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THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 401k Plan overview

Plan NameTHE MEDICAL TEAM, INC. TEXAS WORKERS COMP.
Plan identification number 504

THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

THE MEDICAL TEAM, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE MEDICAL TEAM, INC.
Employer identification number (EIN):541087014
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about THE MEDICAL TEAM, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2339895

More information about THE MEDICAL TEAM, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MEDICAL TEAM, INC. TEXAS WORKERS COMP.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01RYAN GRISARD2023-03-24
5042021-01-01RYAN GRISARD2022-05-04
5042020-01-01RYAN GRISARD2021-08-17
5042019-01-01RYAN GRISARD2021-02-16
5042018-01-01RYAN GRISARD2021-02-16
5042017-01-01RYAN GRISARD2021-02-16
5042016-01-01RYAN GRISARD2021-02-16
5042015-01-01RYAN GRISARD2021-02-16
5042014-01-01RYAN GRISARD2021-02-16
5042013-01-01RYAN GRISARD2021-02-16
5042012-01-01RYAN GRISARD2021-02-16
5042011-01-01RYAN GRISARD2021-02-16
5042010-01-01RYAN GRISARD2021-02-16
5042009-01-01RYAN GRISARD2021-02-16
5042008-01-01RYAN GRISARD2021-02-16

Plan Statistics for THE MEDICAL TEAM, INC. TEXAS WORKERS COMP.

401k plan membership statisitcs for THE MEDICAL TEAM, INC. TEXAS WORKERS COMP.

Measure Date Value
2022: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2022 401k membership
Total participants, beginning-of-year2022-01-011,912
Total number of active participants reported on line 7a of the Form 55002022-01-011,904
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,904
Number of employers contributing to the scheme2022-01-010
2021: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2021 401k membership
Total participants, beginning-of-year2021-01-012,071
Total number of active participants reported on line 7a of the Form 55002021-01-011,912
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,912
Number of employers contributing to the scheme2021-01-010
2020: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2020 401k membership
Total participants, beginning-of-year2020-01-012,071
Total number of active participants reported on line 7a of the Form 55002020-01-012,071
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,071
Number of employers contributing to the scheme2020-01-010
2019: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2019 401k membership
Total participants, beginning-of-year2019-01-012,082
Total number of active participants reported on line 7a of the Form 55002019-01-012,071
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,071
Number of employers contributing to the scheme2019-01-010
2018: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2018 401k membership
Total participants, beginning-of-year2018-01-012,040
Total number of active participants reported on line 7a of the Form 55002018-01-012,082
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012,082
Number of employers contributing to the scheme2018-01-010
2017: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2017 401k membership
Total participants, beginning-of-year2017-01-011,849
Total number of active participants reported on line 7a of the Form 55002017-01-012,040
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-012,040
Number of employers contributing to the scheme2017-01-010
2016: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2016 401k membership
Total participants, beginning-of-year2016-01-011,871
Total number of active participants reported on line 7a of the Form 55002016-01-011,849
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,849
Number of employers contributing to the scheme2016-01-010
2015: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2015 401k membership
Total participants, beginning-of-year2015-01-011,912
Total number of active participants reported on line 7a of the Form 55002015-01-011,871
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,871
Number of employers contributing to the scheme2015-01-010
2014: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2014 401k membership
Total participants, beginning-of-year2014-01-01196
Total number of active participants reported on line 7a of the Form 55002014-01-011,912
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,912
Number of employers contributing to the scheme2014-01-010
2013: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2013 401k membership
Total participants, beginning-of-year2013-01-01216
Total number of active participants reported on line 7a of the Form 55002013-01-01196
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01196
Number of employers contributing to the scheme2013-01-010
2012: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2012 401k membership
Total participants, beginning-of-year2012-01-01279
Total number of active participants reported on line 7a of the Form 55002012-01-01216
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01216
Number of employers contributing to the scheme2012-01-010
2011: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2011 401k membership
Total participants, beginning-of-year2011-01-01283
Total number of active participants reported on line 7a of the Form 55002011-01-01279
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01279
Number of employers contributing to the scheme2011-01-010
2010: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2010 401k membership
Total participants, beginning-of-year2010-01-01284
Total number of active participants reported on line 7a of the Form 55002010-01-01283
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01283
Number of employers contributing to the scheme2010-01-010
2009: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2009 401k membership
Total participants, beginning-of-year2009-01-01292
Total number of active participants reported on line 7a of the Form 55002009-01-01284
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01284
Number of employers contributing to the scheme2009-01-010
2008: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2008 401k membership
Total participants, beginning-of-year2008-01-01254
Total number of active participants reported on line 7a of the Form 55002008-01-01292
Number of retired or separated participants receiving benefits2008-01-010
Number of other retired or separated participants entitled to future benefits2008-01-010
Total of all active and inactive participants2008-01-01292
Number of employers contributing to the scheme2008-01-010

Form 5500 Responses for THE MEDICAL TEAM, INC. TEXAS WORKERS COMP.

2022: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes
2008: THE MEDICAL TEAM, INC. TEXAS WORKERS COMP. 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

OLD REPUBLIC UNION INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 31143 )
Policy contract numberORN000011
Policy instance 1
Insurance contract or identification numberORN000011
Number of Individuals Covered1904
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,792
Total amount of fees paid to insurance companyUSD $8,804
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $6,615
Amount paid for insurance broker fees4304
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG065268
Policy instance 1
Insurance contract or identification numberEEG065268
Number of Individuals Covered1912
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $18,523
Total amount of fees paid to insurance companyUSD $9,099
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,990
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $11,874
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG045268
Policy instance 1
Insurance contract or identification numberEEG045268
Number of Individuals Covered2071
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $19,445
Total amount of fees paid to insurance companyUSD $9,241
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $12,465
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG045268
Policy instance 1
Insurance contract or identification numberEEG045268
Number of Individuals Covered2071
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $22,185
Total amount of fees paid to insurance companyUSD $9,304
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $113,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $14,221
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG035268
Policy instance 1
Insurance contract or identification numberEEG035268
Number of Individuals Covered2082
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,431
Total amount of fees paid to insurance companyUSD $9,304
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $109,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $13,738
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG025268
Policy instance 1
Insurance contract or identification numberEEG025268
Number of Individuals Covered2040
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $20,967
Total amount of fees paid to insurance companyUSD $9,684
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $12,785
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG015268
Policy instance 1
Insurance contract or identification numberEEG015268
Number of Individuals Covered1849
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $21,086
Total amount of fees paid to insurance companyUSD $9,835
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $12,858
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005268
Policy instance 1
Insurance contract or identification numberEEG005268
Number of Individuals Covered1871
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $20,431
Total amount of fees paid to insurance companyUSD $10,216
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $12,458
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG065002
Policy instance 1
Insurance contract or identification numberEEG065002
Number of Individuals Covered1912
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,062
Total amount of fees paid to insurance companyUSD $2,254
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,240
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG055002
Policy instance 1
Insurance contract or identification numberEEG055002
Number of Individuals Covered196
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,936
Total amount of fees paid to insurance companyUSD $2,304
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,149
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG045002
Policy instance 1
Insurance contract or identification numberEEG045002
Number of Individuals Covered216
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,206
Total amount of fees paid to insurance companyUSD $2,288
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,346
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG035002
Policy instance 1
Insurance contract or identification numberEEG035002
Number of Individuals Covered279
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,260
Total amount of fees paid to insurance companyUSD $2,292
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,385
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG025002
Policy instance 1
Insurance contract or identification numberEEG025002
Number of Individuals Covered283
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,279
Total amount of fees paid to insurance companyUSD $2,230
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,399
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG015002
Policy instance 1
Insurance contract or identification numberEEG015002
Number of Individuals Covered284
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $3,299
Total amount of fees paid to insurance companyUSD $3,055
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,414
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEQ005002
Policy instance 1
Insurance contract or identification numberEEQ005002
Number of Individuals Covered292
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $3,048
Total amount of fees paid to insurance companyUSD $3,064
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,230
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES

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