MOORE FANS LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN
Measure | Date | Value |
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2022: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 64 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 69 |
Total of all active and inactive participants | 2022-01-01 | 69 |
2021: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 64 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 64 |
Total of all active and inactive participants | 2021-01-01 | 64 |
2020: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 67 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 64 |
Total of all active and inactive participants | 2020-01-01 | 64 |
2019: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 65 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 67 |
Total of all active and inactive participants | 2019-01-01 | 67 |
2018: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 65 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 65 |
Total of all active and inactive participants | 2018-01-01 | 65 |
Total participants | 2018-01-01 | 65 |
2017: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 65 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 65 |
Total of all active and inactive participants | 2017-01-01 | 65 |
Total participants | 2017-01-01 | 65 |
2016: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 63 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 65 |
Total of all active and inactive participants | 2016-01-01 | 65 |
Total participants | 2016-01-01 | 65 |
2015: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 64 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 63 |
Total of all active and inactive participants | 2015-01-01 | 63 |
Total participants | 2015-01-01 | 63 |
2014: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 57 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 64 |
Total of all active and inactive participants | 2014-01-01 | 64 |
Total participants | 2014-01-01 | 64 |
2013: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 57 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 57 |
Total of all active and inactive participants | 2013-01-01 | 57 |
Total participants | 2013-01-01 | 57 |
2012: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 58 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 57 |
Total of all active and inactive participants | 2012-01-01 | 57 |
Total participants | 2012-01-01 | 57 |
2011: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 59 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 58 |
Total of all active and inactive participants | 2011-01-01 | 58 |
Total participants | 2011-01-01 | 58 |
2009: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 56 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 53 |
Number of retired or separated participants receiving benefits | 2009-01-01 | 2 |
Total of all active and inactive participants | 2009-01-01 | 55 |
Total participants | 2009-01-01 | 55 |
2007: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2007 401k membership |
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Total participants, beginning-of-year | 2007-01-01 | 53 |
Total number of active participants reported on line 7a of the Form 5500 | 2007-01-01 | 56 |
Number of retired or separated participants receiving benefits | 2007-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2007-01-01 | 0 |
Total of all active and inactive participants | 2007-01-01 | 57 |
Total participants | 2007-01-01 | 57 |
2006: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2006 401k membership |
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Total participants, beginning-of-year | 2006-01-01 | 51 |
Total number of active participants reported on line 7a of the Form 5500 | 2006-01-01 | 53 |
Total of all active and inactive participants | 2006-01-01 | 53 |
Total participants | 2006-01-01 | 53 |
Measure | Date | Value |
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2022 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2022 401k financial data |
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Total income from all sources | 2022-12-31 | $798,654 |
Expenses. Total of all expenses incurred | 2022-12-31 | $795,400 |
Benefits paid (including direct rollovers) | 2022-12-31 | $522,516 |
Total plan assets at end of year | 2022-12-31 | $3,975 |
Total plan assets at beginning of year | 2022-12-31 | $721 |
Value of fidelity bond covering the plan | 2022-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2022-12-31 | $795,182 |
Expenses. Other expenses not covered elsewhere | 2022-12-31 | $272,884 |
Other income received | 2022-12-31 | $3,472 |
Net income (gross income less expenses) | 2022-12-31 | $3,254 |
Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $3,975 |
Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $721 |
2021 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2021 401k financial data |
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Total income from all sources | 2021-12-31 | $1,078,632 |
Expenses. Total of all expenses incurred | 2021-12-31 | $1,080,925 |
Benefits paid (including direct rollovers) | 2021-12-31 | $862,548 |
Total plan assets at end of year | 2021-12-31 | $721 |
Total plan assets at beginning of year | 2021-12-31 | $3,014 |
Value of fidelity bond covering the plan | 2021-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2021-12-31 | $747,315 |
Expenses. Other expenses not covered elsewhere | 2021-12-31 | $218,377 |
Other income received | 2021-12-31 | $212,317 |
Net income (gross income less expenses) | 2021-12-31 | $-2,293 |
Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $721 |
Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $3,014 |
Total contributions received or receivable from employer(s) | 2021-12-31 | $119,000 |
2020 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2020 401k financial data |
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Total income from all sources | 2020-12-31 | $890,788 |
Expenses. Total of all expenses incurred | 2020-12-31 | $888,945 |
Benefits paid (including direct rollovers) | 2020-12-31 | $687,579 |
Total plan assets at end of year | 2020-12-31 | $3,014 |
Total plan assets at beginning of year | 2020-12-31 | $1,171 |
Value of fidelity bond covering the plan | 2020-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2020-12-31 | $799,710 |
Expenses. Other expenses not covered elsewhere | 2020-12-31 | $201,366 |
Other income received | 2020-12-31 | $15,916 |
Net income (gross income less expenses) | 2020-12-31 | $1,843 |
Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $3,014 |
Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $1,171 |
Total contributions received or receivable from employer(s) | 2020-12-31 | $75,162 |
2019 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2019 401k financial data |
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Total income from all sources | 2019-12-31 | $974,342 |
Expenses. Total of all expenses incurred | 2019-12-31 | $985,714 |
Benefits paid (including direct rollovers) | 2019-12-31 | $774,155 |
Total plan assets at end of year | 2019-12-31 | $1,171 |
Total plan assets at beginning of year | 2019-12-31 | $12,543 |
Value of fidelity bond covering the plan | 2019-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2019-12-31 | $728,419 |
Expenses. Other expenses not covered elsewhere | 2019-12-31 | $211,559 |
Other income received | 2019-12-31 | $45,923 |
Net income (gross income less expenses) | 2019-12-31 | $-11,372 |
Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $1,171 |
Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $12,543 |
Total contributions received or receivable from employer(s) | 2019-12-31 | $200,000 |
2018 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2018 401k financial data |
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Total income from all sources | 2018-12-31 | $922,681 |
Expenses. Total of all expenses incurred | 2018-12-31 | $914,844 |
Benefits paid (including direct rollovers) | 2018-12-31 | $737,850 |
Total plan assets at end of year | 2018-12-31 | $12,543 |
Total plan assets at beginning of year | 2018-12-31 | $4,706 |
Value of fidelity bond covering the plan | 2018-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2018-12-31 | $730,539 |
Expenses. Other expenses not covered elsewhere | 2018-12-31 | $176,994 |
Other income received | 2018-12-31 | $167,142 |
Net income (gross income less expenses) | 2018-12-31 | $7,837 |
Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $12,543 |
Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $4,706 |
Total contributions received or receivable from employer(s) | 2018-12-31 | $25,000 |
2017 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2017 401k financial data |
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Total income from all sources | 2017-12-31 | $728,437 |
Expenses. Total of all expenses incurred | 2017-12-31 | $906,712 |
Benefits paid (including direct rollovers) | 2017-12-31 | $729,387 |
Total plan assets at end of year | 2017-12-31 | $4,706 |
Total plan assets at beginning of year | 2017-12-31 | $182,981 |
Value of fidelity bond covering the plan | 2017-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2017-12-31 | $723,597 |
Other income received | 2017-12-31 | $4,840 |
Net income (gross income less expenses) | 2017-12-31 | $-178,275 |
Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $4,706 |
Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $182,981 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $177,325 |
2016 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2016 401k financial data |
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Total income from all sources | 2016-12-31 | $777,102 |
Expenses. Total of all expenses incurred | 2016-12-31 | $677,316 |
Benefits paid (including direct rollovers) | 2016-12-31 | $515,759 |
Total plan assets at end of year | 2016-12-31 | $182,981 |
Total plan assets at beginning of year | 2016-12-31 | $83,195 |
Value of fidelity bond covering the plan | 2016-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2016-12-31 | $734,119 |
Other income received | 2016-12-31 | $42,983 |
Net income (gross income less expenses) | 2016-12-31 | $99,786 |
Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $182,981 |
Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $83,195 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $161,557 |
2015 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2015 401k financial data |
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Total income from all sources | 2015-12-31 | $1,087,340 |
Expenses. Total of all expenses incurred | 2015-12-31 | $1,216,880 |
Benefits paid (including direct rollovers) | 2015-12-31 | $1,077,313 |
Total plan assets at end of year | 2015-12-31 | $83,195 |
Total plan assets at beginning of year | 2015-12-31 | $212,735 |
Value of fidelity bond covering the plan | 2015-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2015-12-31 | $723,587 |
Other income received | 2015-12-31 | $363,753 |
Net income (gross income less expenses) | 2015-12-31 | $-129,540 |
Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $83,195 |
Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $212,735 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $139,567 |
2014 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2014 401k financial data |
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Total income from all sources | 2014-12-31 | $707,242 |
Expenses. Total of all expenses incurred | 2014-12-31 | $503,331 |
Benefits paid (including direct rollovers) | 2014-12-31 | $400,082 |
Total plan assets at end of year | 2014-12-31 | $212,735 |
Total plan assets at beginning of year | 2014-12-31 | $8,824 |
Value of fidelity bond covering the plan | 2014-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2014-12-31 | $698,876 |
Other income received | 2014-12-31 | $8,366 |
Net income (gross income less expenses) | 2014-12-31 | $203,911 |
Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $212,735 |
Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $8,824 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $103,249 |
2013 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2013 401k financial data |
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Total income from all sources | 2013-12-31 | $678,807 |
Expenses. Total of all expenses incurred | 2013-12-31 | $674,089 |
Benefits paid (including direct rollovers) | 2013-12-31 | $558,331 |
Total plan assets at end of year | 2013-12-31 | $8,824 |
Total plan assets at beginning of year | 2013-12-31 | $4,106 |
Value of fidelity bond covering the plan | 2013-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2013-12-31 | $629,626 |
Other income received | 2013-12-31 | $24,981 |
Net income (gross income less expenses) | 2013-12-31 | $4,718 |
Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $8,824 |
Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $4,106 |
Total contributions received or receivable from employer(s) | 2013-12-31 | $24,200 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $115,758 |
2012 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2012 401k financial data |
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Total income from all sources | 2012-12-31 | $729,431 |
Expenses. Total of all expenses incurred | 2012-12-31 | $729,672 |
Benefits paid (including direct rollovers) | 2012-12-31 | $627,946 |
Total plan assets at end of year | 2012-12-31 | $4,106 |
Total plan assets at beginning of year | 2012-12-31 | $4,347 |
Total contributions received or receivable from participants | 2012-12-31 | $594,756 |
Other income received | 2012-12-31 | $34,675 |
Net income (gross income less expenses) | 2012-12-31 | $-241 |
Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $4,106 |
Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $4,347 |
Total contributions received or receivable from employer(s) | 2012-12-31 | $100,000 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $101,726 |
2011 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2011 401k financial data |
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Total income from all sources | 2011-12-31 | $528,801 |
Expenses. Total of all expenses incurred | 2011-12-31 | $525,042 |
Benefits paid (including direct rollovers) | 2011-12-31 | $406,552 |
Total plan assets at end of year | 2011-12-31 | $4,347 |
Total plan assets at beginning of year | 2011-12-31 | $588 |
Value of fidelity bond covering the plan | 2011-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2011-12-31 | $528,801 |
Expenses. Other expenses not covered elsewhere | 2011-12-31 | $20 |
Net income (gross income less expenses) | 2011-12-31 | $3,759 |
Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $4,347 |
Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $588 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $118,470 |
2010 : THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2010 401k financial data |
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Total income from all sources | 2010-12-31 | $748,691 |
Expenses. Total of all expenses incurred | 2010-12-31 | $754,724 |
Benefits paid (including direct rollovers) | 2010-12-31 | $655,394 |
Total plan assets at end of year | 2010-12-31 | $588 |
Total plan assets at beginning of year | 2010-12-31 | $6,621 |
Value of fidelity bond covering the plan | 2010-12-31 | $1,000,000 |
Total contributions received or receivable from participants | 2010-12-31 | $468,965 |
Other income received | 2010-12-31 | $155,226 |
Net income (gross income less expenses) | 2010-12-31 | $-6,033 |
Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $588 |
Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $6,621 |
Total contributions received or receivable from employer(s) | 2010-12-31 | $124,500 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $99,330 |
2022: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2022 form 5500 responses |
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Submission has been amended | No |
2022-01-01 | This submission is the final filing | No |
2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-01-01 | Plan is a collectively bargained plan | No |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan funding arrangement – Trust | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement - Trust | Yes |
2021: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2021 form 5500 responses |
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Submission has been amended | No |
2021-01-01 | This submission is the final filing | No |
2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-01-01 | Plan is a collectively bargained plan | No |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan funding arrangement – Trust | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement - Trust | Yes |
2020: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2020 form 5500 responses |
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Submission has been amended | No |
2020-01-01 | This submission is the final filing | No |
2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-01-01 | Plan is a collectively bargained plan | No |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan funding arrangement – Trust | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement - Trust | Yes |
2019: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2019 form 5500 responses |
---|
2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Submission has been amended | No |
2019-01-01 | This submission is the final filing | No |
2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-01-01 | Plan is a collectively bargained plan | No |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan funding arrangement – Trust | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement - Trust | Yes |
2018: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Submission has been amended | No |
2018-01-01 | This submission is the final filing | No |
2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-01-01 | Plan is a collectively bargained plan | No |
2018-01-01 | Plan funding arrangement – Trust | Yes |
2018-01-01 | Plan benefit arrangement - Trust | Yes |
2017: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Submission has been amended | No |
2017-01-01 | This submission is the final filing | No |
2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-01-01 | Plan is a collectively bargained plan | No |
2017-01-01 | Plan funding arrangement – Trust | Yes |
2017-01-01 | Plan benefit arrangement - Trust | Yes |
2016: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Submission has been amended | No |
2016-01-01 | This submission is the final filing | No |
2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-01-01 | Plan is a collectively bargained plan | No |
2016-01-01 | Plan funding arrangement – Trust | Yes |
2016-01-01 | Plan benefit arrangement - Trust | Yes |
2015: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2015 form 5500 responses |
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2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | Submission has been amended | No |
2015-01-01 | This submission is the final filing | No |
2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-01-01 | Plan is a collectively bargained plan | No |
2015-01-01 | Plan funding arrangement – Trust | Yes |
2015-01-01 | Plan benefit arrangement - Trust | Yes |
2014: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2014 form 5500 responses |
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2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Submission has been amended | No |
2014-01-01 | This submission is the final filing | No |
2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-01-01 | Plan is a collectively bargained plan | No |
2014-01-01 | Plan funding arrangement – Trust | Yes |
2014-01-01 | Plan benefit arrangement - Trust | Yes |
2013: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2013 form 5500 responses |
---|
2013-01-01 | Type of plan entity | Single employer plan |
2013-01-01 | Submission has been amended | No |
2013-01-01 | This submission is the final filing | No |
2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-01-01 | Plan is a collectively bargained plan | No |
2013-01-01 | Plan funding arrangement – Trust | Yes |
2013-01-01 | Plan benefit arrangement - Trust | Yes |
2012: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2012 form 5500 responses |
---|
2012-01-01 | Type of plan entity | Single employer plan |
2012-01-01 | Submission has been amended | Yes |
2012-01-01 | This submission is the final filing | No |
2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-01-01 | Plan is a collectively bargained plan | No |
2012-01-01 | Plan funding arrangement – Trust | Yes |
2012-01-01 | Plan benefit arrangement - Trust | Yes |
2011: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2011 form 5500 responses |
---|
2011-01-01 | Type of plan entity | Single employer plan |
2011-01-01 | Submission has been amended | No |
2011-01-01 | This submission is the final filing | No |
2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-01-01 | Plan is a collectively bargained plan | No |
2011-01-01 | Plan funding arrangement – Trust | Yes |
2011-01-01 | Plan benefit arrangement - Trust | Yes |
2009: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2009 form 5500 responses |
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2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Submission has been amended | No |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-01-01 | Plan is a collectively bargained plan | No |
2009-01-01 | Plan funding arrangement – Trust | Yes |
2009-01-01 | Plan benefit arrangement - Trust | Yes |
2007: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2007 form 5500 responses |
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2007-01-01 | Type of plan entity | Single employer plan |
2007-01-01 | Submission has been amended | No |
2007-01-01 | This submission is the final filing | No |
2007-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2007-01-01 | Plan is a collectively bargained plan | No |
2007-01-01 | Plan funding arrangement – Trust | Yes |
2007-01-01 | Plan benefit arrangement - Trust | Yes |
2006: THE MOORE GROUP EMPLOYEE HEALTH BENEFIT PLAN 2006 form 5500 responses |
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2006-01-01 | Type of plan entity | Single employer plan |
2006-01-01 | Submission has been amended | No |
2006-01-01 | This submission is the final filing | No |
2006-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2006-01-01 | Plan is a collectively bargained plan | No |
2006-01-01 | Plan funding arrangement – Trust | Yes |
2006-01-01 | Plan benefit arrangement - Trust | Yes |
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | 5984535 |
Policy instance | 5 |
Insurance contract or identification number | 5984535 | Number of Individuals Covered | 252 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $1,616 | Total amount of fees paid to insurance company | USD $306 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | AD&D | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $16,672 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,616 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 306 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION |
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PARTNERSMGU (National Association of Insurance Commissioners NAIC id number: 21113 ) |
Policy contract number | M8044 |
Policy instance | 4 |
Insurance contract or identification number | M8044 | Number of Individuals Covered | 69 | Insurance policy start date | 2022-01-01 | 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 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $180,021 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 01221300 |
Policy instance | 3 |
Insurance contract or identification number | 01221300 | Number of Individuals Covered | 155 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $2,993 | Total amount of fees paid to insurance company | USD $12 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $31,051 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,993 | Amount paid for insurance broker fees | 12 | Additional information about fees paid to insurance broker | BONUS | Insurance broker organization code? | 3 |
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US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) |
Policy contract number | US1573300 |
Policy instance | 2 |
Insurance contract or identification number | US1573300 | Number of Individuals Covered | 69 | Insurance policy start date | 2022-01-01 | 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 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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OPTUMHEALTH, A DIVISION OF UNITED HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: ) |
Policy contract number | |
Policy instance | 1 |
Number of Individuals Covered | 69 | Insurance policy start date | 2022-01-01 | 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 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ORGAN TRANSPLANT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $7,424 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | 5984535 |
Policy instance | 1 |
Insurance contract or identification number | 5984535 | Number of Individuals Covered | 245 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $1,677 | Total amount of fees paid to insurance company | USD $342 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | AD&D | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $14,753 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,677 | Amount paid for insurance broker fees | 54 | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | Insurance broker organization code? | 3 |
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US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) |
Policy contract number | US1181240 |
Policy instance | 2 |
Insurance contract or identification number | US1181240 | Number of Individuals Covered | 64 | Insurance policy start date | 2021-01-01 | 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 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PARTNERSMGU (National Association of Insurance Commissioners NAIC id number: 21113 ) |
Policy contract number | M8044 |
Policy instance | 3 |
Insurance contract or identification number | M8044 | Number of Individuals Covered | 64 | Insurance policy start date | 2021-01-01 | 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 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $167,068 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) |
Policy contract number | US1181240 |
Policy instance | 3 |
Insurance contract or identification number | US1181240 | Number of Individuals Covered | 64 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | 5984535 |
Policy instance | 2 |
Insurance contract or identification number | 5984535 | Number of Individuals Covered | 247 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $1,445 | Total amount of fees paid to insurance company | USD $53 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | AD&D | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $17,912 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $734 | Amount paid for insurance broker fees | 41 | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | Insurance broker organization code? | 3 |
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PARTNERSMGU (National Association of Insurance Commissioners NAIC id number: 21113 ) |
Policy contract number | M8044 |
Policy instance | 1 |
Insurance contract or identification number | M8044 | Number of Individuals Covered | 64 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $145,483 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | 5984535 |
Policy instance | 2 |
Insurance contract or identification number | 5984535 | Number of Individuals Covered | 248 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,700 | Total amount of fees paid to insurance company | USD $41 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $14,894 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,700 | Amount paid for insurance broker fees | 41 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENATION | Insurance broker organization code? | 3 |
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US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) |
Policy contract number | US1181240 |
Policy instance | 1 |
Insurance contract or identification number | US1181240 | Number of Individuals Covered | 65 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38776 ) |
Policy contract number | IMG-01419-17 |
Policy instance | 1 |
Insurance contract or identification number | IMG-01419-17 | Number of Individuals Covered | 65 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $24,833 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $130,684 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 5227 | Additional information about fees paid to insurance broker | AGENT COMMISSION | Insurance broker organization code? | 3 | Insurance broker name | DEREN FINANCIAL GROUP |
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PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 ) |
Policy contract number | 48343 |
Policy instance | 1 |
Insurance contract or identification number | 48343 | Number of Individuals Covered | 63 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $14,334 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $95,559 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 14334 | Additional information about fees paid to insurance broker | LOCATE AND NEGOTIATE REINSURANCE COVERAGE | Insurance broker organization code? | 3 | Insurance broker name | DEREN FINANCIAL GROUP |
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PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 ) |
Policy contract number | 48343 |
Policy instance | 1 |
Insurance contract or identification number | 48343 | Number of Individuals Covered | 64 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $10,448 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $69,652 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 10448 | Additional information about fees paid to insurance broker | LOCATE AND NEGOTIATE REINSURANCE COVERAGE | Insurance broker organization code? | 3 | Insurance broker name | DEREN FINANCIAL GROUP |
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HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
Policy contract number | HCL19162 |
Policy instance | 1 |
Insurance contract or identification number | HCL19162 | Number of Individuals Covered | 57 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $12,604 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $84,038 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 12604 | Additional information about fees paid to insurance broker | LOCATE AND NEGOTIATE REINSURANCE COVERAGE | Insurance broker organization code? | 3 | Insurance broker name | DEREN FINANCIAL GROUP |
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HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
Policy contract number | HCL19162 |
Policy instance | 1 |
Insurance contract or identification number | HCL19162 | Number of Individuals Covered | 57 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $10,901 | Welfare Benefit Premiums Paid to Carrier | USD $72,672 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 10901 | Additional information about fees paid to insurance broker | LOCATE AND NEGOTIATE REINSURANCE COVERAGE | Insurance broker organization code? | 3 | Insurance broker name | DEREN FINANCIAL GROUP |
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PERICO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85561 ) |
Policy contract number | PX00612 |
Policy instance | 1 |
Insurance contract or identification number | PX00612 | Number of Individuals Covered | 58 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $13,187 | Welfare Benefit Premiums Paid to Carrier | USD $87,890 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PERICO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85561 ) |
Policy contract number | PX 00612 |
Policy instance | 1 |
Insurance contract or identification number | PX 00612 | Number of Individuals Covered | 59 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $10,803 | Welfare Benefit Premiums Paid to Carrier | USD $71,984 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,803 | Insurance broker name | DEREN FINANCIAL GROUP |
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