MCPHERSON HOSPITAL INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT
401k plan membership statisitcs for EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT
| Measure | Date | Value |
|---|
| 2022: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 256 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 253 |
| Total of all active and inactive participants | 2022-01-01 | 253 |
| 2021: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 252 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 256 |
| Total of all active and inactive participants | 2021-01-01 | 256 |
| 2020: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 231 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 252 |
| Total of all active and inactive participants | 2020-01-01 | 252 |
| 2019: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 210 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 231 |
| Total of all active and inactive participants | 2019-01-01 | 231 |
| 2018: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 206 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 210 |
| Total of all active and inactive participants | 2018-10-01 | 210 |
| 2017: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-10-01 | 203 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 206 |
| Total of all active and inactive participants | 2017-10-01 | 206 |
| 2016: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 227 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 203 |
| Total of all active and inactive participants | 2016-10-01 | 203 |
| 2015: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 196 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 227 |
| Total of all active and inactive participants | 2015-10-01 | 227 |
| 2014: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 180 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 196 |
| Total of all active and inactive participants | 2014-10-01 | 196 |
| 2013: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 194 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 180 |
| Total of all active and inactive participants | 2013-10-01 | 180 |
| 2012: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-10-01 | 203 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 194 |
| Total of all active and inactive participants | 2012-10-01 | 194 |
| 2011: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 214 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 203 |
| Total of all active and inactive participants | 2011-10-01 | 203 |
| 2009: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-10-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 241 |
| Total of all active and inactive participants | 2009-10-01 | 241 |
| 2022: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2012 form 5500 responses |
|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: EMPLOYEES NON-PAR LIFE GROUP INSURANCE ARRANGEMENT 2009 form 5500 responses |
|---|
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | First time form 5500 has been submitted | Yes |
| 2009-10-01 | This submission is the final filing | No |
| 2009-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | ADDS-09249 |
| Policy instance | 2 |
| Insurance contract or identification number | ADDS-09249 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $1,209 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $7,112 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,091 | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 894598G |
| Policy instance | 1 |
| Insurance contract or identification number | 894598G | | Number of Individuals Covered | 253 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $17,076 | | Total amount of fees paid to insurance company | USD $11,228 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, VOLUNTARY CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $134,765 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,919 | | Amount paid for insurance broker fees | 11228 | | Additional information about fees paid to insurance broker | BONUS PAID | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00540450 |
| Policy instance | 1 |
| Insurance contract or identification number | 00540450 | | Number of Individuals Covered | 256 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $15,694 | | Total amount of fees paid to insurance company | USD $3,688 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, VOLUNTARY CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $104,159 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,694 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3688 | | Additional information about fees paid to insurance broker | SERVICE FEES |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00540450 |
| Policy instance | 1 |
| Insurance contract or identification number | 00540450 | | Number of Individuals Covered | 252 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $17,851 | | Total amount of fees paid to insurance company | USD $4,958 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, VOLUNTARY CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $117,664 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,851 | | Amount paid for insurance broker fees | 4958 | | Additional information about fees paid to insurance broker | SERVICE FEES | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00540450 |
| Policy instance | 1 |
| Insurance contract or identification number | 00540450 | | Number of Individuals Covered | 231 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $12,230 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, VOLUNTARY CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $80,559 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,230 | | Insurance broker organization code? | 3 |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180150 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010180150 | | Number of Individuals Covered | 210 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $819 | | 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 $8,514 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $819 | | Insurance broker organization code? | 3 |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180151 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010180151 | | Number of Individuals Covered | 210 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,640 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,496 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,640 | | Insurance broker organization code? | 3 |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180151 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010180151 | | Number of Individuals Covered | 205 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $4,181 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,311 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180150 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010180150 | | Number of Individuals Covered | 206 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $2,174 | | 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 $23,829 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180150 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010180150 | | Number of Individuals Covered | 227 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $2,456 | | 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 $24,228 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,456 | | Insurance broker organization code? | 3 | | Insurance broker name | DARRELL PHILIPS INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180151 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010180151 | | Number of Individuals Covered | 229 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $5,122 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $51,068 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,122 | | Insurance broker organization code? | 3 | | Insurance broker name | DARRELL PHILIPS INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180151 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010180151 | | Number of Individuals Covered | 196 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $3,908 | | Total amount of fees paid to insurance company | USD $982 | | 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 $38,157 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,908 | | Amount paid for insurance broker fees | 982 | | Insurance broker organization code? | 3 | | Insurance broker name | PHILLIPS INC DARRELL |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180150 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010180150 | | Number of Individuals Covered | 196 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $1,809 | | Total amount of fees paid to insurance company | USD $457 | | 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 $17,850 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,809 | | Amount paid for insurance broker fees | 457 | | Insurance broker organization code? | 3 | | Insurance broker name | PHILLIPS INC DARRELL |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180151 |
| Policy instance | 3 |
| Insurance contract or identification number | 000010180151 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $3,628 | | Total amount of fees paid to insurance company | USD $1,752 | | 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 $32,543 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,628 | | Amount paid for insurance broker fees | 1752 | | Insurance broker organization code? | 3 | | Insurance broker name | DARRELL PHILLIPS INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 136651 |
| Policy instance | 1 |
| Insurance contract or identification number | 136651 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $4 | | 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 | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | DARRELL PHILLIPS INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010180150 |
| Policy instance | 2 |
| Insurance contract or identification number | 000010180150 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $1,651 | | Total amount of fees paid to insurance company | USD $851 | | 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 $15,585 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,651 | | Amount paid for insurance broker fees | 851 | | Insurance broker organization code? | 3 | | Insurance broker name | DARRELL PHILLIPS INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 136651 |
| Policy instance | 1 |
| Insurance contract or identification number | 136651 | | Number of Individuals Covered | 194 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $5,667 | | Total amount of fees paid to insurance company | USD $717 | | 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 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,667 | | Amount paid for insurance broker fees | 717 | | Insurance broker organization code? | 3 | | Insurance broker name | DARRELL PHILLIPS INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 136651 |
| Policy instance | 1 |
| Insurance contract or identification number | 136651 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $5,968 | | Total amount of fees paid to insurance company | USD $732 | | 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 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 136651 |
| Policy instance | 1 |
| Insurance contract or identification number | 136651 | | Number of Individuals Covered | 214 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $6,038 | | Total amount of fees paid to insurance company | USD $639 | | 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 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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