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NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 401k Plan overview

Plan NameNATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN
Plan identification number 501

NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN Benefits

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

401k Sponsoring company profile

NATIONAL BULK EQUIPMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name:NATIONAL BULK EQUIPMENT, INC.
Employer identification number (EIN):382120303
NAIC Classification:333900

Additional information about NATIONAL BULK EQUIPMENT, INC.

Jurisdiction of Incorporation: Michigan Secretary of State
Incorporation Date: 0000-00-00
Company Identification Number: 098559
Legal Registered Office Address: STAINLESS DRIVE HOLLAND 49424


United States of America (USA)
12838

More information about NATIONAL BULK EQUIPMENT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01
5012021-04-01
5012020-04-01
5012019-04-01
5012018-04-01ELLEN KAINES
5012017-04-01ELLEN KAINES
5012016-04-01ELLEN KAINES

Plan Statistics for NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN

401k plan membership statisitcs for NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN

Measure Date Value
2022: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01218
Total number of active participants reported on line 7a of the Form 55002022-04-01218
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01218
2021: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01179
Total number of active participants reported on line 7a of the Form 55002021-04-01173
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01173
2020: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01162
Total number of active participants reported on line 7a of the Form 55002020-04-01179
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01179
2019: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01163
Total number of active participants reported on line 7a of the Form 55002019-04-01162
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01162
2018: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01148
Total number of active participants reported on line 7a of the Form 55002018-04-01163
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-01163
2017: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01133
Total number of active participants reported on line 7a of the Form 55002017-04-01148
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01148
2016: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01122
Total number of active participants reported on line 7a of the Form 55002016-04-01133
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-01133

Financial Data on NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN

Measure Date Value
2022 : NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2022 401k financial data
Total income from all sources2022-03-31$0
Total plan assets at end of year2022-03-31$0
Total plan assets at beginning of year2022-03-31$0
Net plan assets at end of year (total assets less liabilities)2022-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2022-03-31$0
2021 : NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2021 401k financial data
Total income from all sources2021-03-31$0
Total plan assets at end of year2021-03-31$0
Total plan assets at beginning of year2021-03-31$0
Net plan assets at end of year (total assets less liabilities)2021-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-03-31$0
2020 : NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2020 401k financial data
Total income from all sources2020-03-31$0
Total plan assets at end of year2020-03-31$0
Total plan assets at beginning of year2020-03-31$0
Net plan assets at end of year (total assets less liabilities)2020-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-03-31$0
2019 : NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2019 401k financial data
Total income from all sources2019-03-31$0
Total plan assets at end of year2019-03-31$0
Total plan assets at beginning of year2019-03-31$0
Net plan assets at end of year (total assets less liabilities)2019-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-03-31$0
2018 : NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2018 401k financial data
Total income from all sources2018-03-31$0
Total plan assets at end of year2018-03-31$0
Total plan assets at beginning of year2018-03-31$0
Net plan assets at end of year (total assets less liabilities)2018-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-03-31$0
2017 : NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2017 401k financial data
Total income from all sources2017-03-31$0
Total plan assets at end of year2017-03-31$0
Total plan assets at beginning of year2017-03-31$0
Net plan assets at end of year (total assets less liabilities)2017-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$0

Form 5500 Responses for NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN

2022: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: NATIONAL BULK EQUIPMENT, INC. HEALTH & BENEFITS PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01First time form 5500 has been submittedYes
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1155856
Policy instance 1
Insurance contract or identification number1155856
Number of Individuals Covered515
Insurance policy start date2022-04-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $21,565
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $246,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,565
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number791103 S001
Policy instance 1
Insurance contract or identification number791103 S001
Number of Individuals Covered449
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $27,250
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,089,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,250
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 )
Policy contract number791103 S001
Policy instance 2
Insurance contract or identification number791103 S001
Number of Individuals Covered9
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $948
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $948
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 0BQ8W
Policy instance 3
Insurance contract or identification numberGUG 0BQ8W
Number of Individuals Covered199
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $3,688
Total amount of fees paid to insurance companyUSD $3,583
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $43,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,688
Amount paid for insurance broker fees2965
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0BQ8W
Policy instance 4
Insurance contract or identification numberGLTD0BQ8W
Number of Individuals Covered143
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $3,201
Total amount of fees paid to insurance companyUSD $2,922
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,201
Amount paid for insurance broker fees2418
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BQ8W
Policy instance 5
Insurance contract or identification numberGLUG0BQ8W
Number of Individuals Covered199
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $2,046
Total amount of fees paid to insurance companyUSD $1,719
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,046
Amount paid for insurance broker fees1423
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTLOBQ8W
Policy instance 6
Insurance contract or identification numberGVTLOBQ8W
Number of Individuals Covered114
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $3,210
Total amount of fees paid to insurance companyUSD $2,809
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,210
Amount paid for insurance broker fees2325
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-053450
Policy instance 7
Insurance contract or identification number010-053450
Number of Individuals Covered374
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $15,768
Total amount of fees paid to insurance companyUSD $780
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $157,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,768
Amount paid for insurance broker fees780
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number791103 S001
Policy instance 1
Insurance contract or identification number791103 S001
Number of Individuals Covered429
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $36,166
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $838,578
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,166
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 )
Policy contract number791103 S001
Policy instance 2
Insurance contract or identification number791103 S001
Number of Individuals Covered9
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,108
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,108
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 0BQ8W
Policy instance 3
Insurance contract or identification numberGUG 0BQ8W
Number of Individuals Covered187
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $3,581
Total amount of fees paid to insurance companyUSD $2,265
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $41,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,581
Amount paid for insurance broker fees2265
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0BQ8W
Policy instance 4
Insurance contract or identification numberGLTD0BQ8W
Number of Individuals Covered152
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $3,267
Total amount of fees paid to insurance companyUSD $1,963
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,267
Amount paid for insurance broker fees1963
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BQ8W
Policy instance 5
Insurance contract or identification numberGLUG0BQ8W
Number of Individuals Covered187
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $2,053
Total amount of fees paid to insurance companyUSD $1,123
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,053
Amount paid for insurance broker fees1123
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTLOBQ8W
Policy instance 6
Insurance contract or identification numberGVTLOBQ8W
Number of Individuals Covered108
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $3,064
Total amount of fees paid to insurance companyUSD $1,848
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,064
Amount paid for insurance broker fees1848
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-053450
Policy instance 7
Insurance contract or identification number010-053450
Number of Individuals Covered356
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $13,414
Total amount of fees paid to insurance companyUSD $732
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $134,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,414
Amount paid for insurance broker fees732
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number00001D037056 00
Policy instance 7
Insurance contract or identification number00001D037056 00
Number of Individuals Covered161
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $3,481
Total amount of fees paid to insurance companyUSD $6,424
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,481
Amount paid for insurance broker fees6424
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400001000 23
Policy instance 6
Insurance contract or identification number000400001000 23
Number of Individuals Covered103
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $4,647
Total amount of fees paid to insurance companyUSD $1,723
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,647
Amount paid for insurance broker fees1723
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010241280 00
Policy instance 5
Insurance contract or identification number000010241280 00
Number of Individuals Covered186
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $2,131
Total amount of fees paid to insurance companyUSD $1,323
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,131
Amount paid for insurance broker fees1323
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010241403 00
Policy instance 4
Insurance contract or identification number000010241403 00
Number of Individuals Covered165
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $3,314
Total amount of fees paid to insurance companyUSD $1,466
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,272
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,314
Amount paid for insurance broker fees1466
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010241281 00
Policy instance 3
Insurance contract or identification number000010241281 00
Number of Individuals Covered186
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $2,845
Total amount of fees paid to insurance companyUSD $2,683
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $46,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,845
Amount paid for insurance broker fees2683
Additional information about fees paid to insurance brokerBROKER BONUS FEES
Insurance broker organization code?3
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 )
Policy contract number791103 S001
Policy instance 2
Insurance contract or identification number791103 S001
Number of Individuals Covered9
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $1,216
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,216
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number791103 S001
Policy instance 1
Insurance contract or identification number791103 S001
Number of Individuals Covered432
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $47,387
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,579,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,387
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number791103 S001
Policy instance 1
Insurance contract or identification number791103 S001
Number of Individuals Covered434
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $37,481
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,249,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,481
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 )
Policy contract number791103 S001
Policy instance 2
Insurance contract or identification number791103 S001
Number of Individuals Covered7
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $470
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $470
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010241281 00
Policy instance 3
Insurance contract or identification number000010241281 00
Number of Individuals Covered195
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $2,784
Total amount of fees paid to insurance companyUSD $29
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $43,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,784
Amount paid for insurance broker fees29
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010241403 00
Policy instance 4
Insurance contract or identification number000010241403 00
Number of Individuals Covered157
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $3,316
Total amount of fees paid to insurance companyUSD $17
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,316
Amount paid for insurance broker fees17
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010241280 00
Policy instance 5
Insurance contract or identification number000010241280 00
Number of Individuals Covered195
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $2,049
Total amount of fees paid to insurance companyUSD $14
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,049
Amount paid for insurance broker fees14
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400001000 23
Policy instance 6
Insurance contract or identification number000400001000 23
Number of Individuals Covered110
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $3,840
Total amount of fees paid to insurance companyUSD $12
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,840
Amount paid for insurance broker fees12
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number00001D037056 00
Policy instance 7
Insurance contract or identification number00001D037056 00
Number of Individuals Covered156
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $3,255
Total amount of fees paid to insurance companyUSD $43
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $93,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,255
Amount paid for insurance broker fees43
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1062980
Policy instance 3
Insurance contract or identification number1062980
Number of Individuals Covered406
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $13,870
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $205,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,870
Insurance broker nameBERENDS HENDRICKS STUIT
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 )
Policy contract number791103 S001
Policy instance 2
Insurance contract or identification number791103 S001
Number of Individuals Covered3
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $256
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,518
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $256
Insurance broker nameBERENDS HENDRICKS STUIT
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number791103 S001
Policy instance 1
Insurance contract or identification number791103 S001
Number of Individuals Covered381
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $36,922
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,230,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,922
Insurance broker nameBERENDS HENDRICKS STUIT

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