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WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 401k Plan overview

Plan NameWAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN
Plan identification number 501

WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN Benefits

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

401k Sponsoring company profile

WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. has sponsored the creation of one or more 401k plans.

Company Name:WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC.
Employer identification number (EIN):581142126
NAIC Classification:442110
NAIC Description:Furniture Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-02-01MICKEY HUTCHESON2023-11-14
5012021-02-01MICKEY HUTCHESON2022-10-13
5012020-02-01MICKEY HUTCHESON2021-04-13
5012019-02-01MICKEY HUTCHESON2020-09-14
5012018-02-01
5012017-02-01
5012016-02-01
5012015-02-01
5012014-02-01
5012013-02-01
5012012-02-01HERMAN G. HAGGARD
5012011-02-01HERMAN G. HAGGARD
5012009-02-01HERMAN G. HAGGARD

Plan Statistics for WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN

401k plan membership statisitcs for WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN

Measure Date Value
2022: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2022 401k membership
Total participants, beginning-of-year2022-02-011,076
Total number of active participants reported on line 7a of the Form 55002022-02-011,028
Total of all active and inactive participants2022-02-011,028
2021: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-011,064
Total number of active participants reported on line 7a of the Form 55002021-02-011,076
Total of all active and inactive participants2021-02-011,076
2020: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-011,063
Total number of active participants reported on line 7a of the Form 55002020-02-011,064
Total of all active and inactive participants2020-02-011,064
2019: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-011,058
Total number of active participants reported on line 7a of the Form 55002019-02-011,063
Total of all active and inactive participants2019-02-011,063
2018: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-011,072
Total number of active participants reported on line 7a of the Form 55002018-02-011,058
Total of all active and inactive participants2018-02-011,058
2017: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-011,041
Total number of active participants reported on line 7a of the Form 55002017-02-011,072
Total of all active and inactive participants2017-02-011,072
2016: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-011,035
Total number of active participants reported on line 7a of the Form 55002016-02-011,041
Total of all active and inactive participants2016-02-011,041
2015: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01918
Total number of active participants reported on line 7a of the Form 55002015-02-011,035
Total of all active and inactive participants2015-02-011,035
2014: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01813
Total number of active participants reported on line 7a of the Form 55002014-02-01918
Total of all active and inactive participants2014-02-01918
2013: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01785
Total number of active participants reported on line 7a of the Form 55002013-02-01813
Total of all active and inactive participants2013-02-01813
2012: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01788
Total number of active participants reported on line 7a of the Form 55002012-02-01785
Total of all active and inactive participants2012-02-01785
2011: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01770
Total number of active participants reported on line 7a of the Form 55002011-02-01788
Total of all active and inactive participants2011-02-01788
2009: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01848
Total number of active participants reported on line 7a of the Form 55002009-02-01841
Total of all active and inactive participants2009-02-01841

Form 5500 Responses for WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN

2022: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan funding arrangement – General assets of the sponsorYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – General assets of the sponsorYes
2021: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – General assets of the sponsorYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – General assets of the sponsorYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – General assets of the sponsorYes
2016: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – General assets of the sponsorYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – General assets of the sponsorYes
2015: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – General assets of the sponsorYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – General assets of the sponsorYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – General assets of the sponsorYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes
2011: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – General assets of the sponsorYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – General assets of the sponsorYes
2009: WAREHOUSE HOME FURNISHINGS DISTRIBUTORS, INC. COMPANY HEALTH AWARENESS PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01This submission is the final filingNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – General assets of the sponsorYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964422
Policy instance 3
Insurance contract or identification numberFLX964422
Number of Individuals Covered1028
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $295,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-6717
Policy instance 2
Insurance contract or identification number947-6717
Number of Individuals Covered1028
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $117,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS 1345 02
Policy instance 1
Insurance contract or identification numberNIS 1345 02
Number of Individuals Covered1028
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $134,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964422
Policy instance 3
Insurance contract or identification numberFLX964422
Number of Individuals Covered1076
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $273,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-6717
Policy instance 2
Insurance contract or identification number947-6717
Number of Individuals Covered1076
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $123,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS 1345 02
Policy instance 1
Insurance contract or identification numberNIS 1345 02
Number of Individuals Covered1076
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $126,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS 1345 02
Policy instance 1
Insurance contract or identification numberNIS 1345 02
Number of Individuals Covered1064
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $254,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-6717
Policy instance 2
Insurance contract or identification number947-6717
Number of Individuals Covered1064
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $123,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964422
Policy instance 3
Insurance contract or identification numberFLX964422
Number of Individuals Covered1064
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $254,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964422
Policy instance 3
Insurance contract or identification numberFLX964422
Number of Individuals Covered1063
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $248,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-6717
Policy instance 2
Insurance contract or identification number947-6717
Number of Individuals Covered1063
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $130,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS 1345 02
Policy instance 1
Insurance contract or identification numberNIS 1345 02
Number of Individuals Covered1063
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $537,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX964422
Policy instance 3
Insurance contract or identification number3330219
Number of Individuals Covered435
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $39,192
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $266,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,243
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER/AGENT COMMISSIONS
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-7962, 0774
Policy instance 2
Insurance contract or identification number949-7962, 0774
Number of Individuals Covered1058
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $137,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMCL18101337002
Policy instance 1
Insurance contract or identification numberEMCL18101337002
Number of Individuals Covered1058
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $683,540
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-7962, 0774
Policy instance 2
Insurance contract or identification number949-7962, 0774
Number of Individuals Covered1072
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $138,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67043-0
Policy instance 1
Insurance contract or identification number67043-0
Number of Individuals Covered1072
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $728,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67043-0
Policy instance 1
Insurance contract or identification number67043-0
Number of Individuals Covered1035
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $561,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-7962, 0774
Policy instance 2
Insurance contract or identification number949-7962, 0774
Number of Individuals Covered1035
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $127,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-7962, 0774
Policy instance 2
Insurance contract or identification number949-7962, 0774
Number of Individuals Covered918
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $114,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67043-0
Policy instance 1
Insurance contract or identification number67043-0
Number of Individuals Covered918
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $509,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67105
Policy instance 1
Insurance contract or identification number67105
Number of Individuals Covered813
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14,003
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $466,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14003
Additional information about fees paid to insurance brokerOVERWRITE FEE
Insurance broker organization code?3
Insurance broker nameGPA
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-6218
Policy instance 3
Insurance contract or identification number949-6218
Number of Individuals Covered813
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $99,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number
Policy instance 2
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $184,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number
Policy instance 1
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $543,151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number46773
Policy instance 2
Insurance contract or identification number46773
Number of Individuals Covered801
Insurance policy start date2011-09-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $122,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67043-0
Policy instance 1
Insurance contract or identification number67043-0
Number of Individuals Covered831
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $471,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM INSURANCE (National Association of Insurance Commissioners NAIC id number: )
Policy contract number401435
Policy instance 1
Insurance contract or identification number401435
Number of Individuals Covered819
Insurance policy start date2010-03-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $171,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67043-0
Policy instance 2
Insurance contract or identification number67043-0
Number of Individuals Covered834
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $390,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number280-8568
Policy instance 3
Insurance contract or identification number280-8568
Number of Individuals Covered816
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $76,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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