Logo

FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 401k Plan overview

Plan NameFIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN
Plan identification number 501

FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    FIRST COMMUNITY CREDIT UNION has sponsored the creation of one or more 401k plans.

    Company Name:FIRST COMMUNITY CREDIT UNION
    Employer identification number (EIN):430687711
    NAIC Classification:522130
    NAIC Description:Credit Unions

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5012020-09-01KRISTIN BLAND2022-05-17
    5012019-09-01KRISTIN BLAND2021-03-17
    5012018-09-01KRISTIN BLAND2020-01-31
    5012017-09-01
    5012016-09-01
    5012015-09-01
    5012014-09-01KRISTEN BLAND KRISTEN BLAND2016-02-17
    5012013-09-01ANN KLUGESHERZ
    5012012-09-01ANN KLUGESHERZ
    5012011-09-01ANN KLUGESHERZ
    5012010-09-01ANN KLUGESHERZ
    5012009-09-01ANN KLUGESHERZ

    Plan Statistics for FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN

    401k plan membership statisitcs for FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN

    Measure Date Value
    2020: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2020 401k membership
    Total participants, beginning-of-year2020-09-01587
    Total number of active participants reported on line 7a of the Form 55002020-09-01613
    Number of retired or separated participants receiving benefits2020-09-0135
    Number of other retired or separated participants entitled to future benefits2020-09-0115
    Total of all active and inactive participants2020-09-01663
    Number of employers contributing to the scheme2020-09-010
    2019: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2019 401k membership
    Total participants, beginning-of-year2019-09-01578
    Total number of active participants reported on line 7a of the Form 55002019-09-01587
    Number of retired or separated participants receiving benefits2019-09-010
    Number of other retired or separated participants entitled to future benefits2019-09-010
    Total of all active and inactive participants2019-09-01587
    Number of employers contributing to the scheme2019-09-010
    2018: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2018 401k membership
    Total participants, beginning-of-year2018-09-01545
    Total number of active participants reported on line 7a of the Form 55002018-09-01578
    Number of retired or separated participants receiving benefits2018-09-010
    Number of other retired or separated participants entitled to future benefits2018-09-010
    Total of all active and inactive participants2018-09-01578
    Number of employers contributing to the scheme2018-09-010
    2017: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2017 401k membership
    Total participants, beginning-of-year2017-09-01531
    Total number of active participants reported on line 7a of the Form 55002017-09-01545
    Number of retired or separated participants receiving benefits2017-09-011
    Number of other retired or separated participants entitled to future benefits2017-09-010
    Total of all active and inactive participants2017-09-01546
    Number of employers contributing to the scheme2017-09-010
    2016: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2016 401k membership
    Total participants, beginning-of-year2016-09-01518
    Total number of active participants reported on line 7a of the Form 55002016-09-01531
    Number of retired or separated participants receiving benefits2016-09-010
    Number of other retired or separated participants entitled to future benefits2016-09-010
    Total of all active and inactive participants2016-09-01531
    2015: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2015 401k membership
    Total participants, beginning-of-year2015-09-01635
    Total number of active participants reported on line 7a of the Form 55002015-09-01661
    Total of all active and inactive participants2015-09-01661
    2014: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2014 401k membership
    Total participants, beginning-of-year2014-09-01580
    Total number of active participants reported on line 7a of the Form 55002014-09-01635
    Total of all active and inactive participants2014-09-01635
    Total participants2014-09-01635
    2013: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2013 401k membership
    Total participants, beginning-of-year2013-09-01414
    Total number of active participants reported on line 7a of the Form 55002013-09-01580
    Total of all active and inactive participants2013-09-01580
    Total participants2013-09-010
    2012: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2012 401k membership
    Total participants, beginning-of-year2012-09-01412
    Total number of active participants reported on line 7a of the Form 55002012-09-01414
    Total of all active and inactive participants2012-09-01414
    Total participants2012-09-010
    2011: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2011 401k membership
    Total participants, beginning-of-year2011-09-01412
    Total number of active participants reported on line 7a of the Form 55002011-09-01412
    Total of all active and inactive participants2011-09-01412
    Total participants2011-09-01412
    2010: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2010 401k membership
    Total participants, beginning-of-year2010-09-01450
    Total number of active participants reported on line 7a of the Form 55002010-09-01412
    Total of all active and inactive participants2010-09-01412
    Total participants2010-09-01412
    2009: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2009 401k membership
    Total participants, beginning-of-year2009-09-01386
    Total number of active participants reported on line 7a of the Form 55002009-09-01450
    Total of all active and inactive participants2009-09-01450
    Total participants2009-09-01450

    Form 5500 Responses for FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN

    2020: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2020 form 5500 responses
    2020-09-01Type of plan entitySingle employer plan
    2020-09-01Plan funding arrangement – InsuranceYes
    2020-09-01Plan benefit arrangement – InsuranceYes
    2019: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2019 form 5500 responses
    2019-09-01Type of plan entitySingle employer plan
    2019-09-01Plan funding arrangement – InsuranceYes
    2019-09-01Plan benefit arrangement – InsuranceYes
    2018: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2018 form 5500 responses
    2018-09-01Type of plan entitySingle employer plan
    2018-09-01Plan funding arrangement – InsuranceYes
    2018-09-01Plan benefit arrangement – InsuranceYes
    2017: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2017 form 5500 responses
    2017-09-01Type of plan entitySingle employer plan
    2017-09-01Plan funding arrangement – InsuranceYes
    2017-09-01Plan benefit arrangement – InsuranceYes
    2016: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2016 form 5500 responses
    2016-09-01Type of plan entitySingle employer plan
    2016-09-01Submission has been amendedNo
    2016-09-01This submission is the final filingNo
    2016-09-01This return/report is a short plan year return/report (less than 12 months)No
    2016-09-01Plan is a collectively bargained planNo
    2016-09-01Plan funding arrangement – InsuranceYes
    2016-09-01Plan benefit arrangement – InsuranceYes
    2015: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2015 form 5500 responses
    2015-09-01Type of plan entitySingle employer plan
    2015-09-01Plan funding arrangement – InsuranceYes
    2015-09-01Plan benefit arrangement – InsuranceYes
    2014: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2014 form 5500 responses
    2014-09-01Type of plan entitySingle employer plan
    2014-09-01Submission has been amendedNo
    2014-09-01This submission is the final filingNo
    2014-09-01This return/report is a short plan year return/report (less than 12 months)No
    2014-09-01Plan is a collectively bargained planNo
    2014-09-01Plan funding arrangement – InsuranceYes
    2014-09-01Plan benefit arrangement – InsuranceYes
    2013: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2013 form 5500 responses
    2013-09-01Type of plan entitySingle employer plan
    2013-09-01Plan funding arrangement – InsuranceYes
    2013-09-01Plan benefit arrangement – InsuranceYes
    2012: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2012 form 5500 responses
    2012-09-01Type of plan entitySingle employer plan
    2012-09-01Plan funding arrangement – InsuranceYes
    2012-09-01Plan benefit arrangement – InsuranceYes
    2011: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2011 form 5500 responses
    2011-09-01Type of plan entitySingle employer plan
    2011-09-01Plan funding arrangement – InsuranceYes
    2011-09-01Plan benefit arrangement – InsuranceYes
    2010: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2010 form 5500 responses
    2010-09-01Type of plan entitySingle employer plan
    2010-09-01Submission has been amendedYes
    2010-09-01Plan funding arrangement – InsuranceYes
    2010-09-01Plan benefit arrangement – InsuranceYes
    2009: FIRST COMMUNITY CREDIT UNION HEALTH INSURANCE PLAN 2009 form 5500 responses
    2009-09-01Type of plan entitySingle employer plan
    2009-09-01Plan funding arrangement – InsuranceYes
    2009-09-01Plan benefit arrangement – InsuranceYes

    Insurance Providers Used on plan

    THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
    Policy contract number10255360
    Policy instance 4
    Insurance contract or identification number10255360
    Number of Individuals Covered613
    Insurance policy start date2020-09-01
    Insurance policy end date2021-08-31
    Total amount of commissions paid to insurance brokerUSD $38,346
    Total amount of fees paid to insurance companyUSD $10,244
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitYes
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    Welfare Benefit Premiums Paid to CarrierUSD $250,414
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $38,346
    Amount paid for insurance broker fees10244
    Additional information about fees paid to insurance brokerBROKER BONUS
    Insurance broker organization code?3
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 3
    Insurance contract or identification number30029458
    Number of Individuals Covered406
    Insurance policy start date2020-09-01
    Insurance policy end date2021-08-31
    Total amount of commissions paid to insurance brokerUSD $1,773
    Total amount of fees paid to insurance companyUSD $0
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $45,662
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $1,773
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
    Policy contract number19882000
    Policy instance 2
    Insurance contract or identification number19882000
    Number of Individuals Covered881
    Insurance policy start date2020-09-01
    Insurance policy end date2021-08-31
    Total amount of commissions paid to insurance brokerUSD $15,129
    Total amount of fees paid to insurance companyUSD $740
    Dental Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $279,046
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $15,129
    Amount paid for insurance broker fees740
    Additional information about fees paid to insurance brokerBROKER BONUS
    Insurance broker organization code?3
    HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
    Policy contract numberW61428
    Policy instance 1
    Insurance contract or identification numberW61428
    Number of Individuals Covered799
    Insurance policy start date2020-09-01
    Insurance policy end date2021-08-31
    Total amount of commissions paid to insurance brokerUSD $97,319
    Total amount of fees paid to insurance companyUSD $0
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $3,934,842
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $97,319
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
    Policy contract number10255360
    Policy instance 4
    Insurance contract or identification number10255360
    Number of Individuals Covered587
    Insurance policy start date2019-09-01
    Insurance policy end date2020-08-31
    Total amount of commissions paid to insurance brokerUSD $36,041
    Total amount of fees paid to insurance companyUSD $10,107
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitYes
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    Welfare Benefit Premiums Paid to CarrierUSD $235,402
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $36,041
    Amount paid for insurance broker fees10107
    Additional information about fees paid to insurance brokerBROKER BONUS
    Insurance broker organization code?3
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 3
    Insurance contract or identification number30029458
    Number of Individuals Covered376
    Insurance policy start date2019-09-01
    Insurance policy end date2020-08-31
    Total amount of commissions paid to insurance brokerUSD $464
    Total amount of fees paid to insurance companyUSD $0
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $43,041
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $464
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
    Policy contract number19882000
    Policy instance 2
    Insurance contract or identification number19882000
    Number of Individuals Covered828
    Insurance policy start date2019-09-01
    Insurance policy end date2020-08-31
    Total amount of commissions paid to insurance brokerUSD $14,490
    Total amount of fees paid to insurance companyUSD $0
    Dental Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $291,586
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $14,490
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
    Policy contract number254058
    Policy instance 1
    Insurance contract or identification number254058
    Number of Individuals Covered751
    Insurance policy start date2019-09-01
    Insurance policy end date2020-08-31
    Total amount of commissions paid to insurance brokerUSD $78,167
    Total amount of fees paid to insurance companyUSD $8,730
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $3,389,390
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $78,167
    Amount paid for insurance broker fees8730
    Additional information about fees paid to insurance brokerFEES
    Insurance broker organization code?3
    HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
    Policy contract number874612G
    Policy instance 4
    Insurance contract or identification number874612G
    Number of Individuals Covered578
    Insurance policy start date2018-09-01
    Insurance policy end date2019-08-31
    Total amount of commissions paid to insurance brokerUSD $22,559
    Total amount of fees paid to insurance companyUSD $0
    Life Insurance Welfare BenefitYes
    Long Term Disability Insurance Welfare BenefitYes
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    Welfare Benefit Premiums Paid to CarrierUSD $225,686
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $22,559
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
    Policy contract number254058
    Policy instance 1
    Insurance contract or identification number254058
    Number of Individuals Covered715
    Insurance policy start date2018-09-01
    Insurance policy end date2019-08-31
    Total amount of commissions paid to insurance brokerUSD $69,949
    Total amount of fees paid to insurance companyUSD $10,206
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $3,055,279
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $69,949
    Amount paid for insurance broker fees10206
    Additional information about fees paid to insurance brokerFEES
    Insurance broker organization code?3
    DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
    Policy contract number19882000
    Policy instance 2
    Insurance contract or identification number19882000
    Number of Individuals Covered800
    Insurance policy start date2018-09-01
    Insurance policy end date2019-08-31
    Total amount of commissions paid to insurance brokerUSD $12,790
    Total amount of fees paid to insurance companyUSD $739
    Dental Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $302,869
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $12,790
    Amount paid for insurance broker fees739
    Additional information about fees paid to insurance brokerBROKER BONUS
    Insurance broker organization code?3
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 3
    Insurance contract or identification number30029458
    Number of Individuals Covered351
    Insurance policy start date2018-09-01
    Insurance policy end date2019-08-31
    Total amount of commissions paid to insurance brokerUSD $1,647
    Total amount of fees paid to insurance companyUSD $0
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $38,876
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $1,647
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
    Policy contract number874612G
    Policy instance 4
    Insurance contract or identification number874612G
    Number of Individuals Covered550
    Insurance policy start date2017-09-01
    Insurance policy end date2018-08-31
    Total amount of commissions paid to insurance brokerUSD $20,288
    Total amount of fees paid to insurance companyUSD $1,000
    Life Insurance Welfare BenefitYes
    Long Term Disability Insurance Welfare BenefitYes
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    Welfare Benefit Premiums Paid to CarrierUSD $204,463
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $20,287
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    Additional information about fees paid to insurance brokerBONUS
    Insurance broker nameHOLMES MURPHY AND ASSOCIATES, INC.
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 3
    Insurance contract or identification number30029458
    Number of Individuals Covered318
    Insurance policy start date2017-09-01
    Insurance policy end date2018-08-31
    Total amount of commissions paid to insurance brokerUSD $1,469
    Total amount of fees paid to insurance companyUSD $0
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $34,757
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $1,469
    Amount paid for insurance broker fees0
    Insurance broker organization code?3
    Insurance broker nameUSI INSURANCE SERVICES LLC
    UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
    Policy contract number908849
    Policy instance 1
    Insurance contract or identification number908849
    Number of Individuals Covered690
    Insurance policy start date2017-09-01
    Insurance policy end date2018-08-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $70,402
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $2,816,100
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $0
    Amount paid for insurance broker fees70402
    Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
    Insurance broker organization code?3
    Insurance broker nameUSI INSURANCE SERVICES LLC
    DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
    Policy contract number19882000
    Policy instance 2
    Insurance contract or identification number19882000
    Number of Individuals Covered759
    Insurance policy start date2017-09-01
    Insurance policy end date2018-08-31
    Total amount of commissions paid to insurance brokerUSD $11,969
    Total amount of fees paid to insurance companyUSD $3,381
    Dental Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $262,257
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $11,969
    Amount paid for insurance broker fees3381
    Additional information about fees paid to insurance brokerBROKER BONUS
    Insurance broker organization code?3
    Insurance broker nameUSI INSURANCE SERVICES LLC
    HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
    Policy contract number00172963
    Policy instance 2
    Insurance contract or identification number00172963
    Number of Individuals Covered581
    Insurance policy start date2015-09-01
    Insurance policy end date2016-08-31
    Total amount of commissions paid to insurance brokerUSD $52,409
    Total amount of fees paid to insurance companyUSD $0
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $2,594,084
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $52,421
    Insurance broker organization code?3
    Insurance broker nameHOLMES-MURPHY & ASSOC
    HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
    Policy contract number874612G
    Policy instance 4
    Insurance contract or identification number874612G
    Number of Individuals Covered1004
    Insurance policy start date2015-09-01
    Insurance policy end date2016-08-31
    Total amount of commissions paid to insurance brokerUSD $13,902
    Total amount of fees paid to insurance companyUSD $481
    Life Insurance Welfare BenefitYes
    Long Term Disability Insurance Welfare BenefitYes
    Other welfare benefits providedADDE-BAS & SUPP, LIFE S DEP,
    Welfare Benefit Premiums Paid to CarrierUSD $132,136
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $13,898
    Amount paid for insurance broker fees481
    Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
    Insurance broker organization code?3
    Insurance broker nameHOLMES MURPHY & ASSOCIATES
    DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
    Policy contract number19881000
    Policy instance 1
    Insurance contract or identification number19881000
    Number of Individuals Covered661
    Insurance policy start date2015-09-01
    Insurance policy end date2016-08-31
    Total amount of commissions paid to insurance brokerUSD $11,374
    Total amount of fees paid to insurance companyUSD $864
    Dental Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $230,676
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $11,374
    Amount paid for insurance broker fees864
    Additional information about fees paid to insurance brokerBROKER BONUS
    Insurance broker organization code?3
    Insurance broker nameUSI INSURANCE SERVICES, LLC
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 3
    Insurance contract or identification number30029458
    Number of Individuals Covered258
    Insurance policy start date2015-09-01
    Insurance policy end date2016-08-31
    Total amount of commissions paid to insurance brokerUSD $1,265
    Total amount of fees paid to insurance companyUSD $0
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $24,528
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $1,265
    Insurance broker organization code?3
    Insurance broker nameUSI INSURANCE SERVICES, LLC
    HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
    Policy contract number00172963
    Policy instance 1
    Insurance contract or identification number00172963
    Number of Individuals Covered529
    Insurance policy start date2014-09-01
    Insurance policy end date2015-08-31
    Total amount of commissions paid to insurance brokerUSD $49,748
    Total amount of fees paid to insurance companyUSD $7,163
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $2,382,466
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $16,896
    Insurance broker organization code?3
    Amount paid for insurance broker fees7163
    Additional information about fees paid to insurance brokerBONUS INCENTIVE
    Insurance broker nameHOLMES MURPHY & ASSOCIATES
    HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
    Policy contract number874612G
    Policy instance 4
    Insurance contract or identification number874612G
    Number of Individuals Covered475
    Insurance policy start date2014-09-01
    Insurance policy end date2015-08-31
    Total amount of commissions paid to insurance brokerUSD $11,408
    Total amount of fees paid to insurance companyUSD $2,990
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitYes
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedADD-BAS & SUPP, LIFE S DEP
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $133,458
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,135
    Insurance broker organization code?3
    Amount paid for insurance broker fees2990
    Additional information about fees paid to insurance brokerBONUS
    Insurance broker nameHOLMES MURPHY & ASSOCIATES
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 3
    Insurance contract or identification number30029458
    Number of Individuals Covered220
    Insurance policy start date2014-09-01
    Insurance policy end date2015-08-31
    Total amount of commissions paid to insurance brokerUSD $704
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitYes
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $18,105
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $704
    Insurance broker organization code?3
    Insurance broker nameUSI MIDWEST
    DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
    Policy contract number19881000
    Policy instance 2
    Insurance contract or identification number19881000
    Number of Individuals Covered635
    Insurance policy start date2014-09-01
    Insurance policy end date2015-08-31
    Total amount of commissions paid to insurance brokerUSD $8,227
    Total amount of fees paid to insurance companyUSD $886
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitYes
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Welfare Benefit Premiums Paid to CarrierUSD $165,771
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $5,300
    Amount paid for insurance broker fees886
    Additional information about fees paid to insurance brokerBROKER BONUS
    Insurance broker organization code?3
    Insurance broker nameHOLMES MURPHY & ASSOCIATES
    DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
    Policy contract number19881000
    Policy instance 4
    Insurance contract or identification number19881000
    Number of Individuals Covered580
    Insurance policy start date2014-01-01
    Insurance policy end date2014-08-31
    Total amount of commissions paid to insurance brokerUSD $5,306
    Dental Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $116,283
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $5,306
    Insurance broker nameHOLMES MURPHY & ASSOCIATES, INC.
    UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
    Policy contract number712524
    Policy instance 2
    Insurance contract or identification number712524
    Number of Individuals Covered489
    Insurance policy start date2013-09-01
    Insurance policy end date2014-08-31
    Total amount of commissions paid to insurance brokerUSD $-5
    Total amount of fees paid to insurance companyUSD $49,429
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $2,227,396
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $-5
    Amount paid for insurance broker fees49429
    Insurance broker organization code?3
    Additional information about fees paid to insurance brokerBONUS
    Insurance broker nameHOLMES MURPHY & ASSOCIATES
    HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
    Policy contract number553879
    Policy instance 1
    Insurance contract or identification number553879
    Number of Individuals Covered434
    Insurance policy start date2013-09-01
    Insurance policy end date2014-08-31
    Total amount of commissions paid to insurance brokerUSD $2,647
    Dental Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $2,647
    Additional information about fees paid to insurance brokerVOLUME INCENTIVES PAID
    Insurance broker organization code?3
    Insurance broker nameHOLMES MURPHY AND ASSOC
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 3
    Insurance contract or identification number30029458
    Number of Individuals Covered121
    Insurance policy start date2013-09-01
    Insurance policy end date2014-08-31
    Total amount of commissions paid to insurance brokerUSD $826
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $11,613
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $826
    Insurance broker nameHOLMES MURPHY & ASSOCIATES, INC.
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 1
    Insurance contract or identification number30029458
    Number of Individuals Covered102
    Insurance policy start date2012-09-01
    Insurance policy end date2013-08-31
    Total amount of commissions paid to insurance brokerUSD $759
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $8,607
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $759
    Insurance broker nameHOLMES MURPHY & ASSOCIATES, INC.
    HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
    Policy contract number553879
    Policy instance 3
    Insurance contract or identification number553879
    Number of Individuals Covered414
    Insurance policy start date2012-09-01
    Insurance policy end date2013-08-31
    Total amount of commissions paid to insurance brokerUSD $8,890
    Total amount of fees paid to insurance companyUSD $843
    Dental Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $140,201
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $8,890
    Amount paid for insurance broker fees843
    Additional information about fees paid to insurance brokerVOLUME INCENTIVES PAID
    Insurance broker organization code?3
    Insurance broker nameHOLMES MURPHY AND ASSOC
    UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
    Policy contract number712524
    Policy instance 2
    Insurance contract or identification number712524
    Number of Individuals Covered412
    Insurance policy start date2012-09-01
    Insurance policy end date2013-08-31
    Total amount of commissions paid to insurance brokerUSD $38,806
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $2,135,588
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $38,806
    Insurance broker organization code?3
    Insurance broker nameHOLMES-MURPHY & ASSOC
    HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
    Policy contract number553879
    Policy instance 3
    Insurance contract or identification number553879
    Number of Individuals Covered386
    Insurance policy start date2011-09-01
    Insurance policy end date2012-08-31
    Total amount of commissions paid to insurance brokerUSD $11,180
    Total amount of fees paid to insurance companyUSD $567
    Dental Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
    Policy contract number712524
    Policy instance 2
    Insurance contract or identification number712524
    Number of Individuals Covered412
    Insurance policy start date2011-09-01
    Insurance policy end date2012-08-31
    Total amount of commissions paid to insurance brokerUSD $40,426
    Total amount of fees paid to insurance companyUSD $10,093
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $1,870,093
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
    Policy contract number30029458
    Policy instance 1
    Insurance contract or identification number30029458
    Number of Individuals Covered55
    Insurance policy start date2012-01-01
    Insurance policy end date2012-08-31
    Total amount of commissions paid to insurance brokerUSD $342
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $3,423
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
    Policy contract number553879
    Policy instance 3
    Insurance contract or identification number553879
    Number of Individuals Covered365
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $3,741
    Total amount of fees paid to insurance companyUSD $1,029
    Dental Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $147,615
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
    Policy contract number553879
    Policy instance 2
    Insurance contract or identification number553879
    Number of Individuals Covered371
    Insurance policy start date2011-01-01
    Insurance policy end date2011-08-31
    Total amount of commissions paid to insurance brokerUSD $3,491
    Total amount of fees paid to insurance companyUSD $40
    Dental Insurance Welfare BenefitYes
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
    Policy contract number712524
    Policy instance 1
    Insurance contract or identification number712524
    Number of Individuals Covered412
    Insurance policy start date2010-09-01
    Insurance policy end date2011-08-31
    Total amount of commissions paid to insurance brokerUSD $47,002
    Total amount of fees paid to insurance companyUSD $20,020
    Health Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $1,718,861
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

    Potentially related plans

    Was this data useful?
    If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

    Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

    Information Disclaimer
    The information provided on this website is not advice, endorsement or recommendation
    The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
    You are free to use the information for your own personal research on the understanding to do so is at your own risk.

    See full terms and conditions

    Copyright © Market Footprint Ltd
    Contact us   Datalog Company Directory
    401k Lookup     VAT Lookup S1