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RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameRW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN
Plan identification number 501

RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

RW GRIFFIN FEED, SEED & FERTILIZER has sponsored the creation of one or more 401k plans.

Company Name:RW GRIFFIN FEED, SEED & FERTILIZER
Employer identification number (EIN):581095836
NAIC Classification:424910
NAIC Description:Farm Supplies Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01
5012020-12-01
5012019-12-01
5012018-12-01
5012017-12-01
5012016-12-01JESSIE MERCER
5012015-12-01JESSIE MERCER
5012014-12-01JESSIE MERCER
5012013-12-01JESSIE MERCER
5012012-12-01JESSIE MERCER
5012011-12-01JESSIE MERCER
5012010-12-01JESSIE MERCER
5012009-12-01JESSIE MERCER
5012008-12-01JESSIE MERCER
5012007-12-01JESSIE MERCER
5012006-12-01JESSIE MERCER

Plan Statistics for RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2021: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01530
Total number of active participants reported on line 7a of the Form 55002021-12-01496
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01496
2020: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01527
Total number of active participants reported on line 7a of the Form 55002020-12-01530
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01530
2019: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01528
Total number of active participants reported on line 7a of the Form 55002019-12-01527
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01527
2018: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01213
Total number of active participants reported on line 7a of the Form 55002018-12-01250
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01250
2017: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01239
Total number of active participants reported on line 7a of the Form 55002017-12-01213
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01213
2016: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01242
Total number of active participants reported on line 7a of the Form 55002016-12-01239
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01239
2015: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01242
Total number of active participants reported on line 7a of the Form 55002015-12-01243
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01243
2014: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01197
Total number of active participants reported on line 7a of the Form 55002014-12-01242
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01242
2013: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01187
Total number of active participants reported on line 7a of the Form 55002013-12-01197
Total of all active and inactive participants2013-12-01197
2012: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01135
Total number of active participants reported on line 7a of the Form 55002012-12-01187
Total of all active and inactive participants2012-12-01187
2011: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01128
Total number of active participants reported on line 7a of the Form 55002011-12-01156
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01156
2010: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01135
Total number of active participants reported on line 7a of the Form 55002010-12-01134
Number of retired or separated participants receiving benefits2010-12-010
Number of other retired or separated participants entitled to future benefits2010-12-010
Total of all active and inactive participants2010-12-01134
2009: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01122
Total number of active participants reported on line 7a of the Form 55002009-12-01135
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01135
2008: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year2008-12-01112
Total number of active participants reported on line 7a of the Form 55002008-12-01128
Number of retired or separated participants receiving benefits2008-12-010
Number of other retired or separated participants entitled to future benefits2008-12-010
Total of all active and inactive participants2008-12-01128
2007: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year2007-12-01104
Total number of active participants reported on line 7a of the Form 55002007-12-01112
Number of retired or separated participants receiving benefits2007-12-010
Number of other retired or separated participants entitled to future benefits2007-12-010
Total of all active and inactive participants2007-12-01112
2006: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year2006-12-01112
Total number of active participants reported on line 7a of the Form 55002006-12-01105
Number of retired or separated participants receiving benefits2006-12-010
Number of other retired or separated participants entitled to future benefits2006-12-010
Total of all active and inactive participants2006-12-01105

Form 5500 Responses for RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN

2021: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes
2016: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – General assets of the sponsorYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – General assets of the sponsorYes
2015: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – General assets of the sponsorYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – General assets of the sponsorYes
2014: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – General assets of the sponsorYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – General assets of the sponsorYes
2013: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan funding arrangement – General assets of the sponsorYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – General assets of the sponsorYes
2012: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan funding arrangement – General assets of the sponsorYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – General assets of the sponsorYes
2011: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan funding arrangement – General assets of the sponsorYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – General assets of the sponsorYes
2010: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan funding arrangement – General assets of the sponsorYes
2010-12-01Plan benefit arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – General assets of the sponsorYes
2009: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – General assets of the sponsorYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – General assets of the sponsorYes
2008: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Plan funding arrangement – InsuranceYes
2008-12-01Plan funding arrangement – General assets of the sponsorYes
2008-12-01Plan benefit arrangement – InsuranceYes
2008-12-01Plan benefit arrangement – General assets of the sponsorYes
2007: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2007 form 5500 responses
2007-12-01Type of plan entitySingle employer plan
2007-12-01Plan funding arrangement – InsuranceYes
2007-12-01Plan funding arrangement – General assets of the sponsorYes
2007-12-01Plan benefit arrangement – InsuranceYes
2007-12-01Plan benefit arrangement – General assets of the sponsorYes
2006: RW GRIFFIN FEED, SEED & FERTILIZER INC HEALTH & WELFARE BENEFIT PLAN 2006 form 5500 responses
2006-12-01Type of plan entitySingle employer plan
2006-12-01First time form 5500 has been submittedYes
2006-12-01Plan funding arrangement – InsuranceYes
2006-12-01Plan funding arrangement – General assets of the sponsorYes
2006-12-01Plan benefit arrangement – InsuranceYes
2006-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract number417005411390
Policy instance 2
Insurance contract or identification number417005411390
Number of Individuals Covered255
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $58,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,296
Additional information about fees paid to insurance brokerMANAGING PRODUCER FEE
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number160755
Policy instance 1
Insurance contract or identification number160755
Number of Individuals Covered530
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerINSURANCE BROKER
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number160755
Policy instance 1
Insurance contract or identification number160755
Number of Individuals Covered530
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $60,871
Total amount of fees paid to insurance companyUSD $11,020
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,871
Amount paid for insurance broker fees11020
Additional information about fees paid to insurance brokerINSURANCE BROKER
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number160755
Policy instance 1
Insurance contract or identification number160755
Number of Individuals Covered253
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $75,809
Total amount of fees paid to insurance companyUSD $23,920
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,809
Amount paid for insurance broker fees23920
Additional information about fees paid to insurance brokerINSURANCE BROKER
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number160755
Policy instance 1
Insurance contract or identification number160755
Number of Individuals Covered250
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $63,172
Total amount of fees paid to insurance companyUSD $3,148
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $445,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,172
Amount paid for insurance broker fees3148
Additional information about fees paid to insurance brokerINSURANCE BROKER
Insurance broker organization code?3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number417003411390
Policy instance 2
Insurance contract or identification number417003411390
Number of Individuals Covered280
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $61,076
Welfare Benefit Premiums Paid to CarrierUSD $468,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,076
Additional information about fees paid to insurance brokerMANAGING PRODUCER FEE
Insurance broker organization code?3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number417003411390
Policy instance 2
Insurance contract or identification number417003411390
Number of Individuals Covered237
Insurance policy start date2017-12-01
Insurance policy end date2018-12-01
Total amount of commissions paid to insurance brokerUSD $44,235
Welfare Benefit Premiums Paid to CarrierUSD $341,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number160755
Policy instance 1
Insurance contract or identification number160755
Number of Individuals Covered213
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $58,863
Total amount of fees paid to insurance companyUSD $12,456
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $404,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number417002411390
Policy instance 1
Insurance contract or identification number417002411390
Number of Individuals Covered242
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $58,202
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $445,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,202
Additional information about fees paid to insurance brokerBROKER COMMISSIONS
Insurance broker organization code?3
Insurance broker namePARTNERS BENEFIT GROUP LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number
Policy instance 1
Number of Individuals Covered187
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $30,188
Total amount of fees paid to insurance companyUSD $6,280
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $276,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,188
Amount paid for insurance broker fees6280
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
Insurance broker namePARTNERS BENEFIT GROUP LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number
Policy instance 1
Number of Individuals Covered187
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $18,715
Total amount of fees paid to insurance companyUSD $1,400
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $193,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,715
Amount paid for insurance broker fees1400
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
Insurance broker namePARTNERS BENEFIT GROUP LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH32186
Policy instance 1
Insurance contract or identification numberH32186
Number of Individuals Covered156
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $26,052
Total amount of fees paid to insurance companyUSD $1,611
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $258,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,052
Amount paid for insurance broker fees1611
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker namePARTNERS BENEFIT GROUP LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH32186
Policy instance 1
Insurance contract or identification numberH32186
Number of Individuals Covered159
Insurance policy start date2010-02-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $22,695
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $228,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,695
Insurance broker organization code?3
Insurance broker namePARTNERS BENEFIT GROUP LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH32186
Policy instance 1
Insurance contract or identification numberH32186
Number of Individuals Covered157
Insurance policy start date2009-02-01
Insurance policy end date2010-01-31
Total amount of commissions paid to insurance brokerUSD $22,163
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $226,484
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,163
Insurance broker organization code?3
Insurance broker namePARTNERS BENEFIT GROUP LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH32186
Policy instance 1
Insurance contract or identification numberH32186
Number of Individuals Covered138
Insurance policy start date2008-02-01
Insurance policy end date2009-01-31
Total amount of commissions paid to insurance brokerUSD $19,873
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $199,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,873
Insurance broker organization code?3
Insurance broker namePARTNERS BENEFIT GROUP LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH32186
Policy instance 1
Insurance contract or identification numberH32186
Number of Individuals Covered129
Insurance policy start date2007-02-01
Insurance policy end date2008-01-31
Total amount of commissions paid to insurance brokerUSD $19,146
Total amount of fees paid to insurance companyUSD $9,120
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $192,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,555
Insurance broker organization code?3
Amount paid for insurance broker fees9120
Additional information about fees paid to insurance brokerBONUS
Insurance broker nameLIFE OF THE SOUTH INS AGCY
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH32186
Policy instance 1
Insurance contract or identification numberH32186
Number of Individuals Covered140
Insurance policy start date2006-02-01
Insurance policy end date2007-01-31
Total amount of commissions paid to insurance brokerUSD $18,678
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,096
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,678
Additional information about fees paid to insurance brokerBROKER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameLIFE OF THE SOUTH INS AGCY

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