?>
Logo

GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 401k Plan overview

Plan NameGROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER
Plan identification number 503

GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ST. ALEXIUS MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:ST. ALEXIUS MEDICAL CENTER
Employer identification number (EIN):450226711
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032019-01-01KURT R SCHLEY2020-07-20
5032018-01-01
5032017-01-01
5032016-01-01
5032015-01-01
5032014-01-01
5032013-01-01
5032012-01-01MELISSA JORGENSON
5032011-01-01GARY P. MILLER
5032010-01-01GARY P. MILLER
5032009-01-01ANDREW WILSON

Plan Statistics for 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
2019: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2019 401k membership
Total participants, beginning-of-year2019-01-011,504
Total number of active participants reported on line 7a of the Form 55002019-01-011,513
Total of all active and inactive participants2019-01-011,513
2018: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2018 401k membership
Total participants, beginning-of-year2018-01-011,436
Total number of active participants reported on line 7a of the Form 55002018-01-011,412
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,412
2017: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2017 401k membership
Total participants, beginning-of-year2017-01-011,609
Total number of active participants reported on line 7a of the Form 55002017-01-011,436
Total of all active and inactive participants2017-01-011,436
2016: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2016 401k membership
Total participants, beginning-of-year2016-01-011,660
Total number of active participants reported on line 7a of the Form 55002016-01-011,609
Number of retired or separated participants receiving benefits2016-01-010
Total of all active and inactive participants2016-01-011,609
2015: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2015 401k membership
Total participants, beginning-of-year2015-01-011,895
Total number of active participants reported on line 7a of the Form 55002015-01-011,718
Total of all active and inactive participants2015-01-011,718
2014: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2014 401k membership
Total participants, beginning-of-year2014-01-011,935
Total number of active participants reported on line 7a of the Form 55002014-01-011,982
Total of all active and inactive participants2014-01-011,982
2013: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2013 401k membership
Total participants, beginning-of-year2013-01-011,802
Total number of active participants reported on line 7a of the Form 55002013-01-011,936
Total of all active and inactive participants2013-01-011,936
2012: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2012 401k membership
Total participants, beginning-of-year2012-01-011,813
Total number of active participants reported on line 7a of the Form 55002012-01-011,873
Total of all active and inactive participants2012-01-011,873
2011: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2011 401k membership
Total participants, beginning-of-year2011-01-011,868
Total number of active participants reported on line 7a of the Form 55002011-01-011,884
Total of all active and inactive participants2011-01-011,884
2010: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2010 401k membership
Total participants, beginning-of-year2010-01-011,779
Total number of active participants reported on line 7a of the Form 55002010-01-011,868
Total of all active and inactive participants2010-01-011,868
2009: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2009 401k membership
Total participants, beginning-of-year2009-01-011,777
Total number of active participants reported on line 7a of the Form 55002009-01-011,843
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,843

Form 5500 Responses for GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER

2019: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE/GROUP DISABILITY INSURANCE PLAN OF ST ALEXIUS MEDICAL CENTER 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

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number247471
Policy instance 2
Insurance contract or identification number247471
Number of Individuals Covered1449
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $26,973
Total amount of fees paid to insurance companyUSD $6,162
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $269,281
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,973
Insurance broker organization code?3
Amount paid for insurance broker fees6162
Additional information about fees paid to insurance brokerBONUS
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00615553
Policy instance 1
Insurance contract or identification numberG00615553
Number of Individuals Covered1513
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $18,017
Total amount of fees paid to insurance companyUSD $5,093
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $180,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,017
Amount paid for insurance broker fees5093
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number247471
Policy instance 2
Insurance contract or identification number247471
Number of Individuals Covered1412
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $28,879
Total amount of fees paid to insurance companyUSD $9,045
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $279,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,879
Amount paid for insurance broker fees9045
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00615553
Policy instance 1
Insurance contract or identification numberG00615553
Number of Individuals Covered1234
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $17,243
Total amount of fees paid to insurance companyUSD $11,917
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $172,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,243
Amount paid for insurance broker fees11917
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number247471
Policy instance 2
Insurance contract or identification number247471
Number of Individuals Covered1418
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $35,962
Total amount of fees paid to insurance companyUSD $17,635
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $391,502
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,962
Amount paid for insurance broker fees1432
Additional information about fees paid to insurance brokerBONUS FOR PRIOR YEAR
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00615553
Policy instance 1
Insurance contract or identification numberG00615553
Number of Individuals Covered1436
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $19,426
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $194,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,426
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10156668
Policy instance 1
Insurance contract or identification number10156668
Number of Individuals Covered1718
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $33,535
Total amount of fees paid to insurance companyUSD $1,052
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $223,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,535
Amount paid for insurance broker fees1052
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10156669
Policy instance 2
Insurance contract or identification number10156669
Number of Individuals Covered1700
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $54,809
Total amount of fees paid to insurance companyUSD $1,573
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $365,394
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,809
Amount paid for insurance broker fees1573
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10156669
Policy instance 2
Insurance contract or identification number10156669
Number of Individuals Covered1982
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $35,637
Total amount of fees paid to insurance companyUSD $8,340
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $237,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,637
Amount paid for insurance broker fees8340
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10156668
Policy instance 1
Insurance contract or identification number10156668
Number of Individuals Covered1898
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $23,836
Total amount of fees paid to insurance companyUSD $5,476
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
Welfare Benefit Premiums Paid to CarrierUSD $158,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,836
Amount paid for insurance broker fees5476
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10156669
Policy instance 2
Insurance contract or identification number10156669
Number of Individuals Covered1936
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $35,743
Total amount of fees paid to insurance companyUSD $11,253
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $238,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,743
Amount paid for insurance broker fees11253
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP, INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10156668
Policy instance 1
Insurance contract or identification number10156668
Number of Individuals Covered1936
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $23,468
Total amount of fees paid to insurance companyUSD $7,440
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
Welfare Benefit Premiums Paid to CarrierUSD $156,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,468
Amount paid for insurance broker fees7440
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP, INC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFHM912641
Policy instance 1
Insurance contract or identification numberFHM912641
Number of Individuals Covered1880
Insurance policy start date2012-01-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $5,538
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
Welfare Benefit Premiums Paid to CarrierUSD $55,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,538
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP, INC, TOLEDO
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10156669
Policy instance 4
Insurance contract or identification number10156669
Number of Individuals Covered1875
Insurance policy start date2012-04-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $22,432
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $149,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,432
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP, INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10156668
Policy instance 3
Insurance contract or identification number10156668
Number of Individuals Covered1849
Insurance policy start date2012-04-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $14,700
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
Welfare Benefit Premiums Paid to CarrierUSD $97,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,700
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP, INC
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number0539
Policy instance 2
Insurance contract or identification number0539
Number of Individuals Covered1868
Insurance policy start date2012-01-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $3,974
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,974
Insurance broker organization code?3
Insurance broker nameNATIONAL INSURANCE SERVICES
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFHM912641
Policy instance 1
Insurance contract or identification numberFHM912641
Number of Individuals Covered1884
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $21,586
Total amount of fees paid to insurance companyUSD $10,932
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
Welfare Benefit Premiums Paid to CarrierUSD $215,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number0539
Policy instance 2
Insurance contract or identification number0539
Number of Individuals Covered1880
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $29,175
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $291,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number0539
Policy instance 2
Insurance contract or identification number0539
Number of Individuals Covered1778
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $28,611
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $286,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,611
Insurance broker organization code?3
Insurance broker nameNATIONAL INSURANCE SERVICES
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFHM912641
Policy instance 1
Insurance contract or identification numberFHM912641
Number of Individuals Covered1868
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $20,743
Total amount of fees paid to insurance companyUSD $344
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
Welfare Benefit Premiums Paid to CarrierUSD $207,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,743
Amount paid for insurance broker fees344
Additional information about fees paid to insurance brokerINCENTIVE PAYOUTS, THIRD PARTY ADMIN FEES
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP, INC, ANN ARBOR

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3