LAURENS COUNTY BOARD OF COMMISSION has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2021: LAURENS COUNTY CAFETERIA PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-09-01 | 268 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 268 |
| Number of retired or separated participants receiving benefits | 2021-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-09-01 | 0 |
| Total of all active and inactive participants | 2021-09-01 | 268 |
| 2020: LAURENS COUNTY CAFETERIA PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-09-01 | 259 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 268 |
| Number of retired or separated participants receiving benefits | 2020-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-09-01 | 0 |
| Total of all active and inactive participants | 2020-09-01 | 268 |
| 2019: LAURENS COUNTY CAFETERIA PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-09-01 | 246 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 259 |
| Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-09-01 | 0 |
| Total of all active and inactive participants | 2019-09-01 | 259 |
| 2018: LAURENS COUNTY CAFETERIA PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-09-01 | 246 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 246 |
| Number of retired or separated participants receiving benefits | 2018-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-09-01 | 0 |
| Total of all active and inactive participants | 2018-09-01 | 246 |
| 2017: LAURENS COUNTY CAFETERIA PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-09-01 | 255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-09-01 | 0 |
| Total of all active and inactive participants | 2017-09-01 | 0 |
| 2016: LAURENS COUNTY CAFETERIA PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-09-01 | 249 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 0 |
| Total of all active and inactive participants | 2016-09-01 | 0 |
| 2015: LAURENS COUNTY CAFETERIA PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 266 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
| Total of all active and inactive participants | 2015-09-01 | 0 |
| 2014: LAURENS COUNTY CAFETERIA PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 274 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-09-01 | 0 |
| Total of all active and inactive participants | 2014-09-01 | 0 |
| 2013: LAURENS COUNTY CAFETERIA PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 274 |
| Total of all active and inactive participants | 2013-09-01 | 0 |
| 2012: LAURENS COUNTY CAFETERIA PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-09-01 | 274 |
| Total of all active and inactive participants | 2012-09-01 | 0 |
| 2011: LAURENS COUNTY CAFETERIA PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-09-01 | 282 |
| Total of all active and inactive participants | 2011-09-01 | 0 |
| 2010: LAURENS COUNTY CAFETERIA PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-09-01 | 282 |
| Total of all active and inactive participants | 2010-09-01 | 0 |
| 2009: LAURENS COUNTY CAFETERIA PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-09-01 | 283 |
| Total of all active and inactive participants | 2009-09-01 | 0 |
| Measure | Date | Value |
|---|
| 2022 : LAURENS COUNTY CAFETERIA PLAN 2022 401k financial data |
|---|
| Total income from all sources (including contributions) | 2022-08-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-08-31 | No |
| Was this plan covered by a fidelity bond | 2022-08-31 | No |
| If this is an individual account plan, was there a blackout period | 2022-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-08-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-08-31 | No |
| Value of net assets at end of year (total assets less liabilities) | 2022-08-31 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-08-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-08-31 | No |
| Did the plan have assets held for investment | 2022-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-08-31 | No |
| 2021 : LAURENS COUNTY CAFETERIA PLAN 2021 401k financial data |
|---|
| Total income from all sources (including contributions) | 2021-08-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-08-31 | No |
| Was this plan covered by a fidelity bond | 2021-08-31 | No |
| If this is an individual account plan, was there a blackout period | 2021-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-08-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-08-31 | No |
| Value of net assets at end of year (total assets less liabilities) | 2021-08-31 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-08-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-08-31 | No |
| Did the plan have assets held for investment | 2021-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-08-31 | No |
| 2019 : LAURENS COUNTY CAFETERIA PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-08-31 | $0 |
| Total plan assets at end of year | 2019-08-31 | $0 |
| Total plan assets at beginning of year | 2019-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2019-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-08-31 | $0 |
| 2017 : LAURENS COUNTY CAFETERIA PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-08-31 | $0 |
| Total plan assets at end of year | 2017-08-31 | $0 |
| Total plan assets at beginning of year | 2017-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2017-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-08-31 | $0 |
| 2016 : LAURENS COUNTY CAFETERIA PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-08-31 | $0 |
| Total plan assets at end of year | 2016-08-31 | $0 |
| Total plan assets at beginning of year | 2016-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2016-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-08-31 | $0 |
| 2015 : LAURENS COUNTY CAFETERIA PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-08-31 | $0 |
| Total plan assets at end of year | 2015-08-31 | $0 |
| Total plan assets at beginning of year | 2015-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2015-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-08-31 | $0 |
| 2014 : LAURENS COUNTY CAFETERIA PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-08-31 | $0 |
| Total plan assets at end of year | 2014-08-31 | $0 |
| Total plan assets at beginning of year | 2014-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2014-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-08-31 | $0 |
| 2013 : LAURENS COUNTY CAFETERIA PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-08-31 | $0 |
| Total plan assets at end of year | 2013-08-31 | $0 |
| Total plan assets at beginning of year | 2013-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2013-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-08-31 | $0 |
| 2012 : LAURENS COUNTY CAFETERIA PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-08-31 | $0 |
| Total plan assets at end of year | 2012-08-31 | $0 |
| Total plan assets at beginning of year | 2012-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2012-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-08-31 | $0 |
| 2011 : LAURENS COUNTY CAFETERIA PLAN 2011 401k financial data |
|---|
| Total plan assets at end of year | 2011-08-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2011-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-08-31 | $0 |
| 2021: LAURENS COUNTY CAFETERIA PLAN 2021 form 5500 responses |
|---|
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: LAURENS COUNTY CAFETERIA PLAN 2020 form 5500 responses |
|---|
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: LAURENS COUNTY CAFETERIA PLAN 2019 form 5500 responses |
|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: LAURENS COUNTY CAFETERIA PLAN 2018 form 5500 responses |
|---|
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: LAURENS COUNTY CAFETERIA PLAN 2017 form 5500 responses |
|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: LAURENS COUNTY CAFETERIA PLAN 2016 form 5500 responses |
|---|
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: LAURENS COUNTY CAFETERIA PLAN 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: LAURENS COUNTY CAFETERIA PLAN 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: LAURENS COUNTY CAFETERIA PLAN 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | Single employer plan |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: LAURENS COUNTY CAFETERIA PLAN 2012 form 5500 responses |
|---|
| 2012-09-01 | Type of plan entity | Single employer plan |
| 2012-09-01 | Plan funding arrangement – Insurance | Yes |
| 2012-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: LAURENS COUNTY CAFETERIA PLAN 2011 form 5500 responses |
|---|
| 2011-09-01 | Type of plan entity | Single employer plan |
| 2011-09-01 | Plan funding arrangement – Insurance | Yes |
| 2011-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: LAURENS COUNTY CAFETERIA PLAN 2010 form 5500 responses |
|---|
| 2010-09-01 | Type of plan entity | Single employer plan |
| 2010-09-01 | Plan funding arrangement – Insurance | Yes |
| 2010-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: LAURENS COUNTY CAFETERIA PLAN 2009 form 5500 responses |
|---|
| 2009-09-01 | Type of plan entity | Single employer plan |
| 2009-09-01 | Plan funding arrangement – Insurance | Yes |
| 2009-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 268 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of fees paid to insurance company | USD $39,913 | | Welfare Benefit Premiums Paid to Carrier | USD $783,739 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 39913 | | Additional information about fees paid to insurance broker | COMMISSION ON PREMIUMS | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 167774 |
| Policy instance | 1 |
| Insurance contract or identification number | 167774 | | Number of Individuals Covered | 281 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of fees paid to insurance company | USD $11,327 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $103,644 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 11327 | | Additional information about fees paid to insurance broker | COMMISSION ON PREMIUMS | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 167774 |
| Policy instance | 2 |
| Insurance contract or identification number | 167774 | | Number of Individuals Covered | 293 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of fees paid to insurance company | USD $9,539 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $95,389 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 9539 | | Additional information about fees paid to insurance broker | COMMISSION ON PREMIUMS | | Insurance broker organization code? | 3 |
|
| GREAT MIDWEST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18694 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 268 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of fees paid to insurance company | USD $40,177 | | Welfare Benefit Premiums Paid to Carrier | USD $803,536 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 40177 | | Additional information about fees paid to insurance broker | COMMISSIONS PAID ON PREMIUMS | | Insurance broker organization code? | 3 |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 169 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $69,130 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 259 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Welfare Benefit Premiums Paid to Carrier | USD $778,843 | | 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 broker | COMMISSION ON PREMIUMS | | Insurance broker organization code? | 3 |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 172 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $136,634 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 259 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $7,452 | | Welfare Benefit Premiums Paid to Carrier | USD $757,784 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,452 | | Additional information about fees paid to insurance broker | COMMISSION ON PREMIUMS | | Insurance broker organization code? | 3 |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 271 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $126,078 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 246 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $8,983 | | Welfare Benefit Premiums Paid to Carrier | USD $679,600 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
