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GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameGLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN
Plan identification number 540

GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

GLOBAL CONNECTIONS TO EMPLOYMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name:GLOBAL CONNECTIONS TO EMPLOYMENT, INC.
Employer identification number (EIN):472592811
NAIC Classification:561210
NAIC Description:Facilities Support Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5402022-01-01
5402021-01-01
5402020-01-01

Plan Statistics for GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2022: GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,518
Total number of active participants reported on line 7a of the Form 55002022-01-011,382
Number of retired or separated participants receiving benefits2022-01-0116
Total of all active and inactive participants2022-01-011,398
2021: GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,711
Total number of active participants reported on line 7a of the Form 55002021-01-011,510
Number of retired or separated participants receiving benefits2021-01-018
Total of all active and inactive participants2021-01-011,518
2020: GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,811
Total number of active participants reported on line 7a of the Form 55002020-01-011,710
Number of retired or separated participants receiving benefits2020-01-011
Total of all active and inactive participants2020-01-011,711

Financial Data on GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2022 : GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$34,566
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$35,648
Total income from all sources (including contributions)2022-12-31$10,166,677
Total of all expenses incurred2022-12-31$10,686,437
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$10,221,324
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$10,160,650
Value of total assets at end of year2022-12-31$1,866,007
Value of total assets at beginning of year2022-12-31$2,386,849
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$465,113
Total interest from all sources2022-12-31$6,027
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$465,113
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$8,604,362
Participant contributions at end of year2022-12-31$148,367
Participant contributions at beginning of year2022-12-31$165,783
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$94,774
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$361,435
Liabilities. Value of operating payables at end of year2022-12-31$34,566
Liabilities. Value of operating payables at beginning of year2022-12-31$35,648
Total non interest bearing cash at end of year2022-12-31$14,549
Total non interest bearing cash at beginning of year2022-12-31$22,432
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-519,760
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,831,441
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,351,201
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$533,399
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$665,078
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$665,078
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$6,027
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$10,126,550
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,556,288
Employer contributions (assets) at end of year2022-12-31$1,169,692
Employer contributions (assets) at beginning of year2022-12-31$1,172,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$0
Contract administrator fees2022-12-31$0
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31APRIO LLP
Accountancy firm EIN2022-12-31571157523
2021 : GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2021 401k financial data
Total transfer of assets to this plan2021-12-31$446,785
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$35,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$40,638
Total income from all sources (including contributions)2021-12-31$12,443,190
Total of all expenses incurred2021-12-31$13,025,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$12,528,277
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$12,443,140
Value of total assets at end of year2021-12-31$2,386,849
Value of total assets at beginning of year2021-12-31$2,527,707
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$497,566
Total interest from all sources2021-12-31$50
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$497,566
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,958,831
Participant contributions at end of year2021-12-31$165,783
Participant contributions at beginning of year2021-12-31$147,563
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$106,913
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$361,435
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Liabilities. Value of operating payables at end of year2021-12-31$35,648
Liabilities. Value of operating payables at beginning of year2021-12-31$40,638
Total non interest bearing cash at end of year2021-12-31$22,432
Total non interest bearing cash at beginning of year2021-12-31$50,296
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-582,653
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,351,201
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,487,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$665,078
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$66,715
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$66,715
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$50
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$12,421,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$10,484,309
Employer contributions (assets) at end of year2021-12-31$1,172,121
Employer contributions (assets) at beginning of year2021-12-31$2,263,133
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ARONSON LLC
Accountancy firm EIN2021-12-31371611326
2020 : GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2020 401k financial data
Total transfer of assets to this plan2020-12-31$2,526,631
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$40,638
Total income from all sources (including contributions)2020-12-31$13,235,669
Total of all expenses incurred2020-12-31$13,275,231
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$12,765,953
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$13,233,172
Value of total assets at end of year2020-12-31$2,527,707
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$509,278
Total interest from all sources2020-12-31$2,497
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$120,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,033,369
Participant contributions at end of year2020-12-31$147,563
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$73,401
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,041,752
Liabilities. Value of operating payables at end of year2020-12-31$40,638
Total non interest bearing cash at end of year2020-12-31$50,296
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-39,562
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,487,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$66,715
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$2,497
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$12,692,552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$11,199,803
Employer contributions (assets) at end of year2020-12-31$1,221,381
Contract administrator fees2020-12-31$509,278
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31ARONSON LLC
Accountancy firm EIN2020-12-31371611326

Form 5500 Responses for GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN

2022: GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GLOBAL CONNECTIONS TO EMPLOYMENT, INC. HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberD0945
Policy instance 6
Insurance contract or identification numberD0945
Number of Individuals Covered371
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $97,636
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,786,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $97,636
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number754258
Policy instance 5
Insurance contract or identification number754258
Number of Individuals Covered1086
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $9,319
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,319
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number754258
Policy instance 4
Insurance contract or identification number754258
Number of Individuals Covered1162
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $14,939
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,939
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number695378
Policy instance 3
Insurance contract or identification number695378
Number of Individuals Covered1462
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $104,891
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, HOSPITAL CONFINEMENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $599,807
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,683
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number99999
Policy instance 2
Insurance contract or identification number99999
Number of Individuals Covered10
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $19,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract numberD0945
Policy instance 1
Insurance contract or identification numberD0945
Number of Individuals Covered365
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $86,325
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $4,231,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $86,325
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0919018
Policy instance 5
Insurance contract or identification number0919018
Number of Individuals Covered1118
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $226,378
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,892,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees226378
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number754258
Policy instance 4
Insurance contract or identification number754258
Number of Individuals Covered1147
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $12,712
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,712
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number754258
Policy instance 3
Insurance contract or identification number754258
Number of Individuals Covered1255
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $19,649
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,649
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69537-8
Policy instance 2
Insurance contract or identification number69537-8
Number of Individuals Covered1671
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $125,794
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, HOSPITAL CONFINEMENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $725,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $95,102
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number99999
Policy instance 1
Insurance contract or identification number99999
Number of Individuals Covered12
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $13,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0919018
Policy instance 7
Insurance contract or identification number0919018
Number of Individuals Covered1013
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $229,250
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,226,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees229250
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number754258
Policy instance 6
Insurance contract or identification number754258
Number of Individuals Covered1264
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,644
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,644
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number754258
Policy instance 5
Insurance contract or identification number754258
Number of Individuals Covered1416
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $24,718
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,718
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69537-8
Policy instance 4
Insurance contract or identification number69537-8
Number of Individuals Covered539
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $34,613
Other welfare benefits providedACCIDENT, HOSPITAL CONFINEMENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $188,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,613
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number59915
Policy instance 3
Insurance contract or identification number59915
Number of Individuals Covered1563
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $43,494
Total amount of fees paid to insurance companyUSD $329
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $434,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,494
Insurance broker organization code?3
Amount paid for insurance broker fees329
Additional information about fees paid to insurance brokerTPA FEES
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number99999
Policy instance 2
Insurance contract or identification number99999
Number of Individuals Covered10
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $14,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0011153423
Policy instance 1
Insurance contract or identification number0011153423
Number of Individuals Covered117
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $20,301
Total amount of fees paid to insurance companyUSD $2,400
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,051
Amount paid for insurance broker fees1341
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3

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