SPECIAL AGENTS MUTUAL BENEFIT ASSOCIATION (SAMBA) has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022 : SAMBA BENEFIT PLAN 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-12-31 | $-13,762,371 |
| Total unrealized appreciation/depreciation of assets | 2022-12-31 | $-13,762,371 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $9,185,473 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $10,285,426 |
| Total income from all sources (including contributions) | 2022-12-31 | $16,766,531 |
| Total loss/gain on sale of assets | 2022-12-31 | $-2,356,899 |
| Total of all expenses incurred | 2022-12-31 | $26,208,853 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $23,051,787 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $22,877,644 |
| Value of total assets at end of year | 2022-12-31 | $162,817,734 |
| Value of total assets at beginning of year | 2022-12-31 | $173,360,009 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $3,157,066 |
| Total interest from all sources | 2022-12-31 | $2,158,854 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $922,957 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-12-31 | $527,405 |
| Administrative expenses professional fees incurred | 2022-12-31 | $171,924 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Contributions received from participants | 2022-12-31 | $22,877,644 |
| Participant contributions at end of year | 2022-12-31 | $457,495 |
| Participant contributions at beginning of year | 2022-12-31 | $448,104 |
| Assets. Other investments not covered elsewhere at end of year | 2022-12-31 | $76,422 |
| Assets. Other investments not covered elsewhere at beginning of year | 2022-12-31 | $90,037 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $4,892,337 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $3,853,008 |
| Other income not declared elsewhere | 2022-12-31 | $6,926,346 |
| Administrative expenses (other) incurred | 2022-12-31 | $2,569,206 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $6,327,633 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $7,127,298 |
| Total non interest bearing cash at end of year | 2022-12-31 | $6,639,970 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $6,580,561 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-9,442,322 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $153,632,261 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $163,074,583 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Investment advisory and management fees | 2022-12-31 | $290,788 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $23,941,793 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $28,269,936 |
| Interest earned on other investments | 2022-12-31 | $3,883 |
| Income. Interest from US Government securities | 2022-12-31 | $597,348 |
| Income. Interest from corporate debt instruments | 2022-12-31 | $1,266,061 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-12-31 | $18,961,387 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $16,888,126 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $16,888,126 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $291,562 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $11,692,556 |
| Asset value of US Government securities at end of year | 2022-12-31 | $34,305,862 |
| Asset value of US Government securities at beginning of year | 2022-12-31 | $33,074,771 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Income. Dividends from common stock | 2022-12-31 | $395,552 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $11,359,231 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-12-31 | $48,505,233 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2022-12-31 | $54,257,179 |
| Contract administrator fees | 2022-12-31 | $125,148 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2022-12-31 | $23,473,209 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2022-12-31 | $28,145,400 |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $2,857,840 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $3,158,128 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2022-12-31 | $1,564,026 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2022-12-31 | $1,752,887 |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Aggregate proceeds on sale of assets | 2022-12-31 | $87,240,542 |
| Aggregate carrying amount (costs) on sale of assets | 2022-12-31 | $89,597,441 |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | WITHUMSMITH+BROWN, P.C. |
| Accountancy firm EIN | 2022-12-31 | 222027092 |
| 2021 : SAMBA BENEFIT PLAN 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-12-31 | $5,692,394 |
| Total unrealized appreciation/depreciation of assets | 2021-12-31 | $5,692,394 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $10,285,426 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $9,543,723 |
| Total income from all sources (including contributions) | 2021-12-31 | $38,208,591 |
| Total loss/gain on sale of assets | 2021-12-31 | $708,516 |
| Total of all expenses incurred | 2021-12-31 | $27,168,626 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $22,930,735 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $23,136,033 |
| Value of total assets at end of year | 2021-12-31 | $173,360,009 |
| Value of total assets at beginning of year | 2021-12-31 | $161,578,341 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $4,237,891 |
| Total interest from all sources | 2021-12-31 | $2,237,186 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $561,119 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-12-31 | $512,584 |
| Administrative expenses professional fees incurred | 2021-12-31 | $172,643 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $23,136,033 |
| Participant contributions at end of year | 2021-12-31 | $448,104 |
| Participant contributions at beginning of year | 2021-12-31 | $412,994 |
| Assets. Other investments not covered elsewhere at end of year | 2021-12-31 | $90,037 |
| Assets. Other investments not covered elsewhere at beginning of year | 2021-12-31 | $96,716 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $3,853,008 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $3,671,417 |
| Other income not declared elsewhere | 2021-12-31 | $5,873,343 |
| Administrative expenses (other) incurred | 2021-12-31 | $3,558,995 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $7,127,298 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $6,066,578 |
| Total non interest bearing cash at end of year | 2021-12-31 | $6,580,561 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $5,590,156 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $11,039,965 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $163,074,583 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $152,034,618 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Investment advisory and management fees | 2021-12-31 | $385,152 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $28,269,936 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $25,198,180 |
| Interest earned on other investments | 2021-12-31 | $3,884 |
| Income. Interest from US Government securities | 2021-12-31 | $667,031 |
| Income. Interest from corporate debt instruments | 2021-12-31 | $1,564,398 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $16,888,126 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $15,091,994 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $15,091,994 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-12-31 | $1,873 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $11,510,173 |
| Asset value of US Government securities at end of year | 2021-12-31 | $33,074,771 |
| Asset value of US Government securities at beginning of year | 2021-12-31 | $37,183,290 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Income. Dividends from common stock | 2021-12-31 | $48,535 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $11,420,562 |
| Asset. Corporate debt instrument debt (other) at end of year | 2021-12-31 | $54,257,179 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2021-12-31 | $50,610,606 |
| Contract administrator fees | 2021-12-31 | $121,101 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2021-12-31 | $28,145,400 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2021-12-31 | $21,705,986 |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $3,158,128 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $3,477,145 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2021-12-31 | $1,752,887 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2021-12-31 | $2,017,002 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Aggregate proceeds on sale of assets | 2021-12-31 | $90,516,199 |
| Aggregate carrying amount (costs) on sale of assets | 2021-12-31 | $89,807,683 |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | WITHUMSMITH+BROWN, P.C. |
| Accountancy firm EIN | 2021-12-31 | 222027092 |
| 2020 : SAMBA BENEFIT PLAN 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-12-31 | $-2,352,046 |
| Total unrealized appreciation/depreciation of assets | 2020-12-31 | $-2,352,046 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $9,543,723 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $10,684,027 |
| Total income from all sources (including contributions) | 2020-12-31 | $39,494,446 |
| Total loss/gain on sale of assets | 2020-12-31 | $8,796,637 |
| Total of all expenses incurred | 2020-12-31 | $23,541,135 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $21,024,386 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $23,061,666 |
| Value of total assets at end of year | 2020-12-31 | $161,578,341 |
| Value of total assets at beginning of year | 2020-12-31 | $146,765,334 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $2,516,749 |
| Total interest from all sources | 2020-12-31 | $1,812,888 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $1,218,227 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $432,184 |
| Administrative expenses professional fees incurred | 2020-12-31 | $118,520 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $23,061,666 |
| Participant contributions at end of year | 2020-12-31 | $412,994 |
| Participant contributions at beginning of year | 2020-12-31 | $358,691 |
| Assets. Other investments not covered elsewhere at end of year | 2020-12-31 | $96,716 |
| Assets. Other investments not covered elsewhere at beginning of year | 2020-12-31 | $90,288 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $3,671,417 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $3,326,154 |
| Other income not declared elsewhere | 2020-12-31 | $6,957,074 |
| Administrative expenses (other) incurred | 2020-12-31 | $1,936,620 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $6,066,578 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $7,484,522 |
| Total non interest bearing cash at end of year | 2020-12-31 | $5,590,156 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $7,221,808 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $15,953,311 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $152,034,618 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $136,081,307 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Investment advisory and management fees | 2020-12-31 | $338,626 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $25,198,180 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $18,947,759 |
| Interest earned on other investments | 2020-12-31 | $18,653 |
| Income. Interest from US Government securities | 2020-12-31 | $740,373 |
| Income. Interest from corporate debt instruments | 2020-12-31 | $1,026,006 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $15,091,994 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $6,932,300 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $6,932,300 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $27,856 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $11,179,175 |
| Asset value of US Government securities at end of year | 2020-12-31 | $37,183,290 |
| Asset value of US Government securities at beginning of year | 2020-12-31 | $32,439,682 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Income. Dividends from common stock | 2020-12-31 | $786,043 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $9,845,211 |
| Asset. Corporate debt instrument debt (other) at end of year | 2020-12-31 | $50,610,606 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2020-12-31 | $41,338,112 |
| Contract administrator fees | 2020-12-31 | $122,983 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2020-12-31 | $21,705,986 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2020-12-31 | $33,993,787 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $3,477,145 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $3,199,505 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-12-31 | $2,017,002 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-12-31 | $2,116,753 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Aggregate proceeds on sale of assets | 2020-12-31 | $137,439,593 |
| Aggregate carrying amount (costs) on sale of assets | 2020-12-31 | $128,642,956 |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | WITHUMSMITH+BROWN, P.C. |
| Accountancy firm EIN | 2020-12-31 | 222027092 |
| 2019 : SAMBA BENEFIT PLAN 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-12-31 | $8,492,434 |
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $8,492,434 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $10,684,027 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $10,378,524 |
| Total income from all sources (including contributions) | 2019-12-31 | $44,679,008 |
| Total loss/gain on sale of assets | 2019-12-31 | $2,318,024 |
| Total of all expenses incurred | 2019-12-31 | $26,309,546 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $22,307,686 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $23,102,062 |
| Value of total assets at end of year | 2019-12-31 | $146,765,334 |
| Value of total assets at beginning of year | 2019-12-31 | $128,090,369 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $4,001,860 |
| Total interest from all sources | 2019-12-31 | $2,046,811 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $1,030,783 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $475,626 |
| Administrative expenses professional fees incurred | 2019-12-31 | $128,659 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $23,102,062 |
| Participant contributions at end of year | 2019-12-31 | $358,691 |
| Participant contributions at beginning of year | 2019-12-31 | $852,084 |
| Assets. Other investments not covered elsewhere at end of year | 2019-12-31 | $90,288 |
| Assets. Other investments not covered elsewhere at beginning of year | 2019-12-31 | $85,194 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $3,326,154 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $6,381,824 |
| Other income not declared elsewhere | 2019-12-31 | $7,688,894 |
| Administrative expenses (other) incurred | 2019-12-31 | $3,439,878 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $7,484,522 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $6,935,277 |
| Total non interest bearing cash at end of year | 2019-12-31 | $7,221,808 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $8,567,129 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $18,369,462 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $136,081,307 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $117,711,845 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Investment advisory and management fees | 2019-12-31 | $307,096 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $18,947,759 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $12,716,919 |
| Interest earned on other investments | 2019-12-31 | $81,323 |
| Income. Interest from US Government securities | 2019-12-31 | $662,823 |
| Income. Interest from corporate debt instruments | 2019-12-31 | $1,175,944 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $6,932,300 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $3,885,094 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $3,885,094 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $126,721 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $11,289,617 |
| Asset value of US Government securities at end of year | 2019-12-31 | $32,439,682 |
| Asset value of US Government securities at beginning of year | 2019-12-31 | $25,663,621 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Income. Dividends from common stock | 2019-12-31 | $555,157 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $11,018,069 |
| Asset. Corporate debt instrument debt (other) at end of year | 2019-12-31 | $41,338,112 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2019-12-31 | $37,738,431 |
| Contract administrator fees | 2019-12-31 | $126,227 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2019-12-31 | $33,993,787 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2019-12-31 | $29,805,222 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $3,199,505 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $3,443,247 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2019-12-31 | $2,116,753 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2019-12-31 | $2,394,851 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Aggregate proceeds on sale of assets | 2019-12-31 | $106,220,318 |
| Aggregate carrying amount (costs) on sale of assets | 2019-12-31 | $103,902,294 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | WITHUMSMITH+BROWN, P.C. |
| Accountancy firm EIN | 2019-12-31 | 222027092 |
| 2018 : SAMBA BENEFIT PLAN 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-12-31 | $-7,151,574 |
| Total unrealized appreciation/depreciation of assets | 2018-12-31 | $-7,151,574 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $10,378,524 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $10,609,415 |
| Total income from all sources (including contributions) | 2018-12-31 | $28,746,885 |
| Total loss/gain on sale of assets | 2018-12-31 | $1,997,865 |
| Total of all expenses incurred | 2018-12-31 | $26,658,592 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $22,032,865 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $23,056,009 |
| Value of total assets at end of year | 2018-12-31 | $128,090,369 |
| Value of total assets at beginning of year | 2018-12-31 | $126,232,967 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $4,625,727 |
| Total interest from all sources | 2018-12-31 | $1,662,632 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $916,051 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $347,779 |
| Administrative expenses professional fees incurred | 2018-12-31 | $237,456 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $23,056,009 |
| Participant contributions at end of year | 2018-12-31 | $852,084 |
| Participant contributions at beginning of year | 2018-12-31 | $853,170 |
| Assets. Other investments not covered elsewhere at end of year | 2018-12-31 | $85,194 |
| Assets. Other investments not covered elsewhere at beginning of year | 2018-12-31 | $125,493 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $6,381,824 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $5,351,936 |
| Other income not declared elsewhere | 2018-12-31 | $8,263,311 |
| Administrative expenses (other) incurred | 2018-12-31 | $3,971,731 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $6,935,277 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $6,079,190 |
| Total non interest bearing cash at end of year | 2018-12-31 | $8,567,129 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $4,525,490 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $2,088,293 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $117,711,845 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $115,623,552 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Investment advisory and management fees | 2018-12-31 | $288,746 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $12,716,919 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $13,505,149 |
| Interest earned on other investments | 2018-12-31 | $58,119 |
| Income. Interest from US Government securities | 2018-12-31 | $562,926 |
| Income. Interest from corporate debt instruments | 2018-12-31 | $964,973 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $3,885,094 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $4,056,153 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $4,056,153 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $76,614 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $11,315,104 |
| Asset value of US Government securities at end of year | 2018-12-31 | $25,663,621 |
| Asset value of US Government securities at beginning of year | 2018-12-31 | $28,405,329 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $2,591 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Income. Dividends from common stock | 2018-12-31 | $568,272 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $10,717,761 |
| Asset. Corporate debt instrument debt (other) at end of year | 2018-12-31 | $37,738,431 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2018-12-31 | $33,819,646 |
| Contract administrator fees | 2018-12-31 | $127,794 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2018-12-31 | $29,805,222 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-12-31 | $32,941,268 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $3,443,247 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $4,530,225 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-12-31 | $2,394,851 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-12-31 | $2,649,333 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Aggregate proceeds on sale of assets | 2018-12-31 | $80,032,242 |
| Aggregate carrying amount (costs) on sale of assets | 2018-12-31 | $78,034,377 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | WITHUMSMITH+BROWN, P.C. |
| Accountancy firm EIN | 2018-12-31 | 222027092 |
| 2017 : SAMBA BENEFIT PLAN 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $5,484,172 |
| Total unrealized appreciation/depreciation of assets | 2017-12-31 | $5,484,172 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $10,609,415 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $16,390,508 |
| Total income from all sources (including contributions) | 2017-12-31 | $43,561,601 |
| Total loss/gain on sale of assets | 2017-12-31 | $1,714,326 |
| Total of all expenses incurred | 2017-12-31 | $24,460,246 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $22,233,401 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $23,929,619 |
| Value of total assets at end of year | 2017-12-31 | $126,232,967 |
| Value of total assets at beginning of year | 2017-12-31 | $112,912,705 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $2,226,845 |
| Total interest from all sources | 2017-12-31 | $1,240,613 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $841,496 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-12-31 | $324,762 |
| Administrative expenses professional fees incurred | 2017-12-31 | $216,897 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $23,929,619 |
| Participant contributions at end of year | 2017-12-31 | $853,170 |
| Participant contributions at beginning of year | 2017-12-31 | $840,650 |
| Assets. Other investments not covered elsewhere at end of year | 2017-12-31 | $125,493 |
| Assets. Other investments not covered elsewhere at beginning of year | 2017-12-31 | $120,392 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $5,351,936 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $3,100,759 |
| Other income not declared elsewhere | 2017-12-31 | $10,326,981 |
| Administrative expenses (other) incurred | 2017-12-31 | $1,599,965 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $6,079,190 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $12,130,371 |
| Total non interest bearing cash at end of year | 2017-12-31 | $4,525,490 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $6,497,077 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $19,101,355 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $115,623,552 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $96,522,197 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Investment advisory and management fees | 2017-12-31 | $278,836 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $13,505,149 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $12,964,447 |
| Interest earned on other investments | 2017-12-31 | $8,294 |
| Income. Interest from US Government securities | 2017-12-31 | $470,272 |
| Income. Interest from corporate debt instruments | 2017-12-31 | $705,758 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $4,056,153 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $8,950,924 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $8,950,924 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $56,289 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $11,640,080 |
| Asset value of US Government securities at end of year | 2017-12-31 | $28,405,329 |
| Asset value of US Government securities at beginning of year | 2017-12-31 | $25,285,226 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-12-31 | $24,394 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Income. Dividends from common stock | 2017-12-31 | $516,734 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $10,593,321 |
| Asset. Corporate debt instrument debt (other) at end of year | 2017-12-31 | $33,819,646 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2017-12-31 | $24,750,223 |
| Contract administrator fees | 2017-12-31 | $131,147 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2017-12-31 | $32,941,268 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-12-31 | $27,839,471 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $4,530,225 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $4,260,137 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-12-31 | $2,649,333 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-12-31 | $2,563,536 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Aggregate proceeds on sale of assets | 2017-12-31 | $88,253,807 |
| Aggregate carrying amount (costs) on sale of assets | 2017-12-31 | $86,539,481 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | WITHUMSMITH+BROWN,P.C. |
| Accountancy firm EIN | 2017-12-31 | 222027092 |
| 2016 : SAMBA BENEFIT PLAN 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $403,444 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $403,444 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $16,390,508 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $16,811,585 |
| Total income from all sources (including contributions) | 2016-12-31 | $34,821,834 |
| Total loss/gain on sale of assets | 2016-12-31 | $994,306 |
| Total of all expenses incurred | 2016-12-31 | $26,182,533 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $22,017,229 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $23,651,717 |
| Value of total assets at end of year | 2016-12-31 | $112,912,705 |
| Value of total assets at beginning of year | 2016-12-31 | $104,694,481 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $4,165,304 |
| Total interest from all sources | 2016-12-31 | $954,086 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $910,872 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $344,493 |
| Administrative expenses professional fees incurred | 2016-12-31 | $219,666 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Participant contributions at end of year | 2016-12-31 | $840,650 |
| Participant contributions at beginning of year | 2016-12-31 | $786,992 |
| Assets. Other investments not covered elsewhere at end of year | 2016-12-31 | $120,392 |
| Assets. Other investments not covered elsewhere at beginning of year | 2016-12-31 | $88,178 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $3,100,759 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $1,745,974 |
| Other income not declared elsewhere | 2016-12-31 | $7,907,409 |
| Administrative expenses (other) incurred | 2016-12-31 | $3,567,418 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $12,130,371 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $12,553,454 |
| Total non interest bearing cash at end of year | 2016-12-31 | $6,497,077 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $5,092,287 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $8,639,301 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $96,522,197 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $87,882,896 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Investment advisory and management fees | 2016-12-31 | $249,536 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $12,964,447 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $12,886,027 |
| Interest earned on other investments | 2016-12-31 | $3,957 |
| Income. Interest from US Government securities | 2016-12-31 | $407,604 |
| Income. Interest from corporate debt instruments | 2016-12-31 | $497,823 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $8,950,924 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $14,362,953 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $14,362,953 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $44,702 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $11,172,690 |
| Asset value of US Government securities at end of year | 2016-12-31 | $25,285,226 |
| Asset value of US Government securities at beginning of year | 2016-12-31 | $21,879,653 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $23,651,717 |
| Income. Dividends from common stock | 2016-12-31 | $566,379 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $10,844,539 |
| Asset. Corporate debt instrument debt (other) at end of year | 2016-12-31 | $24,750,223 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2016-12-31 | $18,340,012 |
| Contract administrator fees | 2016-12-31 | $128,684 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2016-12-31 | $27,839,471 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2016-12-31 | $26,895,983 |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $4,260,137 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $4,258,131 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-12-31 | $2,563,536 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-12-31 | $2,616,422 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Aggregate proceeds on sale of assets | 2016-12-31 | $91,280,940 |
| Aggregate carrying amount (costs) on sale of assets | 2016-12-31 | $90,286,634 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | BOND BEEBE, P.C. |
| Accountancy firm EIN | 2016-12-31 | 521044197 |
| 2015 : SAMBA BENEFIT PLAN 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $-2,276,847 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $-2,276,847 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $16,811,585 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $14,197,892 |
| Total income from all sources (including contributions) | 2015-12-31 | $31,824,362 |
| Total loss/gain on sale of assets | 2015-12-31 | $1,922,276 |
| Total of all expenses incurred | 2015-12-31 | $28,837,642 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $22,268,147 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $24,097,716 |
| Value of total assets at end of year | 2015-12-31 | $104,694,481 |
| Value of total assets at beginning of year | 2015-12-31 | $99,094,068 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $6,569,495 |
| Total interest from all sources | 2015-12-31 | $1,125,633 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $576,596 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-12-31 | $335,607 |
| Administrative expenses professional fees incurred | 2015-12-31 | $286,634 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $24,097,716 |
| Participant contributions at end of year | 2015-12-31 | $786,992 |
| Participant contributions at beginning of year | 2015-12-31 | $774,975 |
| Assets. Other investments not covered elsewhere at end of year | 2015-12-31 | $88,178 |
| Assets. Other investments not covered elsewhere at beginning of year | 2015-12-31 | $59,990 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $1,745,974 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $1,716,774 |
| Other income not declared elsewhere | 2015-12-31 | $6,891,463 |
| Administrative expenses (other) incurred | 2015-12-31 | $5,901,414 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $12,553,454 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $10,045,035 |
| Total non interest bearing cash at end of year | 2015-12-31 | $5,092,287 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $5,537,213 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $2,986,720 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $87,882,896 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $84,896,176 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $253,030 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $12,886,027 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $13,376,792 |
| Interest earned on other investments | 2015-12-31 | $3,085 |
| Income. Interest from US Government securities | 2015-12-31 | $339,474 |
| Income. Interest from corporate debt instruments | 2015-12-31 | $772,867 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $14,362,953 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $9,226,631 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $9,226,631 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $10,207 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $11,665,694 |
| Asset value of US Government securities at end of year | 2015-12-31 | $21,879,653 |
| Asset value of US Government securities at beginning of year | 2015-12-31 | $23,279,450 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $-512,475 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Income. Dividends from common stock | 2015-12-31 | $240,989 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $10,602,453 |
| Asset. Corporate debt instrument debt (other) at end of year | 2015-12-31 | $18,340,012 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2015-12-31 | $16,515,609 |
| Contract administrator fees | 2015-12-31 | $128,417 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2015-12-31 | $26,895,983 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2015-12-31 | $26,427,032 |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $4,258,131 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $4,152,857 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-12-31 | $2,616,422 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-12-31 | $2,179,602 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Aggregate proceeds on sale of assets | 2015-12-31 | $50,322,141 |
| Aggregate carrying amount (costs) on sale of assets | 2015-12-31 | $48,399,865 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | BOND BEEBE, P.C. |
| Accountancy firm EIN | 2015-12-31 | 521044197 |
| 2014 : SAMBA BENEFIT PLAN 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $3,967,604 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $3,967,604 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $14,197,892 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $11,361,185 |
| Total income from all sources (including contributions) | 2014-12-31 | $36,384,344 |
| Total loss/gain on sale of assets | 2014-12-31 | $437,960 |
| Total of all expenses incurred | 2014-12-31 | $28,255,134 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $22,078,791 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $23,788,713 |
| Value of total assets at end of year | 2014-12-31 | $99,094,068 |
| Value of total assets at beginning of year | 2014-12-31 | $88,128,151 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $6,176,343 |
| Total interest from all sources | 2014-12-31 | $790,114 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $888,135 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-12-31 | $383,136 |
| Administrative expenses professional fees incurred | 2014-12-31 | $297,937 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $23,788,713 |
| Participant contributions at end of year | 2014-12-31 | $774,975 |
| Participant contributions at beginning of year | 2014-12-31 | $1,216,043 |
| Assets. Other investments not covered elsewhere at end of year | 2014-12-31 | $59,990 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-12-31 | $53,657 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $1,716,774 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $1,693,554 |
| Other income not declared elsewhere | 2014-12-31 | $6,240,757 |
| Administrative expenses (other) incurred | 2014-12-31 | $5,498,004 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $10,045,035 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $7,138,697 |
| Total non interest bearing cash at end of year | 2014-12-31 | $5,537,213 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $7,812,770 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $8,129,210 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $84,896,176 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $76,766,966 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $246,676 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $13,376,792 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $14,075,956 |
| Interest earned on other investments | 2014-12-31 | $2,589 |
| Income. Interest from US Government securities | 2014-12-31 | $359,765 |
| Income. Interest from corporate debt instruments | 2014-12-31 | $425,167 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $9,226,631 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $3,806,828 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $3,806,828 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $2,593 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $11,940,075 |
| Asset value of US Government securities at end of year | 2014-12-31 | $23,279,450 |
| Asset value of US Government securities at beginning of year | 2014-12-31 | $17,395,811 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-12-31 | $271,061 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Income. Dividends from common stock | 2014-12-31 | $504,999 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $10,138,716 |
| Asset. Corporate debt instrument debt (other) at end of year | 2014-12-31 | $16,515,609 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2014-12-31 | $11,824,111 |
| Contract administrator fees | 2014-12-31 | $133,726 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2014-12-31 | $26,427,032 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-12-31 | $27,611,656 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $4,152,857 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $4,222,488 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-12-31 | $2,179,602 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-12-31 | $2,637,765 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Aggregate proceeds on sale of assets | 2014-12-31 | $44,367,822 |
| Aggregate carrying amount (costs) on sale of assets | 2014-12-31 | $43,929,862 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | BOND BEEBE, P.C. |
| Accountancy firm EIN | 2014-12-31 | 521044197 |
| 2013 : SAMBA BENEFIT PLAN 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $1,503,767 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $1,503,767 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $11,361,185 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $10,941,598 |
| Total income from all sources (including contributions) | 2013-12-31 | $35,173,793 |
| Total loss/gain on sale of assets | 2013-12-31 | $2,707,983 |
| Total of all expenses incurred | 2013-12-31 | $25,355,592 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $21,388,323 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $23,481,455 |
| Value of total assets at end of year | 2013-12-31 | $88,128,151 |
| Value of total assets at beginning of year | 2013-12-31 | $77,890,363 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $3,967,269 |
| Total interest from all sources | 2013-12-31 | $839,612 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $820,573 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $347,968 |
| Administrative expenses professional fees incurred | 2013-12-31 | $132,997 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $23,481,455 |
| Participant contributions at end of year | 2013-12-31 | $1,216,043 |
| Participant contributions at beginning of year | 2013-12-31 | $1,001,018 |
| Assets. Other investments not covered elsewhere at end of year | 2013-12-31 | $53,657 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $1,693,554 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $1,723,836 |
| Other income not declared elsewhere | 2013-12-31 | $5,983,236 |
| Administrative expenses (other) incurred | 2013-12-31 | $3,492,580 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $7,138,697 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $6,554,151 |
| Total non interest bearing cash at end of year | 2013-12-31 | $7,812,770 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $2,458,971 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $9,818,201 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $76,766,966 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $66,948,765 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Investment advisory and management fees | 2013-12-31 | $210,463 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $14,075,956 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $14,010,346 |
| Interest earned on other investments | 2013-12-31 | $2,588 |
| Income. Interest from US Government securities | 2013-12-31 | $424,614 |
| Income. Interest from corporate debt instruments | 2013-12-31 | $409,151 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $3,806,828 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $8,287,948 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $8,287,948 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $3,259 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $11,169,593 |
| Asset value of US Government securities at end of year | 2013-12-31 | $17,395,811 |
| Asset value of US Government securities at beginning of year | 2013-12-31 | $18,334,885 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $-162,833 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Income. Dividends from common stock | 2013-12-31 | $472,605 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $10,218,730 |
| Asset. Corporate debt instrument debt (other) at end of year | 2013-12-31 | $11,824,111 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2013-12-31 | $6,749,245 |
| Contract administrator fees | 2013-12-31 | $131,229 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-12-31 | $27,611,656 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-12-31 | $21,893,241 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $4,222,488 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $4,387,447 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2013-12-31 | $2,637,765 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2013-12-31 | $3,430,873 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Aggregate proceeds on sale of assets | 2013-12-31 | $38,485,854 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $35,777,871 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | BOND BEEBE, P.C. |
| Accountancy firm EIN | 2013-12-31 | 521044197 |
| 2012 : SAMBA BENEFIT PLAN 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $1,594,728 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $1,594,728 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $10,941,598 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $9,913,596 |
| Total income from all sources (including contributions) | 2012-12-31 | $33,541,169 |
| Total loss/gain on sale of assets | 2012-12-31 | $1,399,410 |
| Total of all expenses incurred | 2012-12-31 | $24,335,639 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $21,171,563 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $23,406,540 |
| Value of total assets at end of year | 2012-12-31 | $77,890,363 |
| Value of total assets at beginning of year | 2012-12-31 | $67,656,831 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $3,164,076 |
| Total interest from all sources | 2012-12-31 | $733,491 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $874,208 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-12-31 | $400,844 |
| Administrative expenses professional fees incurred | 2012-12-31 | $173,338 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $23,406,540 |
| Participant contributions at end of year | 2012-12-31 | $1,001,018 |
| Participant contributions at beginning of year | 2012-12-31 | $562,724 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $1,723,836 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $2,591,538 |
| Other income not declared elsewhere | 2012-12-31 | $5,532,792 |
| Administrative expenses (other) incurred | 2012-12-31 | $2,672,791 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $6,554,151 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $6,412,949 |
| Total non interest bearing cash at end of year | 2012-12-31 | $2,458,971 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $7,154,709 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $9,205,530 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $66,948,765 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $57,743,235 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Investment advisory and management fees | 2012-12-31 | $182,351 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $14,010,346 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $11,759,990 |
| Income. Interest from US Government securities | 2012-12-31 | $378,684 |
| Income. Interest from corporate debt instruments | 2012-12-31 | $348,120 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $8,287,948 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $3,680,181 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $3,680,181 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $6,687 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $11,314,191 |
| Asset value of US Government securities at end of year | 2012-12-31 | $18,334,885 |
| Asset value of US Government securities at beginning of year | 2012-12-31 | $10,760,840 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Income. Dividends from common stock | 2012-12-31 | $473,364 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $9,857,372 |
| Asset. Corporate debt instrument debt (other) at end of year | 2012-12-31 | $6,749,245 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2012-12-31 | $8,745,775 |
| Contract administrator fees | 2012-12-31 | $135,596 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2012-12-31 | $21,893,241 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2012-12-31 | $18,956,394 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $4,387,447 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $3,500,647 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2012-12-31 | $3,430,873 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2012-12-31 | $3,444,680 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Aggregate proceeds on sale of assets | 2012-12-31 | $50,285,390 |
| Aggregate carrying amount (costs) on sale of assets | 2012-12-31 | $48,885,980 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | BOND BEEBE |
| Accountancy firm EIN | 2012-12-31 | 521044197 |
| 2011 : SAMBA BENEFIT PLAN 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $-968,516 |
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $-968,516 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $10,727,955 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $9,853,005 |
| Total income from all sources (including contributions) | 2011-12-31 | $29,609,831 |
| Total loss/gain on sale of assets | 2011-12-31 | $1,814,626 |
| Total of all expenses incurred | 2011-12-31 | $23,808,419 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $19,612,364 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $21,319,846 |
| Value of total assets at end of year | 2011-12-31 | $67,656,831 |
| Value of total assets at beginning of year | 2011-12-31 | $60,980,469 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $4,196,055 |
| Total interest from all sources | 2011-12-31 | $773,033 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $846,894 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-12-31 | $474,044 |
| Administrative expenses professional fees incurred | 2011-12-31 | $182,425 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $21,319,846 |
| Participant contributions at end of year | 2011-12-31 | $562,724 |
| Participant contributions at beginning of year | 2011-12-31 | $516,654 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $2,591,538 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $2,141,476 |
| Other income not declared elsewhere | 2011-12-31 | $5,811,922 |
| Administrative expenses (other) incurred | 2011-12-31 | $3,794,133 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $6,412,949 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $4,801,569 |
| Total non interest bearing cash at end of year | 2011-12-31 | $7,154,709 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $3,037,878 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $5,801,412 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $56,928,876 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $51,127,464 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Investment advisory and management fees | 2011-12-31 | $168,752 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $11,759,990 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $13,209,463 |
| Income. Interest from US Government securities | 2011-12-31 | $335,066 |
| Income. Interest from corporate debt instruments | 2011-12-31 | $432,239 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $3,680,181 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $5,728 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $10,190,368 |
| Asset value of US Government securities at end of year | 2011-12-31 | $10,760,840 |
| Asset value of US Government securities at beginning of year | 2011-12-31 | $10,325,184 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $12,026 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Income. Dividends from common stock | 2011-12-31 | $372,850 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $9,421,996 |
| Asset. Corporate debt instrument debt (other) at end of year | 2011-12-31 | $8,745,775 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2011-12-31 | $9,327,389 |
| Contract administrator fees | 2011-12-31 | $50,745 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2011-12-31 | $18,956,394 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2011-12-31 | $18,736,424 |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $4,315,006 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $5,051,436 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2011-12-31 | $3,444,680 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2011-12-31 | $3,686,001 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Aggregate proceeds on sale of assets | 2011-12-31 | $39,593,696 |
| Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $37,779,070 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | BOND BEEBE |
| Accountancy firm EIN | 2011-12-31 | 521044197 |
| 2010 : SAMBA BENEFIT PLAN 2010 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $1,427,653 |
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $1,427,653 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $9,853,005 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $10,609,547 |
| Total income from all sources (including contributions) | 2010-12-31 | $34,283,355 |
| Total loss/gain on sale of assets | 2010-12-31 | $1,847,448 |
| Total of all expenses incurred | 2010-12-31 | $26,538,985 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $22,545,017 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $23,274,890 |
| Value of total assets at end of year | 2010-12-31 | $60,980,469 |
| Value of total assets at beginning of year | 2010-12-31 | $53,992,641 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $3,993,968 |
| Total interest from all sources | 2010-12-31 | $922,642 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $632,834 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $336,295 |
| Administrative expenses professional fees incurred | 2010-12-31 | $152,039 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $23,274,890 |
| Participant contributions at end of year | 2010-12-31 | $516,654 |
| Participant contributions at beginning of year | 2010-12-31 | $460,759 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $2,141,476 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $2,988,291 |
| Other income not declared elsewhere | 2010-12-31 | $6,193,249 |
| Administrative expenses (other) incurred | 2010-12-31 | $3,596,484 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $4,801,569 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $5,333,391 |
| Total non interest bearing cash at end of year | 2010-12-31 | $3,037,878 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $3,271,060 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $7,744,370 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $51,127,464 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $43,383,094 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Investment advisory and management fees | 2010-12-31 | $140,092 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $13,209,463 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $9,133,827 |
| Income. Interest from US Government securities | 2010-12-31 | $422,108 |
| Income. Interest from corporate debt instruments | 2010-12-31 | $499,066 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $1,468 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $9,499,380 |
| Asset value of US Government securities at end of year | 2010-12-31 | $10,325,184 |
| Asset value of US Government securities at beginning of year | 2010-12-31 | $11,088,741 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-12-31 | $-15,361 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Income. Dividends from common stock | 2010-12-31 | $296,539 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $13,045,637 |
| Asset. Corporate debt instrument debt (other) at end of year | 2010-12-31 | $9,327,389 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2010-12-31 | $9,085,533 |
| Contract administrator fees | 2010-12-31 | $105,353 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2010-12-31 | $18,736,424 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2010-12-31 | $14,567,565 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $5,051,436 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $5,276,156 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2010-12-31 | $3,686,001 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2010-12-31 | $3,396,865 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Aggregate proceeds on sale of assets | 2010-12-31 | $39,429,305 |
| Aggregate carrying amount (costs) on sale of assets | 2010-12-31 | $37,581,857 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | BOND BEEBE |
| Accountancy firm EIN | 2010-12-31 | 521044197 |
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 2 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 398 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $8,127 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LEGAL | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $38,103 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 8127 | | Additional information about fees paid to insurance broker | ADMINISTRATION | | Insurance broker organization code? | 0 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67763-9 |
| Policy instance | 4 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 9452 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,323,141 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | Yes | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 1323141 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0810065 |
| Policy instance | 1 |
| Insurance contract or identification number | 0810065 | | Number of Individuals Covered | 5472 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,983,327 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67740-0 |
| Policy instance | 3 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 77691 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,053,937 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 1053937 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67740-0 |
| Policy instance | 3 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 87612 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,023,092 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | Yes | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1023092 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67763-9 |
| Policy instance | 4 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 11036 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,204,382 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | Yes | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1204382 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 2 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 434 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $9,002 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LEGAL | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $41,411 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 9002 | | Additional information about fees paid to insurance broker | ADMINISTRATION | | Insurance broker organization code? | 0 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0810065 |
| Policy instance | 1 |
| Insurance contract or identification number | 0810065 | | Number of Individuals Covered | 5894 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,156,485 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0810065 |
| Policy instance | 1 |
| Insurance contract or identification number | 0810065 | | Number of Individuals Covered | 6454 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,275,999 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67763-9 |
| Policy instance | 4 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 10467 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,157,854 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | Yes | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1157854 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67740-0 |
| Policy instance | 3 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 79302 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,023,881 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | Yes | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1023881 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 2 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 514 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $10,299 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LEGAL | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $46,839 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 10299 | | Additional information about fees paid to insurance broker | ADMINISTRATION | | Insurance broker organization code? | 0 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67740-0 |
| Policy instance | 2 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 85253 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $985,139 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 985139 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67763-9 |
| Policy instance | 1 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 28431 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,094,735 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | PERSONAL ACCIDENT INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1094735 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0810065 |
| Policy instance | 3 |
| Insurance contract or identification number | 0810065 | | Number of Individuals Covered | 7040 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,596,379 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARAG SERVICES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 4 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 558 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $11,514 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LEGAL EXPENSE INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $51,483 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 11514 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker organization code? | 0 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67763-9 |
| Policy instance | 1 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 26968 | | Insurance policy start date | 2016-10-01 | | Insurance policy end date | 2017-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,069,619 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | PERSONAL ACCIDENT INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1069619 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0810065 |
| Policy instance | 4 |
| Insurance contract or identification number | 0810065 | | Number of Individuals Covered | 8075 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,977,157 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 3 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 688 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $15,554 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LEGAL EXPENSE INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $61,713 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 15554 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67740-0 |
| Policy instance | 2 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 83400 | | Insurance policy start date | 2016-10-01 | | Insurance policy end date | 2017-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $993,987 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 993987 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0810065 |
| Policy instance | 4 |
| Insurance contract or identification number | 0810065 | | Number of Individuals Covered | 8862 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,288,779 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67763-9 |
| Policy instance | 1 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 28404 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of fees paid to insurance company | USD $1,048,528 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | PERSONAL ACCIDENT INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1048528 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67740-0 |
| Policy instance | 2 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 78623 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $980,247 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 980247 | | Additional information about fees paid to insurance broker | ADMINISTATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 3 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 800 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $17,522 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LEGAL EXPENSE INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $71,311 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 17522 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 5 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 866 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $18,945 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LEGAL EXPENSE INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $75,733 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 18945 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67763-9 |
| Policy instance | 4 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 23379 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,024,607 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | PERSONAL ACCIDENT INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1024607 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67740-0 |
| Policy instance | 3 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 84009 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $707,376 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 707376 | | Additional information about fees paid to insurance broker | ADMINISTATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3330482 |
| Policy instance | 2 |
| Insurance contract or identification number | 3330482 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $18,467 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0810065 |
| Policy instance | 1 |
| Insurance contract or identification number | 0810065 | | Number of Individuals Covered | 9224 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,136,135 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0810065 |
| Policy instance | 2 |
| Insurance contract or identification number | 0810065 | | Number of Individuals Covered | 9355 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,030,774 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 61360 ) |
| Policy contract number | 67763-9 |
| Policy instance | 3 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 29309 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,035,761 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1035761 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-00001-005 |
| Policy instance | 4 |
| Insurance contract or identification number | 12581-00001-005 | | Number of Individuals Covered | 934 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | LEGAL EXPENSE INSURANCE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $85,421 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 61360 ) |
| Policy contract number | 67740-0 |
| Policy instance | 5 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 89591 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $672,027 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 672027 | | Additional information about fees paid to insurance broker | ADMINISTATIVE FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 61360 ) |
| Policy contract number | 67740-0 |
| Policy instance | 1 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 85004 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $52,451 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 52451 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 810065 |
| Policy instance | 1 |
| Insurance contract or identification number | 810065 | | Number of Individuals Covered | 9064 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,735,196 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67763-9 |
| Policy instance | 11 |
| Insurance contract or identification number | 67763-9 | | Number of Individuals Covered | 33283 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $272,663 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 272663 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) |
| Policy contract number | 9830894 |
| Policy instance | 3 |
| Insurance contract or identification number | 9830894 | | Number of Individuals Covered | 36755 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $691,868 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 67740-0 |
| Policy instance | 10 |
| Insurance contract or identification number | 67740-0 | | Number of Individuals Covered | 85745 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $218,674 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 218674 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 3 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-7 |
| Policy instance | 8 |
| Insurance contract or identification number | 09400-7 | | Number of Individuals Covered | 5739 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-09-30 | | Total amount of fees paid to insurance company | USD $41,742 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 41742 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 41646-2 |
| Policy instance | 9 |
| Insurance contract or identification number | 41646-2 | | Number of Individuals Covered | 93504 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-08-31 | | Total amount of fees paid to insurance company | USD $480,358 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 480358 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-6 |
| Policy instance | 7 |
| Insurance contract or identification number | 09400-6 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-09-30 | | Total amount of fees paid to insurance company | USD $2,459 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2459 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | AXA ASSISTANCE, USA |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-4 |
| Policy instance | 6 |
| Insurance contract or identification number | 09400-4 | | Number of Individuals Covered | 1775 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-09-30 | | Total amount of fees paid to insurance company | USD $60,424 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 60424 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-3 |
| Policy instance | 5 |
| Insurance contract or identification number | 09400-3 | | Number of Individuals Covered | 6570 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-09-30 | | Total amount of fees paid to insurance company | USD $54,696 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 54696 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-2 |
| Policy instance | 4 |
| Insurance contract or identification number | 09400-2 | | Number of Individuals Covered | 15385 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-09-30 | | Total amount of fees paid to insurance company | USD $507,206 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 507206 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 2 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 264 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Other welfare benefits provided | LEGAL EXPENSE INSURANCE | | Welfare Benefit Premiums Paid to Carrier | USD $35,114 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-4 |
| Policy instance | 5 |
| Insurance contract or identification number | 09400-4 | | Number of Individuals Covered | 1944 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $87,432 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 12581-0001-005 |
| Policy instance | 2 |
| Insurance contract or identification number | 12581-0001-005 | | Number of Individuals Covered | 286 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Other welfare benefits provided | LEGAL EXPENSE INSURANCE | | Welfare Benefit Premiums Paid to Carrier | USD $40,532 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 41646-2 |
| Policy instance | 8 |
| Insurance contract or identification number | 41646-2 | | Number of Individuals Covered | 90022 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-2 |
| Policy instance | 3 |
| Insurance contract or identification number | 09400-2 | | Number of Individuals Covered | 15139 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $653,184 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-3 |
| Policy instance | 4 |
| Insurance contract or identification number | 09400-3 | | Number of Individuals Covered | 6444 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $68,909 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-6 |
| Policy instance | 6 |
| Insurance contract or identification number | 09400-6 | | Number of Individuals Covered | 169 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $3,152 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,127 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-7 |
| Policy instance | 7 |
| Insurance contract or identification number | 09400-7 | | Number of Individuals Covered | 5793 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $53,649 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 810065 |
| Policy instance | 1 |
| Insurance contract or identification number | 810065 | | Number of Individuals Covered | 8717 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,487,646 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 810065 |
| Policy instance | 6 |
| Insurance contract or identification number | 810065 | | Number of Individuals Covered | 8474 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,242,280 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-3 |
| Policy instance | 4 |
| Insurance contract or identification number | 09400-3 | | Number of Individuals Covered | 5799 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of fees paid to insurance company | USD $60,093 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 60093 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 ) |
| Policy contract number | 125810010020060 |
| Policy instance | 8 |
| Insurance contract or identification number | 125810010020060 | | Number of Individuals Covered | 564 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Other welfare benefits provided | LEGAL EXPENSE INSURANCE | | Welfare Benefit Premiums Paid to Carrier | USD $74,203 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 41646-2 |
| Policy instance | 7 |
| Insurance contract or identification number | 41646-2 | | Number of Individuals Covered | 85870 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of fees paid to insurance company | USD $459,503 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 459503 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-2 |
| Policy instance | 5 |
| Insurance contract or identification number | 09400-2 | | Number of Individuals Covered | 15057 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of fees paid to insurance company | USD $582,339 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 582339 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
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| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-7 |
| Policy instance | 1 |
| Insurance contract or identification number | 09400-7 | | Number of Individuals Covered | 5732 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of fees paid to insurance company | USD $51,189 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 51189 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
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| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-4 |
| Policy instance | 2 |
| Insurance contract or identification number | 09400-4 | | Number of Individuals Covered | 2180 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of fees paid to insurance company | USD $95,823 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 95823 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECIAL AGENTS MUTUAL BENEFIT ASSOC |
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| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 09400-6 |
| Policy instance | 3 |
| Insurance contract or identification number | 09400-6 | | Number of Individuals Covered | 164 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of fees paid to insurance company | USD $3,014 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,629 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3014 | | Additional information about fees paid to insurance broker | THIRD PARTY FEES | | Insurance broker organization code? | 5 | | Insurance broker name | AXA ASSISTANCE, USA |
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