VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST
401k plan membership statisitcs for VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST
Measure | Date | Value |
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2022: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 272 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 253 |
Total of all active and inactive participants | 2022-01-01 | 253 |
2021: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 289 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 272 |
Total of all active and inactive participants | 2021-01-01 | 272 |
2020: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 348 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 289 |
Total of all active and inactive participants | 2020-01-01 | 289 |
2019: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 332 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 348 |
Total of all active and inactive participants | 2019-01-01 | 348 |
2018: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 317 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 332 |
Total of all active and inactive participants | 2018-01-01 | 332 |
2017: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 173 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 317 |
Total of all active and inactive participants | 2017-01-01 | 317 |
2016: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 208 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 173 |
Total of all active and inactive participants | 2016-01-01 | 173 |
2015: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 185 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 208 |
Total of all active and inactive participants | 2015-01-01 | 208 |
2014: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 821 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 185 |
Total of all active and inactive participants | 2014-01-01 | 185 |
2013: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 870 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 821 |
Total of all active and inactive participants | 2013-01-01 | 821 |
2012: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 726 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 870 |
Total of all active and inactive participants | 2012-01-01 | 870 |
2011: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 0 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 726 |
Total of all active and inactive participants | 2011-01-01 | 726 |
2022: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2022 form 5500 responses |
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2021: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2021 form 5500 responses |
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2020: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2020 form 5500 responses |
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2019: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2018: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2017: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2016: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2015: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2015 form 5500 responses |
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2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | Plan funding arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2014: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2014 form 5500 responses |
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2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2013: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2013 form 5500 responses |
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2013-01-01 | Type of plan entity | Single employer plan |
2013-01-01 | Plan funding arrangement – Insurance | Yes |
2013-01-01 | Plan benefit arrangement – Insurance | Yes |
2012: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2012 form 5500 responses |
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2012-01-01 | Type of plan entity | Single employer plan |
2012-01-01 | Plan funding arrangement – Insurance | Yes |
2012-01-01 | Plan benefit arrangement – Insurance | Yes |
2011: VOLUNTARY BENEFIT TRUST FOR AIRLINE RETIREES F/K/A DP3 VEBA TRUST 2011 form 5500 responses |
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2011-01-01 | Type of plan entity | Single employer plan |
2011-01-01 | First time form 5500 has been submitted | Yes |
2011-01-01 | Plan funding arrangement – Insurance | Yes |
2011-01-01 | Plan benefit arrangement – Insurance | Yes |
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-030188 |
Policy instance | 2 |
Insurance contract or identification number | AGP-030188 | Number of Individuals Covered | 17 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $1,211 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $24,223 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,211 | Insurance broker organization code? | 3 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 421179 |
Policy instance | 1 |
Insurance contract or identification number | 421179 | Number of Individuals Covered | 253 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $54,881 | Total amount of fees paid to insurance company | USD $2,605 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $54,881 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 2605 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-020088 |
Policy instance | 6 |
Insurance contract or identification number | AGP-020088 | Number of Individuals Covered | 1 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $399 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $2,094 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $189 | Insurance broker organization code? | 3 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-024088 |
Policy instance | 5 |
Insurance contract or identification number | AGP-024088 | Number of Individuals Covered | 3 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $1,606 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $8,828 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $723 | Insurance broker organization code? | 3 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-025088 |
Policy instance | 4 |
Insurance contract or identification number | AGP-025088 | Number of Individuals Covered | 3 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $422 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $2,715 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $163 | Insurance broker organization code? | 3 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-030189 |
Policy instance | 3 |
Insurance contract or identification number | AGP-030189 | Number of Individuals Covered | 112 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $12,475 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $249,490 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,475 | Insurance broker organization code? | 3 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 421179 |
Policy instance | 1 |
Insurance contract or identification number | 421179 | Number of Individuals Covered | 272 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $70,404 | Total amount of fees paid to insurance company | USD $160 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $70,404 | Amount paid for insurance broker fees | 160 | Insurance broker organization code? | 3 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-030188 |
Policy instance | 2 |
Insurance contract or identification number | AGP-030188 | Number of Individuals Covered | 17 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $1,912 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $38,241 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,912 | Insurance broker organization code? | 3 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-030189 |
Policy instance | 3 |
Insurance contract or identification number | AGP-030189 | Number of Individuals Covered | 112 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $13,717 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $274,330 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $13,717 | Insurance broker organization code? | 3 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-25088 |
Policy instance | 4 |
Insurance contract or identification number | AGP-25088 | Number of Individuals Covered | 3 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $1,166 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $7,496 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $450 | Insurance broker organization code? | 3 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-024088 |
Policy instance | 5 |
Insurance contract or identification number | AGP-024088 | Number of Individuals Covered | 3 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $2,391 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $13,148 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,076 | Insurance broker organization code? | 3 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-020088 |
Policy instance | 6 |
Insurance contract or identification number | AGP-020088 | Number of Individuals Covered | 1 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $396 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MEDICARE SUPPLEMENT | Welfare Benefit Premiums Paid to Carrier | USD $2,077 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $188 | Insurance broker organization code? | 3 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 421179 |
Policy instance | 2 |
Insurance contract or identification number | 421179 | Number of Individuals Covered | 289 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $94,477 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $94,477 | Insurance broker organization code? | 3 |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE467351 |
Policy instance | 1 |
Insurance contract or identification number | AE467351 | Number of Individuals Covered | 22 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $2,125 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $157,312 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,125 | Insurance broker organization code? | 3 |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE467352 |
Policy instance | 4 |
Insurance contract or identification number | AE467352 | Number of Individuals Covered | 4 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $8,424 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 39375 |
Policy instance | 3 |
Insurance contract or identification number | 39375 | Number of Individuals Covered | 9 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 421179 |
Policy instance | 2 |
Insurance contract or identification number | 421179 | Number of Individuals Covered | 348 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $144,857 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $144,857 | Insurance broker organization code? | 3 |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE467351 |
Policy instance | 1 |
Insurance contract or identification number | AE467351 | Number of Individuals Covered | 33 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $4,250 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $52,384 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,250 | Insurance broker organization code? | 3 |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 421179 |
Policy instance | 2 |
Insurance contract or identification number | 421179 | Number of Individuals Covered | 332 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $122,897 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $122,897 | Insurance broker organization code? | 3 |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE444686 |
Policy instance | 1 |
Insurance contract or identification number | AE444686 | Number of Individuals Covered | 9 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $225 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $22,783 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $225 | Insurance broker organization code? | 3 |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE444685 |
Policy instance | 2 |
Insurance contract or identification number | AE444685 | Number of Individuals Covered | 49 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $3,525 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $52,118 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,525 | Insurance broker organization code? | 3 | Insurance broker name | CONE RETIREE HEALTHCARE GROUP, LLC |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE444684 |
Policy instance | 3 |
Insurance contract or identification number | AE444684 | Number of Individuals Covered | 3 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $225 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $9,628 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $225 | Insurance broker organization code? | 3 | Insurance broker name | CONE RETIREE HEALTHCARE GROUP, LLC |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE444688 |
Policy instance | 4 |
Insurance contract or identification number | AE444688 | Number of Individuals Covered | 1 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $75 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $3,936 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $75 | Insurance broker organization code? | 3 | Insurance broker name | CONE RETIREE HEALTHCARE GROUP, LLC |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE456860 |
Policy instance | 5 |
Insurance contract or identification number | AE456860 | Number of Individuals Covered | 20 | Insurance policy start date | 2017-01-01 | 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 $0 | Welfare Benefit Premiums Paid to Carrier | USD $11,162 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE444689 |
Policy instance | 6 |
Insurance contract or identification number | AE444689 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $150 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $1,264 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $150 | Insurance broker organization code? | 3 | Insurance broker name | CONE RETIREE HEALTHCARE GROUP, LLC |
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BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
Policy contract number | 421179 |
Policy instance | 7 |
Insurance contract or identification number | 421179 | Number of Individuals Covered | 317 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $121,675 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $121,675 | Insurance broker organization code? | 3 | Insurance broker name | CATHY J. CONE |
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
Policy contract number | AE444686 |
Policy instance | 1 |
Insurance contract or identification number | AE444686 | Number of Individuals Covered | 13 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $275 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $26,470 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $275 | Insurance broker organization code? | 3 | Insurance broker name | CONE RETIREE HEALTHCARE GROUP, LLC |
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