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LUMBER KING, INC. EMLOYEE BENEFIT PLAN 401k Plan overview

Plan NameLUMBER KING, INC. EMLOYEE BENEFIT PLAN
Plan identification number 501

LUMBER KING, INC. EMLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

LUMBER KING, INC. has sponsored the creation of one or more 401k plans.

Company Name:LUMBER KING, INC.
Employer identification number (EIN):610569353
NAIC Classification:444190
NAIC Description:Other Building Material Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LUMBER KING, INC. EMLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01MARLENE KIDD2022-10-24
5012020-07-01MARLENE KIDD2021-12-07
5012019-07-01MARLENE KIDD2020-11-11
5012018-07-01MARLENE KIDD2020-03-19
5012017-07-01
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01LAUREN JOHNSON
5012011-07-01
5012010-07-01

Plan Statistics for LUMBER KING, INC. EMLOYEE BENEFIT PLAN

401k plan membership statisitcs for LUMBER KING, INC. EMLOYEE BENEFIT PLAN

Measure Date Value
2021: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0154
Total number of active participants reported on line 7a of the Form 55002021-07-0153
Total of all active and inactive participants2021-07-0153
2020: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0153
Total number of active participants reported on line 7a of the Form 55002020-07-0154
Total of all active and inactive participants2020-07-0154
2019: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0151
Total number of active participants reported on line 7a of the Form 55002019-07-0153
Total of all active and inactive participants2019-07-0153
2018: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-0155
Total number of active participants reported on line 7a of the Form 55002018-07-0151
Total of all active and inactive participants2018-07-0151
2017: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0150
Total number of active participants reported on line 7a of the Form 55002017-07-0154
Number of retired or separated participants receiving benefits2017-07-011
Total of all active and inactive participants2017-07-0155
Total participants2017-07-0155
2016: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0149
Total number of active participants reported on line 7a of the Form 55002016-07-0149
Number of retired or separated participants receiving benefits2016-07-011
Total of all active and inactive participants2016-07-0150
Total participants2016-07-0150
2015: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0148
Total number of active participants reported on line 7a of the Form 55002015-07-0148
Number of retired or separated participants receiving benefits2015-07-011
Total of all active and inactive participants2015-07-0149
Total participants2015-07-0149
2014: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0148
Total number of active participants reported on line 7a of the Form 55002014-07-0148
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-0148
Total participants2014-07-0148
2013: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0145
Total number of active participants reported on line 7a of the Form 55002013-07-0148
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-0148
Total participants2013-07-0148
2012: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0145
Total number of active participants reported on line 7a of the Form 55002012-07-0145
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-0145
Total participants2012-07-0145
2011: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0142
Total number of active participants reported on line 7a of the Form 55002011-07-0145
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-0145
Total participants2011-07-0145
2010: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-0148
Total number of active participants reported on line 7a of the Form 55002010-07-0142
Total of all active and inactive participants2010-07-0142
Total participants2010-07-0142

Financial Data on LUMBER KING, INC. EMLOYEE BENEFIT PLAN

Measure Date Value
2023 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2023 401k financial data
Total income from all sources2023-06-30$625,651
Expenses. Total of all expenses incurred2023-06-30$762,438
Benefits paid (including direct rollovers)2023-06-30$703,566
Total plan assets at end of year2023-06-30$225,250
Total plan assets at beginning of year2023-06-30$362,037
Value of fidelity bond covering the plan2023-06-30$100,000
Total contributions received or receivable from participants2023-06-30$131,580
Other income received2023-06-30$95,071
Net income (gross income less expenses)2023-06-30$-136,787
Net plan assets at end of year (total assets less liabilities)2023-06-30$225,250
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$362,037
Total contributions received or receivable from employer(s)2023-06-30$399,000
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$58,872
2022 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2022 401k financial data
Total income from all sources2022-06-30$861,478
Expenses. Total of all expenses incurred2022-06-30$1,020,168
Benefits paid (including direct rollovers)2022-06-30$955,915
Total plan assets at end of year2022-06-30$362,037
Total plan assets at beginning of year2022-06-30$520,727
Value of fidelity bond covering the plan2022-06-30$100,000
Total contributions received or receivable from participants2022-06-30$143,349
Other income received2022-06-30$313,067
Net income (gross income less expenses)2022-06-30$-158,690
Net plan assets at end of year (total assets less liabilities)2022-06-30$362,037
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$520,727
Total contributions received or receivable from employer(s)2022-06-30$405,062
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$64,253
2021 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2021 401k financial data
Total income from all sources2021-06-30$609,630
Expenses. Total of all expenses incurred2021-06-30$496,731
Benefits paid (including direct rollovers)2021-06-30$438,653
Total plan assets at end of year2021-06-30$520,727
Total plan assets at beginning of year2021-06-30$407,828
Value of fidelity bond covering the plan2021-06-30$100,000
Total contributions received or receivable from participants2021-06-30$138,989
Other income received2021-06-30$45,459
Net income (gross income less expenses)2021-06-30$112,899
Net plan assets at end of year (total assets less liabilities)2021-06-30$520,727
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$407,828
Total contributions received or receivable from employer(s)2021-06-30$425,182
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$58,078
2020 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-06-30$682,413
Expenses. Total of all expenses incurred2020-06-30$624,241
Benefits paid (including direct rollovers)2020-06-30$577,800
Total plan assets at end of year2020-06-30$407,828
Total plan assets at beginning of year2020-06-30$349,656
Value of fidelity bond covering the plan2020-06-30$100,000
Total contributions received or receivable from participants2020-06-30$130,616
Other income received2020-06-30$199,940
Net income (gross income less expenses)2020-06-30$58,172
Net plan assets at end of year (total assets less liabilities)2020-06-30$407,828
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$349,656
Total contributions received or receivable from employer(s)2020-06-30$351,857
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$46,441
2019 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-06-30$707,753
Expenses. Total of all expenses incurred2019-06-30$750,106
Benefits paid (including direct rollovers)2019-06-30$708,737
Total plan assets at end of year2019-06-30$349,656
Total plan assets at beginning of year2019-06-30$392,009
Value of fidelity bond covering the plan2019-06-30$100,000
Total contributions received or receivable from participants2019-06-30$140,870
Other income received2019-06-30$167,199
Net income (gross income less expenses)2019-06-30$-42,353
Net plan assets at end of year (total assets less liabilities)2019-06-30$349,656
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$392,009
Total contributions received or receivable from employer(s)2019-06-30$399,684
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$41,369
2018 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2018 401k financial data
Total income from all sources2018-06-30$591,016
Expenses. Total of all expenses incurred2018-06-30$581,952
Benefits paid (including direct rollovers)2018-06-30$541,241
Total plan assets at end of year2018-06-30$392,009
Total plan assets at beginning of year2018-06-30$382,945
Value of fidelity bond covering the plan2018-06-30$100,000
Total contributions received or receivable from participants2018-06-30$139,516
Other income received2018-06-30$54,979
Net income (gross income less expenses)2018-06-30$9,064
Net plan assets at end of year (total assets less liabilities)2018-06-30$392,009
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$382,945
Total contributions received or receivable from employer(s)2018-06-30$396,521
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$40,711
2017 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-06-30$500,171
Expenses. Total of all expenses incurred2017-06-30$513,658
Benefits paid (including direct rollovers)2017-06-30$476,981
Total plan assets at end of year2017-06-30$382,945
Total plan assets at beginning of year2017-06-30$396,432
Total contributions received or receivable from participants2017-06-30$130,769
Expenses. Other expenses not covered elsewhere2017-06-30$1,908
Other income received2017-06-30$4,480
Net income (gross income less expenses)2017-06-30$-13,487
Net plan assets at end of year (total assets less liabilities)2017-06-30$382,945
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$396,432
Total contributions received or receivable from employer(s)2017-06-30$364,922
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$34,769
2016 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-06-30$521,306
Expenses. Total of all expenses incurred2016-06-30$389,512
Benefits paid (including direct rollovers)2016-06-30$355,372
Total plan assets at end of year2016-06-30$396,432
Total plan assets at beginning of year2016-06-30$264,638
Total contributions received or receivable from participants2016-06-30$123,079
Expenses. Other expenses not covered elsewhere2016-06-30$3,036
Other income received2016-06-30$47,094
Net income (gross income less expenses)2016-06-30$131,794
Net plan assets at end of year (total assets less liabilities)2016-06-30$396,432
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$264,638
Total contributions received or receivable from employer(s)2016-06-30$351,133
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$31,104
2015 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-06-30$661,052
Expenses. Total of all expenses incurred2015-06-30$670,620
Benefits paid (including direct rollovers)2015-06-30$636,947
Total plan assets at end of year2015-06-30$264,638
Total plan assets at beginning of year2015-06-30$274,206
Total contributions received or receivable from participants2015-06-30$127,435
Expenses. Other expenses not covered elsewhere2015-06-30$4,557
Other income received2015-06-30$181,709
Net income (gross income less expenses)2015-06-30$-9,568
Net plan assets at end of year (total assets less liabilities)2015-06-30$264,638
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$274,206
Total contributions received or receivable from employer(s)2015-06-30$351,908
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$29,116
2014 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2014 401k financial data
Total income from all sources2014-06-30$519,879
Expenses. Total of all expenses incurred2014-06-30$381,265
Benefits paid (including direct rollovers)2014-06-30$352,515
Total plan assets at end of year2014-06-30$274,206
Total plan assets at beginning of year2014-06-30$135,592
Total contributions received or receivable from participants2014-06-30$132,556
Other income received2014-06-30$32,828
Net income (gross income less expenses)2014-06-30$138,614
Net plan assets at end of year (total assets less liabilities)2014-06-30$274,206
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$135,592
Total contributions received or receivable from employer(s)2014-06-30$354,495
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$28,750
2013 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-06-30$455,141
Expenses. Total of all expenses incurred2013-06-30$426,690
Benefits paid (including direct rollovers)2013-06-30$402,887
Total plan assets at end of year2013-06-30$135,592
Total plan assets at beginning of year2013-06-30$107,141
Total contributions received or receivable from participants2013-06-30$120,187
Other income received2013-06-30$32,759
Net income (gross income less expenses)2013-06-30$28,451
Net plan assets at end of year (total assets less liabilities)2013-06-30$135,592
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$107,141
Total contributions received or receivable from employer(s)2013-06-30$302,195
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$23,803
2012 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-06-30$426,333
Expenses. Total of all expenses incurred2012-06-30$474,736
Benefits paid (including direct rollovers)2012-06-30$451,544
Total plan assets at end of year2012-06-30$107,141
Total plan assets at beginning of year2012-06-30$155,544
Total contributions received or receivable from participants2012-06-30$117,961
Other income received2012-06-30$22,296
Net income (gross income less expenses)2012-06-30$-48,403
Net plan assets at end of year (total assets less liabilities)2012-06-30$107,141
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$155,544
Total contributions received or receivable from employer(s)2012-06-30$286,076
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$23,192
2011 : LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2011 401k financial data
Total income from all sources2011-06-30$438,456
Expenses. Total of all expenses incurred2011-06-30$423,891
Benefits paid (including direct rollovers)2011-06-30$400,562
Total plan assets at end of year2011-06-30$155,544
Total plan assets at beginning of year2011-06-30$140,979
Total contributions received or receivable from participants2011-06-30$125,234
Other income received2011-06-30$60,064
Net income (gross income less expenses)2011-06-30$14,565
Net plan assets at end of year (total assets less liabilities)2011-06-30$155,544
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$140,979
Total contributions received or receivable from employer(s)2011-06-30$253,158
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$23,329

Form 5500 Responses for LUMBER KING, INC. EMLOYEE BENEFIT PLAN

2021: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: LUMBER KING, INC. EMLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01First time form 5500 has been submittedYes
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

INDEPENDENCE LIFE AND ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 64602 )
Policy contract numberVA-100005
Policy instance 1
Insurance contract or identification numberVA-100005
Number of Individuals Covered51
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of fees paid to insurance companyUSD $14,520
Welfare Benefit Premiums Paid to CarrierUSD $194,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14520
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE NORTH RIVER INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 21105 )
Policy contract numberNR 400286
Policy instance 1
Insurance contract or identification numberNR 400286
Number of Individuals Covered53
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of fees paid to insurance companyUSD $12,700
Welfare Benefit Premiums Paid to CarrierUSD $184,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12700
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE NORTH RIVER INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 21105 )
Policy contract numberNR 400286
Policy instance 1
Insurance contract or identification numberNR 400286
Number of Individuals Covered54
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of fees paid to insurance companyUSD $12,240
Welfare Benefit Premiums Paid to CarrierUSD $167,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12240
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberEL108-1014-19
Policy instance 1
Insurance contract or identification numberEL108-1014-19
Number of Individuals Covered53
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of fees paid to insurance companyUSD $12,080
Welfare Benefit Premiums Paid to CarrierUSD $134,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12080
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberEL108-1007-18
Policy instance 1
Insurance contract or identification numberEL108-1007-18
Number of Individuals Covered51
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of fees paid to insurance companyUSD $12,520
Welfare Benefit Premiums Paid to CarrierUSD $164,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12520
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL15612
Policy instance 1
Insurance contract or identification numberHCL15612
Number of Individuals Covered54
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $12,455
Total amount of fees paid to insurance companyUSD $1,296
Welfare Benefit Premiums Paid to CarrierUSD $165,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,455
Amount paid for insurance broker fees1296
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameEMPLOYEE BENEFIT ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL15612
Policy instance 1
Insurance contract or identification numberHCL15612
Number of Individuals Covered48
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $9,839
Total amount of fees paid to insurance companyUSD $1,120
Welfare Benefit Premiums Paid to CarrierUSD $130,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,839
Amount paid for insurance broker fees1120
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameEMPLOYEE BENEFIT ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL15612
Policy instance 1
Insurance contract or identification numberHCL15612
Number of Individuals Covered48
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $8,557
Total amount of fees paid to insurance companyUSD $1,142
Welfare Benefit Premiums Paid to CarrierUSD $113,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,557
Amount paid for insurance broker fees1142
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameJR YOUNG, INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL15612
Policy instance 1
Insurance contract or identification numberHCL15612
Number of Individuals Covered48
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $8,305
Total amount of fees paid to insurance companyUSD $1,148
Welfare Benefit Premiums Paid to CarrierUSD $110,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,305
Amount paid for insurance broker fees1148
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameJR YOUNG, INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL15612
Policy instance 1
Insurance contract or identification numberHCL15612
Number of Individuals Covered45
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $7,857
Total amount of fees paid to insurance companyUSD $1,094
Welfare Benefit Premiums Paid to CarrierUSD $104,068
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,857
Amount paid for insurance broker fees1094
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameJR YOUNG, INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL15612
Policy instance 1
Insurance contract or identification numberHCL15612
Number of Individuals Covered44
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Welfare Benefit Premiums Paid to CarrierUSD $104,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,884
Amount paid for insurance broker fees1054
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameJR YOUNG, INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL15612
Policy instance 1
Insurance contract or identification numberHCL15612
Number of Individuals Covered42
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $7,569
Total amount of fees paid to insurance companyUSD $1,114
Welfare Benefit Premiums Paid to CarrierUSD $100,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,569
Amount paid for insurance broker fees1114
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameJR YOUNG, INC.

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