ENMARK STATIONS, INC. has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2021: ENMARK STATIONS MEDICAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-12-01 | 130 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 154 |
| Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
| Total of all active and inactive participants | 2021-12-01 | 154 |
| 2020: ENMARK STATIONS MEDICAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-12-01 | 288 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-12-01 | 130 |
| Number of retired or separated participants receiving benefits | 2020-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-12-01 | 0 |
| Total of all active and inactive participants | 2020-12-01 | 130 |
| 2019: ENMARK STATIONS MEDICAL PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-12-01 | 260 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-12-01 | 288 |
| Number of retired or separated participants receiving benefits | 2019-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-12-01 | 0 |
| Total of all active and inactive participants | 2019-12-01 | 288 |
| 2018: ENMARK STATIONS MEDICAL PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-12-01 | 133 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 260 |
| Number of retired or separated participants receiving benefits | 2018-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-12-01 | 0 |
| Total of all active and inactive participants | 2018-12-01 | 260 |
| 2017: ENMARK STATIONS MEDICAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 133 |
| Total of all active and inactive participants | 2017-12-01 | 133 |
| 2016: ENMARK STATIONS MEDICAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-12-01 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 165 |
| Total of all active and inactive participants | 2016-12-01 | 165 |
| 2015: ENMARK STATIONS MEDICAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-12-01 | 255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-01 | 132 |
| Total of all active and inactive participants | 2015-12-01 | 132 |
| 2014: ENMARK STATIONS MEDICAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-12-01 | 77 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-01 | 255 |
| Total of all active and inactive participants | 2014-12-01 | 255 |
| 2013: ENMARK STATIONS MEDICAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-12-01 | 74 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-01 | 77 |
| Total of all active and inactive participants | 2013-12-01 | 77 |
| 2012: ENMARK STATIONS MEDICAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-12-01 | 79 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-01 | 74 |
| Number of other retired or separated participants entitled to future benefits | 2012-12-01 | 0 |
| Total of all active and inactive participants | 2012-12-01 | 74 |
| 2011: ENMARK STATIONS MEDICAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-12-01 | 71 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-01 | 79 |
| Number of retired or separated participants receiving benefits | 2011-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-12-01 | 0 |
| Total of all active and inactive participants | 2011-12-01 | 79 |
| Total participants | 2011-12-01 | 79 |
| 2009: ENMARK STATIONS MEDICAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-12-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-12-01 | 78 |
| Total of all active and inactive participants | 2009-12-01 | 78 |
| Total participants | 2009-12-01 | 78 |
| 2008: ENMARK STATIONS MEDICAL PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-12-01 | 86 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-12-01 | 106 |
| Total of all active and inactive participants | 2008-12-01 | 106 |
| Total participants | 2008-12-01 | 106 |
| 2021: ENMARK STATIONS MEDICAL PLAN 2021 form 5500 responses |
|---|
| 2021-12-01 | Type of plan entity | Single employer plan |
| 2021-12-01 | Plan funding arrangement – Insurance | Yes |
| 2021-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: ENMARK STATIONS MEDICAL PLAN 2020 form 5500 responses |
|---|
| 2020-12-01 | Type of plan entity | Single employer plan |
| 2020-12-01 | Plan funding arrangement – Insurance | Yes |
| 2020-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: ENMARK STATIONS MEDICAL PLAN 2019 form 5500 responses |
|---|
| 2019-12-01 | Type of plan entity | Single employer plan |
| 2019-12-01 | Plan funding arrangement – Insurance | Yes |
| 2019-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: ENMARK STATIONS MEDICAL PLAN 2018 form 5500 responses |
|---|
| 2018-12-01 | Type of plan entity | Single employer plan |
| 2018-12-01 | Plan funding arrangement – Insurance | Yes |
| 2018-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: ENMARK STATIONS MEDICAL PLAN 2017 form 5500 responses |
|---|
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: ENMARK STATIONS MEDICAL PLAN 2016 form 5500 responses |
|---|
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | Plan funding arrangement – Insurance | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ENMARK STATIONS MEDICAL PLAN 2015 form 5500 responses |
|---|
| 2015-12-01 | Type of plan entity | Single employer plan |
| 2015-12-01 | Plan funding arrangement – Insurance | Yes |
| 2015-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: ENMARK STATIONS MEDICAL PLAN 2014 form 5500 responses |
|---|
| 2014-12-01 | Type of plan entity | Single employer plan |
| 2014-12-01 | Plan funding arrangement – Insurance | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ENMARK STATIONS MEDICAL PLAN 2013 form 5500 responses |
|---|
| 2013-12-01 | Type of plan entity | Single employer plan |
| 2013-12-01 | Plan funding arrangement – Insurance | Yes |
| 2013-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ENMARK STATIONS MEDICAL PLAN 2012 form 5500 responses |
|---|
| 2012-12-01 | Type of plan entity | Single employer plan |
| 2012-12-01 | Plan funding arrangement – Insurance | Yes |
| 2012-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ENMARK STATIONS MEDICAL PLAN 2011 form 5500 responses |
|---|
| 2011-12-01 | Type of plan entity | Single employer plan |
| 2011-12-01 | Plan funding arrangement – Insurance | Yes |
| 2011-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ENMARK STATIONS MEDICAL PLAN 2009 form 5500 responses |
|---|
| 2009-12-01 | Type of plan entity | Single employer plan |
| 2009-12-01 | This submission is the final filing | No |
| 2009-12-01 | Plan funding arrangement – Insurance | Yes |
| 2009-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: ENMARK STATIONS MEDICAL PLAN 2008 form 5500 responses |
|---|
| 2008-12-01 | Type of plan entity | Single employer plan |
| 2008-12-01 | This submission is the final filing | No |
| 2008-12-01 | Plan funding arrangement – Insurance | Yes |
| 2008-12-01 | Plan benefit arrangement – Insurance | Yes |
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-046636 |
| Policy instance | 4 |
| Insurance contract or identification number | 010-046636 | | Number of Individuals Covered | 664 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $1,310 | | Total amount of fees paid to insurance company | USD $920 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,199 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,310 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 920 |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-044092 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-044092 | | Number of Individuals Covered | 288 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $4,791 | | Total amount of fees paid to insurance company | USD $246 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,955 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,593 | | Amount paid for insurance broker fees | 246 | | Insurance broker organization code? | 3 |
|
| BEAZLEY INSURANCE COMPANY INC (National Association of Insurance Commissioners NAIC id number: 37540 ) |
| Policy contract number | IB0040 |
| Policy instance | 2 |
| Insurance contract or identification number | IB0040 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2022-12-01 | | Insurance policy end date | 2022-11-30 | | Total amount of commissions paid to insurance broker | USD $6,284 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $31,420 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,713 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E7220684 |
| Policy instance | 1 |
| Insurance contract or identification number | E7220684 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $9,709 | | Total amount of fees paid to insurance company | USD $5,301 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $28,659 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,186 | | Amount paid for insurance broker fees | 629 | | Insurance broker organization code? | 3 |
|
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
| Policy contract number | WX1GAIB20000543 |
| Policy instance | 4 |
| Insurance contract or identification number | WX1GAIB20000543 | | Number of Individuals Covered | 130 | | Insurance policy start date | 2021-12-01 | | Insurance policy end date | 2021-11-30 | | Total amount of commissions paid to insurance broker | USD $5,786 | | Welfare Benefit Premiums Paid to Carrier | USD $28,929 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,314 | | Insurance broker organization code? | 3 |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-044092 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-044092 | | Number of Individuals Covered | 213 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $6,437 | | Total amount of fees paid to insurance company | USD $305 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,911 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,828 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 305 |
|
| BEAZLEY INSURANCE COMPANY INC (National Association of Insurance Commissioners NAIC id number: 37540 ) |
| Policy contract number | IB0040 |
| Policy instance | 2 |
| Insurance contract or identification number | IB0040 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2020-12-01 | | Insurance policy end date | 2021-11-30 | | Total amount of commissions paid to insurance broker | USD $4,252 | | Welfare Benefit Premiums Paid to Carrier | USD $21,260 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,189 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E7220684 |
| Policy instance | 1 |
| Insurance contract or identification number | E7220684 | | Number of Individuals Covered | 129 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $9,534 | | Total amount of fees paid to insurance company | USD $5,764 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $51,974 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,696 | | Amount paid for insurance broker fees | 345 | | Insurance broker organization code? | 3 |
|
| ENVISION INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77399 ) |
| Policy contract number | EX1GAIB19000555 |
| Policy instance | 4 |
| Insurance contract or identification number | EX1GAIB19000555 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $7,993 | | Welfare Benefit Premiums Paid to Carrier | USD $39,967 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-044092 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-044092 | | Number of Individuals Covered | 275 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-11-30 | | Total amount of commissions paid to insurance broker | USD $6,288 | | Total amount of fees paid to insurance company | USD $1,395 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $39,715 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BEAZLEY INSURANCE COMPANY INC (National Association of Insurance Commissioners NAIC id number: 37540 ) |
| Policy contract number | IB0040 |
| Policy instance | 2 |
| Insurance contract or identification number | IB0040 | | Number of Individuals Covered | 84 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-11-30 | | Total amount of commissions paid to insurance broker | USD $5,353 | | Welfare Benefit Premiums Paid to Carrier | USD $26,760 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E7220684 |
| Policy instance | 1 |
| Insurance contract or identification number | E7220684 | | Number of Individuals Covered | 200 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $23,318 | | Total amount of fees paid to insurance company | USD $1,380 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $224,432 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ENVISION INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77399 ) |
| Policy contract number | EX1GAIB19000555 |
| Policy instance | 4 |
| Insurance contract or identification number | EX1GAIB19000555 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $8,263 | | Welfare Benefit Premiums Paid to Carrier | USD $41,317 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,305 | | Insurance broker organization code? | 3 |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-044092 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-044092 | | Number of Individuals Covered | 343 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $10,228 | | Total amount of fees paid to insurance company | USD $1,516 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $51,141 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,671 | | Amount paid for insurance broker fees | 1516 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E7220684 |
| Policy instance | 1 |
| Insurance contract or identification number | E7220684 | | Number of Individuals Covered | 260 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $82,537 | | Total amount of fees paid to insurance company | USD $10,431 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $253,287 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $41,591 | | Amount paid for insurance broker fees | 1072 | | Insurance broker organization code? | 3 |
|
| BEAZLEY INSURANCE COMPANY INC (National Association of Insurance Commissioners NAIC id number: 37540 ) |
| Policy contract number | IB0040 |
| Policy instance | 2 |
| Insurance contract or identification number | IB0040 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $8,599 | | Welfare Benefit Premiums Paid to Carrier | USD $42,990 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,449 | | Insurance broker organization code? | 3 |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-044092 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-044092 | | Number of Individuals Covered | 332 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $9,293 | | Total amount of fees paid to insurance company | USD $1,131 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,467 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 ) |
| Policy contract number | IB0040 |
| Policy instance | 2 |
| Insurance contract or identification number | IB0040 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $15,062 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $64,095 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E7220684 |
| Policy instance | 1 |
| Insurance contract or identification number | E7220684 | | Number of Individuals Covered | 285 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $96,418 | | Total amount of fees paid to insurance company | USD $18,764 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $264,974 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
