WE DO LIFE....TOGETHER A DIVISION OF ICES/CT TRANSPORTATION SOLUTIONS has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WE DO LIFE....TOGETHER A DIVISION OF ICES HEALTH AND WELFARE BENEFIT PLAN
| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) |
| Policy contract number | 014789 |
| Policy instance | 1 |
| Insurance contract or identification number | 014789 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2023-02-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,422 | | Total amount of fees paid to insurance company | USD $474 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $7,975 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 ) |
| Policy contract number | L07761 |
| Policy instance | 2 |
| Insurance contract or identification number | L07761 | | Number of Individuals Covered | 68 | | Insurance policy start date | 2023-02-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,206 | | Total amount of fees paid to insurance company | USD $1,206 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,569 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0930734 |
| Policy instance | 3 |
| Insurance contract or identification number | 0930734 | | Number of Individuals Covered | 46 | | Insurance policy start date | 2023-02-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $317 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,056 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 958139 |
| Policy instance | 4 |
| Insurance contract or identification number | 958139 | | Number of Individuals Covered | 163 | | Insurance policy start date | 2023-02-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $2,845 | | Total amount of fees paid to insurance company | USD $827 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENT, CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $22,633 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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