3
Insurance contract or identification numberF014340
Number of Individuals Covered119
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $1,627
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $11,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,084
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number770927
Policy instance 2
Insurance contract or identification number770927
Number of Individuals Covered231
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $4,680
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $103,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,441
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPA2687
Policy instance 1
Insurance contract or identification numberPA2687
Number of Individuals Covered375
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $83,324
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,524,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,153
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF014340
Policy instance 3
Insurance contract or identification numberF014340
Number of Individuals Covered107
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $2,193
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $10,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,193
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY, INC.
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number770927
Policy instance 2
Insurance contract or identification number770927
Number of Individuals Covered227
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $5,384
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,384
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPA2687
Policy instance 1
Insurance contract or identification numberPA2687
Number of Individuals Covered349
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $76,675
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,512,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,675
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPA2687
Policy instance 2
Insurance contract or identification numberPA2687
Number of Individuals Covered343
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $55,316
Total amount of fees paid to insurance companyUSD $16
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,903,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,316
Amount paid for insurance broker fees8
Insurance broker nameANDERSON AUTOMOTIVE GROUP
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0836354
Policy instance 1
Insurance contract or identification number0836354
Number of Individuals Covered405
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $3,782
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $117,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,782
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0836354
Policy instance 2
Insurance contract or identification number0836354
Number of Individuals Covered384
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $3,055
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,055
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
COVENTRY HEALTH CARE OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 74160 )
Policy contract number9710200000
Policy instance 1
Insurance contract or identification number9710200000
Number of Individuals Covered313
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $50,125
Total amount of fees paid to insurance companyUSD $2,640
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,670,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,125
Amount paid for insurance broker fees2640
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
COVENTRY HEALTH CARE OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 74160 )
Policy contract number9710200000
Policy instance 1
Insurance contract or identification number9710200000
Number of Individuals Covered312
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $53,061
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,518,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,061
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract number544895
Policy instance 2
Insurance contract or identification number544895
Number of Individuals Covered189
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $5,210
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,210
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010105913
Policy instance 3
Insurance contract or identification number000010105913
Number of Individuals Covered278
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $1,019
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,019
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number544895
Policy instance 2
Insurance contract or identification number544895
Number of Individuals Covered183
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $6,246
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,246
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010105913
Policy instance 3
Insurance contract or identification number000010105913
Number of Individuals Covered261
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $1,200
Total amount of fees paid to insurance companyUSD $172
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,200
Amount paid for insurance broker fees172
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
COVENTRY HEALTH CARE OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 74160 )
Policy contract number9710200000
Policy instance 1
Insurance contract or identification number9710200000
Number of Individuals Covered308
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $50,871
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,273,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,871
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
COVENTRY HEALTH CARE OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 74160 )
Policy contract number9710200000
Policy instance 1
Insurance contract or identification number9710200000
Number of Individuals Covered286
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $52,367
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,309,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number544895
Policy instance 2
Insurance contract or identification number544895
Number of Individuals Covered164
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $3,051
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,162
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 number000010105913
Policy instance 3
Insurance contract or identification number000010105913
Number of Individuals Covered251
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $992
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COVENTRY HEALTH CARE OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 74160 )
Policy contract number9710200000
Policy instance 1
Insurance contract or identification number9710200000
Number of Individuals Covered300
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $47,618
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,190,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,618
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number544895
Policy instance 2
Insurance contract or identification number544895
Number of Individuals Covered158
Insurance policy start date2009-08-01
Insurance policy end date2010-07-31
Total amount of commissions paid to insurance brokerUSD $2,965
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,965
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010105913
Policy instance 3
Insurance contract or identification number000010105913
Number of Individuals Covered222
Insurance policy start date2009-08-01
Insurance policy end date2010-07-31
Total amount of commissions paid to insurance brokerUSD $1,002
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,002
Insurance broker organization code?3
Insurance broker nameWILLIAMS-MANNY INC

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