KOURY CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN
401k plan membership statisitcs for KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN
| Measure | Date | Value |
|---|
| 2023 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2023 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-01-31 | $377,600 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-01-31 | $131,126 |
| Total income from all sources (including contributions) | 2023-01-31 | $2,851,307 |
| Total of all expenses incurred | 2023-01-31 | $3,461,577 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-01-31 | $3,299,396 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-01-31 | $2,517,422 |
| Value of total assets at end of year | 2023-01-31 | $4,398,749 |
| Value of total assets at beginning of year | 2023-01-31 | $4,762,545 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-01-31 | $162,181 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-01-31 | No |
| Administrative expenses professional fees incurred | 2023-01-31 | $22,981 |
| Was this plan covered by a fidelity bond | 2023-01-31 | Yes |
| Value of fidelity bond cover | 2023-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2023-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-01-31 | No |
| Contributions received from participants | 2023-01-31 | $893,416 |
| Other income not declared elsewhere | 2023-01-31 | $333,885 |
| Administrative expenses (other) incurred | 2023-01-31 | $2,584 |
| Liabilities. Value of operating payables at end of year | 2023-01-31 | $35,819 |
| Liabilities. Value of operating payables at beginning of year | 2023-01-31 | $27,332 |
| Total non interest bearing cash at end of year | 2023-01-31 | $4,398,749 |
| Total non interest bearing cash at beginning of year | 2023-01-31 | $4,762,545 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-01-31 | No |
| Value of net income/loss | 2023-01-31 | $-610,270 |
| Value of net assets at end of year (total assets less liabilities) | 2023-01-31 | $4,021,149 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-01-31 | $4,631,419 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-01-31 | $879,366 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-01-31 | No |
| Contributions received in cash from employer | 2023-01-31 | $1,624,006 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-01-31 | $2,420,030 |
| Contract administrator fees | 2023-01-31 | $136,616 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2023-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2023-01-31 | $341,781 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-01-31 | $103,794 |
| Did the plan have assets held for investment | 2023-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-01-31 | Unqualified |
| Accountancy firm name | 2023-01-31 | FORVIS, LLP |
| Accountancy firm EIN | 2023-01-31 | 440160260 |
| 2022 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-01-31 | $131,126 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-01-31 | $117,962 |
| Total income from all sources (including contributions) | 2022-01-31 | $2,658,577 |
| Total of all expenses incurred | 2022-01-31 | $2,907,069 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-01-31 | $2,744,650 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-01-31 | $2,318,561 |
| Value of total assets at end of year | 2022-01-31 | $4,762,545 |
| Value of total assets at beginning of year | 2022-01-31 | $4,997,873 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-01-31 | $162,419 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-01-31 | No |
| Administrative expenses professional fees incurred | 2022-01-31 | $21,828 |
| Was this plan covered by a fidelity bond | 2022-01-31 | Yes |
| Value of fidelity bond cover | 2022-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-01-31 | No |
| Contributions received from participants | 2022-01-31 | $857,504 |
| Other income not declared elsewhere | 2022-01-31 | $340,016 |
| Administrative expenses (other) incurred | 2022-01-31 | $3,781 |
| Liabilities. Value of operating payables at end of year | 2022-01-31 | $27,332 |
| Liabilities. Value of operating payables at beginning of year | 2022-01-31 | $18,161 |
| Total non interest bearing cash at end of year | 2022-01-31 | $4,762,545 |
| Total non interest bearing cash at beginning of year | 2022-01-31 | $4,997,873 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-01-31 | No |
| Value of net income/loss | 2022-01-31 | $-248,492 |
| Value of net assets at end of year (total assets less liabilities) | 2022-01-31 | $4,631,419 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-01-31 | $4,879,911 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-01-31 | $778,429 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-01-31 | No |
| Contributions received in cash from employer | 2022-01-31 | $1,461,057 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-01-31 | $1,966,221 |
| Contract administrator fees | 2022-01-31 | $136,810 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2022-01-31 | $103,794 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-01-31 | $99,801 |
| Did the plan have assets held for investment | 2022-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-01-31 | Unqualified |
| Accountancy firm name | 2022-01-31 | FORVIS, LLP |
| Accountancy firm EIN | 2022-01-31 | 440160260 |
| 2021 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-01-31 | $117,962 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-01-31 | $530,802 |
| Total income from all sources (including contributions) | 2021-01-31 | $3,422,127 |
| Total of all expenses incurred | 2021-01-31 | $3,283,482 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-01-31 | $3,100,005 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-01-31 | $2,874,193 |
| Value of total assets at end of year | 2021-01-31 | $4,997,873 |
| Value of total assets at beginning of year | 2021-01-31 | $5,272,068 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-01-31 | $183,477 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-01-31 | No |
| Administrative expenses professional fees incurred | 2021-01-31 | $21,500 |
| Was this plan covered by a fidelity bond | 2021-01-31 | Yes |
| Value of fidelity bond cover | 2021-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2021-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-01-31 | No |
| Contributions received from participants | 2021-01-31 | $827,504 |
| Other income not declared elsewhere | 2021-01-31 | $547,934 |
| Administrative expenses (other) incurred | 2021-01-31 | $3,345 |
| Liabilities. Value of operating payables at end of year | 2021-01-31 | $18,161 |
| Liabilities. Value of operating payables at beginning of year | 2021-01-31 | $14,780 |
| Total non interest bearing cash at end of year | 2021-01-31 | $4,997,873 |
| Total non interest bearing cash at beginning of year | 2021-01-31 | $5,272,068 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-31 | No |
| Value of net income/loss | 2021-01-31 | $138,645 |
| Value of net assets at end of year (total assets less liabilities) | 2021-01-31 | $4,879,911 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-01-31 | $4,741,266 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-01-31 | $799,054 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-01-31 | No |
| Contributions received in cash from employer | 2021-01-31 | $2,046,689 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-01-31 | $2,300,951 |
| Contract administrator fees | 2021-01-31 | $158,632 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2021-01-31 | $99,801 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-01-31 | $516,022 |
| Did the plan have assets held for investment | 2021-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-01-31 | Unqualified |
| Accountancy firm name | 2021-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm EIN | 2021-01-31 | 560747981 |
| 2020 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $530,802 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $530,802 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $100,869 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $100,869 |
| Total income from all sources (including contributions) | 2020-01-31 | $3,893,313 |
| Total income from all sources (including contributions) | 2020-01-31 | $3,893,313 |
| Total of all expenses incurred | 2020-01-31 | $4,168,594 |
| Total of all expenses incurred | 2020-01-31 | $4,168,594 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-01-31 | $3,969,337 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-01-31 | $3,969,337 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-01-31 | $3,132,618 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-01-31 | $3,132,618 |
| Value of total assets at end of year | 2020-01-31 | $5,272,068 |
| Value of total assets at end of year | 2020-01-31 | $5,272,068 |
| Value of total assets at beginning of year | 2020-01-31 | $5,117,416 |
| Value of total assets at beginning of year | 2020-01-31 | $5,117,416 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-01-31 | $199,257 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-01-31 | $199,257 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-01-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-01-31 | No |
| Administrative expenses professional fees incurred | 2020-01-31 | $16,125 |
| Administrative expenses professional fees incurred | 2020-01-31 | $16,125 |
| Was this plan covered by a fidelity bond | 2020-01-31 | Yes |
| Was this plan covered by a fidelity bond | 2020-01-31 | Yes |
| Value of fidelity bond cover | 2020-01-31 | $500,000 |
| Value of fidelity bond cover | 2020-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-01-31 | No |
| If this is an individual account plan, was there a blackout period | 2020-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-01-31 | No |
| Contributions received from participants | 2020-01-31 | $908,321 |
| Contributions received from participants | 2020-01-31 | $908,321 |
| Other income not declared elsewhere | 2020-01-31 | $760,695 |
| Other income not declared elsewhere | 2020-01-31 | $760,695 |
| Administrative expenses (other) incurred | 2020-01-31 | $9,732 |
| Administrative expenses (other) incurred | 2020-01-31 | $9,732 |
| Liabilities. Value of operating payables at end of year | 2020-01-31 | $14,780 |
| Liabilities. Value of operating payables at end of year | 2020-01-31 | $14,780 |
| Liabilities. Value of operating payables at beginning of year | 2020-01-31 | $7,564 |
| Liabilities. Value of operating payables at beginning of year | 2020-01-31 | $7,564 |
| Total non interest bearing cash at end of year | 2020-01-31 | $5,272,068 |
| Total non interest bearing cash at end of year | 2020-01-31 | $5,272,068 |
| Total non interest bearing cash at beginning of year | 2020-01-31 | $5,117,416 |
| Total non interest bearing cash at beginning of year | 2020-01-31 | $5,117,416 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Value of net income/loss | 2020-01-31 | $-275,281 |
| Value of net income/loss | 2020-01-31 | $-275,281 |
| Value of net assets at end of year (total assets less liabilities) | 2020-01-31 | $4,741,266 |
| Value of net assets at end of year (total assets less liabilities) | 2020-01-31 | $4,741,266 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-01-31 | $5,016,547 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-01-31 | $5,016,547 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-01-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-01-31 | $791,529 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-01-31 | $791,529 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-01-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-01-31 | No |
| Contributions received in cash from employer | 2020-01-31 | $2,224,297 |
| Contributions received in cash from employer | 2020-01-31 | $2,224,297 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-01-31 | $3,177,808 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-01-31 | $3,177,808 |
| Contract administrator fees | 2020-01-31 | $173,400 |
| Contract administrator fees | 2020-01-31 | $173,400 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-01-31 | No |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2020-01-31 | $516,022 |
| Liabilities. Value of benefit claims payable at end of year | 2020-01-31 | $516,022 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-01-31 | $93,305 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-01-31 | $93,305 |
| Did the plan have assets held for investment | 2020-01-31 | No |
| Did the plan have assets held for investment | 2020-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-01-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2020-01-31 | Unqualified |
| Accountancy firm name | 2020-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm name | 2020-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm EIN | 2020-01-31 | 560747981 |
| Accountancy firm EIN | 2020-01-31 | 560747981 |
| 2018 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-01-31 | $171,617 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-01-31 | $76,239 |
| Total income from all sources (including contributions) | 2018-01-31 | $3,717,915 |
| Total of all expenses incurred | 2018-01-31 | $2,701,685 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-01-31 | $2,537,344 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-01-31 | $3,377,354 |
| Value of total assets at end of year | 2018-01-31 | $4,423,879 |
| Value of total assets at beginning of year | 2018-01-31 | $3,312,271 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-01-31 | $164,341 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-01-31 | No |
| Administrative expenses professional fees incurred | 2018-01-31 | $20,375 |
| Was this plan covered by a fidelity bond | 2018-01-31 | Yes |
| Value of fidelity bond cover | 2018-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2018-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-01-31 | No |
| Contributions received from participants | 2018-01-31 | $950,181 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-01-31 | $4,120 |
| Other income not declared elsewhere | 2018-01-31 | $340,561 |
| Administrative expenses (other) incurred | 2018-01-31 | $11,141 |
| Liabilities. Value of operating payables at end of year | 2018-01-31 | $8,786 |
| Liabilities. Value of operating payables at beginning of year | 2018-01-31 | $16,130 |
| Total non interest bearing cash at end of year | 2018-01-31 | $4,423,879 |
| Total non interest bearing cash at beginning of year | 2018-01-31 | $3,308,151 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-31 | No |
| Value of net income/loss | 2018-01-31 | $1,016,230 |
| Value of net assets at end of year (total assets less liabilities) | 2018-01-31 | $4,252,262 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-01-31 | $3,236,032 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-01-31 | $790,633 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-01-31 | No |
| Contributions received in cash from employer | 2018-01-31 | $2,427,173 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-01-31 | $1,746,711 |
| Contract administrator fees | 2018-01-31 | $132,825 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2018-01-31 | $162,831 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-01-31 | $60,109 |
| Did the plan have assets held for investment | 2018-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-01-31 | Unqualified |
| Accountancy firm name | 2018-01-31 | DIXON HUGHES GOODMAN, LLP |
| Accountancy firm EIN | 2018-01-31 | 560747981 |
| 2017 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-01-31 | $76,239 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-01-31 | $133,904 |
| Total income from all sources (including contributions) | 2017-01-31 | $3,711,184 |
| Total of all expenses incurred | 2017-01-31 | $2,678,356 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-01-31 | $2,504,059 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-01-31 | $3,381,184 |
| Value of total assets at end of year | 2017-01-31 | $3,312,271 |
| Value of total assets at beginning of year | 2017-01-31 | $2,337,108 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-01-31 | $174,297 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-01-31 | No |
| Administrative expenses professional fees incurred | 2017-01-31 | $25,075 |
| Was this plan covered by a fidelity bond | 2017-01-31 | Yes |
| Value of fidelity bond cover | 2017-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-01-31 | No |
| Contributions received from participants | 2017-01-31 | $979,281 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-01-31 | $4,120 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-01-31 | $117,633 |
| Other income not declared elsewhere | 2017-01-31 | $330,000 |
| Administrative expenses (other) incurred | 2017-01-31 | $8,324 |
| Liabilities. Value of operating payables at end of year | 2017-01-31 | $16,130 |
| Liabilities. Value of operating payables at beginning of year | 2017-01-31 | $12,154 |
| Total non interest bearing cash at end of year | 2017-01-31 | $3,308,151 |
| Total non interest bearing cash at beginning of year | 2017-01-31 | $2,219,475 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-31 | No |
| Value of net income/loss | 2017-01-31 | $1,032,828 |
| Value of net assets at end of year (total assets less liabilities) | 2017-01-31 | $3,236,032 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-01-31 | $2,203,204 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-01-31 | $762,839 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-01-31 | No |
| Contributions received in cash from employer | 2017-01-31 | $2,401,903 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-01-31 | $1,741,220 |
| Contract administrator fees | 2017-01-31 | $140,898 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2017-01-31 | $60,109 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-01-31 | $121,750 |
| Did the plan have assets held for investment | 2017-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-01-31 | Unqualified |
| Accountancy firm name | 2017-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm EIN | 2017-01-31 | 560747981 |
| 2016 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-01-31 | $133,904 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-01-31 | $97,413 |
| Total income from all sources (including contributions) | 2016-01-31 | $3,728,247 |
| Total of all expenses incurred | 2016-01-31 | $2,563,786 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-01-31 | $2,407,650 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-01-31 | $3,428,221 |
| Value of total assets at end of year | 2016-01-31 | $2,337,108 |
| Value of total assets at beginning of year | 2016-01-31 | $1,136,156 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-01-31 | $156,136 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-01-31 | No |
| Administrative expenses professional fees incurred | 2016-01-31 | $15,000 |
| Was this plan covered by a fidelity bond | 2016-01-31 | Yes |
| Value of fidelity bond cover | 2016-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-01-31 | No |
| Contributions received from participants | 2016-01-31 | $1,014,845 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-01-31 | $117,633 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-01-31 | $118,777 |
| Other income not declared elsewhere | 2016-01-31 | $300,026 |
| Administrative expenses (other) incurred | 2016-01-31 | $4,009 |
| Liabilities. Value of operating payables at end of year | 2016-01-31 | $12,154 |
| Liabilities. Value of operating payables at beginning of year | 2016-01-31 | $10,528 |
| Total non interest bearing cash at end of year | 2016-01-31 | $2,219,475 |
| Total non interest bearing cash at beginning of year | 2016-01-31 | $1,017,379 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-31 | No |
| Value of net income/loss | 2016-01-31 | $1,164,461 |
| Value of net assets at end of year (total assets less liabilities) | 2016-01-31 | $2,203,204 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-01-31 | $1,038,743 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-01-31 | $690,536 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-01-31 | No |
| Contributions received in cash from employer | 2016-01-31 | $2,413,376 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-01-31 | $1,717,114 |
| Contract administrator fees | 2016-01-31 | $137,127 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-01-31 | $121,750 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-01-31 | $86,885 |
| Did the plan have assets held for investment | 2016-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-01-31 | Unqualified |
| Accountancy firm name | 2016-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm EIN | 2016-01-31 | 560747981 |
| 2015 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-01-31 | $97,413 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-01-31 | $276,840 |
| Total income from all sources (including contributions) | 2015-01-31 | $4,144,957 |
| Total of all expenses incurred | 2015-01-31 | $3,560,326 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-01-31 | $3,400,276 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-01-31 | $2,915,558 |
| Value of total assets at end of year | 2015-01-31 | $1,136,156 |
| Value of total assets at beginning of year | 2015-01-31 | $730,952 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-01-31 | $160,050 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-01-31 | No |
| Administrative expenses professional fees incurred | 2015-01-31 | $20,000 |
| Was this plan covered by a fidelity bond | 2015-01-31 | Yes |
| Value of fidelity bond cover | 2015-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-01-31 | No |
| Contributions received from participants | 2015-01-31 | $999,995 |
| Participant contributions at beginning of year | 2015-01-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-01-31 | $118,777 |
| Other income not declared elsewhere | 2015-01-31 | $1,229,399 |
| Administrative expenses (other) incurred | 2015-01-31 | $2,320 |
| Liabilities. Value of operating payables at end of year | 2015-01-31 | $10,528 |
| Liabilities. Value of operating payables at beginning of year | 2015-01-31 | $8,044 |
| Total non interest bearing cash at end of year | 2015-01-31 | $1,017,379 |
| Total non interest bearing cash at beginning of year | 2015-01-31 | $728,169 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Value of net income/loss | 2015-01-31 | $584,631 |
| Value of net assets at end of year (total assets less liabilities) | 2015-01-31 | $1,038,743 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-01-31 | $454,112 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-01-31 | $567,429 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-01-31 | No |
| Contributions received in cash from employer | 2015-01-31 | $1,915,563 |
| Employer contributions (assets) at beginning of year | 2015-01-31 | $2,783 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-01-31 | $2,832,847 |
| Contract administrator fees | 2015-01-31 | $137,730 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-01-31 | $86,885 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-01-31 | $268,796 |
| Did the plan have assets held for investment | 2015-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-01-31 | Unqualified |
| Accountancy firm name | 2015-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm EIN | 2015-01-31 | 560747981 |
| 2014 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-01-31 | $276,840 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-01-31 | $142,654 |
| Total income from all sources (including contributions) | 2014-01-31 | $2,633,790 |
| Total of all expenses incurred | 2014-01-31 | $2,540,558 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-01-31 | $2,410,434 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-01-31 | $2,355,002 |
| Value of total assets at end of year | 2014-01-31 | $730,952 |
| Value of total assets at beginning of year | 2014-01-31 | $503,534 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-01-31 | $130,124 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-01-31 | No |
| Administrative expenses professional fees incurred | 2014-01-31 | $20,000 |
| Was this plan covered by a fidelity bond | 2014-01-31 | Yes |
| Value of fidelity bond cover | 2014-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-01-31 | No |
| Contributions received from participants | 2014-01-31 | $858,643 |
| Other income not declared elsewhere | 2014-01-31 | $278,788 |
| Administrative expenses (other) incurred | 2014-01-31 | $2,224 |
| Liabilities. Value of operating payables at end of year | 2014-01-31 | $8,044 |
| Liabilities. Value of operating payables at beginning of year | 2014-01-31 | $3,342 |
| Total non interest bearing cash at end of year | 2014-01-31 | $728,169 |
| Total non interest bearing cash at beginning of year | 2014-01-31 | $502,810 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-01-31 | No |
| Value of net income/loss | 2014-01-31 | $93,232 |
| Value of net assets at end of year (total assets less liabilities) | 2014-01-31 | $454,112 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-01-31 | $360,880 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-01-31 | $504,507 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-01-31 | No |
| Contributions received in cash from employer | 2014-01-31 | $1,496,359 |
| Employer contributions (assets) at end of year | 2014-01-31 | $2,783 |
| Employer contributions (assets) at beginning of year | 2014-01-31 | $724 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-01-31 | $1,905,927 |
| Contract administrator fees | 2014-01-31 | $107,900 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2014-01-31 | $268,796 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-01-31 | $139,312 |
| Did the plan have assets held for investment | 2014-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-01-31 | Unqualified |
| Accountancy firm name | 2014-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm EIN | 2014-01-31 | 560747981 |
| 2013 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-01-31 | $142,654 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-01-31 | $111,924 |
| Total income from all sources (including contributions) | 2013-01-31 | $2,444,728 |
| Total of all expenses incurred | 2013-01-31 | $2,330,169 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-01-31 | $2,200,051 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-01-31 | $2,200,490 |
| Value of total assets at end of year | 2013-01-31 | $503,534 |
| Value of total assets at beginning of year | 2013-01-31 | $358,245 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-01-31 | $130,118 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-01-31 | No |
| Was this plan covered by a fidelity bond | 2013-01-31 | Yes |
| Value of fidelity bond cover | 2013-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-01-31 | No |
| Contributions received from participants | 2013-01-31 | $826,693 |
| Other income not declared elsewhere | 2013-01-31 | $244,238 |
| Liabilities. Value of operating payables at end of year | 2013-01-31 | $3,342 |
| Liabilities. Value of operating payables at beginning of year | 2013-01-31 | $3,142 |
| Total non interest bearing cash at end of year | 2013-01-31 | $502,810 |
| Total non interest bearing cash at beginning of year | 2013-01-31 | $357,822 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-01-31 | No |
| Value of net income/loss | 2013-01-31 | $114,559 |
| Value of net assets at end of year (total assets less liabilities) | 2013-01-31 | $360,880 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-01-31 | $246,321 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-01-31 | $476,834 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-01-31 | No |
| Contributions received in cash from employer | 2013-01-31 | $1,373,797 |
| Employer contributions (assets) at end of year | 2013-01-31 | $724 |
| Employer contributions (assets) at beginning of year | 2013-01-31 | $423 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-01-31 | $1,723,217 |
| Contract administrator fees | 2013-01-31 | $130,118 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2013-01-31 | $139,312 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-01-31 | $108,782 |
| Did the plan have assets held for investment | 2013-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-01-31 | Unqualified |
| Accountancy firm name | 2013-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm EIN | 2013-01-31 | 560747981 |
| 2012 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2012 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2012-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-01-31 | $111,924 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-01-31 | $275,791 |
| Total income from all sources (including contributions) | 2012-01-31 | $2,134,129 |
| Total loss/gain on sale of assets | 2012-01-31 | $0 |
| Total of all expenses incurred | 2012-01-31 | $2,040,509 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-01-31 | $1,911,270 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-01-31 | $2,013,321 |
| Value of total assets at end of year | 2012-01-31 | $358,245 |
| Value of total assets at beginning of year | 2012-01-31 | $428,492 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-01-31 | $129,239 |
| Total interest from all sources | 2012-01-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-01-31 | No |
| Was this plan covered by a fidelity bond | 2012-01-31 | Yes |
| Value of fidelity bond cover | 2012-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-01-31 | No |
| Contributions received from participants | 2012-01-31 | $796,568 |
| Other income not declared elsewhere | 2012-01-31 | $120,808 |
| Liabilities. Value of operating payables at end of year | 2012-01-31 | $3,142 |
| Liabilities. Value of operating payables at beginning of year | 2012-01-31 | $2,633 |
| Total non interest bearing cash at end of year | 2012-01-31 | $357,822 |
| Total non interest bearing cash at beginning of year | 2012-01-31 | $427,579 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-01-31 | No |
| Value of net income/loss | 2012-01-31 | $93,620 |
| Value of net assets at end of year (total assets less liabilities) | 2012-01-31 | $246,321 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-01-31 | $152,701 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-01-31 | $464,207 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-01-31 | No |
| Contributions received in cash from employer | 2012-01-31 | $1,216,753 |
| Employer contributions (assets) at end of year | 2012-01-31 | $423 |
| Employer contributions (assets) at beginning of year | 2012-01-31 | $913 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-01-31 | $1,447,063 |
| Contract administrator fees | 2012-01-31 | $129,239 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2012-01-31 | $108,782 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-01-31 | $273,158 |
| Did the plan have assets held for investment | 2012-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-01-31 | Unqualified |
| Accountancy firm name | 2012-01-31 | DIXON HUGHES GOODMAN LLP |
| Accountancy firm EIN | 2012-01-31 | 560747981 |
| 2011 : KOURY CORPORATION EMPLOYEE HEALTH & WELFARE PLAN 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-01-31 | $275,791 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-01-31 | $246,689 |
| Total income from all sources (including contributions) | 2011-01-31 | $2,430,396 |
| Total of all expenses incurred | 2011-01-31 | $2,171,023 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-01-31 | $2,038,501 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-01-31 | $2,183,358 |
| Value of total assets at end of year | 2011-01-31 | $428,492 |
| Value of total assets at beginning of year | 2011-01-31 | $140,017 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-01-31 | $132,522 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-01-31 | No |
| Was this plan covered by a fidelity bond | 2011-01-31 | Yes |
| Value of fidelity bond cover | 2011-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-01-31 | No |
| Contributions received from participants | 2011-01-31 | $801,759 |
| Other income not declared elsewhere | 2011-01-31 | $247,038 |
| Liabilities. Value of operating payables at end of year | 2011-01-31 | $2,633 |
| Liabilities. Value of operating payables at beginning of year | 2011-01-31 | $505 |
| Total non interest bearing cash at end of year | 2011-01-31 | $427,579 |
| Total non interest bearing cash at beginning of year | 2011-01-31 | $140,017 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-01-31 | No |
| Value of net income/loss | 2011-01-31 | $259,373 |
| Value of net assets at end of year (total assets less liabilities) | 2011-01-31 | $152,701 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-01-31 | $-106,672 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-01-31 | $477,465 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-01-31 | No |
| Contributions received in cash from employer | 2011-01-31 | $1,381,599 |
| Employer contributions (assets) at end of year | 2011-01-31 | $913 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-01-31 | $1,561,036 |
| Contract administrator fees | 2011-01-31 | $132,522 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2011-01-31 | $273,158 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-01-31 | $246,184 |
| Did the plan have assets held for investment | 2011-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-01-31 | Unqualified |
| Accountancy firm name | 2011-01-31 | DIXON HUGHES GOODMAN, LLP |
| Accountancy firm EIN | 2011-01-31 | 560747981 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411267 |
| Policy instance | 2 |
| Insurance contract or identification number | 411267 | | Number of Individuals Covered | 349 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-02-01 | | Total amount of commissions paid to insurance broker | USD $8,696 | | Total amount of fees paid to insurance company | USD $1,726 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $79,756 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,696 | | Amount paid for insurance broker fees | 1726 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 417008410535 |
| Policy instance | 5 |
| Insurance contract or identification number | 417008410535 | | Number of Individuals Covered | 284 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $460,318 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 935350 |
| Policy instance | 4 |
| Insurance contract or identification number | 935350 | | Number of Individuals Covered | 349 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $16,305 | | Total amount of fees paid to insurance company | USD $576 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $153,483 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,305 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | BONUS PAYMENT |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 417005410535 |
| Policy instance | 3 |
| Insurance contract or identification number | 417005410535 | | Number of Individuals Covered | 284 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $20,400 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411268 |
| Policy instance | 6 |
| Insurance contract or identification number | 411268 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-02-01 | | Total amount of commissions paid to insurance broker | USD $2,000 | | Total amount of fees paid to insurance company | USD $396 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | LIFESTYLE AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $18,378 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,000 | | Amount paid for insurance broker fees | 396 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411266 |
| Policy instance | 1 |
| Insurance contract or identification number | 411266 | | Number of Individuals Covered | 549 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-02-01 | | Total amount of commissions paid to insurance broker | USD $14,816 | | Total amount of fees paid to insurance company | USD $3,123 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $152,630 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,816 | | Amount paid for insurance broker fees | 3123 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 935350 |
| Policy instance | 4 |
| Insurance contract or identification number | 935350 | | Number of Individuals Covered | 359 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $15,618 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $154,557 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,618 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411267 |
| Policy instance | 2 |
| Insurance contract or identification number | 411267 | | Number of Individuals Covered | 428 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-01 | | Total amount of commissions paid to insurance broker | USD $6,706 | | Total amount of fees paid to insurance company | USD $1,341 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $67,055 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,706 | | Amount paid for insurance broker fees | 1341 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 1000705 |
| Policy instance | 3 |
| Insurance contract or identification number | 1000705 | | Number of Individuals Covered | 345 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $2,076 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $20,758 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,076 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 417008410535 |
| Policy instance | 5 |
| Insurance contract or identification number | 417008410535 | | Number of Individuals Covered | 345 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $443,881 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411268 |
| Policy instance | 6 |
| Insurance contract or identification number | 411268 | | Number of Individuals Covered | 51 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-02-01 | | Total amount of commissions paid to insurance broker | USD $2,339 | | Total amount of fees paid to insurance company | USD $468 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | LIFESTYLE AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $25,014 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,339 | | Amount paid for insurance broker fees | 468 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411266 |
| Policy instance | 1 |
| Insurance contract or identification number | 411266 | | Number of Individuals Covered | 669 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-02-01 | | Total amount of commissions paid to insurance broker | USD $4,736 | | Total amount of fees paid to insurance company | USD $1,150 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $62,046 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,736 | | Amount paid for insurance broker fees | 1150 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 417008410535 |
| Policy instance | 5 |
| Insurance contract or identification number | 417008410535 | | Number of Individuals Covered | 348 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $516,608 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 935350 |
| Policy instance | 4 |
| Insurance contract or identification number | 935350 | | Number of Individuals Covered | 253 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $16,804 | | Total amount of fees paid to insurance company | USD $1,196 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $154,150 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,804 | | Amount paid for insurance broker fees | 1196 | | Additional information about fees paid to insurance broker | BONUS PAYMENT | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 417005410535 |
| Policy instance | 3 |
| Insurance contract or identification number | 417005410535 | | Number of Individuals Covered | 348 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $23,788 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411267 |
| Policy instance | 2 |
| Insurance contract or identification number | 411267 | | Number of Individuals Covered | 586 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-02-01 | | Total amount of commissions paid to insurance broker | USD $6,265 | | Total amount of fees paid to insurance company | USD $1,253 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $62,645 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,265 | | Amount paid for insurance broker fees | 1253 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411266 |
| Policy instance | 1 |
| Insurance contract or identification number | 411266 | | Number of Individuals Covered | 881 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-02-01 | | Total amount of commissions paid to insurance broker | USD $3,657 | | Total amount of fees paid to insurance company | USD $907 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $45,345 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,657 | | Amount paid for insurance broker fees | 907 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5487252 |
| Policy instance | 4 |
| Insurance contract or identification number | 5487252 | | Number of Individuals Covered | 382 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $14,022 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $140,154 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,022 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 935350 |
| Policy instance | 6 |
| Insurance contract or identification number | 935350 | | Number of Individuals Covered | 399 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,410 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 417008410535 |
| Policy instance | 7 |
| Insurance contract or identification number | 417008410535 | | Number of Individuals Covered | 355 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $126,035 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411266 |
| Policy instance | 1 |
| Insurance contract or identification number | 411266 | | Number of Individuals Covered | 685 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-02-01 | | Total amount of commissions paid to insurance broker | USD $4,596 | | Total amount of fees paid to insurance company | USD $960 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $53,607 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,596 | | Amount paid for insurance broker fees | 960 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 417005410535 |
| Policy instance | 3 |
| Insurance contract or identification number | 417005410535 | | Number of Individuals Covered | 355 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $22,359 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411267 |
| Policy instance | 2 |
| Insurance contract or identification number | 411267 | | Number of Individuals Covered | 446 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-02-01 | | Total amount of commissions paid to insurance broker | USD $8,504 | | Total amount of fees paid to insurance company | USD $1,503 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $85,040 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,504 | | Amount paid for insurance broker fees | 1503 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 ) |
| Policy contract number | 417007410535 |
| Policy instance | 5 |
| Insurance contract or identification number | 417007410535 | | Number of Individuals Covered | 334 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2019-10-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $370,295 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411266 |
| Policy instance | 1 |
| Insurance contract or identification number | 411266 | | Number of Individuals Covered | 731 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-02-01 | | Total amount of commissions paid to insurance broker | USD $5,903 | | Total amount of fees paid to insurance company | USD $723 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $62,318 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,903 | | Amount paid for insurance broker fees | 723 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | 417006410535 |
| Policy instance | 3 |
| Insurance contract or identification number | 417006410535 | | Number of Individuals Covered | 322 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $363,040 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 417005410535 |
| Policy instance | 4 |
| Insurance contract or identification number | 417005410535 | | Number of Individuals Covered | 322 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $21,960 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 ) |
| Policy contract number | 417007410535 |
| Policy instance | 6 |
| Insurance contract or identification number | 417007410535 | | Number of Individuals Covered | 322 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $121,282 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411267 |
| Policy instance | 2 |
| Insurance contract or identification number | 411267 | | Number of Individuals Covered | 447 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-02-01 | | Total amount of commissions paid to insurance broker | USD $8,922 | | Total amount of fees paid to insurance company | USD $1,002 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $83,402 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,922 | | Amount paid for insurance broker fees | 1002 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5487252 |
| Policy instance | 5 |
| Insurance contract or identification number | 5487252 | | Number of Individuals Covered | 359 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $15,443 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $154,424 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,443 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411266 |
| Policy instance | 2 |
| Insurance contract or identification number | 411266 | | Number of Individuals Covered | 736 | | Insurance policy start date | 2016-11-01 | | Insurance policy end date | 2017-11-01 | | Total amount of commissions paid to insurance broker | USD $6,302 | | Total amount of fees paid to insurance company | USD $538 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $71,795 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,302 | | Amount paid for insurance broker fees | 538 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID. | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SON INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411267 |
| Policy instance | 3 |
| Insurance contract or identification number | 411267 | | Number of Individuals Covered | 446 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-02-01 | | Total amount of commissions paid to insurance broker | USD $7,913 | | Total amount of fees paid to insurance company | USD $593 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $78,725 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,913 | | Amount paid for insurance broker fees | 593 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID. | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SON INC |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 417005410535 |
| Policy instance | 5 |
| Insurance contract or identification number | 417005410535 | | Number of Individuals Covered | 340 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $23,401 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | 417006410535 |
| Policy instance | 4 |
| Insurance contract or identification number | 417006410535 | | Number of Individuals Covered | 340 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $457,737 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00506945 |
| Policy instance | 1 |
| Insurance contract or identification number | 00506945 | | Number of Individuals Covered | 358 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $13,929 | | Total amount of fees paid to insurance company | USD $5,551 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $137,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,776 | | Amount paid for insurance broker fees | 5551 | | Additional information about fees paid to insurance broker | FEES PAID | | Insurance broker organization code? | 3 | | Insurance broker name | C2 CENTRIC LLC |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 417005410535 |
| Policy instance | 7 |
| Insurance contract or identification number | 417005410535 | | Number of Individuals Covered | 307 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $25,909 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | 417004410535 |
| Policy instance | 6 |
| Insurance contract or identification number | 417004410535 | | Number of Individuals Covered | 307 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $367,601 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411266 |
| Policy instance | 4 |
| Insurance contract or identification number | 411266 | | Number of Individuals Covered | 673 | | Insurance policy start date | 2016-11-01 | | Insurance policy end date | 2016-02-01 | | Total amount of commissions paid to insurance broker | USD $673 | | Total amount of fees paid to insurance company | USD $186 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $20,152 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $673 | | Amount paid for insurance broker fees | 186 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SON INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 411267 |
| Policy instance | 5 |
| Insurance contract or identification number | 411267 | | Number of Individuals Covered | 392 | | Insurance policy start date | 2015-11-01 | | Insurance policy end date | 2016-02-01 | | Total amount of commissions paid to insurance broker | USD $761 | | Total amount of fees paid to insurance company | USD $190 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,205 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $761 | | Amount paid for insurance broker fees | 190 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SON INC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 3 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 661 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2015-10-31 | | Total amount of commissions paid to insurance broker | USD $12,799 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | BASIC AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $25,842 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,799 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SONS INC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 2 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 385 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2015-10-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $87,937 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00506945 |
| Policy instance | 1 |
| Insurance contract or identification number | 00506945 | | Number of Individuals Covered | 368 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $14,556 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $145,565 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,556 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SON INC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 3 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 655 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $17,060 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | BASIC AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $34,475 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,060 | | Insurance broker name | JAMES A SCOTT & SONS INC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 2 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 370 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $136,121 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 2KOUR112 |
| Policy instance | 1 |
| Insurance contract or identification number | 2KOUR112 | | Number of Individuals Covered | 339 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $13,039 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $130,385 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,039 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SONS INC |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | 417004410535 |
| Policy instance | 4 |
| Insurance contract or identification number | 417004410535 | | Number of Individuals Covered | 278 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $273,225 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 417005410535 |
| Policy instance | 5 |
| Insurance contract or identification number | 417005410535 | | Number of Individuals Covered | 278 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $6,133 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | 417004410535 |
| Policy instance | 4 |
| Insurance contract or identification number | 417004410535 | | Number of Individuals Covered | 274 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $238,746 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 3 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 644 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $14,087 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | BASIC AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $16,771 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,087 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SONS INC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 2 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 353 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $111,337 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 2KOUR112 |
| Policy instance | 1 |
| Insurance contract or identification number | 2KOUR112 | | Number of Individuals Covered | 345 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $13,737 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $137,365 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,737 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SONS INC |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 3 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 343 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $56,563 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 2KOUR112 |
| Policy instance | 1 |
| Insurance contract or identification number | 2KOUR112 | | Number of Individuals Covered | 342 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $14,754 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $136,190 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,754 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT & SONS INC |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | 417004410535 |
| Policy instance | 6 |
| Insurance contract or identification number | 417004410535 | | Number of Individuals Covered | 285 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $227,649 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 5 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 649 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $2,117 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 4 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 649 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,479 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 2 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 248 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,758 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) |
| Policy contract number | 2KOUR112 |
| Policy instance | 1 |
| Insurance contract or identification number | 2KOUR112 | | Number of Individuals Covered | 346 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,349 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 8613 |
| Policy instance | 2 |
| Insurance contract or identification number | 8613 | | Number of Individuals Covered | 635 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,162 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 8613 |
| Policy instance | 3 |
| Insurance contract or identification number | 8613 | | Number of Individuals Covered | 635 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $13,744 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 8613 |
| Policy instance | 4 |
| Insurance contract or identification number | 8613 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $39,401 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 5 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 343 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $53,137 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5448618 |
| Policy instance | 6 |
| Insurance contract or identification number | 5448618 | | Number of Individuals Covered | 347 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $5,608 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $112,159 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 850055043 |
| Policy instance | 1 |
| Insurance contract or identification number | 850055043 | | Number of Individuals Covered | 353 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2010-10-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,286 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 850550431 |
| Policy instance | 2 |
| Insurance contract or identification number | 850550431 | | Number of Individuals Covered | 264 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2010-10-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,751 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 10097100 |
| Policy instance | 3 |
| Insurance contract or identification number | 10097100 | | Number of Individuals Covered | 634 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2010-10-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $13,533 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 5448618 |
| Policy instance | 4 |
| Insurance contract or identification number | 5448618 | | Number of Individuals Covered | 356 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $6,080 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $121,611 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,080 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT AND SON INC |
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| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL14360 |
| Policy instance | 5 |
| Insurance contract or identification number | HCL14360 | | Number of Individuals Covered | 300 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2010-10-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $179,882 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 7 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 260 | | Insurance policy start date | 2010-11-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,552 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 8 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 361 | | Insurance policy start date | 2010-11-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,181 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 08613 |
| Policy instance | 9 |
| Insurance contract or identification number | 08613 | | Number of Individuals Covered | 647 | | Insurance policy start date | 2010-11-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $2,861 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,979 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,861 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES A SCOTT AND SON INC |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL14360 |
| Policy instance | 6 |
| Insurance contract or identification number | HCL14360 | | Number of Individuals Covered | 310 | | Insurance policy start date | 2010-11-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $59,249 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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