?>
Logo

PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 401k Plan overview

Plan NamePIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN
Plan identification number 552

PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

PIGGLY WIGGLY OF SUMTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:PIGGLY WIGGLY OF SUMTER, INC.
Employer identification number (EIN):570387353
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5522018-03-01
5522017-03-01WILLIAM R MCLEOD JR
5522016-02-29WILLIAM R. MCLEOD, JR.
5522015-03-01WILLIAM R. MCLEOD, JR.
5522014-03-01WILLIAM R. MCLEOD, JR.
5522013-03-01WILLIAM R. MCLEOD, JR.
5522012-03-01WILLIAM R. MCLEOD, JR.
5522011-03-01WILLIAM R. MCLEOD, JR.
5522010-03-01WILLIAM R. MCLEOD, JR.
5522009-03-01WILLIAM R. MCLEOD, JR.
5522009-03-01WILLIAM R. MCLEOD, JR. WILLIAM R. MCLEOD, JR.2010-09-30

Plan Statistics for PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN

401k plan membership statisitcs for PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN

Measure Date Value
2018: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01144
Total number of active participants reported on line 7a of the Form 55002018-03-01126
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-013
Total of all active and inactive participants2018-03-01129
2017: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01176
Total number of active participants reported on line 7a of the Form 55002017-03-01144
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01144
2016: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-29181
Total number of active participants reported on line 7a of the Form 55002016-02-29176
Total of all active and inactive participants2016-02-29176
2015: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01180
Total number of active participants reported on line 7a of the Form 55002015-03-01181
Total of all active and inactive participants2015-03-01181
2014: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01185
Total number of active participants reported on line 7a of the Form 55002014-03-01180
Total of all active and inactive participants2014-03-01180
2013: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01155
Total number of active participants reported on line 7a of the Form 55002013-03-01185
Total of all active and inactive participants2013-03-01185
2012: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01131
Total number of active participants reported on line 7a of the Form 55002012-03-01155
Total of all active and inactive participants2012-03-01155
2011: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-01132
Total number of active participants reported on line 7a of the Form 55002011-03-01131
Total of all active and inactive participants2011-03-01131
2010: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-03-01128
Total number of active participants reported on line 7a of the Form 55002010-03-01132
Total of all active and inactive participants2010-03-01132
2009: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-01128
Total number of active participants reported on line 7a of the Form 55002009-03-01128
Total of all active and inactive participants2009-03-01128

Financial Data on PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN

Measure Date Value
2018 : PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2018 401k financial data
Total income from all sources2018-02-28$0
Total plan assets at end of year2018-02-28$0
Total plan assets at beginning of year2018-02-28$0
Net plan assets at end of year (total assets less liabilities)2018-02-28$0
Net plan assets at beginning of year (total assets less liabilities)2018-02-28$0
2017 : PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2017 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Was this plan covered by a fidelity bond2017-02-28No
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28No
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-02-28No
Did the plan have assets held for investment2017-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No
2016 : PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2016 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-28No
Was this plan covered by a fidelity bond2016-02-28No
If this is an individual account plan, was there a blackout period2016-02-28No
Were there any nonexempt tranactions with any party-in-interest2016-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-28No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-28No
Were any leases to which the plan was party in default or uncollectible2016-02-28No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-28No
Was there a failure to transmit to the plan any participant contributions2016-02-28No
Has the plan failed to provide any benefit when due under the plan2016-02-28No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-02-28No
Did the plan have assets held for investment2016-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-28No
2015 : PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2015 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Was this plan covered by a fidelity bond2015-02-28No
If this is an individual account plan, was there a blackout period2015-02-28No
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28No
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-02-28No
Did the plan have assets held for investment2015-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
2014 : PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2014 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Was this plan covered by a fidelity bond2014-02-28No
If this is an individual account plan, was there a blackout period2014-02-28No
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28No
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-02-28No
Did the plan have assets held for investment2014-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
2013 : PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2013 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Was this plan covered by a fidelity bond2013-02-28No
If this is an individual account plan, was there a blackout period2013-02-28No
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28No
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-02-28No
Did the plan have assets held for investment2013-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
2012 : PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2012 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Was this plan covered by a fidelity bond2012-02-29No
If this is an individual account plan, was there a blackout period2012-02-29No
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29No
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-02-29No
Did the plan have assets held for investment2012-02-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
2011 : PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2011 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Was this plan covered by a fidelity bond2011-02-28No
If this is an individual account plan, was there a blackout period2011-02-28No
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28No
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-02-28No
Did the plan have assets held for investment2011-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No

Form 5500 Responses for PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN

2018: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Submission has been amendedNo
2018-03-01This submission is the final filingNo
2018-03-01This return/report is a short plan year return/report (less than 12 months)No
2018-03-01Plan is a collectively bargained planNo
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan funding arrangement – General assets of the sponsorYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – General assets of the sponsorYes
2017: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan funding arrangement – General assets of the sponsorYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – General assets of the sponsorYes
2016: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2016 form 5500 responses
2016-02-29Type of plan entitySingle employer plan
2016-02-29Plan funding arrangement – InsuranceYes
2016-02-29Plan funding arrangement – General assets of the sponsorYes
2016-02-29Plan benefit arrangement – InsuranceYes
2016-02-29Plan benefit arrangement – General assets of the sponsorYes
2015: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – General assets of the sponsorYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – General assets of the sponsorYes
2011: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2010: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan funding arrangement – General assets of the sponsorYes
2010-03-01Plan benefit arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: PIGGLY WIGGLY OF SUMTER INC GROUP MEDICAL PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedYes
2009-03-01This submission is the final filingNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number3822536658000
Policy instance 2
Insurance contract or identification number3822536658000
Number of Individuals Covered123
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $1,293
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD, DEPENDENT LIFE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $786
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberAG879
Policy instance 1
Insurance contract or identification numberAG879
Number of Individuals Covered20
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $5,077
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, CANCER, CRIT. ILLNESS, TERM/UNIVERSAL LIFE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $25,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,183
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number552
Policy instance 1
Insurance contract or identification number552
Number of Individuals Covered144
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $101,891
Total amount of fees paid to insurance companyUSD $80,933
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $238,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees74585
Commission paid to Insurance BrokerUSD $48,286
Insurance broker organization code?5
Insurance broker nameTHE BYNUM COMPANY INC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number552
Policy instance 1
Insurance contract or identification number552
Number of Individuals Covered181
Insurance policy start date2015-03-01
Insurance policy end date2016-02-28
Total amount of commissions paid to insurance brokerUSD $66,281
Total amount of fees paid to insurance companyUSD $180,620
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $375,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees123059
Insurance broker organization code?0
Commission paid to Insurance BrokerUSD $44,191
Insurance broker namePRIVATE HEALTHCARE SYSTEMS INC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number552
Policy instance 1
Insurance contract or identification number552
Number of Individuals Covered180
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $71,474
Total amount of fees paid to insurance companyUSD $198,087
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $405,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees145591
Insurance broker organization code?0
Commission paid to Insurance BrokerUSD $47,649
Insurance broker namePRIVATE HEALTHCARE SYSTEMS INC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number552
Policy instance 1
Insurance contract or identification number552
Number of Individuals Covered185
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $63,992
Total amount of fees paid to insurance companyUSD $215,872
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $362,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees157334
Insurance broker organization code?0
Commission paid to Insurance BrokerUSD $42,661
Insurance broker namePRIVATE HEALTHCARE SYSTEMS INC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number552
Policy instance 1
Insurance contract or identification number552
Number of Individuals Covered155
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $50,775
Total amount of fees paid to insurance companyUSD $147,093
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $287,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees99742
Insurance broker organization code?0
Commission paid to Insurance BrokerUSD $33,851
Insurance broker namePRIVATE HEALTHCARE SYSTEMS INC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number552
Policy instance 1
Insurance contract or identification number552
Number of Individuals Covered131
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $44,793
Total amount of fees paid to insurance companyUSD $173,137
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $253,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number552
Policy instance 1
Insurance contract or identification number552
Number of Individuals Covered132
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $40,010
Total amount of fees paid to insurance companyUSD $141,840
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $226,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees103625
Insurance broker organization code?0
Commission paid to Insurance BrokerUSD $26,673
Insurance broker namePRIVATE HEALTHCARE SYSTEMS INC

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3