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FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 401k Plan overview

Plan NameFIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN
Plan identification number 504

FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    FIRST COMMUNITY BANCSHARES, INC. has sponsored the creation of one or more 401k plans.

    Company Name:FIRST COMMUNITY BANCSHARES, INC.
    Employer identification number (EIN):550694814
    NAIC Classification:522110
    NAIC Description:Commercial Banking

    Additional information about FIRST COMMUNITY BANCSHARES, INC.

    Jurisdiction of Incorporation: Nevada Department of State
    Incorporation Date: 1997-07-28
    Company Identification Number: 19971230456
    Legal Registered Office Address: 2215-B RENAISSANCE DR

    LAS VEGAS
    United States of America (USA)
    89119

    More information about FIRST COMMUNITY BANCSHARES, INC.

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5042020-01-01MELISSA BAILEY2021-10-12
    5042019-01-01MELISSA WARD2020-10-14
    5042018-01-01MELISSA WARD2019-09-03
    5042017-01-01
    5042016-01-01
    5042015-01-01MELISSA WARD, SPHR
    5042014-01-01MELISSA WARD, SPHR
    5042013-01-01JUDITH N. SWEGER
    5042012-01-01JUDITH N. SWEGER
    5042011-01-01JUDITH N. SWEGER JUDITH N. SWEGER2012-10-16
    5042009-01-01JUDITH N. SWEGER

    Plan Statistics for FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN

    401k plan membership statisitcs for FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN

    Measure Date Value
    2020: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2020 401k membership
    Total participants, beginning-of-year2020-01-01572
    Total number of active participants reported on line 7a of the Form 55002020-01-01465
    Number of retired or separated participants receiving benefits2020-01-015
    Total of all active and inactive participants2020-01-01470
    2019: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2019 401k membership
    Total participants, beginning-of-year2019-01-01576
    Total number of active participants reported on line 7a of the Form 55002019-01-01547
    Number of retired or separated participants receiving benefits2019-01-0125
    Total of all active and inactive participants2019-01-01572
    2018: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2018 401k membership
    Total participants, beginning-of-year2018-01-01607
    Total number of active participants reported on line 7a of the Form 55002018-01-01550
    Number of retired or separated participants receiving benefits2018-01-0126
    Total of all active and inactive participants2018-01-01576
    2017: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2017 401k membership
    Total participants, beginning-of-year2017-01-01644
    Total number of active participants reported on line 7a of the Form 55002017-01-01581
    Number of retired or separated participants receiving benefits2017-01-0126
    Total of all active and inactive participants2017-01-01607
    2016: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2016 401k membership
    Total participants, beginning-of-year2016-01-01565
    Total number of active participants reported on line 7a of the Form 55002016-01-01614
    Number of retired or separated participants receiving benefits2016-01-0130
    Total of all active and inactive participants2016-01-01644
    2015: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2015 401k membership
    Total participants, beginning-of-year2015-01-01578
    Total number of active participants reported on line 7a of the Form 55002015-01-01529
    Number of retired or separated participants receiving benefits2015-01-0136
    Total of all active and inactive participants2015-01-01565
    2014: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2014 401k membership
    Total participants, beginning-of-year2014-01-01620
    Total number of active participants reported on line 7a of the Form 55002014-01-01595
    Number of retired or separated participants receiving benefits2014-01-0140
    Total of all active and inactive participants2014-01-01635
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
    2013: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2013 401k membership
    Total participants, beginning-of-year2013-01-01765
    Total number of active participants reported on line 7a of the Form 55002013-01-01576
    Number of retired or separated participants receiving benefits2013-01-0145
    Total of all active and inactive participants2013-01-01621
    2012: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2012 401k membership
    Total participants, beginning-of-year2012-01-01646
    Total number of active participants reported on line 7a of the Form 55002012-01-01590
    Number of retired or separated participants receiving benefits2012-01-0157
    Number of other retired or separated participants entitled to future benefits2012-01-010
    Total of all active and inactive participants2012-01-01647
    2011: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2011 401k membership
    Total participants, beginning-of-year2011-01-01737
    Total number of active participants reported on line 7a of the Form 55002011-01-01515
    Number of retired or separated participants receiving benefits2011-01-0165
    Number of other retired or separated participants entitled to future benefits2011-01-010
    Total of all active and inactive participants2011-01-01580
    2009: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2009 401k membership
    Total participants, beginning-of-year2009-01-01688
    Total number of active participants reported on line 7a of the Form 55002009-01-01547
    Number of retired or separated participants receiving benefits2009-01-0175
    Number of other retired or separated participants entitled to future benefits2009-01-010
    Total of all active and inactive participants2009-01-01622

    Financial Data on FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN

    Measure Date Value
    2021 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2021 401k financial data
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$59,156
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$111,414
    Total income from all sources (including contributions)2021-12-31$5,759,568
    Total of all expenses incurred2021-12-31$5,685,317
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,428,351
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,759,533
    Value of total assets at end of year2021-12-31$308,583
    Value of total assets at beginning of year2021-12-31$286,590
    Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$256,966
    Total interest from all sources2021-12-31$35
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
    Was this plan covered by a fidelity bond2021-12-31Yes
    Value of fidelity bond cover2021-12-31$10,000,000
    If this is an individual account plan, was there a blackout period2021-12-31No
    Were there any nonexempt tranactions with any party-in-interest2021-12-31No
    Contributions received from participants2021-12-31$1,882,052
    Participant contributions at beginning of year2021-12-31$3,736
    Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2,011
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$261,420
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$9,130
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$111,414
    Administrative expenses (other) incurred2021-12-31$256,966
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
    Value of net income/loss2021-12-31$74,251
    Value of net assets at end of year (total assets less liabilities)2021-12-31$249,427
    Value of net assets at beginning of year (total assets less liabilities)2021-12-31$175,176
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
    Were any leases to which the plan was party in default or uncollectible2021-12-31No
    Income. Interest from corporate debt instruments2021-12-31$35
    Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,059,066
    Asset value of US Government securities at end of year2021-12-31$306,572
    Asset value of US Government securities at beginning of year2021-12-31$21,434
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2021-12-31No
    Has the plan failed to provide any benefit when due under the plan2021-12-31No
    Contributions received in cash from employer2021-12-31$3,877,481
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$4,369,285
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
    Liabilities. Value of benefit claims payable at end of year2021-12-31$50,026
    Liabilities. Value of benefit claims payable at beginning of year2021-12-31$0
    Did the plan have assets held for investment2021-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
    Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
    Accountancy firm name2021-12-31ELLIOTT DAVIS, LLC/PLLC
    Accountancy firm EIN2021-12-31570381582
    2020 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2020 401k financial data
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$111,414
    Total income from all sources (including contributions)2020-12-31$6,134,178
    Total of all expenses incurred2020-12-31$6,238,702
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$5,945,370
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$6,133,802
    Value of total assets at end of year2020-12-31$286,590
    Value of total assets at beginning of year2020-12-31$279,700
    Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$293,332
    Total interest from all sources2020-12-31$376
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
    Was this plan covered by a fidelity bond2020-12-31Yes
    Value of fidelity bond cover2020-12-31$10,000,000
    If this is an individual account plan, was there a blackout period2020-12-31No
    Were there any nonexempt tranactions with any party-in-interest2020-12-31No
    Contributions received from participants2020-12-31$1,982,071
    Participant contributions at end of year2020-12-31$3,736
    Participant contributions at beginning of year2020-12-31$2,247
    Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$261,420
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$118,398
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$111,414
    Administrative expenses (other) incurred2020-12-31$293,332
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
    Value of net income/loss2020-12-31$-104,524
    Value of net assets at end of year (total assets less liabilities)2020-12-31$175,176
    Value of net assets at beginning of year (total assets less liabilities)2020-12-31$279,700
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
    Were any leases to which the plan was party in default or uncollectible2020-12-31No
    Income. Interest from US Government securities2020-12-31$376
    Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,402,445
    Asset value of US Government securities at end of year2020-12-31$21,434
    Asset value of US Government securities at beginning of year2020-12-31$159,055
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2020-12-31No
    Has the plan failed to provide any benefit when due under the plan2020-12-31No
    Contributions received in cash from employer2020-12-31$4,151,731
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,542,925
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
    Did the plan have assets held for investment2020-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
    Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
    Accountancy firm name2020-12-31DIXON HUGHES GOODMAN, LLP
    Accountancy firm EIN2020-12-31560747981
    2019 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2019 401k financial data
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,131
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,131
    Total income from all sources (including contributions)2019-12-31$4,883,084
    Total income from all sources (including contributions)2019-12-31$4,883,084
    Total of all expenses incurred2019-12-31$4,786,998
    Total of all expenses incurred2019-12-31$4,786,998
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,549,007
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,549,007
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$4,880,410
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$4,880,410
    Value of total assets at end of year2019-12-31$279,700
    Value of total assets at end of year2019-12-31$279,700
    Value of total assets at beginning of year2019-12-31$190,745
    Value of total assets at beginning of year2019-12-31$190,745
    Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$237,991
    Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$237,991
    Total interest from all sources2019-12-31$2,674
    Total interest from all sources2019-12-31$2,674
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
    Was this plan covered by a fidelity bond2019-12-31Yes
    Was this plan covered by a fidelity bond2019-12-31Yes
    Value of fidelity bond cover2019-12-31$10,000,000
    Value of fidelity bond cover2019-12-31$10,000,000
    If this is an individual account plan, was there a blackout period2019-12-31No
    If this is an individual account plan, was there a blackout period2019-12-31No
    Were there any nonexempt tranactions with any party-in-interest2019-12-31No
    Were there any nonexempt tranactions with any party-in-interest2019-12-31No
    Contributions received from participants2019-12-31$1,614,928
    Contributions received from participants2019-12-31$1,614,928
    Participant contributions at end of year2019-12-31$2,247
    Participant contributions at end of year2019-12-31$2,247
    Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$118,398
    Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$118,398
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$105,212
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$105,212
    Administrative expenses (other) incurred2019-12-31$237,991
    Administrative expenses (other) incurred2019-12-31$237,991
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Value of net income/loss2019-12-31$96,086
    Value of net income/loss2019-12-31$96,086
    Value of net assets at end of year (total assets less liabilities)2019-12-31$279,700
    Value of net assets at end of year (total assets less liabilities)2019-12-31$279,700
    Value of net assets at beginning of year (total assets less liabilities)2019-12-31$183,614
    Value of net assets at beginning of year (total assets less liabilities)2019-12-31$183,614
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
    Were any leases to which the plan was party in default or uncollectible2019-12-31No
    Were any leases to which the plan was party in default or uncollectible2019-12-31No
    Income. Interest from US Government securities2019-12-31$2,674
    Income. Interest from US Government securities2019-12-31$2,674
    Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,094,109
    Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,094,109
    Asset value of US Government securities at end of year2019-12-31$159,055
    Asset value of US Government securities at end of year2019-12-31$159,055
    Asset value of US Government securities at beginning of year2019-12-31$85,533
    Asset value of US Government securities at beginning of year2019-12-31$85,533
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2019-12-31No
    Was there a failure to transmit to the plan any participant contributions2019-12-31No
    Has the plan failed to provide any benefit when due under the plan2019-12-31No
    Has the plan failed to provide any benefit when due under the plan2019-12-31No
    Contributions received in cash from employer2019-12-31$3,265,482
    Contributions received in cash from employer2019-12-31$3,265,482
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,454,898
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,454,898
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
    Liabilities. Value of benefit claims payable at beginning of year2019-12-31$7,131
    Liabilities. Value of benefit claims payable at beginning of year2019-12-31$7,131
    Did the plan have assets held for investment2019-12-31Yes
    Did the plan have assets held for investment2019-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
    Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
    Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
    Accountancy firm name2019-12-31DIXON HUGHES GOODMAN, LLP
    Accountancy firm name2019-12-31DIXON HUGHES GOODMAN, LLP
    Accountancy firm EIN2019-12-31560747981
    Accountancy firm EIN2019-12-31560747981
    2018 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2018 401k financial data
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$7,131
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$140,771
    Total income from all sources (including contributions)2018-12-31$4,782,568
    Total of all expenses incurred2018-12-31$5,370,329
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,116,607
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,778,833
    Value of total assets at end of year2018-12-31$190,745
    Value of total assets at beginning of year2018-12-31$912,146
    Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$253,722
    Total interest from all sources2018-12-31$3,735
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
    Was this plan covered by a fidelity bond2018-12-31Yes
    Value of fidelity bond cover2018-12-31$1,000,000
    If this is an individual account plan, was there a blackout period2018-12-31No
    Were there any nonexempt tranactions with any party-in-interest2018-12-31No
    Contributions received from participants2018-12-31$1,597,628
    Participant contributions at end of year2018-12-31$0
    Participant contributions at beginning of year2018-12-31$1,523
    Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$105,212
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$340,252
    Administrative expenses (other) incurred2018-12-31$253,722
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
    Value of net income/loss2018-12-31$-587,761
    Value of net assets at end of year (total assets less liabilities)2018-12-31$183,614
    Value of net assets at beginning of year (total assets less liabilities)2018-12-31$771,375
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
    Were any leases to which the plan was party in default or uncollectible2018-12-31No
    Income. Interest from US Government securities2018-12-31$3,735
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$0
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$109,696
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$109,696
    Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$996,394
    Asset value of US Government securities at end of year2018-12-31$85,533
    Asset value of US Government securities at beginning of year2018-12-31$460,675
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2018-12-31No
    Has the plan failed to provide any benefit when due under the plan2018-12-31No
    Contributions received in cash from employer2018-12-31$3,181,205
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$4,120,213
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
    Liabilities. Value of benefit claims payable at end of year2018-12-31$7,131
    Liabilities. Value of benefit claims payable at beginning of year2018-12-31$140,771
    Did the plan have assets held for investment2018-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
    Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
    Accountancy firm name2018-12-31DIXON HUGHES GOODMAN, LLP
    Accountancy firm EIN2018-12-31560747981
    2017 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2017 401k financial data
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$140,771
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$67,139
    Total income from all sources (including contributions)2017-12-31$4,453,265
    Total of all expenses incurred2017-12-31$4,273,152
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,006,045
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,451,128
    Value of total assets at end of year2017-12-31$912,146
    Value of total assets at beginning of year2017-12-31$658,401
    Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$267,107
    Total interest from all sources2017-12-31$2,137
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
    Was this plan covered by a fidelity bond2017-12-31Yes
    Value of fidelity bond cover2017-12-31$20,000,000
    If this is an individual account plan, was there a blackout period2017-12-31No
    Were there any nonexempt tranactions with any party-in-interest2017-12-31No
    Contributions received from participants2017-12-31$1,532,593
    Participant contributions at end of year2017-12-31$1,523
    Participant contributions at beginning of year2017-12-31$45,308
    Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$340,252
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$149,718
    Administrative expenses (other) incurred2017-12-31$267,107
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
    Value of net income/loss2017-12-31$180,113
    Value of net assets at end of year (total assets less liabilities)2017-12-31$771,375
    Value of net assets at beginning of year (total assets less liabilities)2017-12-31$591,262
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
    Were any leases to which the plan was party in default or uncollectible2017-12-31No
    Income. Interest from US Government securities2017-12-31$2,137
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$109,696
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$172,182
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$172,182
    Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$757,493
    Asset value of US Government securities at end of year2017-12-31$460,675
    Asset value of US Government securities at beginning of year2017-12-31$291,193
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2017-12-31No
    Has the plan failed to provide any benefit when due under the plan2017-12-31No
    Contributions received in cash from employer2017-12-31$2,918,535
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,248,552
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
    Liabilities. Value of benefit claims payable at end of year2017-12-31$140,771
    Liabilities. Value of benefit claims payable at beginning of year2017-12-31$67,139
    Did the plan have assets held for investment2017-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
    Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
    Accountancy firm name2017-12-31DIXON HUGHES GOODMAN, LLP
    Accountancy firm EIN2017-12-31560747981
    2016 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2016 401k financial data
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$67,139
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$81,898
    Total income from all sources (including contributions)2016-12-31$4,848,310
    Total of all expenses incurred2016-12-31$4,751,355
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,457,026
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,848,210
    Value of total assets at end of year2016-12-31$658,401
    Value of total assets at beginning of year2016-12-31$576,205
    Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$294,329
    Total interest from all sources2016-12-31$100
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
    Was this plan covered by a fidelity bond2016-12-31Yes
    Value of fidelity bond cover2016-12-31$20,000,000
    If this is an individual account plan, was there a blackout period2016-12-31No
    Were there any nonexempt tranactions with any party-in-interest2016-12-31No
    Contributions received from participants2016-12-31$1,732,641
    Participant contributions at end of year2016-12-31$45,308
    Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$149,718
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$245,167
    Administrative expenses (other) incurred2016-12-31$294,329
    Liabilities. Value of operating payables at beginning of year2016-12-31$81,898
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
    Value of net income/loss2016-12-31$96,955
    Value of net assets at end of year (total assets less liabilities)2016-12-31$591,262
    Value of net assets at beginning of year (total assets less liabilities)2016-12-31$494,307
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
    Were any leases to which the plan was party in default or uncollectible2016-12-31No
    Income. Interest from US Government securities2016-12-31$100
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$172,182
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$124,266
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$124,266
    Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$762,536
    Asset value of US Government securities at end of year2016-12-31$291,193
    Asset value of US Government securities at beginning of year2016-12-31$206,772
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2016-12-31No
    Has the plan failed to provide any benefit when due under the plan2016-12-31No
    Contributions received in cash from employer2016-12-31$3,115,569
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$3,694,490
    Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
    Liabilities. Value of benefit claims payable at end of year2016-12-31$67,139
    Did the plan have assets held for investment2016-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
    Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
    Accountancy firm name2016-12-31DIXON HUGHES GOODMAN, LLP
    Accountancy firm EIN2016-12-31560747981
    2015 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2015 401k financial data
    Total unrealized appreciation/depreciation of assets2015-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$686,996
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$756,475
    Total income from all sources (including contributions)2015-12-31$4,119,064
    Total loss/gain on sale of assets2015-12-31$0
    Total of all expenses incurred2015-12-31$4,522,386
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$4,160,273
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,118,989
    Value of total assets at end of year2015-12-31$576,205
    Value of total assets at beginning of year2015-12-31$1,049,006
    Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$362,113
    Total interest from all sources2015-12-31$75
    Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
    Was this plan covered by a fidelity bond2015-12-31Yes
    Value of fidelity bond cover2015-12-31$20,000,000
    If this is an individual account plan, was there a blackout period2015-12-31No
    Were there any nonexempt tranactions with any party-in-interest2015-12-31No
    Contributions received from participants2015-12-31$1,686,064
    Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$245,167
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$110,080
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$79,138
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$81,220
    Administrative expenses (other) incurred2015-12-31$550
    Liabilities. Value of operating payables at end of year2015-12-31$81,898
    Liabilities. Value of operating payables at beginning of year2015-12-31$3,351
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
    Value of net income/loss2015-12-31$-403,322
    Value of net assets at end of year (total assets less liabilities)2015-12-31$-110,791
    Value of net assets at beginning of year (total assets less liabilities)2015-12-31$292,531
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
    Were any leases to which the plan was party in default or uncollectible2015-12-31No
    Income. Interest from US Government securities2015-12-31$75
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$124,266
    Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$347,208
    Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$347,208
    Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$583,265
    Asset value of US Government securities at end of year2015-12-31$206,772
    Asset value of US Government securities at beginning of year2015-12-31$457,271
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2015-12-31No
    Has the plan failed to provide any benefit when due under the plan2015-12-31No
    Contributions received in cash from employer2015-12-31$2,432,925
    Employer contributions (assets) at beginning of year2015-12-31$134,447
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,577,008
    Contract administrator fees2015-12-31$361,563
    Liabilities. Value of benefit claims payable at end of year2015-12-31$525,960
    Liabilities. Value of benefit claims payable at beginning of year2015-12-31$671,904
    Did the plan have assets held for investment2015-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
    Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
    Accountancy firm name2015-12-31BROWN, EDWARDS & COMPANY, LLP
    Accountancy firm EIN2015-12-31540504608
    2014 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2014 401k financial data
    Total unrealized appreciation/depreciation of assets2014-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$756,475
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$786,561
    Total income from all sources (including contributions)2014-12-31$4,397,841
    Total loss/gain on sale of assets2014-12-31$0
    Total of all expenses incurred2014-12-31$4,176,399
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,738,473
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,397,755
    Value of total assets at end of year2014-12-31$1,049,006
    Value of total assets at beginning of year2014-12-31$857,650
    Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$437,926
    Total interest from all sources2014-12-31$86
    Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
    Was this plan covered by a fidelity bond2014-12-31Yes
    Value of fidelity bond cover2014-12-31$15,000,000
    If this is an individual account plan, was there a blackout period2014-12-31No
    Were there any nonexempt tranactions with any party-in-interest2014-12-31No
    Contributions received from participants2014-12-31$1,757,991
    Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$110,080
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$7
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$81,220
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$95,996
    Administrative expenses (other) incurred2014-12-31$69,819
    Liabilities. Value of operating payables at end of year2014-12-31$3,351
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
    Value of net income/loss2014-12-31$221,442
    Value of net assets at end of year (total assets less liabilities)2014-12-31$292,531
    Value of net assets at beginning of year (total assets less liabilities)2014-12-31$71,089
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
    Were any leases to which the plan was party in default or uncollectible2014-12-31No
    Income. Interest from US Government securities2014-12-31$86
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$347,208
    Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$583,692
    Asset value of US Government securities at end of year2014-12-31$457,271
    Asset value of US Government securities at beginning of year2014-12-31$857,643
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2014-12-31No
    Has the plan failed to provide any benefit when due under the plan2014-12-31No
    Contributions received in cash from employer2014-12-31$2,639,764
    Employer contributions (assets) at end of year2014-12-31$134,447
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,154,781
    Contract administrator fees2014-12-31$368,107
    Liabilities. Value of benefit claims payable at end of year2014-12-31$671,904
    Liabilities. Value of benefit claims payable at beginning of year2014-12-31$690,565
    Did the plan have assets held for investment2014-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
    Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
    Accountancy firm name2014-12-31BROWN, EDWARDS & COMPANY, LLP
    Accountancy firm EIN2014-12-31540504608
    2013 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2013 401k financial data
    Total unrealized appreciation/depreciation of assets2013-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$786,561
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$383,265
    Total income from all sources (including contributions)2013-12-31$4,580,775
    Total loss/gain on sale of assets2013-12-31$0
    Total of all expenses incurred2013-12-31$4,927,536
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,617,862
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,424,262
    Value of total assets at end of year2013-12-31$857,650
    Value of total assets at beginning of year2013-12-31$801,115
    Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$309,674
    Total interest from all sources2013-12-31$82
    Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
    Was this plan covered by a fidelity bond2013-12-31Yes
    Value of fidelity bond cover2013-12-31$15,000,000
    If this is an individual account plan, was there a blackout period2013-12-31No
    Were there any nonexempt tranactions with any party-in-interest2013-12-31No
    Contributions received from participants2013-12-31$1,862,842
    Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$7
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$7
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$95,996
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$93,621
    Other income not declared elsewhere2013-12-31$156,431
    Administrative expenses (other) incurred2013-12-31$4,704
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
    Value of net income/loss2013-12-31$-346,761
    Value of net assets at end of year (total assets less liabilities)2013-12-31$71,089
    Value of net assets at beginning of year (total assets less liabilities)2013-12-31$417,850
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
    Were any leases to which the plan was party in default or uncollectible2013-12-31No
    Income. Interest from US Government securities2013-12-31$82
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
    Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$722,686
    Asset value of US Government securities at end of year2013-12-31$857,643
    Asset value of US Government securities at beginning of year2013-12-31$801,108
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2013-12-31No
    Has the plan failed to provide any benefit when due under the plan2013-12-31No
    Contributions received in cash from employer2013-12-31$2,561,420
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,895,176
    Contract administrator fees2013-12-31$304,970
    Liabilities. Value of benefit claims payable at end of year2013-12-31$690,565
    Liabilities. Value of benefit claims payable at beginning of year2013-12-31$289,644
    Did the plan have assets held for investment2013-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
    Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
    Accountancy firm name2013-12-31BROWN, EDWARDS & COMPANY, L.L.P.
    Accountancy firm EIN2013-12-31540504608
    2012 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2012 401k financial data
    Total unrealized appreciation/depreciation of assets2012-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$383,265
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$499,013
    Total income from all sources (including contributions)2012-12-31$4,325,058
    Total loss/gain on sale of assets2012-12-31$0
    Total of all expenses incurred2012-12-31$3,709,772
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,466,778
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,129,331
    Value of total assets at end of year2012-12-31$801,115
    Value of total assets at beginning of year2012-12-31$301,577
    Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$242,994
    Total interest from all sources2012-12-31$59
    Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
    Was this plan covered by a fidelity bond2012-12-31Yes
    Value of fidelity bond cover2012-12-31$15,000,000
    If this is an individual account plan, was there a blackout period2012-12-31No
    Were there any nonexempt tranactions with any party-in-interest2012-12-31No
    Contributions received from participants2012-12-31$1,611,309
    Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$7
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$93,621
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$84,799
    Other income not declared elsewhere2012-12-31$195,668
    Administrative expenses (other) incurred2012-12-31$761
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
    Value of net income/loss2012-12-31$615,286
    Value of net assets at end of year (total assets less liabilities)2012-12-31$417,850
    Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-197,436
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
    Were any leases to which the plan was party in default or uncollectible2012-12-31No
    Income. Interest from US Government securities2012-12-31$59
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
    Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$634,667
    Asset value of US Government securities at end of year2012-12-31$801,108
    Asset value of US Government securities at beginning of year2012-12-31$301,576
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2012-12-31No
    Has the plan failed to provide any benefit when due under the plan2012-12-31No
    Contributions received in cash from employer2012-12-31$2,518,022
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,832,111
    Contract administrator fees2012-12-31$242,233
    Liabilities. Value of benefit claims payable at end of year2012-12-31$289,644
    Liabilities. Value of benefit claims payable at beginning of year2012-12-31$414,214
    Did the plan have assets held for investment2012-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
    Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
    Accountancy firm name2012-12-31BROWN, EDWARDS & COMPANY L.L.P.
    Accountancy firm EIN2012-12-31540504608
    2011 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2011 401k financial data
    Total unrealized appreciation/depreciation of assets2011-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$499,013
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$747,298
    Total income from all sources (including contributions)2011-12-31$5,124,005
    Total loss/gain on sale of assets2011-12-31$0
    Total of all expenses incurred2011-12-31$5,203,178
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,888,818
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,983,213
    Value of total assets at end of year2011-12-31$301,576
    Value of total assets at beginning of year2011-12-31$629,034
    Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$314,360
    Total interest from all sources2011-12-31$22
    Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
    Was this plan covered by a fidelity bond2011-12-31Yes
    Value of fidelity bond cover2011-12-31$15,000,000
    If this is an individual account plan, was there a blackout period2011-12-31No
    Were there any nonexempt tranactions with any party-in-interest2011-12-31No
    Contributions received from participants2011-12-31$1,648,187
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$7
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$84,799
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$360,662
    Other income not declared elsewhere2011-12-31$140,770
    Administrative expenses (other) incurred2011-12-31$15,628
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Value of net income/loss2011-12-31$-79,173
    Value of net assets at end of year (total assets less liabilities)2011-12-31$-197,437
    Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-118,264
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
    Were any leases to which the plan was party in default or uncollectible2011-12-31No
    Income. Interest from US Government securities2011-12-31$22
    Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$587,542
    Asset value of US Government securities at end of year2011-12-31$301,576
    Asset value of US Government securities at beginning of year2011-12-31$610,982
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2011-12-31No
    Has the plan failed to provide any benefit when due under the plan2011-12-31No
    Contributions received in cash from employer2011-12-31$3,335,026
    Employer contributions (assets) at beginning of year2011-12-31$18,045
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,301,276
    Contract administrator fees2011-12-31$298,732
    Liabilities. Value of benefit claims payable at end of year2011-12-31$414,214
    Liabilities. Value of benefit claims payable at beginning of year2011-12-31$386,636
    Did the plan have assets held for investment2011-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
    Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
    Accountancy firm name2011-12-31BROWN, EDWARDS & COMPANY, L.L.P.
    Accountancy firm EIN2011-12-31540504608
    2010 : FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2010 401k financial data
    Total unrealized appreciation/depreciation of assets2010-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$747,298
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$479,727
    Total income from all sources (including contributions)2010-12-31$4,270,582
    Total loss/gain on sale of assets2010-12-31$0
    Total of all expenses incurred2010-12-31$4,544,970
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$4,050,350
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,255,413
    Value of total assets at end of year2010-12-31$629,034
    Value of total assets at beginning of year2010-12-31$635,851
    Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$494,620
    Total interest from all sources2010-12-31$63
    Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
    Was this plan covered by a fidelity bond2010-12-31Yes
    Value of fidelity bond cover2010-12-31$15,000,000
    If this is an individual account plan, was there a blackout period2010-12-31No
    Were there any nonexempt tranactions with any party-in-interest2010-12-31No
    Contributions received from participants2010-12-31$1,748,724
    Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$7
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$16
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$360,662
    Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$172,088
    Other income not declared elsewhere2010-12-31$15,106
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
    Value of net income/loss2010-12-31$-274,388
    Value of net assets at end of year (total assets less liabilities)2010-12-31$-118,264
    Value of net assets at beginning of year (total assets less liabilities)2010-12-31$156,124
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
    Were any leases to which the plan was party in default or uncollectible2010-12-31No
    Income. Interest from US Government securities2010-12-31$63
    Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$578,594
    Asset value of US Government securities at end of year2010-12-31$610,982
    Asset value of US Government securities at beginning of year2010-12-31$635,835
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
    Was there a failure to transmit to the plan any participant contributions2010-12-31No
    Has the plan failed to provide any benefit when due under the plan2010-12-31No
    Contributions received in cash from employer2010-12-31$2,506,689
    Employer contributions (assets) at end of year2010-12-31$18,045
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,471,756
    Contract administrator fees2010-12-31$494,620
    Liabilities. Value of benefit claims payable at end of year2010-12-31$386,636
    Liabilities. Value of benefit claims payable at beginning of year2010-12-31$307,639
    Did the plan have assets held for investment2010-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
    Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
    Accountancy firm name2010-12-31BROWN, EDWARDS & COMPANY, L.L.P.
    Accountancy firm EIN2010-12-31540504608

    Form 5500 Responses for FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN

    2020: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2020 form 5500 responses
    2020-01-01Type of plan entitySingle employer plan
    2020-01-01Plan funding arrangement – InsuranceYes
    2020-01-01Plan funding arrangement – TrustYes
    2020-01-01Plan benefit arrangement – InsuranceYes
    2020-01-01Plan benefit arrangement - TrustYes
    2019: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2019 form 5500 responses
    2019-01-01Type of plan entitySingle employer plan
    2019-01-01Plan funding arrangement – InsuranceYes
    2019-01-01Plan funding arrangement – TrustYes
    2019-01-01Plan benefit arrangement – InsuranceYes
    2019-01-01Plan benefit arrangement - TrustYes
    2018: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2018 form 5500 responses
    2018-01-01Type of plan entitySingle employer plan
    2018-01-01Plan funding arrangement – InsuranceYes
    2018-01-01Plan funding arrangement – TrustYes
    2018-01-01Plan benefit arrangement – InsuranceYes
    2018-01-01Plan benefit arrangement - TrustYes
    2017: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2017 form 5500 responses
    2017-01-01Type of plan entitySingle employer plan
    2017-01-01Plan funding arrangement – InsuranceYes
    2017-01-01Plan funding arrangement – TrustYes
    2017-01-01Plan benefit arrangement – InsuranceYes
    2017-01-01Plan benefit arrangement - TrustYes
    2016: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2016 form 5500 responses
    2016-01-01Type of plan entitySingle employer plan
    2016-01-01Plan funding arrangement – InsuranceYes
    2016-01-01Plan funding arrangement – TrustYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement - TrustYes
    2015: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2015 form 5500 responses
    2015-01-01Type of plan entitySingle employer plan
    2015-01-01Submission has been amendedNo
    2015-01-01This submission is the final filingNo
    2015-01-01This return/report is a short plan year return/report (less than 12 months)No
    2015-01-01Plan is a collectively bargained planNo
    2015-01-01Plan funding arrangement – InsuranceYes
    2015-01-01Plan funding arrangement – TrustYes
    2015-01-01Plan benefit arrangement – InsuranceYes
    2015-01-01Plan benefit arrangement - TrustYes
    2014: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2014 form 5500 responses
    2014-01-01Type of plan entitySingle employer plan
    2014-01-01Submission has been amendedNo
    2014-01-01This submission is the final filingNo
    2014-01-01This return/report is a short plan year return/report (less than 12 months)No
    2014-01-01Plan is a collectively bargained planNo
    2014-01-01Plan funding arrangement – InsuranceYes
    2014-01-01Plan funding arrangement – TrustYes
    2014-01-01Plan benefit arrangement – InsuranceYes
    2014-01-01Plan benefit arrangement - TrustYes
    2013: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2013 form 5500 responses
    2013-01-01Type of plan entitySingle employer plan
    2013-01-01Submission has been amendedNo
    2013-01-01This submission is the final filingNo
    2013-01-01This return/report is a short plan year return/report (less than 12 months)No
    2013-01-01Plan is a collectively bargained planNo
    2013-01-01Plan funding arrangement – InsuranceYes
    2013-01-01Plan funding arrangement – TrustYes
    2013-01-01Plan benefit arrangement – InsuranceYes
    2013-01-01Plan benefit arrangement - TrustYes
    2012: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2012 form 5500 responses
    2012-01-01Type of plan entitySingle employer plan
    2012-01-01Submission has been amendedNo
    2012-01-01This submission is the final filingNo
    2012-01-01This return/report is a short plan year return/report (less than 12 months)No
    2012-01-01Plan is a collectively bargained planNo
    2012-01-01Plan funding arrangement – InsuranceYes
    2012-01-01Plan funding arrangement – TrustYes
    2012-01-01Plan benefit arrangement – InsuranceYes
    2012-01-01Plan benefit arrangement - TrustYes
    2011: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2011 form 5500 responses
    2011-01-01Type of plan entitySingle employer plan
    2011-01-01Submission has been amendedNo
    2011-01-01This submission is the final filingNo
    2011-01-01This return/report is a short plan year return/report (less than 12 months)No
    2011-01-01Plan is a collectively bargained planNo
    2011-01-01Plan funding arrangement – InsuranceYes
    2011-01-01Plan funding arrangement – TrustYes
    2011-01-01Plan benefit arrangement – InsuranceYes
    2011-01-01Plan benefit arrangement - TrustYes
    2009: FIRST COMMUNITY BANCSHARES, INC. MEDICAL & DENTAL CARE PLAN 2009 form 5500 responses
    2009-01-01Type of plan entitySingle employer plan
    2009-01-01Submission has been amendedNo
    2009-01-01This submission is the final filingNo
    2009-01-01This return/report is a short plan year return/report (less than 12 months)No
    2009-01-01Plan is a collectively bargained planNo
    2009-01-01Plan funding arrangement – InsuranceYes
    2009-01-01Plan funding arrangement – TrustYes
    2009-01-01Plan benefit arrangement – InsuranceYes
    2009-01-01Plan benefit arrangement - TrustYes

    Insurance Providers Used on plan

    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered122
    Insurance policy start date2021-01-01
    Insurance policy end date2021-12-31
    Total amount of commissions paid to insurance brokerUSD $43,407
    Total amount of fees paid to insurance companyUSD $0
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedCANCER/CRITICAL/HEART/STROKE
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $39,734
    Insurance broker organization code?3
    BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
    Policy contract number47-MSL-000428-0
    Policy instance 1
    Insurance contract or identification number47-MSL-000428-0
    Number of Individuals Covered463
    Insurance policy start date2021-01-01
    Insurance policy end date2021-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Welfare Benefit Premiums Paid to CarrierUSD $1,026,982
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
    Policy contract number0000019877
    Policy instance 1
    Insurance contract or identification number0000019877
    Number of Individuals Covered304
    Insurance policy start date2020-01-01
    Insurance policy end date2020-12-31
    Total amount of commissions paid to insurance brokerUSD $8,445
    Total amount of fees paid to insurance companyUSD $0
    Other welfare benefits providedCANCER
    Welfare Benefit Premiums Paid to CarrierUSD $91,552
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $4,839
    Insurance broker organization code?3
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered55
    Insurance policy start date2020-01-01
    Insurance policy end date2020-12-31
    Total amount of commissions paid to insurance brokerUSD $347
    Total amount of fees paid to insurance companyUSD $0
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedCANCER/HEART STROKE/ACCIDENT
    Welfare Benefit Premiums Paid to CarrierUSD $17,839
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $240
    Insurance broker organization code?3
    HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
    Policy contract number403392
    Policy instance 3
    Insurance contract or identification number403392
    Number of Individuals Covered463
    Insurance policy start date2020-01-01
    Insurance policy end date2020-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Welfare Benefit Premiums Paid to CarrierUSD $1,299,899
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered60
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Total amount of commissions paid to insurance brokerUSD $416
    Total amount of fees paid to insurance companyUSD $0
    Other welfare benefits providedCANCER/HEART STROKE
    Welfare Benefit Premiums Paid to CarrierUSD $20,501
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $274
    Insurance broker organization code?3
    CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
    Policy contract number0000019877
    Policy instance 1
    Insurance contract or identification number0000019877
    Number of Individuals Covered304
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Total amount of commissions paid to insurance brokerUSD $5,058
    Total amount of fees paid to insurance companyUSD $0
    Other welfare benefits providedCANCER
    Welfare Benefit Premiums Paid to CarrierUSD $90,734
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,250
    Insurance broker organization code?3
    HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
    Policy contract number403392
    Policy instance 3
    Insurance contract or identification number403392
    Number of Individuals Covered383
    Insurance policy start date2019-01-01
    Insurance policy end date2019-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Welfare Benefit Premiums Paid to CarrierUSD $982,761
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered78
    Insurance policy start date2018-01-01
    Insurance policy end date2018-12-31
    Total amount of commissions paid to insurance brokerUSD $566
    Total amount of fees paid to insurance companyUSD $0
    Health Insurance Welfare BenefitYes
    Life Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $24,738
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $291
    Insurance broker organization code?3
    CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
    Policy contract number0000019877
    Policy instance 1
    Insurance contract or identification number0000019877
    Number of Individuals Covered286
    Insurance policy start date2018-01-01
    Insurance policy end date2018-12-31
    Total amount of commissions paid to insurance brokerUSD $7,384
    Total amount of fees paid to insurance companyUSD $0
    Other welfare benefits providedCANCER
    Welfare Benefit Premiums Paid to CarrierUSD $100,333
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $5,009
    Insurance broker organization code?3
    HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
    Policy contract number403392
    Policy instance 3
    Insurance contract or identification number403392
    Number of Individuals Covered820
    Insurance policy start date2018-01-01
    Insurance policy end date2018-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Welfare Benefit Premiums Paid to CarrierUSD $866,320
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $0
    Insurance broker organization code?3
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered36
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $832
    Total amount of fees paid to insurance companyUSD $0
    Health Insurance Welfare BenefitYes
    Life Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $24,272
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $533
    Insurance broker organization code?3
    Insurance broker nameROBERT ASHLEY
    CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
    Policy contract number0000019877
    Policy instance 1
    Insurance contract or identification number0000019877
    Number of Individuals Covered283
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $16,023
    Total amount of fees paid to insurance companyUSD $0
    Other welfare benefits providedCANCER
    Welfare Benefit Premiums Paid to CarrierUSD $104,327
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $7,784
    Insurance broker organization code?3
    Insurance broker nameELIZABETH CUSHING
    HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
    Policy contract number403392
    Policy instance 3
    Insurance contract or identification number403392
    Number of Individuals Covered866
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Welfare Benefit Premiums Paid to CarrierUSD $609,136
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Insurance broker organization code?3
    Insurance broker nameHEALTHGRAM INC.
    CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
    Policy contract number0000019877
    Policy instance 1
    Insurance contract or identification number0000019877
    Number of Individuals Covered248
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Total amount of commissions paid to insurance brokerUSD $33,738
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedCANCER
    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 CarrierUSD $125,074
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $11,215
    Insurance broker organization code?3
    Insurance broker nameKATHRYN H MORGAN
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered47
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Total amount of commissions paid to insurance brokerUSD $3,936
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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 CarrierUSD $29,004
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,264
    Insurance broker organization code?3
    Insurance broker nameWILLIAM E. CAMPBELL, JR
    U. S. BEHAVIORAL HEALTH PLAN, CALIFORNIA DBA OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )
    Policy contract number15163
    Policy instance 4
    Insurance contract or identification number15163
    Number of Individuals Covered785
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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 CarrierUSD $14,768
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered50
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    Total amount of commissions paid to insurance brokerUSD $4,106
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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 CarrierUSD $30,295
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,339
    Insurance broker organization code?3
    Insurance broker nameWILLIAM E CAMPBELL
    CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
    Policy contract number0000019877
    Policy instance 1
    Insurance contract or identification number0000019877
    Number of Individuals Covered234
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    Total amount of commissions paid to insurance brokerUSD $58,524
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedCANCER
    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 CarrierUSD $88,041
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $153
    Insurance broker organization code?3
    Insurance broker nameTREVOR G MURBACH
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered57
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    Total amount of commissions paid to insurance brokerUSD $4,884
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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 CarrierUSD $33,965
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,645
    Insurance broker organization code?3
    Insurance broker nameJAMES E PERKINS
    AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
    Policy contract numberGK758
    Policy instance 1
    Insurance contract or identification numberGK758
    Number of Individuals Covered222
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    Total amount of commissions paid to insurance brokerUSD $33,319
    Total amount of fees paid to insurance companyUSD $8
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedCANCER
    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 CarrierUSD $191,808
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $7,279
    Insurance broker organization code?3
    Amount paid for insurance broker fees8
    Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
    Insurance broker nameJAMES M BROCK
    AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
    Policy contract numberGK758
    Policy instance 1
    Insurance contract or identification numberGK758
    Number of Individuals Covered266
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    Total amount of commissions paid to insurance brokerUSD $26,854
    Total amount of fees paid to insurance companyUSD $603
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedCANCER
    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 CarrierUSD $117,543
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $7,006
    Amount paid for insurance broker fees95
    Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
    Insurance broker organization code?3
    Insurance broker nameLORRAINE MALO
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered63
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    Total amount of commissions paid to insurance brokerUSD $5,166
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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 CarrierUSD $35,399
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $3,447
    Insurance broker organization code?3
    Insurance broker nameJAMES E PERKINS
    AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
    Policy contract numberGK758
    Policy instance 1
    Insurance contract or identification numberGK758
    Number of Individuals Covered188
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $11,726
    Total amount of fees paid to insurance companyUSD $621
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedCANCER
    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 CarrierUSD $83,571
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered77
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $9,276
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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 CarrierUSD $53,199
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
    Policy contract number001325
    Policy instance 4
    Insurance contract or identification number001325
    Number of Individuals Covered0
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitYes
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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?Yes
    ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
    Policy contract number01325,01326
    Policy instance 3
    Insurance contract or identification number01325,01326
    Number of Individuals Covered586
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $34,630
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitYes
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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 CarrierUSD $409,373
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
    Policy contract number54822
    Policy instance 2
    Insurance contract or identification number54822
    Number of Individuals Covered81
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $6,343
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitYes
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    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 CarrierUSD $40,897
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
    Policy contract numberGK758
    Policy instance 1
    Insurance contract or identification numberGK758
    Number of Individuals Covered150
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $16,366
    Total amount of fees paid to insurance companyUSD $107
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedCANCER
    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 CarrierUSD $97,184
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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