401k Plan data: BATSON-COOK CO EMPLOYEE GROUP PLAN plan

BATSON-COOK CO EMPLOYEE GROUP PLAN 401k Plan overview

Plan Name	BATSON-COOK CO EMPLOYEE GROUP PLAN
Plan identification number	501

BATSON-COOK CO EMPLOYEE GROUP PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision

401k Sponsoring company profile

BATSON-COOK COMPANY has sponsored the creation of one or more 401k plans.

Company Name: BATSON-COOK COMPANY

Employer identification number (EIN): 580156270

NAIC Classification: 236200

Additional information about BATSON-COOK COMPANY

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1993-01-21

Company Identification Number: 0009418406

Legal Registered Office Address: PO BOX 151

WEST POINT
United States of America (USA)
31833

More information about BATSON-COOK COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BATSON-COOK CO EMPLOYEE GROUP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2021-01-01
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 NANCY BLACK
501 2016-01-01 NANCY BLACK
501 2015-01-01 NANCY BLACK
501 2014-01-01 NANCY BLACK
501 2013-01-01 NANCY BLACK
501 2012-01-01 NANCY BLACK
501 2011-01-01 NANCY BURDETTE
501 2009-01-01 NANCY BURDETTE
501 2009-01-01 NANCY BURDETTE

Plan Statistics for BATSON-COOK CO EMPLOYEE GROUP PLAN

401k plan membership statisitcs for BATSON-COOK CO EMPLOYEE GROUP PLAN

Measure Date Value
2022: BATSON-COOK CO EMPLOYEE GROUP PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 328
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 322
Total of all active and inactive participants 2022-01-01 322
Total participants 2022-01-01 322
2021: BATSON-COOK CO EMPLOYEE GROUP PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 363
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 328
Total of all active and inactive participants 2021-01-01 328
Total participants 2021-01-01 328
2020: BATSON-COOK CO EMPLOYEE GROUP PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 367
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 363
Total of all active and inactive participants 2020-01-01 363
Total participants 2020-01-01 363
2019: BATSON-COOK CO EMPLOYEE GROUP PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 327
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 367
Total of all active and inactive participants 2019-01-01 367
Total participants 2019-01-01 367
Number of participants with account balances 2019-01-01 0
2018: BATSON-COOK CO EMPLOYEE GROUP PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 382
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 327
Total of all active and inactive participants 2018-01-01 327
Total participants 2018-01-01 327
2017: BATSON-COOK CO EMPLOYEE GROUP PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 430
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 382
Total of all active and inactive participants 2017-01-01 382
Total participants 2017-01-01 382
2016: BATSON-COOK CO EMPLOYEE GROUP PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 588
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 430
Total of all active and inactive participants 2016-01-01 430
Total participants 2016-01-01 430
2015: BATSON-COOK CO EMPLOYEE GROUP PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 451
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 588
Total of all active and inactive participants 2015-01-01 588
Total participants 2015-01-01 0
2014: BATSON-COOK CO EMPLOYEE GROUP PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 325
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 451
Total of all active and inactive participants 2014-01-01 451
Total participants 2014-01-01 0
2013: BATSON-COOK CO EMPLOYEE GROUP PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 425
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 325
Total of all active and inactive participants 2013-01-01 325
Total participants 2013-01-01 0
2012: BATSON-COOK CO EMPLOYEE GROUP PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 520
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 425
Total of all active and inactive participants 2012-01-01 425
Total participants 2012-01-01 425
2011: BATSON-COOK CO EMPLOYEE GROUP PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 563
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 520
Total of all active and inactive participants 2011-01-01 520
Total participants 2011-01-01 520
2009: BATSON-COOK CO EMPLOYEE GROUP PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 716
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,144
Total of all active and inactive participants 2009-01-01 1,144
Total participants 2009-01-01 1,144

Measure	Date	Value
2022: BATSON-COOK CO EMPLOYEE GROUP PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	328
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	322
Total of all active and inactive participants	2022-01-01	322
Total participants	2022-01-01	322
2021: BATSON-COOK CO EMPLOYEE GROUP PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	363
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	328
Total of all active and inactive participants	2021-01-01	328
Total participants	2021-01-01	328
2020: BATSON-COOK CO EMPLOYEE GROUP PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	367
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	363
Total of all active and inactive participants	2020-01-01	363
Total participants	2020-01-01	363
2019: BATSON-COOK CO EMPLOYEE GROUP PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	327
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	367
Total of all active and inactive participants	2019-01-01	367
Total participants	2019-01-01	367
Number of participants with account balances	2019-01-01	0
2018: BATSON-COOK CO EMPLOYEE GROUP PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	382
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	327
Total of all active and inactive participants	2018-01-01	327
Total participants	2018-01-01	327
2017: BATSON-COOK CO EMPLOYEE GROUP PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	430
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	382
Total of all active and inactive participants	2017-01-01	382
Total participants	2017-01-01	382
2016: BATSON-COOK CO EMPLOYEE GROUP PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	588
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	430
Total of all active and inactive participants	2016-01-01	430
Total participants	2016-01-01	430
2015: BATSON-COOK CO EMPLOYEE GROUP PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	451
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	588
Total of all active and inactive participants	2015-01-01	588
Total participants	2015-01-01	0
2014: BATSON-COOK CO EMPLOYEE GROUP PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	325
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	451
Total of all active and inactive participants	2014-01-01	451
Total participants	2014-01-01	0
2013: BATSON-COOK CO EMPLOYEE GROUP PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	425
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	325
Total of all active and inactive participants	2013-01-01	325
Total participants	2013-01-01	0
2012: BATSON-COOK CO EMPLOYEE GROUP PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	520
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	425
Total of all active and inactive participants	2012-01-01	425
Total participants	2012-01-01	425
2011: BATSON-COOK CO EMPLOYEE GROUP PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	563
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	520
Total of all active and inactive participants	2011-01-01	520
Total participants	2011-01-01	520
2009: BATSON-COOK CO EMPLOYEE GROUP PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	716
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,144
Total of all active and inactive participants	2009-01-01	1,144
Total participants	2009-01-01	1,144

Form 5500 Responses for BATSON-COOK CO EMPLOYEE GROUP PLAN

2022: BATSON-COOK CO EMPLOYEE GROUP PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: BATSON-COOK CO EMPLOYEE GROUP PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: BATSON-COOK CO EMPLOYEE GROUP PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: BATSON-COOK CO EMPLOYEE GROUP PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: BATSON-COOK CO EMPLOYEE GROUP PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: BATSON-COOK CO EMPLOYEE GROUP PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: BATSON-COOK CO EMPLOYEE GROUP PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: BATSON-COOK CO EMPLOYEE GROUP PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: BATSON-COOK CO EMPLOYEE GROUP PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: BATSON-COOK CO EMPLOYEE GROUP PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: BATSON-COOK CO EMPLOYEE GROUP PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: BATSON-COOK CO EMPLOYEE GROUP PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: BATSON-COOK CO EMPLOYEE GROUP PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	756
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $23,814
Total amount of fees paid to insurance company	USD $331
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $951,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,814
Amount paid for insurance broker fees	331
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	643
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $138,259
Total amount of fees paid to insurance company	USD $1,923
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,526,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $138,259
Amount paid for insurance broker fees	1923
Additional information about fees paid to insurance broker	INCENTIVES
Insurance broker organization code?	3

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	767
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $26,717
Total amount of fees paid to insurance company	USD $727
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $992,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,717
Amount paid for insurance broker fees	727
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	648
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $142,948
Total amount of fees paid to insurance company	USD $3,887
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,312,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $142,948
Amount paid for insurance broker fees	3887
Additional information about fees paid to insurance broker	INCENTIVES
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	683
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $149,784
Total amount of fees paid to insurance company	USD $3,032
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,982,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $149,784
Amount paid for insurance broker fees	3032
Additional information about fees paid to insurance broker	INCENTIVES
Insurance broker organization code?	3

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	811
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $25,220
Total amount of fees paid to insurance company	USD $511
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,007,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,220
Amount paid for insurance broker fees	511
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	711
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $145,350
Total amount of fees paid to insurance company	USD $154
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,126,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $145,350
Amount paid for insurance broker fees	154
Additional information about fees paid to insurance broker	INCENTIVES
Insurance broker organization code?	3

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	810
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $22,983
Total amount of fees paid to insurance company	USD $24
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $810,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,983
Amount paid for insurance broker fees	24
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	685
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $35,576
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,828,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $35,576
Insurance broker organization code?	3
Insurance broker name	MARSH & MCLENNAN AGENCY LLC

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	704
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $163,674
Total amount of fees paid to insurance company	USD $8,989
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,128,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $163,674
Amount paid for insurance broker fees	8989
Insurance broker organization code?	3
Insurance broker name	J SMITH LANIER & CO

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1015314

Policy instance

Insurance contract or identification number	1015314
Number of Individuals Covered	266
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $8,703
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $86,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,703
Insurance broker organization code?	3
Insurance broker name	J SMITH LANIER & COMPANY

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

GA6799

Policy instance

Insurance contract or identification number	GA6799
Number of Individuals Covered	596
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $144,572
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,377,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $144,572
Insurance broker organization code?	3
Insurance broker name	J SMITH LANIER & CO

NIPPON LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81264 )

Policy contract number

D230

Policy instance

Insurance contract or identification number	D230
Number of Individuals Covered	908
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $18,231
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $182,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,002
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH AND BENEFITS

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

GA23069001

Policy instance

Insurance contract or identification number	GA23069001
Number of Individuals Covered	465
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

1046621001

Policy instance

Insurance contract or identification number	1046621001
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,800
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $-7,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,800
Insurance broker organization code?	3
Insurance broker name	J SMITH LANIER & CO

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

1046621001

Policy instance

Insurance contract or identification number	1046621001
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $5,713
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,713
Insurance broker organization code?	3
Insurance broker name	J SMITH LANIER & CO

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1015314

Policy instance

Insurance contract or identification number	1015314
Number of Individuals Covered	230
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,882
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $54,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,882
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING.
Insurance broker organization code?	3
Insurance broker name	J SMITH LANIER & COMPANY

NIPPON LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81264 )

Policy contract number

Q3551/D230

Policy instance

Insurance contract or identification number	Q3551/D230
Number of Individuals Covered	486
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $15,295
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $152,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,295
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH AND BENEFITS

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

1046621001

Policy instance

Insurance contract or identification number	1046621001
Number of Individuals Covered	408
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $9,210
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,210
Insurance broker organization code?	3
Insurance broker name	J. SMITH LANIER & CO

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

1046621001

Policy instance

Insurance contract or identification number	1046621001
Number of Individuals Covered	408
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $70,024
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,846,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $70,024
Insurance broker organization code?	3
Insurance broker name	J. SMITH LANIER & CO.

NIPPON LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81264 )

Policy contract number

Q3551-15

Policy instance

Insurance contract or identification number	Q3551-15
Number of Individuals Covered	484
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $14,693
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $146,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,693
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH AND BENEFITS

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1015314

Policy instance

Insurance contract or identification number	1015314
Number of Individuals Covered	208
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $8,530
Total amount of fees paid to insurance company	USD $1,651
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $53,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,530
Insurance broker organization code?	3
Amount paid for insurance broker fees	1651
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
Insurance broker name	J SMITH LANIER & COMPANY

NIPPON LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81264 )

Policy contract number

Q3551-15

Policy instance

Insurance contract or identification number	Q3551-15
Number of Individuals Covered	459
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $13,935
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $139,353

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

1046621001

Policy instance

Insurance contract or identification number	1046621001
Number of Individuals Covered	343
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $31,404
Total amount of fees paid to insurance company	USD $838
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

1046621001

Policy instance

Insurance contract or identification number	1046621001
Number of Individuals Covered	372
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $58,683
Total amount of fees paid to insurance company	USD $1,566
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,494,151

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1015314

Policy instance

Insurance contract or identification number	1015314
Number of Individuals Covered	190
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $393
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $49,466

NIPPON LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81264 )

Policy contract number

Q3551-15

Policy instance

Insurance contract or identification number	Q3551-15
Number of Individuals Covered	435
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $12,166
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D, DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $121,661
Commission paid to Insurance Broker	USD $12,166
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH AND BENEFITS

BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )

Policy contract number

1046621001

Policy instance

Insurance contract or identification number	1046621001
Number of Individuals Covered	314
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $53,057
Total amount of fees paid to insurance company	USD $2,593
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,339,815
Commission paid to Insurance Broker	USD $53,057
Amount paid for insurance broker fees	2593
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
Insurance broker organization code?	3
Insurance broker name	J. SMITH LANIER & CO

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

1046621001

Policy instance

Insurance contract or identification number	1046621001
Number of Individuals Covered	249
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $35,841
Total amount of fees paid to insurance company	USD $1,752
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $905,069
Commission paid to Insurance Broker	USD $35,841
Amount paid for insurance broker fees	1752
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
Insurance broker organization code?	3
Insurance broker name	J. SMITH LANIER & CO.

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Company Name:	BATSON-COOK COMPANY
Employer identification number (EIN):	580156270
NAIC Classification:	236200

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1993-01-21
Company Identification Number:	0009418406
Legal Registered Office Address:	PO BOX 151 WEST POINT United States of America (USA) 31833