ST. ALEXIUS MEDICAL CENTER has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER
401k plan membership statisitcs for GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER
Measure | Date | Value |
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2019: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 1,504 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 1,513 |
Total of all active and inactive participants | 2019-01-01 | 1,513 |
2018: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 1,436 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 1,412 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 1,412 |
2017: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 1,609 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 1,436 |
Total of all active and inactive participants | 2017-01-01 | 1,436 |
2016: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 1,660 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 1,609 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
Total of all active and inactive participants | 2016-01-01 | 1,609 |
2015: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 1,895 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 1,718 |
Total of all active and inactive participants | 2015-01-01 | 1,718 |
2014: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 1,935 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,982 |
Total of all active and inactive participants | 2014-01-01 | 1,982 |
2013: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 1,802 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,936 |
Total of all active and inactive participants | 2013-01-01 | 1,936 |
2012: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 1,813 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,873 |
Total of all active and inactive participants | 2012-01-01 | 1,873 |
2011: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 1,868 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,884 |
Total of all active and inactive participants | 2011-01-01 | 1,884 |
2010: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2010 401k membership |
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Total participants, beginning-of-year | 2010-01-01 | 1,779 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 1,868 |
Total of all active and inactive participants | 2010-01-01 | 1,868 |
2009: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 1,777 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 1,843 |
Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
Total of all active and inactive participants | 2009-01-01 | 1,843 |
2019: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2018: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2017: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2016: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2015: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2014: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2013: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2012: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2011: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2010: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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 benefit arrangement – Insurance | Yes |
2009: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2009 form 5500 responses |
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2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | Plan funding arrangement – Insurance | Yes |
2009-01-01 | Plan benefit arrangement – Insurance | Yes |
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 247471 |
Policy instance | 2 |
Insurance contract or identification number | 247471 | Number of Individuals Covered | 1449 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $26,973 | Total amount of fees paid to insurance company | USD $6,162 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $269,281 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $26,973 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 6162 | Additional information about fees paid to insurance broker | BONUS |
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AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
Policy contract number | G00615553 |
Policy instance | 1 |
Insurance contract or identification number | G00615553 | Number of Individuals Covered | 1513 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $18,017 | Total amount of fees paid to insurance company | USD $5,093 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $180,174 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $18,017 | Amount paid for insurance broker fees | 5093 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 247471 |
Policy instance | 2 |
Insurance contract or identification number | 247471 | Number of Individuals Covered | 1412 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $28,879 | Total amount of fees paid to insurance company | USD $9,045 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $279,727 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $28,879 | Amount paid for insurance broker fees | 9045 | Additional information about fees paid to insurance broker | BONUS | Insurance broker organization code? | 3 |
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AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
Policy contract number | G00615553 |
Policy instance | 1 |
Insurance contract or identification number | G00615553 | Number of Individuals Covered | 1234 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $17,243 | Total amount of fees paid to insurance company | USD $11,917 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $172,436 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $17,243 | Amount paid for insurance broker fees | 11917 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 247471 |
Policy instance | 2 |
Insurance contract or identification number | 247471 | Number of Individuals Covered | 1418 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $35,962 | Total amount of fees paid to insurance company | USD $17,635 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $391,502 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $35,962 | Amount paid for insurance broker fees | 1432 | Additional information about fees paid to insurance broker | BONUS FOR PRIOR YEAR | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
Policy contract number | G00615553 |
Policy instance | 1 |
Insurance contract or identification number | G00615553 | Number of Individuals Covered | 1436 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $19,426 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $194,264 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,426 | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 10156668 |
Policy instance | 1 |
Insurance contract or identification number | 10156668 | Number of Individuals Covered | 1718 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $33,535 | Total amount of fees paid to insurance company | USD $1,052 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $223,564 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $33,535 | Amount paid for insurance broker fees | 1052 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 10156669 |
Policy instance | 2 |
Insurance contract or identification number | 10156669 | Number of Individuals Covered | 1700 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $54,809 | Total amount of fees paid to insurance company | USD $1,573 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $365,394 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $54,809 | Amount paid for insurance broker fees | 1573 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 10156669 |
Policy instance | 2 |
Insurance contract or identification number | 10156669 | Number of Individuals Covered | 1982 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $35,637 | Total amount of fees paid to insurance company | USD $8,340 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $237,580 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $35,637 | Amount paid for insurance broker fees | 8340 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 10156668 |
Policy instance | 1 |
Insurance contract or identification number | 10156668 | Number of Individuals Covered | 1898 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $23,836 | Total amount of fees paid to insurance company | USD $5,476 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $158,906 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $23,836 | Amount paid for insurance broker fees | 5476 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 10156669 |
Policy instance | 2 |
Insurance contract or identification number | 10156669 | Number of Individuals Covered | 1936 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $35,743 | Total amount of fees paid to insurance company | USD $11,253 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $238,285 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $35,743 | Amount paid for insurance broker fees | 11253 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP, INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 10156668 |
Policy instance | 1 |
Insurance contract or identification number | 10156668 | Number of Individuals Covered | 1936 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $23,468 | Total amount of fees paid to insurance company | USD $7,440 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $156,453 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $23,468 | Amount paid for insurance broker fees | 7440 | Additional information about fees paid to insurance broker | BROKER BONUS | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP, INC |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | FHM912641 |
Policy instance | 1 |
Insurance contract or identification number | FHM912641 | Number of Individuals Covered | 1880 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-03-31 | Total amount of commissions paid to insurance broker | USD $5,538 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $55,377 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,538 | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP, INC, TOLEDO |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 10156669 |
Policy instance | 4 |
Insurance contract or identification number | 10156669 | Number of Individuals Covered | 1875 | Insurance policy start date | 2012-04-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $22,432 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $149,548 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $22,432 | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP, INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 10156668 |
Policy instance | 3 |
Insurance contract or identification number | 10156668 | Number of Individuals Covered | 1849 | Insurance policy start date | 2012-04-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $14,700 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $97,999 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $14,700 | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP, INC |
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MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 ) |
Policy contract number | 0539 |
Policy instance | 2 |
Insurance contract or identification number | 0539 | Number of Individuals Covered | 1868 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-03-31 | Total amount of commissions paid to insurance broker | USD $3,974 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $69,725 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,974 | Insurance broker organization code? | 3 | Insurance broker name | NATIONAL INSURANCE SERVICES |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | FHM912641 |
Policy instance | 1 |
Insurance contract or identification number | FHM912641 | Number of Individuals Covered | 1884 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $21,586 | Total amount of fees paid to insurance company | USD $10,932 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $215,861 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 ) |
Policy contract number | 0539 |
Policy instance | 2 |
Insurance contract or identification number | 0539 | Number of Individuals Covered | 1880 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $29,175 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $291,745 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 ) |
Policy contract number | 0539 |
Policy instance | 2 |
Insurance contract or identification number | 0539 | Number of Individuals Covered | 1778 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $28,611 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $286,112 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $28,611 | Insurance broker organization code? | 3 | Insurance broker name | NATIONAL INSURANCE SERVICES |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | FHM912641 |
Policy instance | 1 |
Insurance contract or identification number | FHM912641 | Number of Individuals Covered | 1868 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $20,743 | Total amount of fees paid to insurance company | USD $344 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $207,429 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $20,743 | Amount paid for insurance broker fees | 344 | Additional information about fees paid to insurance broker | INCENTIVE PAYOUTS, THIRD PARTY ADMIN FEES | Insurance broker organization code? | 3 | Insurance broker name | HYLANT GROUP, INC, ANN ARBOR |
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