BIOMERIEUX, INC. has sponsored the creation of one or more 401k plans.
Additional information about BIOMERIEUX, INC.
Submission information for form 5500 for 401k plan BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN
401k plan membership statisitcs for BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2022: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 4,807 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 5,166 |
| Total of all active and inactive participants | 2022-01-01 | 5,166 |
| 2021: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 4,716 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 4,807 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 4,807 |
| 2020: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 4,679 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 4,716 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 4,716 |
| 2019: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 4,159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 4,679 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 4,679 |
| 2018: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 3,678 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 4,159 |
| Total of all active and inactive participants | 2018-01-01 | 4,159 |
| 2017: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 3,262 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 3,678 |
| Total of all active and inactive participants | 2017-01-01 | 3,678 |
| 2016: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 2,896 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 3,262 |
| Total of all active and inactive participants | 2016-01-01 | 3,262 |
| 2015: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 1,906 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 2,896 |
| Total of all active and inactive participants | 2015-01-01 | 2,896 |
| 2014: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 1,783 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,906 |
| Total of all active and inactive participants | 2014-01-01 | 1,906 |
| 2013: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 1,703 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,783 |
| Total of all active and inactive participants | 2013-01-01 | 1,783 |
| 2012: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 1,700 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,703 |
| Total of all active and inactive participants | 2012-01-01 | 1,703 |
| 2011: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 1,603 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,700 |
| Total of all active and inactive participants | 2011-01-01 | 1,700 |
| 2010: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 1,346 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 1,485 |
| Total of all active and inactive participants | 2010-01-01 | 1,485 |
| 2009: BIOMERIEUX LONG TERM DISABILITY INSURANCE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 1,719 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 1,642 |
| Total of all active and inactive participants | 2009-01-01 | 1,642 |
| Total participants | 2009-01-01 | 0 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0449520 |
| Policy instance | 10 |
| Insurance contract or identification number | R0449520 | | Number of Individuals Covered | 3000 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $138,220 | | Total amount of fees paid to insurance company | USD $879 | | Other welfare benefits provided | GCIEE, GRPACCVO, GRPHSPVOEN | | Welfare Benefit Premiums Paid to Carrier | USD $768,226 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $134,704 | | Amount paid for insurance broker fees | 879 | | Insurance broker organization code? | 4 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 952137 |
| Policy instance | 1 |
| Insurance contract or identification number | 952137 | | Number of Individuals Covered | 5362 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $7,295 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $972,606 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,295 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 |
| Policy instance | 2 |
| Insurance contract or identification number | 554253 | | Number of Individuals Covered | 1686 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $63,009 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $42,588 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $47,257 | | Insurance broker organization code? | 3 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 64776163 |
| Policy instance | 3 |
| Insurance contract or identification number | 64776163 | | Number of Individuals Covered | 0 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 70015-1 |
| Policy instance | 4 |
| Insurance contract or identification number | 70015-1 | | Number of Individuals Covered | 9205 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $122,399 | | Welfare Benefit Premiums Paid to Carrier | USD $4,079,961 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 122399 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 952677 |
| Policy instance | 5 |
| Insurance contract or identification number | 952677 | | Number of Individuals Covered | 38 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $154 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,487 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $154 | | Insurance broker organization code? | 3 |
|
| FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
| Policy contract number | 952676 |
| Policy instance | 6 |
| Insurance contract or identification number | 952676 | | Number of Individuals Covered | 25 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $83 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,032 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $83 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 417006411294 |
| Policy instance | 7 |
| Insurance contract or identification number | 417006411294 | | Number of Individuals Covered | 5178 | | Insurance policy end date | 2022-12-31 | | 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 $4,082,400 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 71215-9 |
| Policy instance | 8 |
| Insurance contract or identification number | 71215-9 | | Number of Individuals Covered | 10051 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $30,384 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,937,403 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30384 | | Additional information about fees paid to insurance broker | SERVICE FEE AND TECHNOLOGY FEE | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0155225 |
| Policy instance | 9 |
| Insurance contract or identification number | 314183 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $132,050 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,484,212 | | Amount paid for insurance broker fees | 132050 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION AND NON-MONETARY COMPENSATION | | Insurance broker organization code? | 4 |
|
| FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
| Policy contract number | 952676 |
| Policy instance | 6 |
| Insurance contract or identification number | 952676 | | Number of Individuals Covered | 24 | | Insurance policy end date | 2021-12-31 | | Total amount of fees paid to insurance company | USD $60 | | Other welfare benefits provided | DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $7,987 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 60 | | 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 | 952677 |
| Policy instance | 5 |
| Insurance contract or identification number | 952677 | | Number of Individuals Covered | 30 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $97 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,938 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $97 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 70015-1 |
| Policy instance | 4 |
| Insurance contract or identification number | 70015-1 | | Number of Individuals Covered | 11567 | | Insurance policy end date | 2021-12-31 | | Total amount of fees paid to insurance company | USD $112,203 | | Welfare Benefit Premiums Paid to Carrier | USD $3,740,103 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 112203 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker organization code? | 3 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 64776163 |
| Policy instance | 3 |
| Insurance contract or identification number | 64776163 | | Number of Individuals Covered | 5206 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $4,481 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $22,403 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,481 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 554253 0002 | | Number of Individuals Covered | 33 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $901 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,008 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $676 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 952137 |
| Policy instance | 1 |
| Insurance contract or identification number | 952137 | | Number of Individuals Covered | 5151 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $5,228 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $697,023 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,228 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0001 |
| Policy instance | 7 |
| Insurance contract or identification number | 554253 0001 | | Number of Individuals Covered | 1082 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $27,268 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $181,783 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,451 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0003 |
| Policy instance | 8 |
| Insurance contract or identification number | 554253 0003 | | Number of Individuals Covered | 40 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $1,402 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,346 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,051 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 417006411294 |
| Policy instance | 9 |
| Insurance contract or identification number | 417006411294 | | Number of Individuals Covered | 4823 | | Insurance policy end date | 2021-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $3,742,982 | | 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 | 449520 |
| Policy instance | 15 |
| Insurance contract or identification number | 449520 | | Number of Individuals Covered | 2681 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $105,696 | | Total amount of fees paid to insurance company | USD $1,835 | | Other welfare benefits provided | GCIEE, GRPACCVO, GRPHSPVOEN | | Welfare Benefit Premiums Paid to Carrier | USD $615,229 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $101,508 | | Amount paid for insurance broker fees | 1835 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0155225 |
| Policy instance | 14 |
| Insurance contract or identification number | 0155225 | | Number of Individuals Covered | 11537 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of fees paid to insurance company | USD $100,142 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,489,287 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 100142 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0999 |
| Policy instance | 13 |
| Insurance contract or identification number | 554253 0999 | | Number of Individuals Covered | 1 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $200 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,328 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $150 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0800 |
| Policy instance | 12 |
| Insurance contract or identification number | 554253 0800 | | Number of Individuals Covered | 1 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $13,768 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $92,125 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,326 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 71215-9 |
| Policy instance | 11 |
| Insurance contract or identification number | 71215-9 | | Number of Individuals Covered | 9563 | | Insurance policy end date | 2021-12-31 | | Total amount of fees paid to insurance company | USD $32,337 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,799,991 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 32337 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0005 |
| Policy instance | 10 |
| Insurance contract or identification number | 554253 0005 | | Number of Individuals Covered | 620 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $12,861 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $85,739 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,646 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 70015-1 |
| Policy instance | 4 |
| Insurance contract or identification number | 70015-1 | | Number of Individuals Covered | 8413 | | Insurance policy end date | 2020-12-31 | | Total amount of fees paid to insurance company | USD $97,785 | | Welfare Benefit Premiums Paid to Carrier | USD $3,259,507 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 97785 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0155225 |
| Policy instance | 14 |
| Insurance contract or identification number | 0155225 | | Number of Individuals Covered | 10317 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of fees paid to insurance company | USD $33 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,739,306 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 33 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0999 |
| Policy instance | 13 |
| Insurance contract or identification number | 554253 0999 | | Number of Individuals Covered | 1 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $233 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,329 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $175 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0800 |
| Policy instance | 12 |
| Insurance contract or identification number | 554253 0800 | | Number of Individuals Covered | 1 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $9,264 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $56,932 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,948 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 71215-9 |
| Policy instance | 11 |
| Insurance contract or identification number | 71215-9 | | Number of Individuals Covered | 9601 | | Insurance policy end date | 2020-12-31 | | Total amount of fees paid to insurance company | USD $24,670 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,655,758 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 24670 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 952137 |
| Policy instance | 1 |
| Insurance contract or identification number | 952137 | | Number of Individuals Covered | 4963 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $6,685 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISBURSEMENT | | Welfare Benefit Premiums Paid to Carrier | USD $891,380 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,685 | | 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 | 554253 0002 |
| Policy instance | 2 |
| Insurance contract or identification number | 554253 0002 | | Number of Individuals Covered | 125 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $3,067 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,445 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,300 | | Insurance broker organization code? | 3 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 64776163 |
| Policy instance | 3 |
| Insurance contract or identification number | 64776163 | | Number of Individuals Covered | 3714 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,925 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $9,626 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,925 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 952677 |
| Policy instance | 5 |
| Insurance contract or identification number | 952677 | | Number of Individuals Covered | 32 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $99 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,169 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $99 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
| Policy contract number | 952676 |
| Policy instance | 6 |
| Insurance contract or identification number | 952676 | | Number of Individuals Covered | 23 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $43 | | Other welfare benefits provided | DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $5,756 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43 | | 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 | 554253 0001 |
| Policy instance | 7 |
| Insurance contract or identification number | 554253 0001 | | Number of Individuals Covered | 2274 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $57,269 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $381,795 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $42,952 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 554253 0003 |
| Policy instance | 8 |
| Insurance contract or identification number | 554253 0003 | | Number of Individuals Covered | 230 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $3,949 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,330 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,962 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 417006411294 |
| Policy instance | 9 |
| Insurance contract or identification number | 417006411294 | | Number of Individuals Covered | 4743 | | Insurance policy end date | 2020-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $3,264,719 | | 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 | 554253 0005 |
| Policy instance | 10 |
| Insurance contract or identification number | 554253 0005 | | Number of Individuals Covered | 2545 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $47,581 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $317,211 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $35,686 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 952137 |
| Policy instance | 1 |
| Insurance contract or identification number | 952137 | | Number of Individuals Covered | 4679 | | Insurance policy end date | 2019-12-31 | | Total amount of fees paid to insurance company | USD $6,471 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISBURSEMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,188,641 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 6471 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0155225 |
| Policy instance | 2 |
| Insurance contract or identification number | 0155225 | | Number of Individuals Covered | 10009 | | Insurance policy end date | 2019-12-31 | | Total amount of fees paid to insurance company | USD $-1,353 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,540,796 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 46 | | Additional information about fees paid to insurance broker | NONMONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 64776163 |
| Policy instance | 3 |
| Insurance contract or identification number | 64776163 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,985 | | Other welfare benefits provided | BUSINESS TRAVEL ACCIDENT | | Welfare Benefit Premiums Paid to Carrier | USD $9,926 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,985 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | EXRK |
| Policy instance | 4 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 10471 | | Insurance policy end date | 2019-12-31 | | Total amount of fees paid to insurance company | USD $81,929 | | Welfare Benefit Premiums Paid to Carrier | USD $2,730,974 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 81929 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 952677 |
| Policy instance | 5 |
| Insurance contract or identification number | 952677 | | Number of Individuals Covered | 29 | | Insurance policy end date | 2020-01-01 | | Total amount of fees paid to insurance company | USD $42 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,536 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 42 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) |
| Policy contract number | 952676 |
| Policy instance | 6 |
| Insurance contract or identification number | 952676 | | Number of Individuals Covered | 25 | | Insurance policy end date | 2020-01-01 | | Total amount of fees paid to insurance company | USD $16 | | Other welfare benefits provided | DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $3,525 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 16 | | 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 | 554253 |
| Policy instance | 7 |
| Insurance contract or identification number | 554253 | | Number of Individuals Covered | 4709 | | Insurance policy end date | 2020-01-01 | | Total amount of commissions paid to insurance broker | USD $122,769 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $814,283 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $92,075 | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 417006411294 |
| Policy instance | 9 |
| Insurance contract or identification number | 417006411294 | | Number of Individuals Covered | 4289 | | Insurance policy end date | 2020-01-01 | | Welfare Benefit Premiums Paid to Carrier | USD $2,728,844 | | 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 | R0449520 |
| Policy instance | 8 |
| Insurance contract or identification number | R0449520 | | Number of Individuals Covered | 2240 | | Insurance policy end date | 2020-01-01 | | Total amount of commissions paid to insurance broker | USD $181,344 | | Total amount of fees paid to insurance company | USD $12,921 | | Other welfare benefits provided | GCIEE, GRPACCVO, GRPHSPVOEN | | Welfare Benefit Premiums Paid to Carrier | USD $616,540 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $164,414 | | Amount paid for insurance broker fees | 12652 | | 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 | 952137 |
| Policy instance | 1 |
| Insurance contract or identification number | 952137 | | Number of Individuals Covered | 4159 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2019-01-01 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $12,192 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,789,413 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 12192 | | 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 | 952137 |
| Policy instance | 1 |
| Insurance contract or identification number | 952137 | | Number of Individuals Covered | 3678 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2018-01-01 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $39,359 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,725,529 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 39359 | | Insurance broker organization code? | 3 | | Insurance broker name | SEACREST PARTNERS, INC |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GF3-84044359601 |
| Policy instance | 1 |
| Insurance contract or identification number | GF3-84044359601 | | Number of Individuals Covered | 2896 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $5,925 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $456,832 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 5925 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | SEACREST PARTNERS, INC |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GF3-84044359601 |
| Policy instance | 1 |
| Insurance contract or identification number | GF3-84044359601 | | Number of Individuals Covered | 1906 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $4,244 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $355,611 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,244 | | Insurance broker organization code? | 3 | | Insurance broker name | SEACREST PARTNERS, INC |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GF3-84044359601 |
| Policy instance | 1 |
| Insurance contract or identification number | GF3-84044359601 | | Number of Individuals Covered | 1783 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $3,025 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $304,619 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,025 | | Insurance broker organization code? | 3 | | Insurance broker name | SEACREST PARTNERS, INC |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GF3-84044359601 |
| Policy instance | 1 |
| Insurance contract or identification number | GF3-84044359601 | | Number of Individuals Covered | 1703 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $294,235 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GF384044359601 |
| Policy instance | 2 |
| Insurance contract or identification number | GF384044359601 | | Number of Individuals Covered | 1700 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $93,954 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 45119 |
| Policy instance | 1 |
| Insurance contract or identification number | 45119 | | Number of Individuals Covered | 1645 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $259,223 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 45119 |
| Policy instance | 1 |
| Insurance contract or identification number | 45119 | | Number of Individuals Covered | 1603 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,922 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $518,830 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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