INTERNATIONAL UNION,SECURITY POLICE FIRE PROFESSIONALS OF AMERICA has sponsored the creation of one or more 401k plans.
Additional information about INTERNATIONAL UNION,SECURITY POLICE FIRE PROFESSIONALS OF AMERICA
Submission information for form 5500 for 401k plan SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN
401k plan membership statisitcs for SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN
| Measure | Date | Value |
|---|
| 2023 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2023 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2023-03-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-03-31 | $5,900,000 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-03-31 | $12,798,338 |
| Total income from all sources (including contributions) | 2023-03-31 | $52,095,286 |
| Total loss/gain on sale of assets | 2023-03-31 | $0 |
| Total of all expenses incurred | 2023-03-31 | $42,652,553 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-03-31 | $38,875,871 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-03-31 | $48,807,513 |
| Value of total assets at end of year | 2023-03-31 | $9,989,046 |
| Value of total assets at beginning of year | 2023-03-31 | $7,444,651 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-03-31 | $3,776,682 |
| Total interest from all sources | 2023-03-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-03-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-03-31 | No |
| Administrative expenses professional fees incurred | 2023-03-31 | $1,235,707 |
| Was this plan covered by a fidelity bond | 2023-03-31 | Yes |
| Value of fidelity bond cover | 2023-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2023-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-03-31 | No |
| Contributions received from participants | 2023-03-31 | $8,965,789 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-03-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-03-31 | $675,362 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2023-03-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2023-03-31 | $71,256 |
| Other income not declared elsewhere | 2023-03-31 | $2,426,730 |
| Administrative expenses (other) incurred | 2023-03-31 | $32,515 |
| Liabilities. Value of operating payables at end of year | 2023-03-31 | $3,300,000 |
| Liabilities. Value of operating payables at beginning of year | 2023-03-31 | $6,443,063 |
| Total non interest bearing cash at end of year | 2023-03-31 | $2,989,046 |
| Total non interest bearing cash at beginning of year | 2023-03-31 | $1,378,580 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-03-31 | No |
| Value of net income/loss | 2023-03-31 | $9,442,733 |
| Value of net assets at end of year (total assets less liabilities) | 2023-03-31 | $4,089,046 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-03-31 | $-5,353,687 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-03-31 | No |
| Investment advisory and management fees | 2023-03-31 | $9,716 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-03-31 | $2,900,000 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-03-31 | $2,038,957 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-03-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-03-31 | $638 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-03-31 | $638 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-03-31 | $38,875,871 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-03-31 | $861,043 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-03-31 | No |
| Contributions received in cash from employer | 2023-03-31 | $39,841,724 |
| Employer contributions (assets) at end of year | 2023-03-31 | $4,100,000 |
| Employer contributions (assets) at beginning of year | 2023-03-31 | $3,351,114 |
| Contract administrator fees | 2023-03-31 | $2,498,744 |
| Liabilities. Value of benefit claims payable at end of year | 2023-03-31 | $2,600,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-03-31 | $6,284,019 |
| Did the plan have assets held for investment | 2023-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-03-31 | Unqualified |
| Accountancy firm name | 2023-03-31 | BDO USA, P.C. |
| Accountancy firm EIN | 2023-03-31 | 135381590 |
| 2022 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-03-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-03-31 | $12,798,338 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-03-31 | $12,798,338 |
| Total income from all sources (including contributions) | 2022-03-31 | $52,856,795 |
| Total loss/gain on sale of assets | 2022-03-31 | $0 |
| Total of all expenses incurred | 2022-03-31 | $52,856,795 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-03-31 | $46,899,847 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-03-31 | $43,950,141 |
| Value of total assets at end of year | 2022-03-31 | $7,444,651 |
| Value of total assets at beginning of year | 2022-03-31 | $7,444,651 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-03-31 | $5,956,948 |
| Total interest from all sources | 2022-03-31 | $17 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-03-31 | $90,456 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-03-31 | $90,456 |
| Administrative expenses professional fees incurred | 2022-03-31 | $1,949,077 |
| Was this plan covered by a fidelity bond | 2022-03-31 | Yes |
| Value of fidelity bond cover | 2022-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-03-31 | No |
| Contributions received from participants | 2022-03-31 | $8,073,505 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-03-31 | $675,362 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-03-31 | $675,362 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-03-31 | $71,256 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-03-31 | $71,256 |
| Other income not declared elsewhere | 2022-03-31 | $8,085,220 |
| Administrative expenses (other) incurred | 2022-03-31 | $51,285 |
| Liabilities. Value of operating payables at end of year | 2022-03-31 | $6,443,063 |
| Liabilities. Value of operating payables at beginning of year | 2022-03-31 | $6,443,063 |
| Total non interest bearing cash at end of year | 2022-03-31 | $1,378,580 |
| Total non interest bearing cash at beginning of year | 2022-03-31 | $1,378,580 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-03-31 | No |
| Value of net income/loss | 2022-03-31 | $0 |
| Value of net assets at end of year (total assets less liabilities) | 2022-03-31 | $-5,353,687 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-03-31 | $-5,353,687 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-03-31 | No |
| Investment advisory and management fees | 2022-03-31 | $15,325 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-03-31 | $2,038,957 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-03-31 | $2,038,957 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-03-31 | $638 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-03-31 | $638 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-03-31 | $638 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-03-31 | $17 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-03-31 | $46,734,378 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-03-31 | $730,961 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-03-31 | No |
| Contributions received in cash from employer | 2022-03-31 | $35,876,636 |
| Employer contributions (assets) at end of year | 2022-03-31 | $3,351,114 |
| Employer contributions (assets) at beginning of year | 2022-03-31 | $3,351,114 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-03-31 | $165,469 |
| Contract administrator fees | 2022-03-31 | $3,941,261 |
| Liabilities. Value of benefit claims payable at end of year | 2022-03-31 | $6,284,019 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-03-31 | $6,284,019 |
| Did the plan have assets held for investment | 2022-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-03-31 | Unqualified |
| Accountancy firm name | 2022-03-31 | BDO USA, LLP |
| Accountancy firm EIN | 2022-03-31 | 135381590 |
| 2021 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-03-31 | $35,454 |
| Total unrealized appreciation/depreciation of assets | 2021-03-31 | $35,454 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-03-31 | $13,967,246 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-03-31 | $9,281,518 |
| Total income from all sources (including contributions) | 2021-03-31 | $61,315,679 |
| Total loss/gain on sale of assets | 2021-03-31 | $0 |
| Total of all expenses incurred | 2021-03-31 | $69,375,435 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-03-31 | $62,123,740 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-03-31 | $60,487,082 |
| Value of total assets at end of year | 2021-03-31 | $8,631,860 |
| Value of total assets at beginning of year | 2021-03-31 | $12,005,888 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-03-31 | $7,251,695 |
| Total interest from all sources | 2021-03-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-03-31 | $90,473 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-03-31 | $90,473 |
| Administrative expenses professional fees incurred | 2021-03-31 | $1,949,077 |
| Was this plan covered by a fidelity bond | 2021-03-31 | Yes |
| Value of fidelity bond cover | 2021-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2021-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-03-31 | No |
| Contributions received from participants | 2021-03-31 | $7,254,080 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2021-03-31 | $16,465,056 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-03-31 | $372,800 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-03-31 | $628,237 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-03-31 | $80,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-03-31 | $80,000 |
| Other income not declared elsewhere | 2021-03-31 | $7,163 |
| Administrative expenses (other) incurred | 2021-03-31 | $81,319 |
| Liabilities. Value of operating payables at end of year | 2021-03-31 | $7,676,036 |
| Liabilities. Value of operating payables at beginning of year | 2021-03-31 | $4,619,982 |
| Total non interest bearing cash at end of year | 2021-03-31 | $1,378,580 |
| Total non interest bearing cash at beginning of year | 2021-03-31 | $925,311 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-03-31 | No |
| Value of net income/loss | 2021-03-31 | $-8,059,756 |
| Value of net assets at end of year (total assets less liabilities) | 2021-03-31 | $-5,335,386 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-03-31 | $2,724,370 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-03-31 | No |
| Investment advisory and management fees | 2021-03-31 | $15,325 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-03-31 | $2,039,595 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-03-31 | $6,018,372 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-03-31 | $638 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-03-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-03-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-03-31 | $17 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-03-31 | $5,934,865 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-03-31 | $695,507 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-03-31 | No |
| Contributions received in cash from employer | 2021-03-31 | $53,233,002 |
| Employer contributions (assets) at end of year | 2021-03-31 | $4,840,885 |
| Employer contributions (assets) at beginning of year | 2021-03-31 | $4,433,968 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-03-31 | $39,723,819 |
| Contract administrator fees | 2021-03-31 | $5,205,974 |
| Liabilities. Value of benefit claims payable at end of year | 2021-03-31 | $6,211,210 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-03-31 | $4,581,536 |
| Did the plan have assets held for investment | 2021-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-03-31 | Unqualified |
| Accountancy firm name | 2021-03-31 | BDO USA, LLP |
| Accountancy firm EIN | 2021-03-31 | 135381590 |
| 2020 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-03-31 | $-219,577 |
| Total unrealized appreciation/depreciation of assets | 2020-03-31 | $-219,577 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-03-31 | $9,281,518 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-03-31 | $9,085,672 |
| Total income from all sources (including contributions) | 2020-03-31 | $59,724,672 |
| Total of all expenses incurred | 2020-03-31 | $67,037,171 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-03-31 | $60,148,702 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-03-31 | $59,116,816 |
| Value of total assets at end of year | 2020-03-31 | $12,005,888 |
| Value of total assets at beginning of year | 2020-03-31 | $19,122,541 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-03-31 | $6,888,469 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-03-31 | $228,203 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-03-31 | $228,203 |
| Administrative expenses professional fees incurred | 2020-03-31 | $499,704 |
| Was this plan covered by a fidelity bond | 2020-03-31 | Yes |
| Value of fidelity bond cover | 2020-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-03-31 | No |
| Contributions received from participants | 2020-03-31 | $7,089,747 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-03-31 | $628,237 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-03-31 | $1,161,370 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-03-31 | $80,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-03-31 | $1,500,000 |
| Other income not declared elsewhere | 2020-03-31 | $7,723 |
| Administrative expenses (other) incurred | 2020-03-31 | $2,683,761 |
| Liabilities. Value of operating payables at end of year | 2020-03-31 | $4,619,982 |
| Liabilities. Value of operating payables at beginning of year | 2020-03-31 | $3,304,548 |
| Total non interest bearing cash at end of year | 2020-03-31 | $925,311 |
| Total non interest bearing cash at beginning of year | 2020-03-31 | $3,829,341 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-03-31 | No |
| Value of net income/loss | 2020-03-31 | $-7,312,499 |
| Value of net assets at end of year (total assets less liabilities) | 2020-03-31 | $2,724,370 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-03-31 | $10,036,869 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-03-31 | No |
| Investment advisory and management fees | 2020-03-31 | $24,858 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-03-31 | $6,018,372 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-03-31 | $10,166,385 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-03-31 | $43,407,745 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-03-31 | $591,507 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-03-31 | No |
| Contributions received in cash from employer | 2020-03-31 | $52,027,069 |
| Employer contributions (assets) at end of year | 2020-03-31 | $4,433,968 |
| Employer contributions (assets) at beginning of year | 2020-03-31 | $3,965,445 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-03-31 | $16,740,957 |
| Contract administrator fees | 2020-03-31 | $3,680,146 |
| Liabilities. Value of benefit claims payable at end of year | 2020-03-31 | $4,581,536 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-03-31 | $4,281,124 |
| Did the plan have assets held for investment | 2020-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-03-31 | Unqualified |
| Accountancy firm name | 2020-03-31 | CENKO VENDITTELLI HAYNES TOKARZ |
| Accountancy firm EIN | 2020-03-31 | 810584482 |
| 2019 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-03-31 | $245,231 |
| Total unrealized appreciation/depreciation of assets | 2019-03-31 | $245,231 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-03-31 | $9,085,672 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-03-31 | $8,023,646 |
| Total income from all sources (including contributions) | 2019-03-31 | $62,231,853 |
| Total of all expenses incurred | 2019-03-31 | $64,665,459 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-03-31 | $55,953,141 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-03-31 | $61,583,094 |
| Value of total assets at end of year | 2019-03-31 | $19,122,541 |
| Value of total assets at beginning of year | 2019-03-31 | $20,494,121 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-03-31 | $8,712,318 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-03-31 | $286,875 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-03-31 | $286,875 |
| Administrative expenses professional fees incurred | 2019-03-31 | $839,975 |
| Was this plan covered by a fidelity bond | 2019-03-31 | Yes |
| Value of fidelity bond cover | 2019-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2019-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-03-31 | No |
| Contributions received from participants | 2019-03-31 | $8,286,250 |
| Participant contributions at beginning of year | 2019-03-31 | $568,901 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-03-31 | $1,161,370 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-03-31 | $724,232 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-03-31 | $1,500,000 |
| Other income not declared elsewhere | 2019-03-31 | $11,000 |
| Administrative expenses (other) incurred | 2019-03-31 | $4,241,903 |
| Liabilities. Value of operating payables at end of year | 2019-03-31 | $3,304,548 |
| Liabilities. Value of operating payables at beginning of year | 2019-03-31 | $1,350,270 |
| Total non interest bearing cash at end of year | 2019-03-31 | $3,829,341 |
| Total non interest bearing cash at beginning of year | 2019-03-31 | $4,059,366 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-03-31 | No |
| Value of net income/loss | 2019-03-31 | $-2,433,606 |
| Value of net assets at end of year (total assets less liabilities) | 2019-03-31 | $10,036,869 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-03-31 | $12,470,475 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-03-31 | No |
| Investment advisory and management fees | 2019-03-31 | $19,484 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-03-31 | $10,166,385 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-03-31 | $11,028,594 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-03-31 | $39,193,445 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-03-31 | $105,653 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-03-31 | No |
| Contributions received in cash from employer | 2019-03-31 | $53,296,844 |
| Employer contributions (assets) at end of year | 2019-03-31 | $3,965,445 |
| Employer contributions (assets) at beginning of year | 2019-03-31 | $4,113,028 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-03-31 | $16,759,696 |
| Contract administrator fees | 2019-03-31 | $3,610,956 |
| Liabilities. Value of benefit claims payable at end of year | 2019-03-31 | $4,281,124 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-03-31 | $6,673,376 |
| Did the plan have assets held for investment | 2019-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-03-31 | Unqualified |
| Accountancy firm name | 2019-03-31 | CENKO VENDITTELLI HAYNES TOKARZ |
| Accountancy firm EIN | 2019-03-31 | 810584482 |
| 2018 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-03-31 | $222,351 |
| Total unrealized appreciation/depreciation of assets | 2018-03-31 | $222,351 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-03-31 | $9,039,624 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-03-31 | $14,361,755 |
| Total income from all sources (including contributions) | 2018-03-31 | $63,445,088 |
| Total of all expenses incurred | 2018-03-31 | $66,831,604 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-03-31 | $59,619,872 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-03-31 | $62,908,323 |
| Value of total assets at end of year | 2018-03-31 | $21,510,099 |
| Value of total assets at beginning of year | 2018-03-31 | $30,218,746 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-03-31 | $7,211,732 |
| Total interest from all sources | 2018-03-31 | $24,377 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-03-31 | $239,133 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-03-31 | $239,133 |
| Administrative expenses professional fees incurred | 2018-03-31 | $738,848 |
| Was this plan covered by a fidelity bond | 2018-03-31 | No |
| Value of fidelity bond cover | 2018-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2018-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-03-31 | No |
| Contributions received from participants | 2018-03-31 | $7,290,167 |
| Participant contributions at end of year | 2018-03-31 | $542,345 |
| Participant contributions at beginning of year | 2018-03-31 | $1,005,428 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2018-03-31 | $25,195 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-03-31 | $20,794,230 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-03-31 | $1,740,209 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-03-31 | $1,280,265 |
| Administrative expenses (other) incurred | 2018-03-31 | $2,999,460 |
| Liabilities. Value of operating payables at end of year | 2018-03-31 | $1,350,270 |
| Liabilities. Value of operating payables at beginning of year | 2018-03-31 | $266,084 |
| Total non interest bearing cash at end of year | 2018-03-31 | $4,059,366 |
| Total non interest bearing cash at beginning of year | 2018-03-31 | $5,784,994 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-03-31 | No |
| Value of net income/loss | 2018-03-31 | $-3,386,516 |
| Value of net assets at end of year (total assets less liabilities) | 2018-03-31 | $12,470,475 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-03-31 | $15,856,991 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-03-31 | No |
| Investment advisory and management fees | 2018-03-31 | $27,810 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-03-31 | $11,028,594 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-03-31 | $11,028,594 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-03-31 | $17,690,174 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-03-31 | $17,690,174 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-03-31 | $24,377 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-03-31 | $38,825,642 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-03-31 | $50,904 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-03-31 | No |
| Contributions received in cash from employer | 2018-03-31 | $55,592,961 |
| Employer contributions (assets) at end of year | 2018-03-31 | $4,139,585 |
| Employer contributions (assets) at beginning of year | 2018-03-31 | $4,457,885 |
| Contract administrator fees | 2018-03-31 | $3,445,614 |
| Liabilities. Value of benefit claims payable at end of year | 2018-03-31 | $7,689,354 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-03-31 | $14,095,671 |
| Did the plan have assets held for investment | 2018-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-03-31 | Unqualified |
| Accountancy firm name | 2018-03-31 | CENKO VENDITTELLI HAYNES TOKARZ |
| Accountancy firm EIN | 2018-03-31 | 810584482 |
| 2017 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-03-31 | $14,630,030 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-03-31 | $7,419,214 |
| Total income from all sources (including contributions) | 2017-03-31 | $59,961,117 |
| Total of all expenses incurred | 2017-03-31 | $58,493,114 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-03-31 | $52,611,671 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-03-31 | $59,940,350 |
| Value of total assets at end of year | 2017-03-31 | $30,426,454 |
| Value of total assets at beginning of year | 2017-03-31 | $21,747,635 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-03-31 | $5,881,443 |
| Total interest from all sources | 2017-03-31 | $20,767 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-03-31 | No |
| Administrative expenses professional fees incurred | 2017-03-31 | $658,424 |
| Was this plan covered by a fidelity bond | 2017-03-31 | Yes |
| Value of fidelity bond cover | 2017-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-03-31 | No |
| Contributions received from participants | 2017-03-31 | $8,408,253 |
| Participant contributions at end of year | 2017-03-31 | $1,005,428 |
| Participant contributions at beginning of year | 2017-03-31 | $743,994 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2017-03-31 | $23,066,177 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-03-31 | $1,376,209 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-03-31 | $1,857 |
| Administrative expenses (other) incurred | 2017-03-31 | $4,322,790 |
| Liabilities. Value of operating payables at end of year | 2017-03-31 | $476,705 |
| Liabilities. Value of operating payables at beginning of year | 2017-03-31 | $711,336 |
| Total non interest bearing cash at end of year | 2017-03-31 | $5,779,725 |
| Total non interest bearing cash at beginning of year | 2017-03-31 | $16,787,675 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-03-31 | No |
| Value of net income/loss | 2017-03-31 | $1,468,003 |
| Value of net assets at end of year (total assets less liabilities) | 2017-03-31 | $15,796,424 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-03-31 | $14,328,421 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-03-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-03-31 | $17,690,174 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-03-31 | $20,767 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-03-31 | $7,755,273 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-03-31 | No |
| Contributions received in cash from employer | 2017-03-31 | $59,940,350 |
| Employer contributions (assets) at end of year | 2017-03-31 | $5,580,346 |
| Employer contributions (assets) at beginning of year | 2017-03-31 | $4,215,966 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-03-31 | $21,790,221 |
| Contract administrator fees | 2017-03-31 | $900,229 |
| Liabilities. Value of benefit claims payable at end of year | 2017-03-31 | $14,151,468 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-03-31 | $6,707,878 |
| Did the plan have assets held for investment | 2017-03-31 | 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 | 2017-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-03-31 | Unqualified |
| Accountancy firm name | 2017-03-31 | CENKO VENDITTELLI HAYNES TOKARZ |
| Accountancy firm EIN | 2017-03-31 | 810584482 |
| 2016 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-03-31 | $7,419,214 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-03-31 | $6,081,828 |
| Total income from all sources (including contributions) | 2016-03-31 | $60,046,233 |
| Total of all expenses incurred | 2016-03-31 | $57,459,042 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-03-31 | $50,644,839 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-03-31 | $60,044,982 |
| Value of total assets at end of year | 2016-03-31 | $21,747,635 |
| Value of total assets at beginning of year | 2016-03-31 | $17,823,058 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-03-31 | $6,814,203 |
| Total interest from all sources | 2016-03-31 | $1,251 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-03-31 | No |
| Administrative expenses professional fees incurred | 2016-03-31 | $629,067 |
| Was this plan covered by a fidelity bond | 2016-03-31 | Yes |
| Value of fidelity bond cover | 2016-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-03-31 | No |
| Contributions received from participants | 2016-03-31 | $8,833,563 |
| Participant contributions at end of year | 2016-03-31 | $743,994 |
| Participant contributions at beginning of year | 2016-03-31 | $859,128 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-03-31 | $26,879,286 |
| Administrative expenses (other) incurred | 2016-03-31 | $5,326,027 |
| Liabilities. Value of operating payables at end of year | 2016-03-31 | $711,336 |
| Liabilities. Value of operating payables at beginning of year | 2016-03-31 | $426,561 |
| Total non interest bearing cash at end of year | 2016-03-31 | $16,787,675 |
| Total non interest bearing cash at beginning of year | 2016-03-31 | $11,686,428 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-03-31 | No |
| Value of net income/loss | 2016-03-31 | $2,587,191 |
| Value of net assets at end of year (total assets less liabilities) | 2016-03-31 | $14,328,421 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-03-31 | $11,741,230 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-03-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-03-31 | $1,251 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-03-31 | $6,090,210 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-03-31 | No |
| Contributions received in cash from employer | 2016-03-31 | $51,211,419 |
| Employer contributions (assets) at end of year | 2016-03-31 | $4,215,966 |
| Employer contributions (assets) at beginning of year | 2016-03-31 | $5,277,502 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-03-31 | $17,675,343 |
| Contract administrator fees | 2016-03-31 | $859,109 |
| Liabilities. Value of benefit claims payable at end of year | 2016-03-31 | $6,707,878 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-03-31 | $5,655,267 |
| Did the plan have assets held for investment | 2016-03-31 | 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 | 2016-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-03-31 | Unqualified |
| Accountancy firm name | 2016-03-31 | CENKO VENDITTELLI HAYNES TOKARZ |
| Accountancy firm EIN | 2016-03-31 | 810584482 |
| 2015 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-03-31 | $6,081,828 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-03-31 | $8,984,226 |
| Total income from all sources (including contributions) | 2015-03-31 | $59,973,548 |
| Total of all expenses incurred | 2015-03-31 | $57,673,796 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-03-31 | $51,138,725 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-03-31 | $59,972,343 |
| Value of total assets at end of year | 2015-03-31 | $17,823,058 |
| Value of total assets at beginning of year | 2015-03-31 | $18,425,704 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-03-31 | $6,535,071 |
| Total interest from all sources | 2015-03-31 | $1,205 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-03-31 | No |
| Administrative expenses professional fees incurred | 2015-03-31 | $602,123 |
| Was this plan covered by a fidelity bond | 2015-03-31 | Yes |
| Value of fidelity bond cover | 2015-03-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-03-31 | No |
| Contributions received from participants | 2015-03-31 | $8,222,447 |
| Participant contributions at end of year | 2015-03-31 | $859,128 |
| Participant contributions at beginning of year | 2015-03-31 | $741,676 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2015-03-31 | $25,796,011 |
| Administrative expenses (other) incurred | 2015-03-31 | $5,095,850 |
| Liabilities. Value of operating payables at end of year | 2015-03-31 | $426,561 |
| Liabilities. Value of operating payables at beginning of year | 2015-03-31 | $845,116 |
| Total non interest bearing cash at end of year | 2015-03-31 | $11,686,428 |
| Total non interest bearing cash at beginning of year | 2015-03-31 | $11,823,266 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-03-31 | No |
| Value of net income/loss | 2015-03-31 | $2,299,752 |
| Value of net assets at end of year (total assets less liabilities) | 2015-03-31 | $11,741,230 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-03-31 | $9,441,478 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-03-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-03-31 | $1,205 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-03-31 | $8,533,280 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-03-31 | No |
| Contributions received in cash from employer | 2015-03-31 | $51,749,896 |
| Employer contributions (assets) at end of year | 2015-03-31 | $5,277,502 |
| Employer contributions (assets) at beginning of year | 2015-03-31 | $5,860,762 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-03-31 | $16,809,434 |
| Contract administrator fees | 2015-03-31 | $837,098 |
| Liabilities. Value of benefit claims payable at end of year | 2015-03-31 | $5,655,267 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-03-31 | $8,139,110 |
| Did the plan have assets held for investment | 2015-03-31 | 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 | 2015-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-03-31 | Unqualified |
| Accountancy firm name | 2015-03-31 | CENKO, VENDITTELLI & HAYNES, PLC |
| Accountancy firm EIN | 2015-03-31 | 810584482 |
| 2014 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-03-31 | $8,984,226 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-03-31 | $4,504,616 |
| Total income from all sources (including contributions) | 2014-03-31 | $66,519,849 |
| Total of all expenses incurred | 2014-03-31 | $62,904,753 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-03-31 | $55,257,429 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-03-31 | $66,519,023 |
| Value of total assets at end of year | 2014-03-31 | $18,425,704 |
| Value of total assets at beginning of year | 2014-03-31 | $10,330,998 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-03-31 | $7,647,324 |
| Total interest from all sources | 2014-03-31 | $826 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-03-31 | No |
| Administrative expenses professional fees incurred | 2014-03-31 | $406,597 |
| Was this plan covered by a fidelity bond | 2014-03-31 | Yes |
| Value of fidelity bond cover | 2014-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-03-31 | No |
| Contributions received from participants | 2014-03-31 | $10,652,984 |
| Participant contributions at end of year | 2014-03-31 | $741,676 |
| Participant contributions at beginning of year | 2014-03-31 | $569,599 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-03-31 | $32,266,034 |
| Administrative expenses (other) incurred | 2014-03-31 | $6,217,568 |
| Liabilities. Value of operating payables at end of year | 2014-03-31 | $845,116 |
| Liabilities. Value of operating payables at beginning of year | 2014-03-31 | $362,395 |
| Total non interest bearing cash at end of year | 2014-03-31 | $11,823,266 |
| Total non interest bearing cash at beginning of year | 2014-03-31 | $6,723,915 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-03-31 | No |
| Value of net income/loss | 2014-03-31 | $3,615,096 |
| Value of net assets at end of year (total assets less liabilities) | 2014-03-31 | $9,441,478 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-03-31 | $5,826,382 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-03-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-03-31 | $826 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-03-31 | $10,381,240 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-03-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2014-03-31 | No |
| Contributions received in cash from employer | 2014-03-31 | $55,866,039 |
| Employer contributions (assets) at end of year | 2014-03-31 | $5,860,762 |
| Employer contributions (assets) at beginning of year | 2014-03-31 | $3,037,484 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-03-31 | $12,610,155 |
| Contract administrator fees | 2014-03-31 | $1,023,159 |
| Liabilities. Value of benefit claims payable at end of year | 2014-03-31 | $8,139,110 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-03-31 | $4,142,221 |
| Did the plan have assets held for investment | 2014-03-31 | 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 | 2014-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-03-31 | Unqualified |
| Accountancy firm name | 2014-03-31 | CENKO, VENDITTELLI & HAYNES, PLC |
| Accountancy firm EIN | 2014-03-31 | 810584482 |
| 2013 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-03-31 | $4,504,616 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-03-31 | $3,455,418 |
| Total income from all sources (including contributions) | 2013-03-31 | $46,812,285 |
| Total of all expenses incurred | 2013-03-31 | $45,900,273 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-03-31 | $41,054,494 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-03-31 | $46,811,611 |
| Value of total assets at end of year | 2013-03-31 | $10,330,998 |
| Value of total assets at beginning of year | 2013-03-31 | $8,369,788 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-03-31 | $4,845,779 |
| Total interest from all sources | 2013-03-31 | $674 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-03-31 | No |
| Administrative expenses professional fees incurred | 2013-03-31 | $292,122 |
| Was this plan covered by a fidelity bond | 2013-03-31 | Yes |
| Value of fidelity bond cover | 2013-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-03-31 | No |
| Contributions received from participants | 2013-03-31 | $8,105,360 |
| Participant contributions at end of year | 2013-03-31 | $569,599 |
| Participant contributions at beginning of year | 2013-03-31 | $390,806 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-03-31 | $27,875,423 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-03-31 | $574,461 |
| Administrative expenses (other) incurred | 2013-03-31 | $3,732,378 |
| Liabilities. Value of operating payables at end of year | 2013-03-31 | $362,395 |
| Liabilities. Value of operating payables at beginning of year | 2013-03-31 | $68,532 |
| Total non interest bearing cash at end of year | 2013-03-31 | $6,723,915 |
| Total non interest bearing cash at beginning of year | 2013-03-31 | $5,801,458 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-03-31 | No |
| Value of net income/loss | 2013-03-31 | $912,012 |
| Value of net assets at end of year (total assets less liabilities) | 2013-03-31 | $5,826,382 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-03-31 | $4,914,370 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-03-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-03-31 | $674 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-03-31 | $7,613,418 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-03-31 | No |
| Contributions received in cash from employer | 2013-03-31 | $38,706,251 |
| Employer contributions (assets) at end of year | 2013-03-31 | $3,037,484 |
| Employer contributions (assets) at beginning of year | 2013-03-31 | $1,603,063 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-03-31 | $5,565,653 |
| Contract administrator fees | 2013-03-31 | $821,279 |
| Liabilities. Value of benefit claims payable at end of year | 2013-03-31 | $4,142,221 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-03-31 | $3,386,886 |
| Did the plan have assets held for investment | 2013-03-31 | 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 | 2013-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-03-31 | Unqualified |
| Accountancy firm name | 2013-03-31 | CENKO, VENDITTELLI & HAYNES, PLC |
| Accountancy firm EIN | 2013-03-31 | 810584482 |
| 2012 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-03-31 | $3,455,418 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-03-31 | $3,698,231 |
| Total income from all sources (including contributions) | 2012-03-31 | $44,151,901 |
| Total of all expenses incurred | 2012-03-31 | $42,072,373 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-03-31 | $37,281,772 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-03-31 | $44,150,994 |
| Value of total assets at end of year | 2012-03-31 | $8,369,788 |
| Value of total assets at beginning of year | 2012-03-31 | $6,533,073 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-03-31 | $4,790,601 |
| Total interest from all sources | 2012-03-31 | $907 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-03-31 | No |
| Administrative expenses professional fees incurred | 2012-03-31 | $464,908 |
| Was this plan covered by a fidelity bond | 2012-03-31 | Yes |
| Value of fidelity bond cover | 2012-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-03-31 | No |
| Contributions received from participants | 2012-03-31 | $7,305,839 |
| Participant contributions at end of year | 2012-03-31 | $390,806 |
| Participant contributions at beginning of year | 2012-03-31 | $290,903 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-03-31 | $24,696,363 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-03-31 | $574,461 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-03-31 | $11,842 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-03-31 | $113,073 |
| Administrative expenses (other) incurred | 2012-03-31 | $3,425,818 |
| Liabilities. Value of operating payables at end of year | 2012-03-31 | $68,532 |
| Liabilities. Value of operating payables at beginning of year | 2012-03-31 | $325,934 |
| Total non interest bearing cash at end of year | 2012-03-31 | $5,801,458 |
| Total non interest bearing cash at beginning of year | 2012-03-31 | $4,761,114 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-03-31 | No |
| Value of net income/loss | 2012-03-31 | $2,079,528 |
| Value of net assets at end of year (total assets less liabilities) | 2012-03-31 | $4,914,370 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-03-31 | $2,834,842 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-03-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-03-31 | $907 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-03-31 | $7,005,544 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-03-31 | No |
| Contributions received in cash from employer | 2012-03-31 | $36,845,155 |
| Employer contributions (assets) at end of year | 2012-03-31 | $1,603,063 |
| Employer contributions (assets) at beginning of year | 2012-03-31 | $1,469,214 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-03-31 | $5,579,865 |
| Contract administrator fees | 2012-03-31 | $899,875 |
| Liabilities. Value of benefit claims payable at end of year | 2012-03-31 | $3,386,886 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-03-31 | $3,259,224 |
| Did the plan have assets held for investment | 2012-03-31 | 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 | 2012-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-03-31 | Unqualified |
| Accountancy firm name | 2012-03-31 | CENKO, VENDITTELLI & HAYNES, PLC |
| Accountancy firm EIN | 2012-03-31 | 810584482 |
| 2011 : SECURITY POLICE FIRE PROFESSIONALS OF AMERICA AND PARTICIPATING EMPLOYERS HEALTH AND WELFARE PLAN 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-03-31 | $3,698,231 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-03-31 | $2,838,592 |
| Total income from all sources (including contributions) | 2011-03-31 | $36,006,534 |
| Total of all expenses incurred | 2011-03-31 | $33,476,846 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-03-31 | $29,049,661 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-03-31 | $35,940,823 |
| Value of total assets at end of year | 2011-03-31 | $6,533,073 |
| Value of total assets at beginning of year | 2011-03-31 | $3,143,746 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-03-31 | $4,427,185 |
| Total interest from all sources | 2011-03-31 | $718 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-03-31 | No |
| Administrative expenses professional fees incurred | 2011-03-31 | $408,894 |
| Was this plan covered by a fidelity bond | 2011-03-31 | Yes |
| Value of fidelity bond cover | 2011-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-03-31 | No |
| Contributions received from participants | 2011-03-31 | $5,636,792 |
| Participant contributions at end of year | 2011-03-31 | $290,903 |
| Participant contributions at beginning of year | 2011-03-31 | $146,883 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2011-03-31 | $18,198,300 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-03-31 | $11,842 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-03-31 | $113,073 |
| Other income not declared elsewhere | 2011-03-31 | $64,993 |
| Administrative expenses (other) incurred | 2011-03-31 | $3,213,505 |
| Liabilities. Value of operating payables at end of year | 2011-03-31 | $325,934 |
| Liabilities. Value of operating payables at beginning of year | 2011-03-31 | $399,758 |
| Total non interest bearing cash at end of year | 2011-03-31 | $4,761,114 |
| Total non interest bearing cash at beginning of year | 2011-03-31 | $1,586,625 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Value of net income/loss | 2011-03-31 | $2,529,688 |
| Value of net assets at end of year (total assets less liabilities) | 2011-03-31 | $2,834,842 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-03-31 | $305,154 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-03-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-03-31 | $718 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-03-31 | $5,718,255 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-03-31 | No |
| Contributions received in cash from employer | 2011-03-31 | $30,304,031 |
| Employer contributions (assets) at end of year | 2011-03-31 | $1,469,214 |
| Employer contributions (assets) at beginning of year | 2011-03-31 | $1,410,238 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-03-31 | $5,133,106 |
| Contract administrator fees | 2011-03-31 | $804,786 |
| Liabilities. Value of benefit claims payable at end of year | 2011-03-31 | $3,259,224 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-03-31 | $2,438,834 |
| Did the plan have assets held for investment | 2011-03-31 | 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 | 2011-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-03-31 | Unqualified |
| Accountancy firm name | 2011-03-31 | CENKO, VENDITTELLI & HAYNES, PLC |
| Accountancy firm EIN | 2011-03-31 | 810584482 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 278407 |
| Policy instance | 5 |
| Insurance contract or identification number | 278407 | | Number of Individuals Covered | 6693 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $18,860 | | Total amount of fees paid to insurance company | USD $53,673 | | 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 | MAJOR MEDICAL | | 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 $1,239,949 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 53673 | | Additional information about fees paid to insurance broker | FEES AND OTHER COMMISSIONS | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $18,860 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 604760 |
| Policy instance | 4 |
| Insurance contract or identification number | 604760 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $4,404 | | 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 | | 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 $92,732 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,398 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | IUSPFPA GROUPS |
| Policy instance | 3 |
| Insurance contract or identification number | IUSPFPA GROUPS | | Number of Individuals Covered | 213 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Total amount of commissions paid to insurance broker | USD $165,141 | | 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 | CANCER, ACCDIENT, HEART/STROKE COVERAGE | | 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 $825,693 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $66,557 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 2 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 198 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $85,683 | | Total amount of fees paid to insurance company | USD $1 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,713,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68,943 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681342G |
| Policy instance | 1 |
| Insurance contract or identification number | 681342G | | Number of Individuals Covered | 4449 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33,347 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D-BAS & AD&D-SUPP | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,143,285 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 33347 | | Additional information about fees paid to insurance broker | BONUSES PAID | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681342G |
| Policy instance | 1 |
| Insurance contract or identification number | 681342G | | Number of Individuals Covered | 4449 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33,347 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D-BAS & AD&D-SUPP | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,143,285 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 33347 | | Additional information about fees paid to insurance broker | BONUSES PAID | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 2 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 198 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $85,683 | | Total amount of fees paid to insurance company | USD $1 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,713,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68,943 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | IUSPFPA GROUPS |
| Policy instance | 3 |
| Insurance contract or identification number | IUSPFPA GROUPS | | Number of Individuals Covered | 213 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $165,141 | | 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 | CANCER, ACCDIENT, HEART/STROKE COVERAGE | | 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 $825,693 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $66,557 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 604760 |
| Policy instance | 4 |
| Insurance contract or identification number | 604760 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $4,404 | | 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 | | 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 $92,732 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,398 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 278407 |
| Policy instance | 5 |
| Insurance contract or identification number | 278407 | | Number of Individuals Covered | 6693 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $18,860 | | Total amount of fees paid to insurance company | USD $53,673 | | 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 | MAJOR MEDICAL | | 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 $1,239,949 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 53673 | | Additional information about fees paid to insurance broker | FEES AND OTHER COMMISSIONS | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $18,860 |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 278407 |
| Policy instance | 1 |
| Insurance contract or identification number | 278407 | | Number of Individuals Covered | 4100 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $65,975 | | 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 | MAJOR MEDICAL | | 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 $37,288,410 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681342G |
| Policy instance | 2 |
| Insurance contract or identification number | 681342G | | Number of Individuals Covered | 4449 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33,347 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D-BAS & AD&D-SUPP | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,143,285 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 3 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 198 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $85,683 | | Total amount of fees paid to insurance company | USD $1 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,713,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | IUSPFPA GROUPS |
| Policy instance | 4 |
| Insurance contract or identification number | IUSPFPA GROUPS | | Number of Individuals Covered | 213 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $165,141 | | 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 | CANCER, ACCDIENT, HEART/STROKE COVERAGE | | 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 $825,693 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 604760 |
| Policy instance | 5 |
| Insurance contract or identification number | 604760 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $4,404 | | 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 | | 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 $92,732 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681342G |
| Policy instance | 1 |
| Insurance contract or identification number | 681342G | | Number of Individuals Covered | 4449 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33,347 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D-BAS & AD&D-SUPP | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,143,285 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 33347 | | Additional information about fees paid to insurance broker | BONUSES PAID | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 2 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 198 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $85,683 | | Total amount of fees paid to insurance company | USD $1 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,713,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68,943 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | IUSPFPA GROUPS |
| Policy instance | 3 |
| Insurance contract or identification number | IUSPFPA GROUPS | | Number of Individuals Covered | 213 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $165,141 | | 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 | CANCER, ACCDIENT, HEART/STROKE COVERAGE | | 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 $825,693 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $56,816 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 604760 |
| Policy instance | 4 |
| Insurance contract or identification number | 604760 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $4,404 | | 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 | | 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 $92,732 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,398 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | 278407 |
| Policy instance | 5 |
| Insurance contract or identification number | 278407 | | Number of Individuals Covered | 4080 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $45,390 | | Total amount of fees paid to insurance company | USD $26,645 | | 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 | MAJOR MEDICAL | | 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 $1,296,882 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45,390 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 26645 | | Additional information about fees paid to insurance broker | FEES AND OTHER COMMISSONS |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 4 |
| Number of Individuals Covered | 1697 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $192,658 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $897,046 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $78,407 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 3 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 594 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $104,715 | | Welfare Benefit Premiums Paid to Carrier | USD $2,794,680 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $104,715 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681342G |
| Policy instance | 2 |
| Insurance contract or identification number | 681342G | | Number of Individuals Covered | 4165 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,374,882 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 4100 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $65,975 | | Other welfare benefits provided | MAJOR MEDICAL | | Welfare Benefit Premiums Paid to Carrier | USD $37,288,410 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $65,975 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 4100 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $93,651 | | Other welfare benefits provided | MAJOR MEDICAL | | Welfare Benefit Premiums Paid to Carrier | USD $3,610,956 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $93,651 | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 681342G |
| Policy instance | 2 |
| Insurance contract or identification number | 681342G | | Number of Individuals Covered | 4165 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2018-03-31 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,847,887 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 3037 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,001,534 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 4 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 594 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $129,176 | | Welfare Benefit Premiums Paid to Carrier | USD $2,675,182 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $129,176 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 |
|
| ACTION PHARMACEUTICAL CONSULTING (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 5 |
| Number of Individuals Covered | 7449 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $6,538 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,538 | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 2042 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $337,652 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,713,029 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $181,048 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 4100 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $82,749 | | Other welfare benefits provided | MAJOR MEDICAL | | Welfare Benefit Premiums Paid to Carrier | USD $3,445,613 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $82,749 | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 3037 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $348,758 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,556,476 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $348,758 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 4 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 594 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $160,600 | | Welfare Benefit Premiums Paid to Carrier | USD $3,313,391 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $160,600 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES INC |
|
| ACTION PHARMACEUTICAL CONSULTING (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 5 |
| Number of Individuals Covered | 7449 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $38,496 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $38,496 | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 2042 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $349,137 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $935,986 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $94,988 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | RICHARD LAMONA |
|
| GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 ) |
| Policy contract number | 1520900 |
| Policy instance | 8 |
| Insurance contract or identification number | 1520900 | | Number of Individuals Covered | 64 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $6,980 | | Welfare Benefit Premiums Paid to Carrier | USD $327,404 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,980 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 3037 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $74,926 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $480,201 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $74,926 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 4 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 534 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $94,334 | | Welfare Benefit Premiums Paid to Carrier | USD $2,490,187 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $94,334 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES INC |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | TRUSTIL |
| Policy instance | 5 |
| Insurance contract or identification number | TRUSTIL | | Number of Individuals Covered | 141 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $36,741 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $203,966 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,911 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INS SVS INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 2537 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $1,269 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $133,756 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,269 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 7 |
| Number of Individuals Covered | 2004 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $269,935 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,105,752 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $66,322 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | JUDY PIPKIN |
|
| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | K100322 |
| Policy instance | 2 |
| Insurance contract or identification number | K100322 | | Number of Individuals Covered | 1891 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $224,830 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,663,875 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,337 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | SMITH GLENDA |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | GP-500B |
| Policy instance | 1 |
| Insurance contract or identification number | GP-500B | | Number of Individuals Covered | 151 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $1,374 | | Temporary Disability 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 $1,374 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES, INC. |
|
| GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 ) |
| Policy contract number | 1520900 |
| Policy instance | 9 |
| Insurance contract or identification number | 1520900 | | Number of Individuals Covered | 64 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $260,927 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Total amount of commissions paid to insurance broker | USD $790 | | Total amount of fees paid to insurance company | USD $28 | | 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 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $790 | | Amount paid for insurance broker fees | 28 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | TRUSTIL |
| Policy instance | 8 |
| Insurance contract or identification number | TRUSTIL | | Number of Individuals Covered | 141 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $92,031 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $614,846 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $66,387 | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INS SVS INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 1479 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $201,336 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,145,046 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $201,336 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES |
|
| AMERICAN HERITAGE LIFE - ALLSTATE (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 06186 |
| Policy instance | 5 |
| Insurance contract or identification number | 06186 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $6,280 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $48,387 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,252 | | Additional information about fees paid to insurance broker | COMMISSION PAID | | Insurance broker organization code? | 3 | | Insurance broker name | HOPKINS, JOHN MARCUS |
|
| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | K100322 |
| Policy instance | 4 |
| Insurance contract or identification number | K100322 | | Number of Individuals Covered | 91 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $2,521 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,594 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $194 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | PIPKIN, JUDY A. |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | GP-500B |
| Policy instance | 3 |
| Insurance contract or identification number | GP-500B | | Number of Individuals Covered | 151 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $141,834 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $834,317 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $82,968 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | THE BOON INSURANCE AGENCY, INC. |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C23046 |
| Policy instance | 2 |
| Insurance contract or identification number | C23046 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $116,086 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,961,865 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $116,086 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES, INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 614761 |
| Policy instance | 1 |
| Insurance contract or identification number | 614761 | | Number of Individuals Covered | 3498 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $143,172 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $793,561 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $143,172 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES INC |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 7 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 534 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $79,843 | | Welfare Benefit Premiums Paid to Carrier | USD $1,753,829 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $79,843 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES INC |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231541 |
| Policy instance | 7 |
| Insurance contract or identification number | 231541 | | Number of Individuals Covered | 298 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $50,215 | | Welfare Benefit Premiums Paid to Carrier | USD $1,102,630 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50,215 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES INC |
|
| AMERICAN HERITAGE LIFE - ALLSTATE (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 06186 |
| Policy instance | 5 |
| Insurance contract or identification number | 06186 | | Number of Individuals Covered | 296 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $272,727 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $672,453 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $64,118 | | Additional information about fees paid to insurance broker | COMMISSION PAID | | Insurance broker organization code? | 3 | | Insurance broker name | HOPKINS, JOHN MARCUS |
|
| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | K100322 |
| Policy instance | 4 |
| Insurance contract or identification number | K100322 | | Number of Individuals Covered | 2198 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $82,983 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $331,723 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,986 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | RILEY, REGINALD |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | GP-500B |
| Policy instance | 3 |
| Insurance contract or identification number | GP-500B | | Number of Individuals Covered | 117 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $181,717 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,099,476 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $108,350 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS 3 | | Insurance broker name | THE BOON INSURANCE AGENCY, INC. |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C23046 |
| Policy instance | 2 |
| Insurance contract or identification number | C23046 | | Number of Individuals Covered | 604 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $186,847 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,693,316 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $186,847 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES, INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 614761 |
| Policy instance | 1 |
| Insurance contract or identification number | 614761 | | Number of Individuals Covered | 5626 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $263,130 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,764,423 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $263,130 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 2749 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $106,284 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $562,320 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $106,284 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 06029 |
| Policy instance | 5 |
| Insurance contract or identification number | 06029 | | Number of Individuals Covered | 954 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $279,049 | | 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 $81,840 | | Additional information about fees paid to insurance broker | COMMISSION PAID | | Insurance broker organization code? | 3 | | Insurance broker name | FRIBUSH, ERIC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 614761 |
| Policy instance | 1 |
| Insurance contract or identification number | 614761 | | Number of Individuals Covered | 4746 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $135,817 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $807,928 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $135,817 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES INC |
|
| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | K100322 |
| Policy instance | 4 |
| Insurance contract or identification number | K100322 | | Number of Individuals Covered | 2965 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $283,832 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,239,437 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,741 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | SMITH, GLENDA |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | GP-500B |
| Policy instance | 3 |
| Insurance contract or identification number | GP-500B | | Number of Individuals Covered | 239 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $133,817 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $787,162 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $78,716 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS 3 | | Insurance broker name | THE BOON INSURANCE AGENCY, INC. |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C23046 |
| Policy instance | 2 |
| Insurance contract or identification number | C23046 | | Number of Individuals Covered | 542 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $199,480 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,749,684 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $199,480 | | Additional information about fees paid to insurance broker | AGENT COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | HUMANOMICS INSURANCE SERVICES, INC |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | GP-500B |
| Policy instance | 3 |
| Insurance contract or identification number | GP-500B | | Number of Individuals Covered | 218 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $55,993 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $329,493 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C23046 |
| Policy instance | 2 |
| Insurance contract or identification number | C23046 | | Number of Individuals Covered | 542 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $191,676 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,725,248 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 06029 |
| Policy instance | 5 |
| Insurance contract or identification number | 06029 | | Number of Individuals Covered | 1451 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $555,418 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,136,700 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | K100322 |
| Policy instance | 4 |
| Insurance contract or identification number | K100322 | | Number of Individuals Covered | 3000 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $188,287 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,148,411 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 558897 |
| Policy instance | 1 |
| Insurance contract or identification number | 558897 | | Number of Individuals Covered | 3000 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $37,775 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $266,194 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 06029 |
| Policy instance | 6 |
| Insurance contract or identification number | 06029 | | Number of Individuals Covered | 1290 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $498,455 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,040,131 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 ) |
| Policy contract number | K100322 |
| Policy instance | 4 |
| Insurance contract or identification number | K100322 | | Number of Individuals Covered | 2978 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $127,311 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $874,668 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | GP-500B |
| Policy instance | 3 |
| Insurance contract or identification number | GP-500B | | Number of Individuals Covered | 133 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $27,054 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $159,139 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C23046 |
| Policy instance | 2 |
| Insurance contract or identification number | C23046 | | Number of Individuals Covered | 488 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $192,168 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,941,836 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 558897 |
| Policy instance | 1 |
| Insurance contract or identification number | 558897 | | Number of Individuals Covered | 2609 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $71,617 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $414,553 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-028592 |
| Policy instance | 5 |
| Insurance contract or identification number | 010-028592 | | Number of Individuals Covered | 539 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $21,806 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $215,944 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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