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TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 401k Plan overview

Plan NameTAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN
Plan identification number 507

TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

TAMKO BUILDING PRODUCTS LLC has sponsored the creation of one or more 401k plans.

Company Name:TAMKO BUILDING PRODUCTS LLC
Employer identification number (EIN):440502367
NAIC Classification:324120

Additional information about TAMKO BUILDING PRODUCTS LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1983-09-05
Company Identification Number: 0007127106
Legal Registered Office Address: PO BOX 97

GALENA
United States of America (USA)
66739

More information about TAMKO BUILDING PRODUCTS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-01-01
5072021-01-01
5072020-01-01
5072019-01-01
5072018-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2019-07-03
5072017-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2018-07-19
5072016-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2017-07-06
5072015-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2016-06-28
5072014-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2015-06-30
5072013-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2014-07-21
5072012-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2013-07-18
5072011-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2012-07-11
5072009-01-01SANDRA K BETEBENNER SANDRA K BETEBENNER2010-09-20

Plan Statistics for TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN

401k plan membership statisitcs for TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN

Measure Date Value
2022: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01784
Total number of active participants reported on line 7a of the Form 55002022-01-01736
Total of all active and inactive participants2022-01-01736
2021: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01834
Total number of active participants reported on line 7a of the Form 55002021-01-01779
Total of all active and inactive participants2021-01-01779
2020: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,086
Total number of active participants reported on line 7a of the Form 55002020-01-01834
Total of all active and inactive participants2020-01-01834
2019: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,190
Total number of active participants reported on line 7a of the Form 55002019-01-011,086
Total of all active and inactive participants2019-01-011,086
2018: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,268
Total number of active participants reported on line 7a of the Form 55002018-01-011,190
Total of all active and inactive participants2018-01-011,190
2017: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,231
Total number of active participants reported on line 7a of the Form 55002017-01-011,242
Total of all active and inactive participants2017-01-011,242
2016: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,131
Total number of active participants reported on line 7a of the Form 55002016-01-011,231
Total of all active and inactive participants2016-01-011,231
2015: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,032
Total number of active participants reported on line 7a of the Form 55002015-01-011,104
Total of all active and inactive participants2015-01-011,104
2014: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,003
Total number of active participants reported on line 7a of the Form 55002014-01-011,032
Total of all active and inactive participants2014-01-011,032
2013: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,127
Total number of active participants reported on line 7a of the Form 55002013-01-011,003
Total of all active and inactive participants2013-01-011,003
2012: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,070
Total number of active participants reported on line 7a of the Form 55002012-01-011,127
Total of all active and inactive participants2012-01-011,127
2011: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,088
Total number of active participants reported on line 7a of the Form 55002011-01-011,070
Total of all active and inactive participants2011-01-011,070
2009: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,348
Total number of active participants reported on line 7a of the Form 55002009-01-011,282
Total of all active and inactive participants2009-01-011,282

Form 5500 Responses for TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN

2022: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: TAMKO BUILDING PRODUCTS INC EMPLOYEE & DEPENDENT GROUP LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700108
Policy instance 2
Insurance contract or identification number000000700108
Number of Individuals Covered512
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $53,676
Total amount of fees paid to insurance companyUSD $2,684
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE,
Welfare Benefit Premiums Paid to CarrierUSD $357,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,676
Amount paid for insurance broker fees2684
Additional information about fees paid to insurance brokerADDITIONAL COMP
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700107
Policy instance 1
Insurance contract or identification number000000700107
Number of Individuals Covered729
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $8,959
Total amount of fees paid to insurance companyUSD $448
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $59,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,959
Amount paid for insurance broker fees448
Additional information about fees paid to insurance brokerADDITIONAL COMP
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700108
Policy instance 2
Insurance contract or identification number000000700108
Number of Individuals Covered546
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $53,772
Total amount of fees paid to insurance companyUSD $2,689
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE,
Welfare Benefit Premiums Paid to CarrierUSD $358,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,772
Amount paid for insurance broker fees2689
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700107
Policy instance 1
Insurance contract or identification number000000700107
Number of Individuals Covered780
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $10,926
Total amount of fees paid to insurance companyUSD $546
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $72,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,926
Amount paid for insurance broker fees546
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700107
Policy instance 1
Insurance contract or identification number000000700107
Number of Individuals Covered832
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $12,565
Total amount of fees paid to insurance companyUSD $628
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $83,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,565
Amount paid for insurance broker fees628
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700108
Policy instance 2
Insurance contract or identification number000000700108
Number of Individuals Covered578
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $57,467
Total amount of fees paid to insurance companyUSD $2,873
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE,
Welfare Benefit Premiums Paid to CarrierUSD $383,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,467
Amount paid for insurance broker fees2873
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700108
Policy instance 2
Insurance contract or identification number000000700108
Number of Individuals Covered733
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $65,164
Total amount of fees paid to insurance companyUSD $3,258
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE,
Welfare Benefit Premiums Paid to CarrierUSD $434,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65,164
Amount paid for insurance broker fees3258
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700107
Policy instance 1
Insurance contract or identification number000000700107
Number of Individuals Covered1081
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $15,428
Total amount of fees paid to insurance companyUSD $771
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $102,852
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,428
Amount paid for insurance broker fees771
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700108
Policy instance 2
Insurance contract or identification number000000700108
Number of Individuals Covered853
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $60,994
Total amount of fees paid to insurance companyUSD $3,050
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE,
Welfare Benefit Premiums Paid to CarrierUSD $406,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,994
Amount paid for insurance broker fees3050
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700107
Policy instance 1
Insurance contract or identification number000000700107
Number of Individuals Covered1267
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $16,788
Total amount of fees paid to insurance companyUSD $839
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $111,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,788
Amount paid for insurance broker fees839
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700108
Policy instance 2
Insurance contract or identification number000000700108
Number of Individuals Covered771
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $49,842
Total amount of fees paid to insurance companyUSD $2,492
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE,
Welfare Benefit Premiums Paid to CarrierUSD $332,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,842
Amount paid for insurance broker fees2492
Insurance broker organization code?3
Insurance broker nameSCHWARTZ BENEFIT SERVICES INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700107
Policy instance 1
Insurance contract or identification number000000700107
Number of Individuals Covered1250
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $34,054
Total amount of fees paid to insurance companyUSD $847
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $112,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,054
Amount paid for insurance broker fees847
Insurance broker organization code?3
Insurance broker nameSCHWARTZ BENEFIT SERVICES INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700108
Policy instance 2
Insurance contract or identification number000000700108
Number of Individuals Covered621
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $50,049
Total amount of fees paid to insurance companyUSD $5,967
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE,
Welfare Benefit Premiums Paid to CarrierUSD $193,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,049
Amount paid for insurance broker fees5967
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameSCHWARTZ BENEFIT SERVICES INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000700107
Policy instance 1
Insurance contract or identification number000000700107
Number of Individuals Covered1107
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,349
Total amount of fees paid to insurance companyUSD $1,989
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $99,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,349
Amount paid for insurance broker fees1989
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameSCHWARTZ BENEFIT SERVICES INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10150178 00000
Policy instance 1
Insurance contract or identification number10150178 00000
Number of Individuals Covered1600
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,724
Total amount of fees paid to insurance companyUSD $2,299
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $107,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,724
Amount paid for insurance broker fees2299
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameSCHWARTZ BENEFIT SERVICES INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000 14134
Policy instance 2
Insurance contract or identification number400001000 14134
Number of Individuals Covered886
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $49,905
Total amount of fees paid to insurance companyUSD $4,292
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE
Welfare Benefit Premiums Paid to CarrierUSD $216,980
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,905
Amount paid for insurance broker fees4292
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameSCHWARTZ BENEFIT SERVICES INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100014134
Policy instance 2
Insurance contract or identification number40000100014134
Number of Individuals Covered872
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $36,288
Total amount of fees paid to insurance companyUSD $8,220
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE
Welfare Benefit Premiums Paid to CarrierUSD $214,593
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,619
Insurance broker organization code?3
Amount paid for insurance broker fees8220
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameMERCER HEALTH & BENEFITS LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010150178
Policy instance 1
Insurance contract or identification number000010150178
Number of Individuals Covered1479
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,810
Total amount of fees paid to insurance companyUSD $4,658
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $114,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,797
Amount paid for insurance broker fees4658
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameSCHWARTZ BENEFIT SERVICES INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010150178
Policy instance 2
Insurance contract or identification number000010150178
Number of Individuals Covered1641
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,695
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $103,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,695
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100014134
Policy instance 3
Insurance contract or identification number40000100014134
Number of Individuals Covered951
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $27,400
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOL CHILD LIFE, VOL SPOUSE LIFE
Welfare Benefit Premiums Paid to CarrierUSD $182,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,400
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number117591-G
Policy instance 1
Insurance contract or identification number117591-G
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $745
Total amount of fees paid to insurance companyUSD $478
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $745
Amount paid for insurance broker fees52
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number117591-G
Policy instance 1
Insurance contract or identification number117591-G
Number of Individuals Covered2098
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $8,555
Total amount of fees paid to insurance companyUSD $2,989
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $255,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number117591-G
Policy instance 1
Insurance contract or identification number117591-G
Number of Individuals Covered1791
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,748
Total amount of fees paid to insurance companyUSD $5,426
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $266,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,748
Amount paid for insurance broker fees5426
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION FOR LIFE AND AD&D
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC

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