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EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 401k Plan overview

Plan NameEAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA
Plan identification number 541

EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA Benefits

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

401k Sponsoring company profile

EAGLE COMMUNICATIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:EAGLE COMMUNICATIONS, INC.
Employer identification number (EIN):480526211
NAIC Classification:515100

Additional information about EAGLE COMMUNICATIONS, INC.

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 1980-08-22
Company Identification Number: 19801008351
Legal Registered Office Address: 6255 MCLEOD DR STE 2

LAS VEGAS
United States of America (USA)
89119

More information about EAGLE COMMUNICATIONS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5412022-01-01KURT DAVID2023-02-24
5412021-01-01KURT DAVID2022-04-22
5412020-01-01KURT DAVID2021-10-07
5412019-01-01KURT DAVID2020-05-20
5412018-01-01
5412017-01-01
5412016-02-01
5412015-02-01
5412014-02-01
5412013-02-01
5412012-02-01GARY SHORMAN
5412011-02-01GARY SHORMAN
5412010-02-01GARY SHORMAN
5412009-02-01GARY SHORMAN
5412009-02-01GARY SHORMAN
5412009-02-01GARY SHORMAN GARY SHORMAN2010-07-15

Plan Statistics for EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA

401k plan membership statisitcs for EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA

Measure Date Value
2022: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2022 401k membership
Total participants, beginning-of-year2022-01-01223
Total number of active participants reported on line 7a of the Form 55002022-01-01221
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-012
Total of all active and inactive participants2022-01-01224
Number of employers contributing to the scheme2022-01-010
2021: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2021 401k membership
Total participants, beginning-of-year2021-01-01219
Total number of active participants reported on line 7a of the Form 55002021-01-01223
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01224
Number of employers contributing to the scheme2021-01-010
2020: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2020 401k membership
Total participants, beginning-of-year2020-01-01216
Total number of active participants reported on line 7a of the Form 55002020-01-01216
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01219
Number of employers contributing to the scheme2020-01-010
2019: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2019 401k membership
Total participants, beginning-of-year2019-01-01376
Total number of active participants reported on line 7a of the Form 55002019-01-01216
Total of all active and inactive participants2019-01-01216
2018: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2018 401k membership
Total participants, beginning-of-year2018-01-01378
Total number of active participants reported on line 7a of the Form 55002018-01-01376
Number of retired or separated participants receiving benefits2018-01-012
Total of all active and inactive participants2018-01-01378
2017: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2017 401k membership
Total participants, beginning-of-year2017-01-01357
Total number of active participants reported on line 7a of the Form 55002017-01-01378
Number of retired or separated participants receiving benefits2017-01-012
Total of all active and inactive participants2017-01-01380
2016: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2016 401k membership
Total participants, beginning-of-year2016-02-01333
Total number of active participants reported on line 7a of the Form 55002016-02-01357
Total of all active and inactive participants2016-02-01357
2015: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2015 401k membership
Total participants, beginning-of-year2015-02-01342
Total number of active participants reported on line 7a of the Form 55002015-02-01333
Total of all active and inactive participants2015-02-01333
2014: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2014 401k membership
Total participants, beginning-of-year2014-02-01319
Total number of active participants reported on line 7a of the Form 55002014-02-01342
Total of all active and inactive participants2014-02-01342
2013: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2013 401k membership
Total participants, beginning-of-year2013-02-01304
Total number of active participants reported on line 7a of the Form 55002013-02-01319
Total of all active and inactive participants2013-02-01319
2012: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2012 401k membership
Total participants, beginning-of-year2012-02-01296
Total number of active participants reported on line 7a of the Form 55002012-02-01304
Total of all active and inactive participants2012-02-01304
2011: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2011 401k membership
Total participants, beginning-of-year2011-02-01266
Total number of active participants reported on line 7a of the Form 55002011-02-01296
Total of all active and inactive participants2011-02-01296
2010: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2010 401k membership
Total participants, beginning-of-year2010-02-01264
Total number of active participants reported on line 7a of the Form 55002010-02-01266
Total of all active and inactive participants2010-02-01266
2009: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2009 401k membership
Total participants, beginning-of-year2009-02-01251
Total number of active participants reported on line 7a of the Form 55002009-02-01264
Total of all active and inactive participants2009-02-01264

Form 5500 Responses for EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA

2022: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 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: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 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: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 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: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: EAGLE COMMUNICATIONS EMPLOYEE HEALTH INSURANCE PLA 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01This submission is the final filingNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number96187
Policy instance 1
Insurance contract or identification number96187
Number of Individuals Covered172
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
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $42,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered223
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number96187
Policy instance 2
Insurance contract or identification number96187
Number of Individuals Covered175
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
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number96187
Policy instance 2
Insurance contract or identification number96187
Number of Individuals Covered168
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
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $35,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered168
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered174
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $50,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered216
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered304
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $90,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered376
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered378
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered271
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $86,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered254
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered333
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered342
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered271
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered241
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered319
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered304
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered242
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered296
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered223
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00096187
Policy instance 2
Insurance contract or identification number00096187
Number of Individuals Covered222
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9623901
Policy instance 1
Insurance contract or identification number9623901
Number of Individuals Covered266
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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