OASIS AHR, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MERIT RESOURCES, INC WELFARE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2022 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2022 401k financial data |
|---|
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-09-30 | $385,937 |
| Total income from all sources (including contributions) | 2022-09-30 | $113,646 |
| Total of all expenses incurred | 2022-09-30 | $724,755 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-09-30 | $109,286 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-09-30 | $113,646 |
| Value of total assets at end of year | 2022-09-30 | $0 |
| Value of total assets at beginning of year | 2022-09-30 | $997,046 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-09-30 | $615,469 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-09-30 | No |
| Was this plan covered by a fidelity bond | 2022-09-30 | Yes |
| Value of fidelity bond cover | 2022-09-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-09-30 | No |
| Contributions received from participants | 2022-09-30 | $113,646 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-09-30 | $111,372 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-09-30 | $385,937 |
| Administrative expenses (other) incurred | 2022-09-30 | $615,469 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-09-30 | No |
| Value of net income/loss | 2022-09-30 | $-611,109 |
| Value of net assets at end of year (total assets less liabilities) | 2022-09-30 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-09-30 | $611,109 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-09-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-09-30 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-09-30 | $246,155 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-09-30 | $246,155 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-09-30 | $109,286 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-09-30 | No |
| Contributions received in cash from employer | 2022-09-30 | $0 |
| Employer contributions (assets) at end of year | 2022-09-30 | $0 |
| Employer contributions (assets) at beginning of year | 2022-09-30 | $639,519 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-09-30 | No |
| Did the plan have assets held for investment | 2022-09-30 | 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 | 2022-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-09-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2022-09-30 | Unqualified |
| Accountancy firm name | 2022-09-30 | UHY, LLP |
| Accountancy firm EIN | 2022-09-30 | 200694403 |
| 2021 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-09-30 | $385,937 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-09-30 | $705,521 |
| Total income from all sources (including contributions) | 2021-09-30 | $50,478,173 |
| Total of all expenses incurred | 2021-09-30 | $50,782,754 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-09-30 | $49,271,168 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-09-30 | $50,478,173 |
| Value of total assets at end of year | 2021-09-30 | $997,046 |
| Value of total assets at beginning of year | 2021-09-30 | $1,621,211 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-09-30 | $1,511,586 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-09-30 | No |
| Administrative expenses professional fees incurred | 2021-09-30 | $25,200 |
| Was this plan covered by a fidelity bond | 2021-09-30 | Yes |
| Value of fidelity bond cover | 2021-09-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-09-30 | No |
| Contributions received from participants | 2021-09-30 | $18,223,551 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-09-30 | $111,372 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-09-30 | $106,372 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-09-30 | $385,937 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-09-30 | $373,412 |
| Administrative expenses (other) incurred | 2021-09-30 | $1,486,386 |
| Liabilities. Value of operating payables at end of year | 2021-09-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2021-09-30 | $332,109 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-09-30 | No |
| Value of net income/loss | 2021-09-30 | $-304,581 |
| Value of net assets at end of year (total assets less liabilities) | 2021-09-30 | $611,109 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-09-30 | $915,690 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-09-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-09-30 | $246,155 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-09-30 | $276,270 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-09-30 | $276,270 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-09-30 | $49,271,168 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-09-30 | No |
| Contributions received in cash from employer | 2021-09-30 | $32,254,622 |
| Employer contributions (assets) at end of year | 2021-09-30 | $639,519 |
| Employer contributions (assets) at beginning of year | 2021-09-30 | $1,226,574 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-09-30 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2021-09-30 | $0 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2021-09-30 | $11,995 |
| Did the plan have assets held for investment | 2021-09-30 | 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 | 2021-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-09-30 | Unqualified |
| Accountancy firm name | 2021-09-30 | UHY, LLP |
| Accountancy firm EIN | 2021-09-30 | 200694403 |
| 2020 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-09-30 | $705,521 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-09-30 | $428,741 |
| Total income from all sources (including contributions) | 2020-09-30 | $81,344,915 |
| Total of all expenses incurred | 2020-09-30 | $80,626,059 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-09-30 | $78,805,143 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-09-30 | $81,344,915 |
| Value of total assets at end of year | 2020-09-30 | $1,621,211 |
| Value of total assets at beginning of year | 2020-09-30 | $625,575 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-09-30 | $1,820,916 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-09-30 | No |
| Administrative expenses professional fees incurred | 2020-09-30 | $21,700 |
| Was this plan covered by a fidelity bond | 2020-09-30 | Yes |
| Value of fidelity bond cover | 2020-09-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2020-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-09-30 | No |
| Contributions received from participants | 2020-09-30 | $28,519,147 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-09-30 | $106,372 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-09-30 | $101,403 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-09-30 | $373,412 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-09-30 | $101,567 |
| Administrative expenses (other) incurred | 2020-09-30 | $1,799,216 |
| Liabilities. Value of operating payables at end of year | 2020-09-30 | $332,109 |
| Liabilities. Value of operating payables at beginning of year | 2020-09-30 | $327,174 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-09-30 | No |
| Value of net income/loss | 2020-09-30 | $718,856 |
| Value of net assets at end of year (total assets less liabilities) | 2020-09-30 | $915,690 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-09-30 | $196,834 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-09-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-09-30 | $276,270 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-09-30 | $414,633 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-09-30 | $414,633 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-09-30 | $78,805,143 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-09-30 | No |
| Contributions received in cash from employer | 2020-09-30 | $52,825,768 |
| Employer contributions (assets) at end of year | 2020-09-30 | $1,226,574 |
| Employer contributions (assets) at beginning of year | 2020-09-30 | $28,740 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-09-30 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-09-30 | $11,995 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-09-30 | $80,799 |
| Did the plan have assets held for investment | 2020-09-30 | 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 | 2020-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-09-30 | Unqualified |
| Accountancy firm name | 2020-09-30 | LWBJ, LLP |
| Accountancy firm EIN | 2020-09-30 | 421462849 |
| 2019 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-09-30 | $428,741 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-09-30 | $492,558 |
| Total income from all sources (including contributions) | 2019-09-30 | $70,919,847 |
| Total of all expenses incurred | 2019-09-30 | $72,152,490 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-09-30 | $69,237,603 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-09-30 | $70,919,847 |
| Value of total assets at end of year | 2019-09-30 | $625,575 |
| Value of total assets at beginning of year | 2019-09-30 | $1,922,035 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-09-30 | $2,914,887 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-09-30 | No |
| Administrative expenses professional fees incurred | 2019-09-30 | $16,000 |
| Was this plan covered by a fidelity bond | 2019-09-30 | Yes |
| Value of fidelity bond cover | 2019-09-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-09-30 | No |
| Contributions received from participants | 2019-09-30 | $24,709,195 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-09-30 | $101,403 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-09-30 | $149,980 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-09-30 | $101,567 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-09-30 | $247,510 |
| Administrative expenses (other) incurred | 2019-09-30 | $2,898,887 |
| Liabilities. Value of operating payables at end of year | 2019-09-30 | $327,174 |
| Liabilities. Value of operating payables at beginning of year | 2019-09-30 | $245,048 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-09-30 | No |
| Value of net income/loss | 2019-09-30 | $-1,232,643 |
| Value of net assets at end of year (total assets less liabilities) | 2019-09-30 | $196,834 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-09-30 | $1,429,477 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-09-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-09-30 | $414,633 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-09-30 | $69,237,603 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-09-30 | No |
| Contributions received in cash from employer | 2019-09-30 | $46,210,652 |
| Employer contributions (assets) at end of year | 2019-09-30 | $28,740 |
| Employer contributions (assets) at beginning of year | 2019-09-30 | $1,616,812 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-09-30 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2019-09-30 | $80,799 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2019-09-30 | $155,243 |
| Did the plan have assets held for investment | 2019-09-30 | 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 | 2019-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-09-30 | Unqualified |
| Accountancy firm name | 2019-09-30 | LWBJ, LLP |
| Accountancy firm EIN | 2019-09-30 | 421462849 |
| 2018 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-09-30 | $492,558 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-09-30 | $218,383 |
| Total income from all sources (including contributions) | 2018-09-30 | $55,573,818 |
| Total of all expenses incurred | 2018-09-30 | $54,944,664 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-09-30 | $51,836,603 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-09-30 | $55,573,818 |
| Value of total assets at end of year | 2018-09-30 | $1,922,035 |
| Value of total assets at beginning of year | 2018-09-30 | $1,018,706 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-09-30 | $3,108,061 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-09-30 | No |
| Administrative expenses professional fees incurred | 2018-09-30 | $10,498 |
| Was this plan covered by a fidelity bond | 2018-09-30 | Yes |
| Value of fidelity bond cover | 2018-09-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-09-30 | No |
| Contributions received from participants | 2018-09-30 | $20,394,833 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-09-30 | $149,980 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-09-30 | $84,097 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-09-30 | $247,510 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-09-30 | $173,856 |
| Administrative expenses (other) incurred | 2018-09-30 | $3,097,563 |
| Liabilities. Value of operating payables at end of year | 2018-09-30 | $245,048 |
| Liabilities. Value of operating payables at beginning of year | 2018-09-30 | $44,527 |
| Total non interest bearing cash at end of year | 2018-09-30 | $0 |
| Total non interest bearing cash at beginning of year | 2018-09-30 | $76,937 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-09-30 | No |
| Value of net income/loss | 2018-09-30 | $629,154 |
| Value of net assets at end of year (total assets less liabilities) | 2018-09-30 | $1,429,477 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-09-30 | $800,323 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-09-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-09-30 | $51,836,603 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-09-30 | No |
| Contributions received in cash from employer | 2018-09-30 | $35,178,985 |
| Employer contributions (assets) at end of year | 2018-09-30 | $1,616,812 |
| Employer contributions (assets) at beginning of year | 2018-09-30 | $624,855 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-09-30 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-09-30 | $155,243 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-09-30 | $232,817 |
| Did the plan have assets held for investment | 2018-09-30 | 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 | 2018-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-09-30 | Unqualified |
| Accountancy firm name | 2018-09-30 | LWBJ, LLP |
| Accountancy firm EIN | 2018-09-30 | 421462849 |
| 2017 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-09-30 | $218,383 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-09-30 | $397,542 |
| Total income from all sources (including contributions) | 2017-09-30 | $45,799,752 |
| Total of all expenses incurred | 2017-09-30 | $45,495,157 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-09-30 | $43,039,979 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-09-30 | $45,799,752 |
| Value of total assets at end of year | 2017-09-30 | $1,018,706 |
| Value of total assets at beginning of year | 2017-09-30 | $893,270 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-09-30 | $2,455,178 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-09-30 | No |
| Administrative expenses professional fees incurred | 2017-09-30 | $20,149 |
| Was this plan covered by a fidelity bond | 2017-09-30 | Yes |
| Value of fidelity bond cover | 2017-09-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-09-30 | No |
| Contributions received from participants | 2017-09-30 | $16,775,932 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-09-30 | $84,097 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-09-30 | $21,701 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-09-30 | $173,856 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-09-30 | $265,600 |
| Administrative expenses (other) incurred | 2017-09-30 | $2,435,029 |
| Liabilities. Value of operating payables at end of year | 2017-09-30 | $44,527 |
| Liabilities. Value of operating payables at beginning of year | 2017-09-30 | $131,942 |
| Total non interest bearing cash at end of year | 2017-09-30 | $76,937 |
| Total non interest bearing cash at beginning of year | 2017-09-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-09-30 | No |
| Value of net income/loss | 2017-09-30 | $304,595 |
| Value of net assets at end of year (total assets less liabilities) | 2017-09-30 | $800,323 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-09-30 | $495,728 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-09-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-09-30 | $43,039,979 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-09-30 | No |
| Contributions received in cash from employer | 2017-09-30 | $29,023,820 |
| Employer contributions (assets) at end of year | 2017-09-30 | $624,855 |
| Employer contributions (assets) at beginning of year | 2017-09-30 | $541,047 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-09-30 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-09-30 | $232,817 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-09-30 | $330,522 |
| Did the plan have assets held for investment | 2017-09-30 | 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 | 2017-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-09-30 | Unqualified |
| Accountancy firm name | 2017-09-30 | LWBJ, LLP |
| Accountancy firm EIN | 2017-09-30 | 421462849 |
| 2016 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-09-30 | $397,542 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-09-30 | $109,841 |
| Total income from all sources (including contributions) | 2016-09-30 | $36,726,477 |
| Total of all expenses incurred | 2016-09-30 | $36,432,362 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-09-30 | $34,259,760 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-09-30 | $36,726,477 |
| Value of total assets at end of year | 2016-09-30 | $893,270 |
| Value of total assets at beginning of year | 2016-09-30 | $311,454 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-09-30 | $2,172,602 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-09-30 | No |
| Administrative expenses professional fees incurred | 2016-09-30 | $17,214 |
| Was this plan covered by a fidelity bond | 2016-09-30 | Yes |
| Value of fidelity bond cover | 2016-09-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-09-30 | No |
| Contributions received from participants | 2016-09-30 | $13,078,483 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2016-09-30 | $283,082 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-09-30 | $21,701 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-09-30 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-09-30 | $265,600 |
| Administrative expenses (other) incurred | 2016-09-30 | $2,155,388 |
| Liabilities. Value of operating payables at end of year | 2016-09-30 | $131,942 |
| Liabilities. Value of operating payables at beginning of year | 2016-09-30 | $109,841 |
| Total non interest bearing cash at end of year | 2016-09-30 | $0 |
| Total non interest bearing cash at beginning of year | 2016-09-30 | $4,936 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-09-30 | No |
| Value of net income/loss | 2016-09-30 | $294,115 |
| Value of net assets at end of year (total assets less liabilities) | 2016-09-30 | $495,728 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-09-30 | $201,613 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-09-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-09-30 | $34,259,760 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-09-30 | No |
| Contributions received in cash from employer | 2016-09-30 | $23,364,912 |
| Employer contributions (assets) at end of year | 2016-09-30 | $541,047 |
| Employer contributions (assets) at beginning of year | 2016-09-30 | $60,711 |
| Liabilities. Value of benefit claims payable at end of year | 2016-09-30 | $0 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-09-30 | $330,522 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-09-30 | $245,807 |
| Did the plan have assets held for investment | 2016-09-30 | 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 | 2016-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-09-30 | Unqualified |
| Accountancy firm name | 2016-09-30 | BKD, LLP |
| Accountancy firm EIN | 2016-09-30 | 440160260 |
| 2015 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-09-30 | $109,841 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-09-30 | $475,301 |
| Total income from all sources (including contributions) | 2015-09-30 | $32,929,157 |
| Total of all expenses incurred | 2015-09-30 | $33,070,134 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-09-30 | $31,475,560 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-09-30 | $32,929,157 |
| Value of total assets at end of year | 2015-09-30 | $311,454 |
| Value of total assets at beginning of year | 2015-09-30 | $817,891 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-09-30 | $1,594,574 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-09-30 | No |
| Administrative expenses professional fees incurred | 2015-09-30 | $25,769 |
| Was this plan covered by a fidelity bond | 2015-09-30 | Yes |
| Value of fidelity bond cover | 2015-09-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-09-30 | No |
| Contributions received from participants | 2015-09-30 | $11,842,068 |
| Administrative expenses (other) incurred | 2015-09-30 | $1,568,805 |
| Liabilities. Value of operating payables at end of year | 2015-09-30 | $109,841 |
| Liabilities. Value of operating payables at beginning of year | 2015-09-30 | $475,301 |
| Total non interest bearing cash at end of year | 2015-09-30 | $4,936 |
| Total non interest bearing cash at beginning of year | 2015-09-30 | $37,440 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-09-30 | No |
| Value of net income/loss | 2015-09-30 | $-140,977 |
| Value of net assets at end of year (total assets less liabilities) | 2015-09-30 | $201,613 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-09-30 | $342,590 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-09-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-09-30 | $31,475,560 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-09-30 | No |
| Contributions received in cash from employer | 2015-09-30 | $21,087,089 |
| Employer contributions (assets) at end of year | 2015-09-30 | $60,711 |
| Employer contributions (assets) at beginning of year | 2015-09-30 | $721,195 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-09-30 | $245,807 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-09-30 | $59,256 |
| Did the plan have assets held for investment | 2015-09-30 | 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 | 2015-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-09-30 | Unqualified |
| Accountancy firm name | 2015-09-30 | KIESLING ASSOCIATES LLP |
| Accountancy firm EIN | 2015-09-30 | 390906430 |
| 2014 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-09-30 | $475,301 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-09-30 | $224,193 |
| Total income from all sources (including contributions) | 2014-09-30 | $35,591,632 |
| Total of all expenses incurred | 2014-09-30 | $35,606,979 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-09-30 | $34,028,858 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-09-30 | $35,591,632 |
| Value of total assets at end of year | 2014-09-30 | $817,891 |
| Value of total assets at beginning of year | 2014-09-30 | $582,130 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-09-30 | $1,578,121 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-09-30 | No |
| Administrative expenses professional fees incurred | 2014-09-30 | $51,613 |
| Was this plan covered by a fidelity bond | 2014-09-30 | Yes |
| Value of fidelity bond cover | 2014-09-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-09-30 | No |
| Contributions received from participants | 2014-09-30 | $13,240,373 |
| Administrative expenses (other) incurred | 2014-09-30 | $1,526,508 |
| Liabilities. Value of operating payables at end of year | 2014-09-30 | $475,301 |
| Liabilities. Value of operating payables at beginning of year | 2014-09-30 | $224,193 |
| Total non interest bearing cash at end of year | 2014-09-30 | $37,440 |
| Total non interest bearing cash at beginning of year | 2014-09-30 | $2,228 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-09-30 | No |
| Value of net income/loss | 2014-09-30 | $-15,347 |
| Value of net assets at end of year (total assets less liabilities) | 2014-09-30 | $342,590 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-09-30 | $357,937 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-09-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-09-30 | $34,028,858 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-09-30 | No |
| Contributions received in cash from employer | 2014-09-30 | $22,351,259 |
| Employer contributions (assets) at end of year | 2014-09-30 | $721,195 |
| Employer contributions (assets) at beginning of year | 2014-09-30 | $579,902 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-09-30 | $59,256 |
| Did the plan have assets held for investment | 2014-09-30 | 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 | 2014-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-09-30 | Unqualified |
| Accountancy firm name | 2014-09-30 | KIESLING ASSOCIATES LLP |
| Accountancy firm EIN | 2014-09-30 | 390906430 |
| 2013 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-09-30 | $224,193 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-09-30 | $179,420 |
| Total income from all sources (including contributions) | 2013-09-30 | $23,769,425 |
| Total of all expenses incurred | 2013-09-30 | $23,829,792 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-09-30 | $22,770,799 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-09-30 | $23,769,425 |
| Value of total assets at end of year | 2013-09-30 | $582,130 |
| Value of total assets at beginning of year | 2013-09-30 | $597,724 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-09-30 | $1,058,993 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-09-30 | No |
| Administrative expenses professional fees incurred | 2013-09-30 | $518,097 |
| Was this plan covered by a fidelity bond | 2013-09-30 | Yes |
| Value of fidelity bond cover | 2013-09-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-09-30 | No |
| Contributions received from participants | 2013-09-30 | $8,768,132 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-09-30 | $579,902 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-09-30 | $573,565 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-09-30 | $132,595 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-09-30 | $136,659 |
| Administrative expenses (other) incurred | 2013-09-30 | $540,896 |
| Liabilities. Value of operating payables at end of year | 2013-09-30 | $91,598 |
| Liabilities. Value of operating payables at beginning of year | 2013-09-30 | $42,761 |
| Total non interest bearing cash at end of year | 2013-09-30 | $2,228 |
| Total non interest bearing cash at beginning of year | 2013-09-30 | $24,159 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-09-30 | No |
| Value of net income/loss | 2013-09-30 | $-60,367 |
| Value of net assets at end of year (total assets less liabilities) | 2013-09-30 | $357,937 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-09-30 | $418,304 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-09-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-09-30 | $22,770,799 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-09-30 | No |
| Contributions received in cash from employer | 2013-09-30 | $15,001,293 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-09-30 | No |
| Did the plan have assets held for investment | 2013-09-30 | 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 | 2013-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-09-30 | Unqualified |
| Accountancy firm name | 2013-09-30 | LWBJ, LLP |
| Accountancy firm EIN | 2013-09-30 | 421462849 |
| 2012 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $179,420 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $240,493 |
| Total income from all sources (including contributions) | 2012-12-31 | $28,024,089 |
| Total of all expenses incurred | 2012-12-31 | $27,978,750 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $26,875,362 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $28,024,089 |
| Value of total assets at end of year | 2012-12-31 | $597,724 |
| Value of total assets at beginning of year | 2012-12-31 | $613,458 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $1,103,388 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Administrative expenses professional fees incurred | 2012-12-31 | $529,771 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $10,352,332 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $573,565 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $613,458 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $136,659 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $165,102 |
| Administrative expenses (other) incurred | 2012-12-31 | $573,617 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $42,761 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $75,391 |
| Total non interest bearing cash at end of year | 2012-12-31 | $24,159 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $45,339 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $418,304 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $372,965 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $26,875,362 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $17,671,757 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-12-31 | No |
| Did the plan have assets held for investment | 2012-12-31 | 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 | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | LWBJ, LLP |
| Accountancy firm EIN | 2012-12-31 | 421462849 |
| 2011 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $240,493 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $355,881 |
| Total income from all sources (including contributions) | 2011-12-31 | $27,845,359 |
| Total of all expenses incurred | 2011-12-31 | $27,549,252 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $26,571,479 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $27,845,359 |
| Value of total assets at end of year | 2011-12-31 | $613,458 |
| Value of total assets at beginning of year | 2011-12-31 | $432,739 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $977,773 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Administrative expenses professional fees incurred | 2011-12-31 | $254,947 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $9,706,643 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $613,458 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $407,255 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-12-31 | $165,102 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $279,102 |
| Administrative expenses (other) incurred | 2011-12-31 | $722,826 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $75,391 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $76,779 |
| Total non interest bearing cash at end of year | 2011-12-31 | $0 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $25,484 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $296,107 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $372,965 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $76,858 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $26,570,256 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $18,138,716 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $1,223 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
| Did the plan have assets held for investment | 2011-12-31 | 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 | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | LWBJ,LLP |
| Accountancy firm EIN | 2011-12-31 | 421462849 |
| 2010 : MERIT RESOURCES, INC WELFARE BENEFIT PLAN 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $355,881 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $275,391 |
| Total income from all sources (including contributions) | 2010-12-31 | $20,928,957 |
| Total of all expenses incurred | 2010-12-31 | $20,961,026 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $20,164,003 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $20,928,957 |
| Value of total assets at end of year | 2010-12-31 | $432,739 |
| Value of total assets at beginning of year | 2010-12-31 | $384,318 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $797,023 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Administrative expenses professional fees incurred | 2010-12-31 | $148,447 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $7,885,955 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $407,255 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $334,827 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $279,102 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $227,747 |
| Administrative expenses (other) incurred | 2010-12-31 | $648,576 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $76,779 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $47,644 |
| Total non interest bearing cash at end of year | 2010-12-31 | $25,484 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $49,491 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $-32,069 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $76,858 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $108,927 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $19,889,449 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $13,043,002 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $274,554 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-12-31 | No |
| Did the plan have assets held for investment | 2010-12-31 | 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 | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | LWBJ, LLP |
| Accountancy firm EIN | 2010-12-31 | 421462849 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0326390-0326390 |
| Policy instance | 2 |
| Insurance contract or identification number | 0326390-0326390 | | Number of Individuals Covered | 3337 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,636,365 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 ) |
| Policy contract number | 00032432 |
| Policy instance | 1 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 972 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,643,163 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-1003 |
| Policy instance | 3 |
| Insurance contract or identification number | 75000-1003 | | Number of Individuals Covered | 8778 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $116,728 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $615,001 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $61,436 | | Insurance broker organization code? | 3 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-03 |
| Policy instance | 4 |
| Insurance contract or identification number | 75000-03 | | Number of Individuals Covered | 1796 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $19,600 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $103,177 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,316 | | Insurance broker organization code? | 3 |
|
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | 0326390-HNO |
| Policy instance | 5 |
| Insurance contract or identification number | 0326390-HNO | | Number of Individuals Covered | 316 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $3,415,699 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 00032432 |
| Policy instance | 6 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 1909 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,306,178 | | 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 | 0326390-868624 |
| Policy instance | 7 |
| Insurance contract or identification number | 0326390-868624 | | Number of Individuals Covered | 963 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,626,943 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472008 |
| Policy instance | 8 |
| Insurance contract or identification number | 472008 | | Number of Individuals Covered | 834 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-10-01 | | Total amount of commissions paid to insurance broker | USD $11,348 | | Total amount of fees paid to insurance company | USD $3,152 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $252,172 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,348 | | Amount paid for insurance broker fees | 3152 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472009 |
| Policy instance | 9 |
| Insurance contract or identification number | 472009 | | Number of Individuals Covered | 8347 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-10-01 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $8,317 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $665,332 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 8317 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472010 |
| Policy instance | 10 |
| Insurance contract or identification number | 472010 | | Number of Individuals Covered | 16252 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-10-01 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $6,164 | | Other welfare benefits provided | FLEX ADD, FLEX LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $493,088 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 6164 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472007 |
| Policy instance | 11 |
| Insurance contract or identification number | 472007 | | Number of Individuals Covered | 3770 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-10-01 | | Total amount of commissions paid to insurance broker | USD $45,071 | | Total amount of fees paid to insurance company | USD $12,520 | | Other welfare benefits provided | SELECT SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $1,001,586 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45,071 | | Amount paid for insurance broker fees | 12520 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | 0326390-HNO |
| Policy instance | 6 |
| Insurance contract or identification number | 0326390-HNO | | Number of Individuals Covered | 332 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $3,083,095 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-03 |
| Policy instance | 5 |
| Insurance contract or identification number | 75000-03 | | Number of Individuals Covered | 2124 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $22,389 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $117,431 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,771 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) |
| Policy contract number | 35004 |
| Policy instance | 4 |
| Insurance contract or identification number | 35004 | | Number of Individuals Covered | 6851 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $228,623 | | Total amount of fees paid to insurance company | USD $9,970 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,544,225 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $228,623 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 9970 | | Additional information about fees paid to insurance broker | SALES AND PERSISTENCY BONUS |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-1003 |
| Policy instance | 3 |
| Insurance contract or identification number | 75000-1003 | | Number of Individuals Covered | 8653 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $111,109 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $583,166 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $58,458 | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0326390-0326390 |
| Policy instance | 2 |
| Insurance contract or identification number | 0326390-0326390 | | Number of Individuals Covered | 4829 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $32,417,850 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 ) |
| Policy contract number | 00032432 |
| Policy instance | 1 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 1100 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,867,471 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472007 |
| Policy instance | 12 |
| Insurance contract or identification number | 472007 | | Number of Individuals Covered | 3333 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-10-01 | | Total amount of commissions paid to insurance broker | USD $9,569 | | Total amount of fees paid to insurance company | USD $10,706 | | Other welfare benefits provided | SELECT SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $856,464 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,569 | | Amount paid for insurance broker fees | 10706 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 00032432 |
| Policy instance | 7 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 2033 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,902,654 | | 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 | 0326390-868624 |
| Policy instance | 8 |
| Insurance contract or identification number | 0326390-868624 | | Number of Individuals Covered | 50 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $287,012 | | 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 | 0326390-868624S |
| Policy instance | 15 |
| Insurance contract or identification number | 0326390-868624S | | Number of Individuals Covered | 42 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,716 | | 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 | 0326390 SHORT |
| Policy instance | 14 |
| Insurance contract or identification number | 0326390 SHORT | | Number of Individuals Covered | 4701 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,389,977 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | 0326390-HNO SHR |
| Policy instance | 13 |
| Insurance contract or identification number | 0326390-HNO SHR | | Number of Individuals Covered | 325 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $727,363 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472010 |
| Policy instance | 11 |
| Insurance contract or identification number | 472010 | | Number of Individuals Covered | 15057 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-10-01 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $15,259 | | Other welfare benefits provided | FLEX ADD, FLEX LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $1,216,078 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 15259 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472009 |
| Policy instance | 10 |
| Insurance contract or identification number | 472009 | | Number of Individuals Covered | 8037 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-10-01 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $7,797 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $623,777 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 7797 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472008 |
| Policy instance | 9 |
| Insurance contract or identification number | 472008 | | Number of Individuals Covered | 916 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-10-01 | | Total amount of commissions paid to insurance broker | USD $2,821 | | Total amount of fees paid to insurance company | USD $3,135 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $250,779 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,821 | | Amount paid for insurance broker fees | 3135 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472010 |
| Policy instance | 11 |
| Insurance contract or identification number | 472010 | | Number of Individuals Covered | 16249 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-10-01 | | Total amount of commissions paid to insurance broker | USD $118,955 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | FLEX ADD, FLEX LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $1,291,895 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $118,955 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472009 |
| Policy instance | 10 |
| Insurance contract or identification number | 472009 | | Number of Individuals Covered | 9042 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-10-01 | | Total amount of commissions paid to insurance broker | USD $54,179 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $647,440 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $54,179 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472008 |
| Policy instance | 9 |
| Insurance contract or identification number | 472008 | | Number of Individuals Covered | 892 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-10-01 | | Total amount of commissions paid to insurance broker | USD $23,758 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SELECT SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $257,943 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,758 | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0326390-868624 |
| Policy instance | 8 |
| Insurance contract or identification number | 0326390-868624 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $305,968 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 00032432 |
| Policy instance | 7 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 2075 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,374,812 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | 0326390-HNO |
| Policy instance | 6 |
| Insurance contract or identification number | 0326390-HNO | | Number of Individuals Covered | 269 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $2,135,284 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-03 |
| Policy instance | 5 |
| Insurance contract or identification number | 75000-03 | | Number of Individuals Covered | 1948 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $25,784 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $122,662 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,506 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) |
| Policy contract number | 35004 |
| Policy instance | 4 |
| Insurance contract or identification number | 35004 | | Number of Individuals Covered | 10881 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $237,100 | | Total amount of fees paid to insurance company | USD $11,146 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,769,509 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $237,100 | | Amount paid for insurance broker fees | 11146 | | Additional information about fees paid to insurance broker | SALES AND PERSISTENCY BONUS | | Insurance broker organization code? | 3 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-03 |
| Policy instance | 3 |
| Insurance contract or identification number | 75000-03 | | Number of Individuals Covered | 8904 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $134,551 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $638,942 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $70,479 | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0326390-0326390 |
| Policy instance | 2 |
| Insurance contract or identification number | 0326390-0326390 | | Number of Individuals Covered | 6288 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $34,643,848 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 ) |
| Policy contract number | 00032432 |
| Policy instance | 1 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 1299 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,917,926 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-03 |
| Policy instance | 5 |
| Insurance contract or identification number | 75000-03 | | Number of Individuals Covered | 2171 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $26,124 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $114,249 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,684 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) |
| Policy contract number | 35004 |
| Policy instance | 4 |
| Insurance contract or identification number | 35004 | | Number of Individuals Covered | 7949 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $221,753 | | Total amount of fees paid to insurance company | USD $10,706 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,681,177 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $221,753 | | Amount paid for insurance broker fees | 10706 | | Additional information about fees paid to insurance broker | SALES AND PERSISTENCY BONUS | | Insurance broker organization code? | 3 |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-03 |
| Policy instance | 3 |
| Insurance contract or identification number | 75000-03 | | Number of Individuals Covered | 9108 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $120,276 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $574,956 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $63,002 | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0326390-0326390 |
| Policy instance | 2 |
| Insurance contract or identification number | 0326390-0326390 | | Number of Individuals Covered | 6086 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,124,482 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 ) |
| Policy contract number | 00032432 |
| Policy instance | 1 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 1481 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,950,144 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | 0326390-HNO |
| Policy instance | 6 |
| Insurance contract or identification number | 0326390-HNO | | Number of Individuals Covered | 261 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $2,264,125 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 00032432 |
| Policy instance | 7 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 1979 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,695,304 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472010 |
| Policy instance | 12 |
| Insurance contract or identification number | 472010 | | Number of Individuals Covered | 16885 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-10-01 | | Total amount of commissions paid to insurance broker | USD $103,564 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | FLEX ADD, FLEX LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $1,136,458 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $103,564 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472009 |
| Policy instance | 11 |
| Insurance contract or identification number | 472009 | | Number of Individuals Covered | 3392 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-10-01 | | Total amount of commissions paid to insurance broker | USD $55,345 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $553,452 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $55,345 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472008 |
| Policy instance | 10 |
| Insurance contract or identification number | 472008 | | Number of Individuals Covered | 1171 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-10-01 | | Total amount of commissions paid to insurance broker | USD $26,284 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $283,192 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,284 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472007 |
| Policy instance | 9 |
| Insurance contract or identification number | 472007 | | Number of Individuals Covered | 1317 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-10-01 | | Total amount of commissions paid to insurance broker | USD $66,035 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SELECT SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $660,345 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $66,035 | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0326390-868624 |
| Policy instance | 8 |
| Insurance contract or identification number | 0326390-868624 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $276,820 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 ) |
| Policy contract number | 00032432 |
| Policy instance | 1 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 1473 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,585,044 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-1003 |
| Policy instance | 3 |
| Insurance contract or identification number | 75000-1003 | | Number of Individuals Covered | 6551 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $92,116 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $401,698 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) |
| Policy contract number | 35004 |
| Policy instance | 4 |
| Insurance contract or identification number | 35004 | | Number of Individuals Covered | 5444 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $167,575 | | Total amount of fees paid to insurance company | USD $14,620 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,634,159 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 75000-03 |
| Policy instance | 5 |
| Insurance contract or identification number | 75000-03 | | Number of Individuals Covered | 1954 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $21,437 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $123,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) |
| Policy contract number | 0326390-HNO |
| Policy instance | 6 |
| Insurance contract or identification number | 0326390-HNO | | Number of Individuals Covered | 208 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,170,515 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) |
| Policy contract number | 00032432 |
| Policy instance | 7 |
| Insurance contract or identification number | 00032432 | | Number of Individuals Covered | 1552 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,915,890 | | 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 | 0326390-868624 |
| Policy instance | 8 |
| Insurance contract or identification number | 0326390-868624 | | Number of Individuals Covered | 45 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $89,718 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472007 |
| Policy instance | 9 |
| Insurance contract or identification number | 472007 | | Number of Individuals Covered | 846 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-10-01 | | Total amount of commissions paid to insurance broker | USD $32,997 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SELECT SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $329,972 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472008 |
| Policy instance | 10 |
| Insurance contract or identification number | 472008 | | Number of Individuals Covered | 1042 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-10-01 | | Total amount of commissions paid to insurance broker | USD $20,492 | | Total amount of fees paid to insurance company | USD $4,098 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $204,922 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472010 |
| Policy instance | 12 |
| Insurance contract or identification number | 472010 | | Number of Individuals Covered | 11908 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-10-01 | | Total amount of commissions paid to insurance broker | USD $75,044 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | FLEX ADD, FLEX LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $750,436 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 472009 |
| Policy instance | 11 |
| Insurance contract or identification number | 472009 | | Number of Individuals Covered | 3142 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-10-01 | | Total amount of commissions paid to insurance broker | USD $45,047 | | Total amount of fees paid to insurance company | USD $9,009 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $450,475 | | 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 | 0326390-0326390 |
| Policy instance | 2 |
| Insurance contract or identification number | 0326390-0326390 | | Number of Individuals Covered | 3168 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,201,008 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
