WAYNE INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WAYNE INDUSTRIES, INC. HEALTH & WELFARE
401k plan membership statisitcs for WAYNE INDUSTRIES, INC. HEALTH & WELFARE
| Measure | Date | Value |
|---|
| 2022: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 95 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 105 |
| Total of all active and inactive participants | 2022-01-01 | 105 |
| 2021: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 90 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 103 |
| Total of all active and inactive participants | 2021-01-01 | 103 |
| 2020: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 90 |
| Total of all active and inactive participants | 2020-01-01 | 90 |
| 2019: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 100 |
| Total of all active and inactive participants | 2019-01-01 | 100 |
| 2018: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 108 |
| Total of all active and inactive participants | 2018-01-01 | 108 |
| 2017: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 99 |
| Total of all active and inactive participants | 2017-01-01 | 99 |
| Total participants | 2017-01-01 | 99 |
| 2016: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 130 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 108 |
| Total of all active and inactive participants | 2016-01-01 | 108 |
| Total participants | 2016-01-01 | 108 |
| 2015: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 130 |
| Total of all active and inactive participants | 2015-01-01 | 130 |
| Total participants | 2015-01-01 | 130 |
| 2014: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 122 |
| Total of all active and inactive participants | 2014-01-01 | 122 |
| Total participants | 2014-01-01 | 122 |
| 2013: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 110 |
| Total of all active and inactive participants | 2013-01-01 | 110 |
| Total participants | 2013-01-01 | 110 |
| 2012: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 109 |
| Total of all active and inactive participants | 2012-01-01 | 109 |
| Total participants | 2012-01-01 | 109 |
| 2011: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 106 |
| Total of all active and inactive participants | 2011-01-01 | 106 |
| Total participants | 2011-01-01 | 106 |
| 2009: WAYNE INDUSTRIES, INC. HEALTH & WELFARE 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 125 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 125 |
| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) |
| Policy contract number | 007575 |
| Policy instance | 5 |
| Insurance contract or identification number | 007575 | | Number of Individuals Covered | 105 | | Total amount of commissions paid to insurance broker | USD $6,002 | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL INSURANCE | | Commission paid to Insurance Broker | USD $6,002 | | Insurance broker organization code? | 3 |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0008528647 |
| Policy instance | 4 |
| Insurance contract or identification number | 0008528647 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-02-01 | | Total amount of commissions paid to insurance broker | USD $44 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $44 | | Insurance broker organization code? | 3 |
|
| PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 ) |
| Policy contract number | N052 |
| Policy instance | 3 |
| Insurance contract or identification number | N052 | | Number of Individuals Covered | 81 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $25,893 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $25,893 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 2 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 91 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $2,213 | | Dental Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,213 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0177345 |
| Policy instance | 1 |
| Insurance contract or identification number | R0177345 | | Number of Individuals Covered | 52 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-02-01 | | Total amount of commissions paid to insurance broker | USD $360 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS | | Commission paid to Insurance Broker | USD $360 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0177345 |
| Policy instance | 1 |
| Insurance contract or identification number | R0177345 | | Number of Individuals Covered | 59 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-02-01 | | Total amount of commissions paid to insurance broker | USD $423 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS | | Commission paid to Insurance Broker | USD $423 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 2 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 87 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $2,160 | | Dental Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,160 | | Insurance broker organization code? | 3 |
|
| PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 ) |
| Policy contract number | N052 |
| Policy instance | 3 |
| Insurance contract or identification number | N052 | | Number of Individuals Covered | 79 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $24,759 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $24,759 | | Insurance broker organization code? | 3 |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0008528647 |
| Policy instance | 4 |
| Insurance contract or identification number | 0008528647 | | Number of Individuals Covered | 32 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-02-01 | | Total amount of commissions paid to insurance broker | USD $70 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $70 | | Insurance broker organization code? | 3 |
|
| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) |
| Policy contract number | 007575 |
| Policy instance | 5 |
| Insurance contract or identification number | 007575 | | Number of Individuals Covered | 103 | | Total amount of commissions paid to insurance broker | USD $6,031 | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $6,031 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0177345 |
| Policy instance | 1 |
| Insurance contract or identification number | R0177345 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-02-01 | | Total amount of commissions paid to insurance broker | USD $421 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS | | Commission paid to Insurance Broker | USD $421 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 097475 |
| Policy instance | 2 |
| Insurance contract or identification number | 097475 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2020-07-01 | | Total amount of commissions paid to insurance broker | USD $403 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $403 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 3 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 81 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,839 | | Dental Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,839 | | Insurance broker organization code? | 3 |
|
| PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 ) |
| Policy contract number | N052 |
| Policy instance | 4 |
| Insurance contract or identification number | N052 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $22,977 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $22,977 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B5QT |
| Policy instance | 5 |
| Insurance contract or identification number | G000B5QT | | Number of Individuals Covered | 90 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-07-01 | | Total amount of commissions paid to insurance broker | USD $1,457 | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,457 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B5QT |
| Policy instance | 6 |
| Insurance contract or identification number | G000B5QT | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-07-01 | | Total amount of commissions paid to insurance broker | USD $569 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $569 | | Insurance broker organization code? | 3 |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0008528647 |
| Policy instance | 7 |
| Insurance contract or identification number | 0008528647 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-02-01 | | Total amount of commissions paid to insurance broker | USD $95 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $95 | | Insurance broker organization code? | 3 |
|
| MONY (National Association of Insurance Commissioners NAIC id number: 78077 ) |
| Policy contract number | 007575 |
| Policy instance | 8 |
| Insurance contract or identification number | 007575 | | Number of Individuals Covered | 100 | | Total amount of commissions paid to insurance broker | USD $5,648 | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SUPPLEMENTAL INSURANCE | | Commission paid to Insurance Broker | USD $5,648 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B5QT |
| Policy instance | 7 |
| Insurance contract or identification number | G000B5QT | | Number of Individuals Covered | 101 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2020-01-01 | | Total amount of commissions paid to insurance broker | USD $1,193 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,193 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B5QT |
| Policy instance | 6 |
| Insurance contract or identification number | G000B5QT | | Number of Individuals Covered | 101 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2020-01-01 | | Total amount of commissions paid to insurance broker | USD $2,949 | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,949 | | Insurance broker organization code? | 3 |
|
| PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 ) |
| Policy contract number | N052 |
| Policy instance | 5 |
| Insurance contract or identification number | N052 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $24,759 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $24,759 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 4 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 84 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $2,146 | | Dental Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,146 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 097475 |
| Policy instance | 3 |
| Insurance contract or identification number | 097475 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-02-01 | | Total amount of commissions paid to insurance broker | USD $832 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $832 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 097475 |
| Policy instance | 2 |
| Insurance contract or identification number | 097475 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-02-01 | | Life Insurance Welfare Benefit | Yes |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0177345 |
| Policy instance | 1 |
| Insurance contract or identification number | R0177345 | | Number of Individuals Covered | 68 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-02-01 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0177345 |
| Policy instance | 1 |
| Insurance contract or identification number | R0177345 | | Number of Individuals Covered | 72 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-02-01 | | Total amount of commissions paid to insurance broker | USD $763 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS | | Commission paid to Insurance Broker | USD $763 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 4 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 91 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $2,256 | | Dental Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,256 | | Insurance broker organization code? | 3 |
|
| PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 ) |
| Policy contract number | N052 |
| Policy instance | 5 |
| Insurance contract or identification number | N052 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $27,378 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $27,378 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B5QT |
| Policy instance | 6 |
| Insurance contract or identification number | G000B5QT | | Number of Individuals Covered | 107 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2019-01-01 | | Total amount of commissions paid to insurance broker | USD $3,049 | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $3,049 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B5QT |
| Policy instance | 7 |
| Insurance contract or identification number | G000B5QT | | Number of Individuals Covered | 108 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2019-01-01 | | Total amount of commissions paid to insurance broker | USD $1,232 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,232 | | Insurance broker organization code? | 3 |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0008528647 |
| Policy instance | 3 |
| Insurance contract or identification number | 0008528647 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-02-01 | | Total amount of commissions paid to insurance broker | USD $312 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $312 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 097475 |
| Policy instance | 2 |
| Insurance contract or identification number | 097475 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-02-01 | | Total amount of commissions paid to insurance broker | USD $811 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $811 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B5QT |
| Policy instance | 8 |
| Insurance contract or identification number | G000B5QT | | Number of Individuals Covered | 98 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-04-01 | | Total amount of commissions paid to insurance broker | USD $3,028 | | Total amount of fees paid to insurance company | USD $544 | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $3,028 | | Amount paid for insurance broker fees | 544 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 635937 |
| Policy instance | 1 |
| Insurance contract or identification number | 635937 | | Number of Individuals Covered | 83 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $1,416 | | Vision Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,416 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 097475 |
| Policy instance | 3 |
| Insurance contract or identification number | 097475 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-02-01 | | Total amount of commissions paid to insurance broker | USD $498 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $498 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0177345 |
| Policy instance | 2 |
| Insurance contract or identification number | R0177345 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-02-01 | | Total amount of commissions paid to insurance broker | USD $1,021 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS | | Commission paid to Insurance Broker | USD $1,021 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0008528647 |
| Policy instance | 4 |
| Insurance contract or identification number | 0008528647 | | Number of Individuals Covered | 45 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-02-01 | | Total amount of commissions paid to insurance broker | USD $356 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $356 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 5 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 89 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,355 | | Dental Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,355 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| PREFERRED HEALTH PLAN OF THE CAROLINAS (National Association of Insurance Commissioners NAIC id number: 337 ) |
| Policy contract number | N052 |
| Policy instance | 6 |
| Insurance contract or identification number | N052 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $28,431 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $28,431 | | Insurance broker organization code? | 3 | | Insurance broker name | WEST MARKET STREET PARTNERS, INC. |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000B5QT |
| Policy instance | 7 |
| Insurance contract or identification number | G000B5QT | | Number of Individuals Covered | 99 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-04-01 | | Total amount of commissions paid to insurance broker | USD $1,199 | | Total amount of fees paid to insurance company | USD $211 | | Temporary Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,199 | | Amount paid for insurance broker fees | 211 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010161833 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010161833 | | Number of Individuals Covered | 118 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $4,136 | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $4,136 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 635937 |
| Policy instance | 2 |
| Insurance contract or identification number | 635937 | | Number of Individuals Covered | 130 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $1,652 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,652 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0177345 |
| Policy instance | 3 |
| Insurance contract or identification number | R0177345 | | Number of Individuals Covered | 91 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,172 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,172 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | F014107 |
| Policy instance | 4 |
| Insurance contract or identification number | F014107 | | Number of Individuals Covered | 114 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $3,325 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $3,325 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 00611565 |
| Policy instance | 5 |
| Insurance contract or identification number | 00611565 | | Number of Individuals Covered | 92 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $29,880 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $29,880 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
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| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0008528647 |
| Policy instance | 6 |
| Insurance contract or identification number | 0008528647 | | Number of Individuals Covered | 65 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $277 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $277 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 7 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 130 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $2,330 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,330 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010161833 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010161833 | | Number of Individuals Covered | 122 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $4,375 | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $4,375 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 2 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $2,582 | | Total amount of fees paid to insurance company | USD $253 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,582 | | Amount paid for insurance broker fees | 253 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 00611565 |
| Policy instance | 3 |
| Insurance contract or identification number | 00611565 | | Number of Individuals Covered | 92 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 635937 |
| Policy instance | 4 |
| Insurance contract or identification number | 635937 | | Number of Individuals Covered | 142 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $1,736 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $1,736 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 062626 |
| Policy instance | 3 |
| Insurance contract or identification number | 062626 | | Number of Individuals Covered | 92 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $35,296 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $35,296 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010161833 |
| Policy instance | 1 |
| Insurance contract or identification number | 000010161833 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $4,299 | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $4,299 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 2 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 99 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $2,505 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $2,505 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 2 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $8,849 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $8,849 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 062626 |
| Policy instance | 3 |
| Insurance contract or identification number | 062626 | | Number of Individuals Covered | 92 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $32,368 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $32,368 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 097475 |
| Policy instance | 1 |
| Insurance contract or identification number | 097475 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-02-01 | | Total amount of commissions paid to insurance broker | USD $842 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $842 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 062626 |
| Policy instance | 1 |
| Insurance contract or identification number | 062626 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $22,649 | | Health Insurance Welfare Benefit | Yes |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 2 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 115 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $8,475 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 0008528647 |
| Policy instance | 3 |
| Insurance contract or identification number | 0008528647 | | Number of Individuals Covered | 55 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-02-01 | | Total amount of commissions paid to insurance broker | USD $12,665 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENT, CRITICAL ILLNESS |
|
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) |
| Policy contract number | 062626 |
| Policy instance | 1 |
| Insurance contract or identification number | 062626 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2009-07-01 | | Insurance policy end date | 2010-06-30 | | Total amount of commissions paid to insurance broker | USD $23,287 | | Health Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $23,287 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00426935 |
| Policy instance | 2 |
| Insurance contract or identification number | 00426935 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2009-07-01 | | Insurance policy end date | 2010-06-30 | | Total amount of commissions paid to insurance broker | USD $8,105 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $8,105 | | Insurance broker organization code? | 3 | | Insurance broker name | CP GREENSBORO, INC. |
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