H E WILLIAMS INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN
Measure | Date | Value |
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2022: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 235 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 219 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 3 |
Total of all active and inactive participants | 2022-01-01 | 222 |
Total participants | 2022-01-01 | 222 |
2021: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 228 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 235 |
Total of all active and inactive participants | 2021-01-01 | 235 |
Total participants | 2021-01-01 | 235 |
2020: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 244 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 225 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 3 |
Total of all active and inactive participants | 2020-01-01 | 228 |
Total participants | 2020-01-01 | 228 |
2019: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 248 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 242 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 2 |
Total of all active and inactive participants | 2019-01-01 | 244 |
Total participants | 2019-01-01 | 244 |
2018: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 236 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 247 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 1 |
Total of all active and inactive participants | 2018-01-01 | 248 |
Total participants | 2018-01-01 | 248 |
2017: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 271 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 235 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
Total of all active and inactive participants | 2017-01-01 | 236 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
Total participants | 2017-01-01 | 236 |
2016: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 263 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 268 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 3 |
Total of all active and inactive participants | 2016-01-01 | 271 |
Total participants | 2016-01-01 | 271 |
2015: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 270 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 260 |
Number of retired or separated participants receiving benefits | 2015-01-01 | 3 |
Total of all active and inactive participants | 2015-01-01 | 263 |
Total participants | 2015-01-01 | 263 |
2014: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 271 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 269 |
Number of retired or separated participants receiving benefits | 2014-01-01 | 1 |
Total of all active and inactive participants | 2014-01-01 | 270 |
Total participants | 2014-01-01 | 270 |
2013: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 255 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 269 |
Number of retired or separated participants receiving benefits | 2013-01-01 | 2 |
Total of all active and inactive participants | 2013-01-01 | 271 |
Total participants | 2013-01-01 | 271 |
2012: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 256 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 253 |
Number of retired or separated participants receiving benefits | 2012-01-01 | 2 |
Total of all active and inactive participants | 2012-01-01 | 255 |
Total participants | 2012-01-01 | 255 |
2011: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 285 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 254 |
Number of retired or separated participants receiving benefits | 2011-01-01 | 2 |
Total of all active and inactive participants | 2011-01-01 | 256 |
Total participants | 2011-01-01 | 256 |
2010: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-01-01 | 232 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 282 |
Number of retired or separated participants receiving benefits | 2010-01-01 | 3 |
Total of all active and inactive participants | 2010-01-01 | 285 |
Total participants | 2010-01-01 | 285 |
2009: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 253 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 228 |
Number of retired or separated participants receiving benefits | 2009-01-01 | 4 |
Total of all active and inactive participants | 2009-01-01 | 232 |
Total participants | 2009-01-01 | 232 |
2022: H E WILLIAMS INC EMPLOYEE HEALTHCARE 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: H E WILLIAMS INC EMPLOYEE HEALTHCARE 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: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2020 form 5500 responses |
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2015 form 5500 responses |
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2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | Plan funding arrangement – Insurance | Yes |
2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2014 form 5500 responses |
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2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2013 form 5500 responses |
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2013-01-01 | Type of plan entity | Single employer plan |
2013-01-01 | Plan funding arrangement – Insurance | Yes |
2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-01-01 | Plan benefit arrangement – Insurance | Yes |
2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2012 form 5500 responses |
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2012-01-01 | Type of plan entity | Single employer plan |
2012-01-01 | Plan funding arrangement – Insurance | Yes |
2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-01-01 | Plan benefit arrangement – Insurance | Yes |
2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2011 form 5500 responses |
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2011-01-01 | Type of plan entity | Single employer plan |
2011-01-01 | Plan funding arrangement – Insurance | Yes |
2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-01-01 | Plan benefit arrangement – Insurance | Yes |
2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2010: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2010 form 5500 responses |
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2010-01-01 | Type of plan entity | Single employer plan |
2010-01-01 | Plan funding arrangement – Insurance | Yes |
2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2010-01-01 | Plan benefit arrangement – Insurance | Yes |
2010-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009: H E WILLIAMS INC EMPLOYEE HEALTHCARE PLAN 2009 form 5500 responses |
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2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Plan funding arrangement – Insurance | Yes |
2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-01-01 | Plan benefit arrangement – Insurance | Yes |
2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147 |
Policy instance | 4 |
Insurance contract or identification number | GTU-8365147 | Number of Individuals Covered | 356 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $1,424 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $9,496 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,424 | 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 | 81202094 |
Policy instance | 3 |
Insurance contract or identification number | 81202094 | Number of Individuals Covered | 357 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $16,237 | Total amount of fees paid to insurance company | USD $566 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $121,647 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $16,237 | Amount paid for insurance broker fees | 566 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 232 | Insurance policy start date | 2021-03-01 | Insurance policy end date | 2022-02-28 | Total amount of commissions paid to insurance broker | USD $2,481 | Total amount of fees paid to insurance company | USD $215 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,481 | Amount paid for insurance broker fees | 215 | Additional information about fees paid to insurance broker | CONTINGENT COMPENSATION | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 112 | Insurance policy start date | 2021-03-01 | Insurance policy end date | 2022-02-28 | Total amount of commissions paid to insurance broker | USD $4,224 | Total amount of fees paid to insurance company | USD $265 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,224 | Amount paid for insurance broker fees | 265 | Additional information about fees paid to insurance broker | CONTINGENT COMPENSATION | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 81202094 |
Policy instance | 3 |
Insurance contract or identification number | 81202094 | Number of Individuals Covered | 315 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $11,280 | Total amount of fees paid to insurance company | USD $590 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $112,950 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,280 | Amount paid for insurance broker fees | 590 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 |
|
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-16 |
Policy instance | 4 |
Insurance contract or identification number | GTU-8365147-16 | Number of Individuals Covered | 356 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $511 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,408 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $511 | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 113 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $4,240 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,240 | Insurance broker organization code? | 3 |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 223 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $2,487 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,487 | Insurance broker organization code? | 3 |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 111 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $3,973 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,898 | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 81202094 |
Policy instance | 3 |
Insurance contract or identification number | 81202094 | Number of Individuals Covered | 295 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $11,976 | Total amount of fees paid to insurance company | USD $306 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $113,599 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,976 | Amount paid for insurance broker fees | 306 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 |
|
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-16 |
Policy instance | 4 |
Insurance contract or identification number | GTU-8365147-16 | Number of Individuals Covered | 356 | Insurance policy start date | 2019-10-19 | Insurance policy end date | 2020-10-18 | Total amount of commissions paid to insurance broker | USD $511 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,408 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $511 | Insurance broker organization code? | 3 |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 251 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-29 | Total amount of commissions paid to insurance broker | USD $2,549 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,731 | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 81202094 |
Policy instance | 3 |
Insurance contract or identification number | 81202094 | Number of Individuals Covered | 332 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $12,679 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $123,277 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,679 | Insurance broker organization code? | 3 |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 248 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $2,905 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,905 | Insurance broker organization code? | 3 |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 101 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $4,104 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,104 | Insurance broker organization code? | 3 |
|
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-15 |
Policy instance | 4 |
Insurance contract or identification number | GTU-8365147-15 | Number of Individuals Covered | 355 | Insurance policy start date | 2018-10-19 | Insurance policy end date | 2019-10-18 | Total amount of commissions paid to insurance broker | USD $499 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,327 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $499 | Insurance broker organization code? | 3 |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 267 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $2,310 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,310 | Insurance broker organization code? | 3 |
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GREAT MIDWEST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18694 ) |
Policy contract number | CMSL 2018 10260 |
Policy instance | 5 |
Insurance contract or identification number | CMSL 2018 10260 | Number of Individuals Covered | 247 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $18,391 | Total amount of fees paid to insurance company | USD $39,150 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $331,023 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $18,391 | Amount paid for insurance broker fees | 39150 | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | Insurance broker organization code? | 3 |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 97 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $3,770 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,770 | Insurance broker organization code? | 3 |
|
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-15 |
Policy instance | 4 |
Insurance contract or identification number | GTU-8365147-15 | Number of Individuals Covered | 355 | Insurance policy start date | 2017-10-19 | Insurance policy end date | 2018-10-19 | Total amount of commissions paid to insurance broker | USD $499 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,327 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $499 | Insurance broker organization code? | 3 |
|
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 81202094 |
Policy instance | 3 |
Insurance contract or identification number | 81202094 | Number of Individuals Covered | 360 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $12,058 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $125,874 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,058 | Insurance broker organization code? | 3 |
|
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 107 | Insurance policy start date | 2016-03-01 | Insurance policy end date | 2017-02-28 | Total amount of commissions paid to insurance broker | USD $4,030 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,030 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | SL20000215-171 |
Policy instance | 5 |
Insurance contract or identification number | SL20000215-171 | Number of Individuals Covered | 240 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $19,033 | Total amount of fees paid to insurance company | USD $43,048 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $342,545 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,033 | Amount paid for insurance broker fees | 43048 | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MANAGEMENT, INC |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 81202094 |
Policy instance | 3 |
Insurance contract or identification number | 81202094 | Number of Individuals Covered | 341 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $13,961 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $121,887 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $13,961 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY |
|
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-15 |
Policy instance | 4 |
Insurance contract or identification number | GTU-8365147-15 | Number of Individuals Covered | 320 | Insurance policy start date | 2016-10-19 | Insurance policy end date | 2017-10-19 | Total amount of commissions paid to insurance broker | USD $499 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,327 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $499 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INSURANCE AGENCY |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 299 | Insurance policy start date | 2016-03-01 | Insurance policy end date | 2017-02-28 | Total amount of commissions paid to insurance broker | USD $2,971 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,971 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | SL20000215-151 |
Policy instance | 6 |
Insurance contract or identification number | SL20000215-151 | Number of Individuals Covered | 269 | Insurance policy start date | 2015-08-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $7,370 | Total amount of fees paid to insurance company | USD $16,968 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $130,656 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $7,370 | Amount paid for insurance broker fees | 16968 | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MANAGEMENT, INC |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 100 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $3,429 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,429 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 299 | Insurance policy start date | 2014-03-01 | Insurance policy end date | 2015-02-28 | Total amount of commissions paid to insurance broker | USD $2,386 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,386 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 8120-1094 |
Policy instance | 3 |
Insurance contract or identification number | 8120-1094 | Number of Individuals Covered | 369 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $11,276 | Total amount of fees paid to insurance company | USD $1,452 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $112,760 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,276 | Amount paid for insurance broker fees | 1452 | Additional information about fees paid to insurance broker | OTHER COMMISSION/BROKER BONUS | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY |
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NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
Policy contract number | NWL0129MO-07 |
Policy instance | 4 |
Insurance contract or identification number | NWL0129MO-07 | Number of Individuals Covered | 253 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-07-31 | Total amount of commissions paid to insurance broker | USD $10,318 | Total amount of fees paid to insurance company | USD $23,756 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $188,541 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,318 | Amount paid for insurance broker fees | 23756 | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MANAGEMENT, INC |
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ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-14 |
Policy instance | 5 |
Insurance contract or identification number | GTU-8365147-14 | Number of Individuals Covered | 320 | Insurance policy start date | 2014-10-19 | Insurance policy end date | 2015-10-19 | Total amount of commissions paid to insurance broker | USD $451 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,009 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $451 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INSURANCE AGENCY |
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NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
Policy contract number | NWL0129MO-06 |
Policy instance | 4 |
Insurance contract or identification number | NWL0129MO-06 | Number of Individuals Covered | 268 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $19,093 | Total amount of fees paid to insurance company | USD $42,237 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $343,473 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,093 | Amount paid for insurance broker fees | 42237 | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MANAGEMENT, INC |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 8120-1094 |
Policy instance | 3 |
Insurance contract or identification number | 8120-1094 | Number of Individuals Covered | 392 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $12,575 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $116,397 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,575 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 305 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $2,093 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,093 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 102 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $3,387 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,387 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-14 |
Policy instance | 5 |
Insurance contract or identification number | GTU-8365147-14 | Number of Individuals Covered | 320 | Insurance policy start date | 2013-10-19 | Insurance policy end date | 2014-10-19 | Total amount of commissions paid to insurance broker | USD $451 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,009 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $451 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INSURANCE AGENCY |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 286 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $2,320 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,320 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 8120-1094 |
Policy instance | 3 |
Insurance contract or identification number | 8120-1094 | Number of Individuals Covered | 414 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $11,215 | Total amount of fees paid to insurance company | USD $515 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $104,322 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,215 | Amount paid for insurance broker fees | 515 | Additional information about fees paid to insurance broker | DELTA REWARDS | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY |
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NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
Policy contract number | NWL0129MO-05 |
Policy instance | 4 |
Insurance contract or identification number | NWL0129MO-05 | Number of Individuals Covered | 263 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $21,904 | Total amount of fees paid to insurance company | USD $40,413 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $289,790 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $21,904 | Amount paid for insurance broker fees | 40413 | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MANAGEMENT, INC |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 97 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $3,361 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,361 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-13 |
Policy instance | 5 |
Insurance contract or identification number | GTU-8365147-13 | Number of Individuals Covered | 269 | Insurance policy start date | 2012-10-19 | Insurance policy end date | 2013-10-19 | Total amount of commissions paid to insurance broker | USD $472 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,144 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $472 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INSURANCE AGENCY |
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ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU-8365147-13 |
Policy instance | 5 |
Insurance contract or identification number | GTU-8365147-13 | Number of Individuals Covered | 253 | Insurance policy start date | 2012-10-19 | Insurance policy end date | 2013-10-19 | Total amount of commissions paid to insurance broker | USD $472 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,144 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $472 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INSURANCE AGENCY |
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NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
Policy contract number | NWL0129MO-04 |
Policy instance | 4 |
Insurance contract or identification number | NWL0129MO-04 | Number of Individuals Covered | 258 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $20,884 | Total amount of fees paid to insurance company | USD $39,547 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $276,673 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $20,884 | Amount paid for insurance broker fees | 39547 | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MANAGEMENT, INC |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 8120-1094 |
Policy instance | 3 |
Insurance contract or identification number | 8120-1094 | Number of Individuals Covered | 402 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $11,080 | Total amount of fees paid to insurance company | USD $505 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,080 | Amount paid for insurance broker fees | 505 | Additional information about fees paid to insurance broker | DELTA REWARDS | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 97 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $3,361 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,361 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 286 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $2,320 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,320 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 105 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $3,281 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU8365147 |
Policy instance | 5 |
Insurance contract or identification number | GTU8365147 | Number of Individuals Covered | 254 | Insurance policy start date | 2010-10-19 | Insurance policy end date | 2011-10-19 | Total amount of commissions paid to insurance broker | USD $472 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,144 | 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 | 8120-1094 |
Policy instance | 3 |
Insurance contract or identification number | 8120-1094 | Number of Individuals Covered | 391 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $9,401 | Total amount of fees paid to insurance company | USD $453 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $94,015 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
Policy contract number | NWL0129MO-02 |
Policy instance | 4 |
Insurance contract or identification number | NWL0129MO-02 | Number of Individuals Covered | 263 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $14,318 | Total amount of fees paid to insurance company | USD $40,513 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $257,420 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 286 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $2,598 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 2 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 330 | Insurance policy start date | 2010-03-01 | Insurance policy end date | 2011-02-28 | Total amount of commissions paid to insurance broker | USD $2,049 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,049 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
Policy contract number | GTU8365147 |
Policy instance | 5 |
Insurance contract or identification number | GTU8365147 | Number of Individuals Covered | 360 | Insurance policy start date | 2009-10-19 | Insurance policy end date | 2010-10-19 | Total amount of commissions paid to insurance broker | USD $547 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $3,643 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $547 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INSURANCE AGENCY |
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NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
Policy contract number | NWL0129MO-02 |
Policy instance | 4 |
Insurance contract or identification number | NWL0129MO-02 | Number of Individuals Covered | 297 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $4,068 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $203,393 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,068 | Insurance broker organization code? | 3 | Insurance broker name | BENEFIT MANAGEMENT, INC-MO |
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DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) |
Policy contract number | 8120-1094 |
Policy instance | 3 |
Insurance contract or identification number | 8120-1094 | Number of Individuals Covered | 394 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $9,485 | Total amount of fees paid to insurance company | USD $193 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $94,851 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $9,485 | Amount paid for insurance broker fees | 193 | Additional information about fees paid to insurance broker | DELTA REWARDS | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 632310 |
Policy instance | 1 |
Insurance contract or identification number | 632310 | Number of Individuals Covered | 96 | Insurance policy start date | 2010-03-01 | Insurance policy end date | 2011-02-28 | Total amount of commissions paid to insurance broker | USD $3,187 | Total amount of fees paid to insurance company | USD $0 | Long Term Disability Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,187 | Insurance broker organization code? | 3 | Insurance broker name | BEIMDIEK INS AGENCY INC |
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