MITCHELL ELECTRIC MEMBERSHIP CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN
401k plan membership statisitcs for MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN
Measure | Date | Value |
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2022: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 124 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 132 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
Total of all active and inactive participants | 2022-01-01 | 132 |
2021: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 120 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 124 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 124 |
2020: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 123 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 120 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
Total of all active and inactive participants | 2020-01-01 | 120 |
2019: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 123 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 123 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
Total of all active and inactive participants | 2019-01-01 | 123 |
2018: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 131 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 123 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 123 |
2017: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 138 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 131 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
Total of all active and inactive participants | 2017-01-01 | 131 |
2016: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 98 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 138 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
Total of all active and inactive participants | 2016-01-01 | 138 |
2015: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 134 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 98 |
Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
Total of all active and inactive participants | 2015-01-01 | 98 |
2014: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 0 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
Total of all active and inactive participants | 2014-01-01 | 0 |
2013: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 155 |
Total of all active and inactive participants | 2013-01-01 | 0 |
2012: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 113 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 114 |
Total of all active and inactive participants | 2012-01-01 | 114 |
2011: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 149 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 113 |
Total of all active and inactive participants | 2011-01-01 | 113 |
2009: MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 95 |
Total of all active and inactive participants | 2009-01-01 | 0 |
Measure | Date | Value |
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2022 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2022 401k financial data |
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Total income from all sources | 2022-12-31 | $0 |
Total plan assets at end of year | 2022-12-31 | $0 |
Total plan assets at beginning of year | 2022-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $0 |
2021 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2021 401k financial data |
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Total income from all sources | 2021-12-31 | $0 |
Total plan assets at end of year | 2021-12-31 | $0 |
Total plan assets at beginning of year | 2021-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $0 |
2020 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2020 401k financial data |
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Total income from all sources | 2020-12-31 | $0 |
Total plan assets at end of year | 2020-12-31 | $0 |
Total plan assets at beginning of year | 2020-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $0 |
2019 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2019 401k financial data |
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Total income from all sources | 2019-12-31 | $0 |
Total plan assets at end of year | 2019-12-31 | $0 |
Total plan assets at beginning of year | 2019-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $0 |
2018 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2018 401k financial data |
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Total income from all sources | 2018-12-31 | $0 |
Total plan assets at end of year | 2018-12-31 | $0 |
Total plan assets at beginning of year | 2018-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $0 |
2017 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2017 401k financial data |
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Total income from all sources | 2017-12-31 | $0 |
Total plan assets at end of year | 2017-12-31 | $0 |
Total plan assets at beginning of year | 2017-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $0 |
2016 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2016 401k financial data |
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Total income from all sources | 2016-12-31 | $0 |
Total plan assets at end of year | 2016-12-31 | $0 |
Total plan assets at beginning of year | 2016-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $0 |
2015 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2015 401k financial data |
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Total income from all sources | 2015-12-31 | $0 |
Total plan assets at end of year | 2015-12-31 | $0 |
Total plan assets at beginning of year | 2015-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $0 |
2014 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2014 401k financial data |
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Total income from all sources | 2014-12-31 | $0 |
Total plan assets at end of year | 2014-12-31 | $0 |
Total plan assets at beginning of year | 2014-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $0 |
2013 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2013 401k financial data |
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Total income from all sources | 2013-12-31 | $0 |
Total plan assets at end of year | 2013-12-31 | $0 |
Total plan assets at beginning of year | 2013-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $0 |
2012 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2012 401k financial data |
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Total income from all sources | 2012-12-31 | $0 |
Total plan assets at end of year | 2012-12-31 | $0 |
Total plan assets at beginning of year | 2012-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $0 |
2011 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2011 401k financial data |
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Total income from all sources | 2011-12-31 | $0 |
Total plan assets at end of year | 2011-12-31 | $0 |
Total plan assets at beginning of year | 2011-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $0 |
2010 : MITCHELL ELECTRIC MEMBERSHIP CORPORATION LONG TERM CARE INSURANCE PLAN 2010 401k financial data |
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Total plan assets at end of year | 2010-12-31 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $0 |
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1084814 |
Policy instance | 3 |
Insurance contract or identification number | 1084814 | Number of Individuals Covered | 132 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $5,300 | Are there contracts with allocated funds for individual policies? | 1 | 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 $5,300 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 2 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 60 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $14,852 | Are there contracts with allocated funds for individual policies? | 1 | Contracts With Unallocated Funds Deposit Administration | 1 | Health 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 $14,852 |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 1 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 101 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2023-01-01 | Total amount of commissions paid to insurance broker | USD $7,919 | Are there contracts with allocated funds for individual policies? | 1 | Long Term Disability 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 $7,919 |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 1 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 96 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2022-01-01 | Total amount of commissions paid to insurance broker | USD $7,020 | Are there contracts with allocated funds for individual policies? | 1 | Long Term Disability 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 $7,020 |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 2 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 60 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $14,798 | Are there contracts with allocated funds for individual policies? | 1 | Contracts With Unallocated Funds Deposit Administration | 1 | Health 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 $14,798 |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1084814 |
Policy instance | 3 |
Insurance contract or identification number | 1084814 | Number of Individuals Covered | 124 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $4,915 | Are there contracts with allocated funds for individual policies? | 1 | 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 $4,915 |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1084814 |
Policy instance | 3 |
Insurance contract or identification number | 1084814 | Number of Individuals Covered | 120 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $4,774 | Are there contracts with allocated funds for individual policies? | 1 | 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 $4,774 |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 2 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 61 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $15,080 | Are there contracts with allocated funds for individual policies? | 1 | Contracts With Unallocated Funds Deposit Administration | 1 | Health 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 $12,830 |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 1 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 94 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2021-01-01 | Total amount of commissions paid to insurance broker | USD $7,418 | Are there contracts with allocated funds for individual policies? | 1 | Long Term Disability 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 $7,418 |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 1 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 111 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2020-01-01 | Total amount of commissions paid to insurance broker | USD $6,688 | Are there contracts with allocated funds for individual policies? | 1 | Long Term Disability 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 $6,688 |
|
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
Policy contract number | 1084814 |
Policy instance | 3 |
Insurance contract or identification number | 1084814 | Number of Individuals Covered | 123 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $5,192 | Are there contracts with allocated funds for individual policies? | 1 | 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 $5,192 |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 2 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 62 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $15,095 | Are there contracts with allocated funds for individual policies? | 1 | Contracts With Unallocated Funds Deposit Administration | 1 | Health 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 $15,095 |
|
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | TM05711781 |
Policy instance | 4 |
Insurance contract or identification number | TM05711781 | Number of Individuals Covered | 131 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $2,099 | Are there contracts with allocated funds for individual policies? | 1 | Dental 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 $2,099 | Insurance broker name | CAMILLA INSURANCE & INVESTMENTS |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 3 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 59 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $13,646 | Are there contracts with allocated funds for individual policies? | 1 | Health 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 $13,646 | Insurance broker name | PHILIP SAUSSY |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 2 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 44 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $5,658 | Are there contracts with allocated funds for individual policies? | 1 | Long Term Disability 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 $5,658 | Insurance broker name | JOY L POLLOCK |
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AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
Policy contract number | 010-035130 |
Policy instance | 1 |
Insurance contract or identification number | 010-035130 | Number of Individuals Covered | 70 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $429 | Are there contracts with allocated funds for individual policies? | 1 | Other welfare benefits provided | VISON | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $429 | Insurance broker name | CAMILLA INS & INVESTMENTS INC |
|
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | TM05711781 |
Policy instance | 4 |
Insurance contract or identification number | TM05711781 | Number of Individuals Covered | 98 | Insurance policy start date | 2015-04-01 | Insurance policy end date | 2016-03-31 | Total amount of commissions paid to insurance broker | USD $1,973 | Dental 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 $1,973 | Additional information about fees paid to insurance broker | DENTAL INSURANCE N/A | Insurance broker name | CAMILLA INSURANCE & INVESTMENTS |
|
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
Policy contract number | 142290 |
Policy instance | 1 |
Insurance contract or identification number | 142290 | Number of Individuals Covered | 61 | Insurance policy start date | 2015-04-01 | Insurance policy end date | 2016-03-31 | Total amount of commissions paid to insurance broker | USD $455 | Total amount of fees paid to insurance company | USD $23 | Other welfare benefits provided | VISON | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $455 | Amount paid for insurance broker fees | 23 | Additional information about fees paid to insurance broker | VISON N/A | Insurance broker name | CAMILLA INS & INVESTMETNS INC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 2 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 91 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $5,810 | Long Term Disability 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 $5,810 | Additional information about fees paid to insurance broker | GROUP TERM 3 | Insurance broker name | JOY L POLLOCK |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 3 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 60 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $11,036 | Health 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 $11,036 | Additional information about fees paid to insurance broker | GROUP BENEFITS N/A | Insurance broker name | PHILIP SAUSSY |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 3 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 60 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $11,036 | Health 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 $11,036 | Additional information about fees paid to insurance broker | GROUP BENEFITS N/A | Insurance broker name | PHILIP SAUSSY |
|
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
Policy contract number | 142290 |
Policy instance | 1 |
Insurance contract or identification number | 142290 | Number of Individuals Covered | 63 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $434 | Other welfare benefits provided | VISON | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $434 | Additional information about fees paid to insurance broker | VISON N/A | Insurance broker name | CAMILLA INS & INVESTMETNS INC |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 2 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 92 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $4,374 | Long Term Disability 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 $4,374 | Additional information about fees paid to insurance broker | GROUP TERM 3 | Insurance broker name | EMPLOYES ASSOCIATED INS. |
|
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | TM05711781 |
Policy instance | 4 |
Insurance contract or identification number | TM05711781 | Number of Individuals Covered | 134 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $1,967 | Dental 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 $1,967 | Additional information about fees paid to insurance broker | DENTAL INSURANCE N/A | Insurance broker name | CAMILLA INSURANCE & INVESTMENTS |
|
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 2 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 87 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $4,126 | Life 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 $4,126 | Additional information about fees paid to insurance broker | GROUP TERM 3 | Insurance broker name | EMPLOYES ASSOCIATED INS. |
|
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 3 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 62 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $11,267 | Health 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 $11,267 | Additional information about fees paid to insurance broker | GROUP BENEFITS N/A | Insurance broker name | PHILIP SAUSSY |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | TM05711781 |
Policy instance | 4 |
Insurance contract or identification number | TM05711781 | Number of Individuals Covered | 155 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $2,072 | Dental 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 $2,072 | Additional information about fees paid to insurance broker | DENTAL INSURANCE N/A | Insurance broker name | CAMILLA INSURANCE & INVESTMENTS |
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AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
Policy contract number | 142290 |
Policy instance | 1 |
Insurance contract or identification number | 142290 | Number of Individuals Covered | 61 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $890 | Total amount of fees paid to insurance company | USD $106 | Other welfare benefits provided | VISON | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $890 | Amount paid for insurance broker fees | 106 | Additional information about fees paid to insurance broker | VISON N/A | Insurance broker name | CAMILLA INS & INVESTMETNS INC |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | TM05711781 |
Policy instance | 4 |
Insurance contract or identification number | TM05711781 | Number of Individuals Covered | 114 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $4,409 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,409 | Additional information about fees paid to insurance broker | DENTAL INSURANCE N/A | Insurance broker name | CAMILLA INSUANCE & INVESTMENTS |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 142290 |
Policy instance | 1 |
Insurance contract or identification number | 142290 | Number of Individuals Covered | 3 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $5,579 | Other welfare benefits provided | LONG TERM CARE INSURANCE | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,579 | Additional information about fees paid to insurance broker | N/A N/A | Insurance broker name | J SMITH LANIER & CO |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 3 |
Insurance contract or identification number | AGP-003203-69 | Number of Individuals Covered | 58 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $10,921 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $10,921 | Additional information about fees paid to insurance broker | GROUP BENEFITS N/A | Insurance broker name | PHILIP SAUSSY |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 2 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 100 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $5,358 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,131 | Additional information about fees paid to insurance broker | GROUP TERM 3 | Insurance broker name | EMPLOYES ASSOCIATED INS. |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 142290 |
Policy instance | 1 |
Insurance contract or identification number | 142290 | Number of Individuals Covered | 87 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $8,609 | Other welfare benefits provided | LONG TERM CARE INSURANCE | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 2 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 95 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $4,133 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 3 |
Insurance contract or identification number | AGP-003203-69 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $10,921 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | TM05711781 |
Policy instance | 4 |
Insurance contract or identification number | TM05711781 | Number of Individuals Covered | 149 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $2,195 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
Policy contract number | 000000580725 |
Policy instance | 3 |
Insurance contract or identification number | 000000580725 | Number of Individuals Covered | 95 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $4,313 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,313 | Additional information about fees paid to insurance broker | GROUP TERM | Insurance broker organization code? | 3 | Insurance broker name | JOY L POLLOCK |
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
Policy contract number | AGP-003203-69 |
Policy instance | 4 |
Insurance contract or identification number | AGP-003203-69 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $11,252 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $11,252 | Additional information about fees paid to insurance broker | GROUP BENEFITS | Insurance broker organization code? | 3 | Insurance broker name | PHILIP SAUSSY |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 142290 |
Policy instance | 1 |
Insurance contract or identification number | 142290 | Number of Individuals Covered | 87 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $6,873 | Other welfare benefits provided | LONG TERM CARE INSURANCE | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,873 | Additional information about fees paid to insurance broker | BROKER | Insurance broker organization code? | 3 | Insurance broker name | J SMITH LANIER & CO |
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
Policy contract number | TM05711781 |
Policy instance | 5 |
Insurance contract or identification number | TM05711781 | Number of Individuals Covered | 149 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $2,156 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,156 | Additional information about fees paid to insurance broker | DENTAL INSURANCE | Insurance broker organization code? | 3 | Insurance broker name | CAMILLA INSUANCE & INVESTMENTS |
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BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
Policy contract number | 1021388000 |
Policy instance | 2 |
Insurance contract or identification number | 1021388000 | Number of Individuals Covered | 101 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $3,208 | Total amount of fees paid to insurance company | USD $3,190 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,208 | Amount paid for insurance broker fees | 3190 | Additional information about fees paid to insurance broker | HEALTH INSURANCE | Insurance broker organization code? | 3 | Insurance broker name | J. SMITH LANIER & CO |
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