OSBORN & BARR COMMUNICATIONS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan OSBORN & BARR COMMUNICATION INC BENEFITS PLAN
401k plan membership statisitcs for OSBORN & BARR COMMUNICATION INC BENEFITS PLAN
Measure | Date | Value |
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2022: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 99 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 86 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 1 |
Total of all active and inactive participants | 2022-01-01 | 87 |
2021: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 92 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 99 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 99 |
2020: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-02-29 | 98 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-02-29 | 90 |
Number of retired or separated participants receiving benefits | 2020-02-29 | 2 |
Total of all active and inactive participants | 2020-02-29 | 92 |
2019: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-03-01 | 85 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 94 |
Number of retired or separated participants receiving benefits | 2019-03-01 | 4 |
Total of all active and inactive participants | 2019-03-01 | 98 |
2018: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-03-01 | 103 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 81 |
Number of retired or separated participants receiving benefits | 2018-03-01 | 4 |
Total of all active and inactive participants | 2018-03-01 | 85 |
2017: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-02-28 | 102 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-02-28 | 96 |
Number of retired or separated participants receiving benefits | 2017-02-28 | 7 |
Total of all active and inactive participants | 2017-02-28 | 103 |
2016: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-02-29 | 90 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-02-29 | 96 |
Number of retired or separated participants receiving benefits | 2016-02-29 | 6 |
Total of all active and inactive participants | 2016-02-29 | 102 |
2015: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-03-01 | 114 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 86 |
Number of other retired or separated participants entitled to future benefits | 2015-03-01 | 4 |
Total of all active and inactive participants | 2015-03-01 | 90 |
2014: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-03-01 | 124 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-03-01 | 108 |
Number of retired or separated participants receiving benefits | 2014-03-01 | 6 |
Total of all active and inactive participants | 2014-03-01 | 114 |
2013: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-03-01 | 152 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-03-01 | 123 |
Number of retired or separated participants receiving benefits | 2013-03-01 | 1 |
Total of all active and inactive participants | 2013-03-01 | 124 |
2012: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-03-01 | 159 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-03-01 | 152 |
Total of all active and inactive participants | 2012-03-01 | 152 |
2011: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-03-01 | 143 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-03-01 | 159 |
Total of all active and inactive participants | 2011-03-01 | 159 |
2010: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-03-01 | 111 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-03-01 | 143 |
Total of all active and inactive participants | 2010-03-01 | 143 |
2009: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-03-01 | 119 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-03-01 | 111 |
Total of all active and inactive participants | 2009-03-01 | 111 |
2022: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2022 form 5500 responses |
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2021: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2021 form 5500 responses |
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2020 form 5500 responses |
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2020-02-29 | Type of plan entity | Single employer plan |
2020-02-29 | Submission has been amended | Yes |
2020-02-29 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2020-02-29 | Plan funding arrangement – Insurance | Yes |
2020-02-29 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-02-29 | Plan benefit arrangement – Insurance | Yes |
2020-02-29 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2019 form 5500 responses |
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2019-03-01 | Type of plan entity | Single employer plan |
2019-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2019-03-01 | Plan funding arrangement – Insurance | Yes |
2019-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-03-01 | Plan benefit arrangement – Insurance | Yes |
2019-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2018 form 5500 responses |
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2018-03-01 | Type of plan entity | Single employer plan |
2018-03-01 | Plan funding arrangement – Insurance | Yes |
2018-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-03-01 | Plan benefit arrangement – Insurance | Yes |
2018-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2017 form 5500 responses |
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2017-02-28 | Type of plan entity | Single employer plan |
2017-02-28 | Plan funding arrangement – Insurance | Yes |
2017-02-28 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-02-28 | Plan benefit arrangement – Insurance | Yes |
2017-02-28 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2016 form 5500 responses |
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2016-02-29 | Type of plan entity | Single employer plan |
2016-02-29 | Plan funding arrangement – Insurance | Yes |
2016-02-29 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-02-29 | Plan benefit arrangement – Insurance | Yes |
2016-02-29 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2015 form 5500 responses |
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2015-03-01 | Type of plan entity | Single employer plan |
2015-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2015-03-01 | Plan funding arrangement – Insurance | Yes |
2015-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-03-01 | Plan benefit arrangement – Insurance | Yes |
2015-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2014 form 5500 responses |
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2014-03-01 | Type of plan entity | Single employer plan |
2014-03-01 | Plan funding arrangement – Insurance | Yes |
2014-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-03-01 | Plan benefit arrangement – Insurance | Yes |
2014-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2013 form 5500 responses |
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2013-03-01 | Type of plan entity | Single employer plan |
2013-03-01 | Plan funding arrangement – Insurance | Yes |
2013-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-03-01 | Plan benefit arrangement – Insurance | Yes |
2012: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2012 form 5500 responses |
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2012-03-01 | Type of plan entity | Single employer plan |
2012-03-01 | Plan funding arrangement – Insurance | Yes |
2012-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-03-01 | Plan benefit arrangement – Insurance | Yes |
2011: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2011 form 5500 responses |
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2011-03-01 | Type of plan entity | Single employer plan |
2011-03-01 | Plan funding arrangement – Insurance | Yes |
2011-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-03-01 | Plan benefit arrangement – Insurance | Yes |
2010: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2010 form 5500 responses |
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2010-03-01 | Type of plan entity | Single employer plan |
2010-03-01 | Plan funding arrangement – Insurance | Yes |
2010-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2010-03-01 | Plan benefit arrangement – Insurance | Yes |
2009: OSBORN & BARR COMMUNICATION INC BENEFITS PLAN 2009 form 5500 responses |
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2009-03-01 | Type of plan entity | Single employer plan |
2009-03-01 | Submission has been amended | Yes |
2009-03-01 | This submission is the final filing | No |
2009-03-01 | Plan funding arrangement – Insurance | Yes |
2009-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-03-01 | Plan benefit arrangement – Insurance | Yes |
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
Policy contract number | 5932293 |
Policy instance | 2 |
Insurance contract or identification number | 5932293 | Number of Individuals Covered | 84 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $1,478 | Total amount of fees paid to insurance company | USD $225 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $13,585 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,478 | Amount paid for insurance broker fees | 38 | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | Insurance broker organization code? | 3 |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 19502712 |
Policy instance | 1 |
Insurance contract or identification number | 19502712 | Number of Individuals Covered | 196 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $10,677 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $68,162 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,677 | Insurance broker organization code? | 3 |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0019836 |
Policy instance | 9 |
Insurance contract or identification number | R0019836 | Number of Individuals Covered | 19 | Insurance policy end date | 2023-01-01 | Total amount of commissions paid to insurance broker | USD $304 | Total amount of fees paid to insurance company | USD $1 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $7,560 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $304 | Amount paid for insurance broker fees | 1 | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | Insurance broker organization code? | 3 |
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PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
Policy contract number | 0007448601 |
Policy instance | 3 |
Insurance contract or identification number | 0007448601 | Number of Individuals Covered | 1 | Insurance policy end date | 2023-01-01 | Total amount of commissions paid to insurance broker | USD $9 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $228 | 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 | Insurance broker organization code? | 3 |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SOK607034 |
Policy instance | 4 |
Insurance contract or identification number | SOK607034 | Number of Individuals Covered | 110 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $578 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $4,193 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $578 | Insurance broker organization code? | 7 |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGD610117 |
Policy instance | 5 |
Insurance contract or identification number | SGD610117 | Number of Individuals Covered | 110 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $2,659 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $19,310 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,659 | Insurance broker organization code? | 7 |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGD610116 |
Policy instance | 6 |
Insurance contract or identification number | SGD610116 | Number of Individuals Covered | 110 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $6,177 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $44,835 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,177 | Insurance broker organization code? | 7 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGM609449 |
Policy instance | 7 |
Insurance contract or identification number | SGM609449 | Number of Individuals Covered | 110 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $1,558 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,306 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,558 | Insurance broker organization code? | 7 |
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CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
Policy contract number | 00624484 |
Policy instance | 8 |
Insurance contract or identification number | 00624484 | Number of Individuals Covered | 201 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $49,312 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $282,760 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $49,312 | Insurance broker organization code? | 3 |
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PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
Policy contract number | 0007448601 |
Policy instance | 3 |
Insurance contract or identification number | 0007448601 | Number of Individuals Covered | 1 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $8 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $193 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8 | Insurance broker organization code? | 3 |
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UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
Policy contract number | 5932293 |
Policy instance | 2 |
Insurance contract or identification number | 5932293 | Number of Individuals Covered | 179 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $1,248 | Total amount of fees paid to insurance company | USD $190 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,686 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,248 | Amount paid for insurance broker fees | 34 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 19502712 |
Policy instance | 1 |
Insurance contract or identification number | 19502712 | Number of Individuals Covered | 204 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $7,587 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $71,372 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,587 | Insurance broker organization code? | 3 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGD610116 |
Policy instance | 6 |
Insurance contract or identification number | SGD610116 | Number of Individuals Covered | 127 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $6,363 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $42,417 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,363 | Insurance broker organization code? | 7 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SOK607034 |
Policy instance | 4 |
Insurance contract or identification number | SOK607034 | Number of Individuals Covered | 127 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $643 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $4,286 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $643 | Insurance broker organization code? | 7 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGD610117 |
Policy instance | 5 |
Insurance contract or identification number | SGD610117 | Number of Individuals Covered | 127 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $2,685 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $17,903 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,685 | Insurance broker organization code? | 7 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGM609449 |
Policy instance | 7 |
Insurance contract or identification number | SGM609449 | Number of Individuals Covered | 127 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $1,703 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,351 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,703 | Insurance broker organization code? | 7 |
|
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
Policy contract number | 00624484 |
Policy instance | 8 |
Insurance contract or identification number | 00624484 | Number of Individuals Covered | 208 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $282,337 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0019836 |
Policy instance | 9 |
Insurance contract or identification number | R0019836 | Number of Individuals Covered | 22 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $905 | Total amount of fees paid to insurance company | USD $25 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $9,251 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $905 | Amount paid for insurance broker fees | 25 | Insurance broker organization code? | 3 |
|
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
Policy contract number | 5932293 |
Policy instance | 2 |
Insurance contract or identification number | 5932293 | Number of Individuals Covered | 169 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $1,201 | Total amount of fees paid to insurance company | USD $177 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,179 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,201 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 177 |
|
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
Policy contract number | 0007448601 |
Policy instance | 3 |
Insurance contract or identification number | 0007448601 | Number of Individuals Covered | 1 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $9 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $210 | 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 | Insurance broker organization code? | 3 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SOK607034 |
Policy instance | 4 |
Insurance contract or identification number | SOK607034 | Number of Individuals Covered | 106 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $619 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $4,127 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $619 | Insurance broker organization code? | 7 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGD610117 |
Policy instance | 5 |
Insurance contract or identification number | SGD610117 | Number of Individuals Covered | 106 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $2,843 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $18,951 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,843 | Insurance broker organization code? | 7 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGD610116 |
Policy instance | 6 |
Insurance contract or identification number | SGD610116 | Number of Individuals Covered | 106 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $6,553 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $43,685 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,553 | Insurance broker organization code? | 7 |
|
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
Policy contract number | 00624484 |
Policy instance | 8 |
Insurance contract or identification number | 00624484 | Number of Individuals Covered | 200 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $1,372 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $236,096 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,372 | Insurance broker organization code? | 3 |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0019836 |
Policy instance | 9 |
Insurance contract or identification number | R0019836 | Number of Individuals Covered | 23 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $5,122 | Total amount of fees paid to insurance company | USD $447 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $9,857 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,122 | Amount paid for insurance broker fees | 447 | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 19502712 |
Policy instance | 1 |
Insurance contract or identification number | 19502712 | Number of Individuals Covered | 188 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $7,122 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $63,433 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,122 | Insurance broker organization code? | 3 |
|
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGM609449 |
Policy instance | 7 |
Insurance contract or identification number | SGM609449 | Number of Individuals Covered | 106 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $1,875 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,499 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,875 | Insurance broker organization code? | 7 |
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CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
Policy contract number | 00624484 |
Policy instance | 8 |
Insurance contract or identification number | 00624484 | Number of Individuals Covered | 194 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $2,789 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $235,526 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,789 | Insurance broker organization code? | 3 |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGM609449 |
Policy instance | 7 |
Insurance contract or identification number | SGM609449 | Number of Individuals Covered | 115 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,245 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $8,301 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,245 | Insurance broker organization code? | 7 |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGD610116 |
Policy instance | 6 |
Insurance contract or identification number | SGD610116 | Number of Individuals Covered | 115 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $4,175 | Total amount of fees paid to insurance company | USD $0 | Temporary Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $27,831 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,175 | Insurance broker organization code? | 7 |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SGD610117 |
Policy instance | 5 |
Insurance contract or identification number | SGD610117 | Number of Individuals Covered | 115 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,812 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,080 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,812 | Insurance broker organization code? | 7 |
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
Policy contract number | SOK607034 |
Policy instance | 4 |
Insurance contract or identification number | SOK607034 | Number of Individuals Covered | 45 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $404 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $2,696 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $404 | Insurance broker organization code? | 7 |
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PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
Policy contract number | 0007448601 |
Policy instance | 3 |
Insurance contract or identification number | 0007448601 | Number of Individuals Covered | 1 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $9 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $228 | 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 | Insurance broker organization code? | 3 |
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UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
Policy contract number | 5932293 |
Policy instance | 2 |
Insurance contract or identification number | 5932293 | Number of Individuals Covered | 160 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,103 | Total amount of fees paid to insurance company | USD $182 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,970 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,103 | Amount paid for insurance broker fees | 42 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 19502712 |
Policy instance | 1 |
Insurance contract or identification number | 19502712 | Number of Individuals Covered | 185 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $7,008 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $65,291 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,008 | Insurance broker organization code? | 3 |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | R0019836 |
Policy instance | 9 |
Insurance contract or identification number | R0019836 | Number of Individuals Covered | 14 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,429 | Total amount of fees paid to insurance company | USD $145 | Welfare Benefit Premiums Paid to Carrier | USD $7,228 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,429 | Amount paid for insurance broker fees | 145 | Insurance broker organization code? | 3 |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 19502712 |
Policy instance | 1 |
Insurance contract or identification number | 19502712 | Number of Individuals Covered | 225 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $8,756 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $75,042 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8,756 | Insurance broker organization code? | 3 |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000010087259 |
Policy instance | 8 |
Insurance contract or identification number | 000010087259 | Number of Individuals Covered | 103 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $844 | Total amount of fees paid to insurance company | USD $234 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $5,623 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $844 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 234 | Additional information about fees paid to insurance broker | BROKER BONUS |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000400001000 06 |
Policy instance | 7 |
Insurance contract or identification number | 000400001000 06 | Number of Individuals Covered | 68 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $882 | Total amount of fees paid to insurance company | USD $245 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,881 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $882 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 245 | Additional information about fees paid to insurance broker | BROKER BONUS |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000010087260 00 |
Policy instance | 6 |
Insurance contract or identification number | 000010087260 00 | Number of Individuals Covered | 103 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $2,933 | Total amount of fees paid to insurance company | USD $769 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $19,556 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,933 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 769 | Additional information about fees paid to insurance broker | BROKER BONUS |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000403004012 00 |
Policy instance | 5 |
Insurance contract or identification number | 000403004012 00 | Number of Individuals Covered | 23 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $168 | Total amount of fees paid to insurance company | USD $52 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $1,119 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $168 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 52 | Additional information about fees paid to insurance broker | BROKER BONUS |
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PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
Policy contract number | 0007448601 |
Policy instance | 9 |
Insurance contract or identification number | 0007448601 | Number of Individuals Covered | 1 | Insurance policy end date | 2019-01-01 | Total amount of commissions paid to insurance broker | USD $8 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $210 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $8 | Insurance broker organization code? | 3 |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000010087261 00 |
Policy instance | 4 |
Insurance contract or identification number | 000010087261 00 | Number of Individuals Covered | 103 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $2,539 | Total amount of fees paid to insurance company | USD $1,340 | Other welfare benefits provided | WEEKLY INCOME | Welfare Benefit Premiums Paid to Carrier | USD $33,776 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,539 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 1340 | Additional information about fees paid to insurance broker | BROKER BONUS |
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UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
Policy contract number | 5932293 |
Policy instance | 3 |
Insurance contract or identification number | 5932293 | Number of Individuals Covered | 182 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $1,290 | Total amount of fees paid to insurance company | USD $282 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,022 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,290 | Amount paid for insurance broker fees | 123 | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATIONSUPPLEMENT COMPENSATION | Insurance broker organization code? | 3 |
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HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 ) |
Policy contract number | 00246555 |
Policy instance | 2 |
Insurance contract or identification number | 00246555 | Number of Individuals Covered | 212 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $42,473 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $926,518 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $31,478 | Insurance broker organization code? | 3 |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000403004012 00 |
Policy instance | 2 |
Insurance contract or identification number | 000403004012 00 | Number of Individuals Covered | 17 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $275 | Total amount of fees paid to insurance company | USD $32 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $1,835 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $275 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 32 | Insurance broker name | MARSH & MCLENNAN AGENCY LLC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000010087260 00 |
Policy instance | 3 |
Insurance contract or identification number | 000010087260 00 | Number of Individuals Covered | 108 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $2,889 | Total amount of fees paid to insurance company | USD $505 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $19,258 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,889 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 505 | Insurance broker name | MARSH & MCLENNAN AGENCY LLC |
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UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
Policy contract number | 5932293 |
Policy instance | 4 |
Insurance contract or identification number | 5932293 | Number of Individuals Covered | 197 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $1,204 | Total amount of fees paid to insurance company | USD $529 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,457 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,204 | Amount paid for insurance broker fees | 529 | Insurance broker organization code? | 3 | Insurance broker name | JW TERRILL A MARSH & MCLENNAN AGENC |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 19502712 |
Policy instance | 5 |
Insurance contract or identification number | 19502712 | Number of Individuals Covered | 231 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $6,826 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $67,006 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,826 | Insurance broker organization code? | 3 | Insurance broker name | MARSH USA INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000400001000 06 |
Policy instance | 6 |
Insurance contract or identification number | 000400001000 06 | Number of Individuals Covered | 72 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $923 | Total amount of fees paid to insurance company | USD $173 | Life Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,151 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $923 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 173 | Insurance broker name | MARSH & MCLENNAN AGENCY LLC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000010087259 |
Policy instance | 7 |
Insurance contract or identification number | 000010087259 | Number of Individuals Covered | 108 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $891 | Total amount of fees paid to insurance company | USD $159 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $5,938 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $891 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 159 | Insurance broker name | MARSH & MCLENNAN AGENCY LLC |
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HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 ) |
Policy contract number | 00246555 |
Policy instance | 8 |
Insurance contract or identification number | 00246555 | Number of Individuals Covered | 232 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $40,439 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $803,757 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $40,439 | Insurance broker organization code? | 3 | Insurance broker name | MARSH & MCLENNAN AGENCY LLC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000010087261 00 |
Policy instance | 1 |
Insurance contract or identification number | 000010087261 00 | Number of Individuals Covered | 109 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $2,725 | Total amount of fees paid to insurance company | USD $881 | Other welfare benefits provided | WEEKLY INCOME | Welfare Benefit Premiums Paid to Carrier | USD $33,789 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,725 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 881 | Insurance broker name | MARSH & MCLENNAN AGENCY LLC |
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