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INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 401k Plan overview

Plan NameINLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN
Plan identification number 501

INLAND SEAFOOD CORP. GROUP HEALTH 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

INLAND FRESH SEAFOOD CORPORATION OF AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name:INLAND FRESH SEAFOOD CORPORATION OF AMERICA, INC.
Employer identification number (EIN):581258196
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01
5012021-03-01
5012020-03-01
5012019-03-01
5012018-03-01
5012017-03-01ERIC SUSSMAN ERIC SUSSMAN2018-07-25
5012016-03-01ERIC SUSSMAN ERIC SUSSMAN2017-07-27
5012015-03-01ERIC SUSSMAN ERIC SUSSMAN2016-09-14
5012014-03-01ERIC SUSSMAN ERIC SUSSMAN2015-06-29
5012013-03-01ERIC SUSSMAN ERIC SUSSMAN2014-07-28
5012012-03-01ERIC SUSSMAN ERIC SUSSMAN2013-06-26
5012011-03-01ERIC SUSSMAN ERIC SUSSMAN2013-01-15
5012010-03-01ERIC SUSSMAN ERIC SUSSMAN2013-01-15
5012009-03-01ERIC SUSSMAN ERIC SUSSMAN2013-01-15
5012008-03-01ERIC SUSSMAN ERIC SUSSMAN2013-01-15

Plan Statistics for INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN

401k plan membership statisitcs for INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN

Measure Date Value
2022: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01516
Total number of active participants reported on line 7a of the Form 55002022-03-01618
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01618
2021: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01522
Total number of active participants reported on line 7a of the Form 55002021-03-01516
Number of retired or separated participants receiving benefits2021-03-010
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01516
2020: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01678
Total number of active participants reported on line 7a of the Form 55002020-03-01522
Number of retired or separated participants receiving benefits2020-03-010
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-01522
2019: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01701
Total number of active participants reported on line 7a of the Form 55002019-03-01678
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01678
2018: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01665
Total number of active participants reported on line 7a of the Form 55002018-03-01701
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01701
2017: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01721
Total number of active participants reported on line 7a of the Form 55002017-03-01665
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01665
2016: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01757
Total number of active participants reported on line 7a of the Form 55002016-03-01721
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01721
2015: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01628
Total number of active participants reported on line 7a of the Form 55002015-03-01757
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01757
2014: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01410
Total number of active participants reported on line 7a of the Form 55002014-03-01628
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01628
2013: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01483
Total number of active participants reported on line 7a of the Form 55002013-03-01410
Total of all active and inactive participants2013-03-01410
2012: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01363
Total number of active participants reported on line 7a of the Form 55002012-03-01483
Total of all active and inactive participants2012-03-01483
2011: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-01301
Total number of active participants reported on line 7a of the Form 55002011-03-01363
Total of all active and inactive participants2011-03-01363
2010: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-03-01302
Total number of active participants reported on line 7a of the Form 55002010-03-01295
Total of all active and inactive participants2010-03-01295
2009: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-01271
Total number of active participants reported on line 7a of the Form 55002009-03-01302
Total of all active and inactive participants2009-03-01302
2008: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year2008-03-01276
Total number of active participants reported on line 7a of the Form 55002008-03-01271
Total of all active and inactive participants2008-03-01271
Total participants2008-03-01271

Form 5500 Responses for INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN

2022: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan funding arrangement – General assets of the sponsorYes
2022-03-01Plan benefit arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – General assets of the sponsorYes
2021: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan funding arrangement – General assets of the sponsorYes
2021-03-01Plan benefit arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – General assets of the sponsorYes
2020: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan funding arrangement – General assets of the sponsorYes
2020-03-01Plan benefit arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – General assets of the sponsorYes
2019: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan funding arrangement – General assets of the sponsorYes
2019-03-01Plan benefit arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – General assets of the sponsorYes
2018: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan funding arrangement – General assets of the sponsorYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – General assets of the sponsorYes
2017: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan funding arrangement – General assets of the sponsorYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – General assets of the sponsorYes
2016: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan funding arrangement – General assets of the sponsorYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – General assets of the sponsorYes
2015: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – General assets of the sponsorYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – General assets of the sponsorYes
2011: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2010: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan funding arrangement – General assets of the sponsorYes
2010-03-01Plan benefit arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes
2008: INLAND SEAFOOD CORP. GROUP HEALTH BENEFIT PLAN 2008 form 5500 responses
2008-03-01Type of plan entitySingle employer plan
2008-03-01Submission has been amendedNo
2008-03-01This submission is the final filingNo
2008-03-01This return/report is a short plan year return/report (less than 12 months)No
2008-03-01Plan is a collectively bargained planNo
2008-03-01Plan funding arrangement – InsuranceYes
2008-03-01Plan funding arrangement – General assets of the sponsorYes
2008-03-01Plan benefit arrangement – InsuranceYes
2008-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number72165-4
Policy instance 3
Insurance contract or identification number72165-4
Number of Individuals Covered618
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $42,395
Total amount of fees paid to insurance companyUSD $25,437
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $847,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees25437
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $24,708
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ASLL
Policy instance 2
Insurance contract or identification numberG000ASLL
Number of Individuals Covered609
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $48,334
Total amount of fees paid to insurance companyUSD $2,385
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 $27,034
Amount paid for insurance broker fees2385
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98435581001
Policy instance 1
Insurance contract or identification number98435581001
Number of Individuals Covered495
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $3,651
Vision 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 $2,418
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98435581001
Policy instance 1
Insurance contract or identification number98435581001
Number of Individuals Covered474
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $2,897
Vision 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 $2,897
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ASLL
Policy instance 2
Insurance contract or identification numberG000ASLL
Number of Individuals Covered516
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $43,089
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 $43,089
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number72165-4
Policy instance 3
Insurance contract or identification number72165-4
Number of Individuals Covered608
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $39,299
Total amount of fees paid to insurance companyUSD $23,579
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $785,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,299
Additional information about fees paid to insurance brokerINSURANCE BROKER
Insurance broker organization code?3
Amount paid for insurance broker fees23579
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98435581001
Policy instance 1
Insurance contract or identification number98435581001
Number of Individuals Covered508
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $2,707
Vision 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 $2,707
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number938587
Policy instance 3
Insurance contract or identification number938587
Number of Individuals Covered445
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $60,302
Welfare Benefit Premiums Paid to CarrierUSD $807,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,302
Additional information about fees paid to insurance brokerINSURANCE BROKER
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ASLL
Policy instance 2
Insurance contract or identification numberG000ASLL
Number of Individuals Covered522
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $38,106
Total amount of fees paid to insurance companyUSD $15,262
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 $38,106
Amount paid for insurance broker fees15262
Additional information about fees paid to insurance brokerCOMMISSIONS SERVICE FEES
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407152 0010
Policy instance 3
Insurance contract or identification number407152 0010
Number of Individuals Covered467
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $63,966
Welfare Benefit Premiums Paid to CarrierUSD $892,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,966
Additional information about fees paid to insurance brokerINSURANCE BROKER
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ASLL
Policy instance 2
Insurance contract or identification numberG000ASLL
Number of Individuals Covered678
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $46,138
Total amount of fees paid to insurance companyUSD $9,710
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 $46,138
Amount paid for insurance broker fees9710
Additional information about fees paid to insurance brokerCOMMISSIONS SERVICE FEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98435581001
Policy instance 1
Insurance contract or identification number98435581001
Number of Individuals Covered575
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $3,701
Vision 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 $3,701
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL32215
Policy instance 3
Insurance contract or identification numberHCL32215
Number of Individuals Covered401
Insurance policy start date2017-01-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $102,025
Total amount of fees paid to insurance companyUSD $294,078
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,546
Amount paid for insurance broker fees294078
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameSTEINBERG & ASSOCIATES, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ASLL
Policy instance 2
Insurance contract or identification numberG000ASLL
Number of Individuals Covered665
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $44,829
Total amount of fees paid to insurance companyUSD $8,811
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 $44,829
Amount paid for insurance broker fees8811
Additional information about fees paid to insurance brokerCOMMISSIONS SERVICE FEES
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES, INC.
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number98435581001
Policy instance 1
Insurance contract or identification number98435581001
Number of Individuals Covered534
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $3,129
Vision 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 $3,129
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ASLL
Policy instance 3
Insurance contract or identification numberG000ASLL
Number of Individuals Covered757
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $41,067
Total amount of fees paid to insurance companyUSD $2,863
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 $41,067
Amount paid for insurance broker fees2863
Additional information about fees paid to insurance brokerCOMMISSIONS SERVICE FEES
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES, INC.
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9843558
Policy instance 1
Insurance contract or identification number9843558
Number of Individuals Covered492
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $2,491
Vision 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 $2,491
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number839498
Policy instance 2
Insurance contract or identification number839498
Number of Individuals Covered402
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $81,938
Total amount of fees paid to insurance companyUSD $210,118
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision 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 $20,969
Amount paid for insurance broker fees210118
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameSTEINBERG & ASSOCIATES INC.
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9843558
Policy instance 2
Insurance contract or identification number9843558
Number of Individuals Covered437
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $2,530
Vision 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 $2,530
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number057-7389-00
Policy instance 1
Insurance contract or identification number057-7389-00
Number of Individuals Covered484
Insurance policy start date2014-03-01
Insurance policy end date2014-06-01
Total amount of commissions paid to insurance brokerUSD $7,260
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPEND LIFE VOL DEP LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,260
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ASLL
Policy instance 4
Insurance contract or identification numberG000ASLL
Number of Individuals Covered628
Insurance policy start date2014-06-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $31,335
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 $31,335
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number839498
Policy instance 3
Insurance contract or identification number839498
Number of Individuals Covered404
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $77,154
Total amount of fees paid to insurance companyUSD $200,651
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision 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 $19,561
Amount paid for insurance broker fees200651
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameSTEINBERG & ASSOCIATES INC.
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number057-7389-00
Policy instance 1
Insurance contract or identification number057-7389-00
Number of Individuals Covered390
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $30,775
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPEND LIFE VOL DEP LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,775
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES INC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9843558
Policy instance 2
Insurance contract or identification number9843558
Number of Individuals Covered346
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $1,933
Vision 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 $1,933
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker nameSTEINBERG & ASSOCIATES INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number839498
Policy instance 3
Insurance contract or identification number839498
Number of Individuals Covered483
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $57,463
Total amount of fees paid to insurance companyUSD $145,807
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision 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 $14,446
Amount paid for insurance broker fees145807
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameSTEINBERG & ASSOCIATES INC.
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9843558
Policy instance 2
Insurance contract or identification number9843558
Number of Individuals Covered327
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $1,594
Vision 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 $1,594
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker nameSTEINBERG & ASSOCIATES INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number057-7389-00
Policy instance 1
Insurance contract or identification number057-7389-00
Number of Individuals Covered363
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $26,933
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPEND LIFE VOL DEP LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,933
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number839498
Policy instance 3
Insurance contract or identification number839498
Number of Individuals Covered483
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $49,844
Total amount of fees paid to insurance companyUSD $81,543
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision 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 $12,174
Amount paid for insurance broker fees81543
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameSTEINBERG & ASSOCIATES INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP-327B
Policy instance 1
Insurance contract or identification numberUP-327B
Number of Individuals Covered271
Insurance policy start date2008-03-01
Insurance policy end date2009-02-28
Total amount of commissions paid to insurance brokerUSD $41,399
Total amount of fees paid to insurance companyUSD $66,655
Health Insurance Welfare BenefitYes
Dental 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 $13,800
Amount paid for insurance broker fees52598
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Insurance broker nameSTEINBERG & ASSOCIATES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number216513G
Policy instance 2
Insurance contract or identification number216513G
Number of Individuals Covered355
Insurance policy start date2008-03-01
Insurance policy end date2009-02-28
Total amount of commissions paid to insurance brokerUSD $28,085
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 $28,085
Additional information about fees paid to insurance brokerAGENT
Insurance broker organization code?3
Insurance broker nameSTEINBERG & ASSOCIATES, INC.
GWI (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 3
Number of Individuals Covered257
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $50,990
Total amount of fees paid to insurance companyUSD $91,871
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number216513G
Policy instance 2
Insurance contract or identification number216513G
Number of Individuals Covered252
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $6,381
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
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number057-7389-00
Policy instance 1
Insurance contract or identification number057-7389-00
Number of Individuals Covered363
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $17,496
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPEND LIFE VOL DEP LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GWI (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 2
Number of Individuals Covered301
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $30,367
Total amount of fees paid to insurance companyUSD $155,254
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number216513G
Policy instance 1
Insurance contract or identification number216513G
Number of Individuals Covered386
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $27,992
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

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