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MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 401k Plan overview

Plan NameMILLER WASTE MILLS INC GROUP 24 HOUR AD&D
Plan identification number 504

MILLER WASTE MILLS INC GROUP 24 HOUR AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MILLER WASTE MILLS, INC. has sponsored the creation of one or more 401k plans.

Company Name:MILLER WASTE MILLS, INC.
Employer identification number (EIN):410413230
NAIC Classification:326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILLER WASTE MILLS INC GROUP 24 HOUR AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01
5042021-01-01
5042020-01-01
5042019-02-16
5042018-02-16
5042017-02-16HOLLY BERGLER HOLLY BERGLER2018-10-15
5042016-02-16HOLLY BERGLER HOLLY BERGLER2017-11-29
5042015-02-16DANNY MILES DANNY MILES2016-06-23
5042014-02-16DANNY MILES DANNY MILES2015-09-15
5042013-02-16DANNY MILES DANNY MILES2014-07-23
5042012-02-16DANNY MILES DANNY MILES2013-12-12
5042011-02-16JONATHAN MILLER
5042009-02-16JONATHAN MILLER
5042009-02-16 JONATHAN MILLER2010-10-14

Plan Statistics for MILLER WASTE MILLS INC GROUP 24 HOUR AD&D

401k plan membership statisitcs for MILLER WASTE MILLS INC GROUP 24 HOUR AD&D

Measure Date Value
2022: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2022 401k membership
Total participants, beginning-of-year2022-01-01264
Total number of active participants reported on line 7a of the Form 55002022-01-01264
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01264
2021: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2021 401k membership
Total participants, beginning-of-year2021-01-01337
Total number of active participants reported on line 7a of the Form 55002021-01-01306
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01306
2020: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2020 401k membership
Total participants, beginning-of-year2020-01-01344
Total number of active participants reported on line 7a of the Form 55002020-01-01349
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01349
2019: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2019 401k membership
Total participants, beginning-of-year2019-02-16325
Total number of active participants reported on line 7a of the Form 55002019-02-16335
Number of retired or separated participants receiving benefits2019-02-160
Number of other retired or separated participants entitled to future benefits2019-02-160
Total of all active and inactive participants2019-02-16335
2018: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2018 401k membership
Total participants, beginning-of-year2018-02-16323
Total number of active participants reported on line 7a of the Form 55002018-02-16325
Number of retired or separated participants receiving benefits2018-02-160
Number of other retired or separated participants entitled to future benefits2018-02-160
Total of all active and inactive participants2018-02-16325
2017: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2017 401k membership
Total participants, beginning-of-year2017-02-16319
Total number of active participants reported on line 7a of the Form 55002017-02-16349
Number of retired or separated participants receiving benefits2017-02-160
Number of other retired or separated participants entitled to future benefits2017-02-160
Total of all active and inactive participants2017-02-16349
2016: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2016 401k membership
Total participants, beginning-of-year2016-02-16331
Total number of active participants reported on line 7a of the Form 55002016-02-16331
Number of retired or separated participants receiving benefits2016-02-160
Number of other retired or separated participants entitled to future benefits2016-02-160
Total of all active and inactive participants2016-02-16331
2015: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2015 401k membership
Total participants, beginning-of-year2015-02-16278
Total number of active participants reported on line 7a of the Form 55002015-02-16306
Number of retired or separated participants receiving benefits2015-02-160
Number of other retired or separated participants entitled to future benefits2015-02-160
Total of all active and inactive participants2015-02-16306
2014: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2014 401k membership
Total participants, beginning-of-year2014-02-16208
Total number of active participants reported on line 7a of the Form 55002014-02-16268
Number of retired or separated participants receiving benefits2014-02-160
Number of other retired or separated participants entitled to future benefits2014-02-160
Total of all active and inactive participants2014-02-16268
2013: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2013 401k membership
Total participants, beginning-of-year2013-02-16220
Total number of active participants reported on line 7a of the Form 55002013-02-16210
Number of retired or separated participants receiving benefits2013-02-160
Number of other retired or separated participants entitled to future benefits2013-02-160
Total of all active and inactive participants2013-02-16210
2012: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2012 401k membership
Total participants, beginning-of-year2012-02-16214
Total number of active participants reported on line 7a of the Form 55002012-02-16220
Number of retired or separated participants receiving benefits2012-02-160
Number of other retired or separated participants entitled to future benefits2012-02-160
Total of all active and inactive participants2012-02-16220
2011: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2011 401k membership
Total participants, beginning-of-year2011-02-16205
Total number of active participants reported on line 7a of the Form 55002011-02-16213
Number of retired or separated participants receiving benefits2011-02-160
Number of other retired or separated participants entitled to future benefits2011-02-160
Total of all active and inactive participants2011-02-16213
Total participants2011-02-16213
2009: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2009 401k membership
Total participants, beginning-of-year2009-02-16208
Total number of active participants reported on line 7a of the Form 55002009-02-16193
Number of retired or separated participants receiving benefits2009-02-160
Number of other retired or separated participants entitled to future benefits2009-02-160
Total of all active and inactive participants2009-02-16193
Total participants2009-02-16193

Form 5500 Responses for MILLER WASTE MILLS INC GROUP 24 HOUR AD&D

2022: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2019 form 5500 responses
2019-02-16Type of plan entitySingle employer plan
2019-02-16Submission has been amendedNo
2019-02-16This submission is the final filingNo
2019-02-16This return/report is a short plan year return/report (less than 12 months)Yes
2019-02-16Plan is a collectively bargained planNo
2019-02-16Plan funding arrangement – InsuranceYes
2019-02-16Plan benefit arrangement – InsuranceYes
2018: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2018 form 5500 responses
2018-02-16Type of plan entitySingle employer plan
2018-02-16Submission has been amendedNo
2018-02-16This submission is the final filingNo
2018-02-16This return/report is a short plan year return/report (less than 12 months)No
2018-02-16Plan is a collectively bargained planNo
2018-02-16Plan funding arrangement – InsuranceYes
2018-02-16Plan benefit arrangement – InsuranceYes
2017: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2017 form 5500 responses
2017-02-16Type of plan entitySingle employer plan
2017-02-16Submission has been amendedNo
2017-02-16This submission is the final filingNo
2017-02-16This return/report is a short plan year return/report (less than 12 months)No
2017-02-16Plan is a collectively bargained planNo
2017-02-16Plan funding arrangement – InsuranceYes
2017-02-16Plan benefit arrangement – InsuranceYes
2016: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2016 form 5500 responses
2016-02-16Type of plan entitySingle employer plan
2016-02-16Submission has been amendedNo
2016-02-16This submission is the final filingNo
2016-02-16This return/report is a short plan year return/report (less than 12 months)No
2016-02-16Plan is a collectively bargained planNo
2016-02-16Plan funding arrangement – InsuranceYes
2016-02-16Plan benefit arrangement – InsuranceYes
2015: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2015 form 5500 responses
2015-02-16Type of plan entitySingle employer plan
2015-02-16Submission has been amendedNo
2015-02-16This submission is the final filingNo
2015-02-16This return/report is a short plan year return/report (less than 12 months)No
2015-02-16Plan is a collectively bargained planNo
2015-02-16Plan funding arrangement – InsuranceYes
2015-02-16Plan benefit arrangement – InsuranceYes
2014: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2014 form 5500 responses
2014-02-16Type of plan entitySingle employer plan
2014-02-16Submission has been amendedNo
2014-02-16This submission is the final filingNo
2014-02-16This return/report is a short plan year return/report (less than 12 months)No
2014-02-16Plan is a collectively bargained planNo
2014-02-16Plan funding arrangement – InsuranceYes
2014-02-16Plan benefit arrangement – InsuranceYes
2013: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2013 form 5500 responses
2013-02-16Type of plan entitySingle employer plan
2013-02-16Submission has been amendedNo
2013-02-16This submission is the final filingNo
2013-02-16This return/report is a short plan year return/report (less than 12 months)No
2013-02-16Plan is a collectively bargained planNo
2013-02-16Plan funding arrangement – InsuranceYes
2013-02-16Plan benefit arrangement – InsuranceYes
2012: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2012 form 5500 responses
2012-02-16Type of plan entitySingle employer plan
2012-02-16Submission has been amendedNo
2012-02-16This submission is the final filingNo
2012-02-16This return/report is a short plan year return/report (less than 12 months)No
2012-02-16Plan is a collectively bargained planNo
2012-02-16Plan funding arrangement – InsuranceYes
2012-02-16Plan benefit arrangement – InsuranceYes
2011: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2011 form 5500 responses
2011-02-16Type of plan entitySingle employer plan
2011-02-16Submission has been amendedNo
2011-02-16This submission is the final filingNo
2011-02-16This return/report is a short plan year return/report (less than 12 months)No
2011-02-16Plan is a collectively bargained planNo
2011-02-16Plan funding arrangement – InsuranceYes
2011-02-16Plan benefit arrangement – InsuranceYes
2009: MILLER WASTE MILLS INC GROUP 24 HOUR AD&D 2009 form 5500 responses
2009-02-16Type of plan entitySingle employer plan
2009-02-16Submission has been amendedYes
2009-02-16This submission is the final filingNo
2009-02-16This return/report is a short plan year return/report (less than 12 months)No
2009-02-16Plan is a collectively bargained planNo
2009-02-16Plan funding arrangement – InsuranceYes
2009-02-16Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered264
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $684
Total amount of fees paid to insurance companyUSD $134
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $5,950
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $684
Amount paid for insurance broker fees134
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered306
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $684
Total amount of fees paid to insurance companyUSD $225
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $5,950
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $684
Amount paid for insurance broker fees225
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered349
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,151
Total amount of fees paid to insurance companyUSD $225
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $10,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,151
Amount paid for insurance broker fees225
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered335
Insurance policy start date2019-02-16
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,501
Total amount of fees paid to insurance companyUSD $225
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $10,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,501
Amount paid for insurance broker fees225
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered325
Insurance policy start date2018-02-16
Insurance policy end date2019-02-15
Total amount of commissions paid to insurance brokerUSD $1,501
Total amount of fees paid to insurance companyUSD $183
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $10,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,501
Amount paid for insurance broker fees183
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered349
Insurance policy start date2017-02-16
Insurance policy end date2018-02-15
Total amount of commissions paid to insurance brokerUSD $1,218
Total amount of fees paid to insurance companyUSD $183
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $8,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,218
Amount paid for insurance broker fees183
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered268
Insurance policy start date2015-02-16
Insurance policy end date2016-02-15
Total amount of commissions paid to insurance brokerUSD $1,218
Total amount of fees paid to insurance companyUSD $146
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $8,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,218
Amount paid for insurance broker fees146
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered268
Insurance policy start date2014-02-16
Insurance policy end date2015-02-15
Total amount of commissions paid to insurance brokerUSD $976
Total amount of fees paid to insurance companyUSD $163
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $6,508
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $976
Amount paid for insurance broker fees163
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered210
Insurance policy start date2013-02-16
Insurance policy end date2014-02-15
Total amount of commissions paid to insurance brokerUSD $1,083
Total amount of fees paid to insurance companyUSD $146
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $7,221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,083
Amount paid for insurance broker fees146
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered220
Insurance policy start date2012-02-16
Insurance policy end date2013-02-15
Total amount of commissions paid to insurance brokerUSD $972
Total amount of fees paid to insurance companyUSD $146
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $6,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $972
Amount paid for insurance broker fees146
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered213
Insurance policy start date2011-03-16
Insurance policy end date2012-02-15
Total amount of commissions paid to insurance brokerUSD $971
Total amount of fees paid to insurance companyUSD $280
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $6,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberSR227468
Policy instance 1
Insurance contract or identification numberSR227468
Number of Individuals Covered183
Insurance policy start date2010-02-16
Insurance policy end date2011-02-15
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $5,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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