BARRIERE CONSTRUCTION COMPANY, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN
401k plan membership statisitcs for BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN
| Measure | Date | Value |
|---|
| 2020: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 350 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 339 |
| Total of all active and inactive participants | 2020-05-01 | 339 |
| Total participants | 2020-05-01 | 339 |
| 2019: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 386 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 350 |
| Total of all active and inactive participants | 2019-05-01 | 350 |
| Total participants | 2019-05-01 | 350 |
| 2018: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-05-01 | 391 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 386 |
| Total of all active and inactive participants | 2018-05-01 | 386 |
| Total participants | 2018-05-01 | 386 |
| 2017: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 391 |
| Total of all active and inactive participants | 2017-05-01 | 391 |
| Total participants | 2017-05-01 | 391 |
| 2016: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 393 |
| Total of all active and inactive participants | 2016-05-01 | 393 |
| Total participants | 2016-05-01 | 393 |
| 2015: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 363 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 427 |
| Total of all active and inactive participants | 2015-05-01 | 427 |
| Total participants | 2015-05-01 | 0 |
| 2014: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 330 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 363 |
| Total of all active and inactive participants | 2014-05-01 | 363 |
| Total participants | 2014-05-01 | 0 |
| 2013: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 331 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 330 |
| Total of all active and inactive participants | 2013-05-01 | 330 |
| Total participants | 2013-05-01 | 0 |
| 2012: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 312 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 331 |
| Total of all active and inactive participants | 2012-05-01 | 331 |
| Total participants | 2012-05-01 | 0 |
| 2011: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 361 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 312 |
| Total of all active and inactive participants | 2011-05-01 | 312 |
| Total participants | 2011-05-01 | 312 |
| 2010: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-05-01 | 363 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-05-01 | 361 |
| Total of all active and inactive participants | 2010-05-01 | 361 |
| Total participants | 2010-05-01 | 361 |
| 2009: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-01 | 358 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 363 |
| Total of all active and inactive participants | 2009-05-01 | 363 |
| Total participants | 2009-05-01 | 363 |
| 2020: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2020 form 5500 responses |
|---|
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | This submission is the final filing | Yes |
| 2020-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-05-01 | Plan is a collectively bargained plan | Yes |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2019 form 5500 responses |
|---|
| 2019-05-01 | Type of plan entity | Single employer plan |
| 2019-05-01 | Plan is a collectively bargained plan | Yes |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2018 form 5500 responses |
|---|
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Plan is a collectively bargained plan | Yes |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2017 form 5500 responses |
|---|
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2016 form 5500 responses |
|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2011 form 5500 responses |
|---|
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2010 form 5500 responses |
|---|
| 2010-05-01 | Type of plan entity | Single employer plan |
| 2010-05-01 | Plan funding arrangement – Insurance | Yes |
| 2010-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: BARRIERE CONSTRUCTION COMPANY, LLC PREMIUM ONLY PLAN 2009 form 5500 responses |
|---|
| 2009-05-01 | Type of plan entity | Single employer plan |
| 2009-05-01 | Plan funding arrangement – Insurance | Yes |
| 2009-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 930889 |
| Policy instance | 3 |
| Insurance contract or identification number | 930889 | | Number of Individuals Covered | 335 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-01-31 | | Total amount of fees paid to insurance company | USD $23,185 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $463,705 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 23185 | | Additional information about fees paid to insurance broker | COMMISSIONS |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 2 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 283 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-05-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,972 | | 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 | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 16362 |
| Policy instance | 1 |
| Insurance contract or identification number | 16362 | | Number of Individuals Covered | 339 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-01-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $125,583 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 930889 |
| Policy instance | 3 |
| Insurance contract or identification number | 930889 | | Number of Individuals Covered | 350 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of fees paid to insurance company | USD $33,832 | | Other welfare benefits provided | CLAIMS PROCESSING | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 33832 | | Additional information about fees paid to insurance broker | COMMISSIONS |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 2 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 342 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of fees paid to insurance company | USD $10,150 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,691 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 10150 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 16362 |
| Policy instance | 1 |
| Insurance contract or identification number | 16362 | | Number of Individuals Covered | 350 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $186,036 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 2 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 334 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,500 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 16362 |
| Policy instance | 1 |
| Insurance contract or identification number | 16362 | | Number of Individuals Covered | 383 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $194,518 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| UNITED MEDICAL RESOURCES INC (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 76412833 |
| Policy instance | 3 |
| Insurance contract or identification number | 76412833 | | Number of Individuals Covered | 386 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of fees paid to insurance company | USD $2,214 | | Other welfare benefits provided | CLAIMS PROCESSING | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2214 | | Insurance broker organization code? | 3 |
|
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 417002412833 |
| Policy instance | 4 |
| Insurance contract or identification number | 417002412833 | | Number of Individuals Covered | 386 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 2 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 334 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $2,214 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,367 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,214 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| UNITED MEDICAL RESOURCES INC (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 76412833 |
| Policy instance | 3 |
| Insurance contract or identification number | 76412833 | | Number of Individuals Covered | 383 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Other welfare benefits provided | CLAIMS PROCESSING | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | LOCKTON COMPANIES |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 16362 |
| Policy instance | 1 |
| Insurance contract or identification number | 16362 | | Number of Individuals Covered | 391 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $181,699 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES LLC |
|
| STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 417002412833 |
| Policy instance | 4 |
| Insurance contract or identification number | 417002412833 | | Number of Individuals Covered | 383 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | LOCKTON COMPANIES |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 3 |
| Insurance contract or identification number | 13292 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL30464 |
| Policy instance | 2 |
| Insurance contract or identification number | HCL30464 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $26,584 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SPECIFIC STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,584 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES LLC |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 16362 |
| Policy instance | 1 |
| Insurance contract or identification number | 16362 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES LLC |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 3 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 280 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL30464 |
| Policy instance | 2 |
| Insurance contract or identification number | HCL30464 | | Number of Individuals Covered | 363 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $20,134 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SPECIFIC STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,134 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES LLC |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 16362 |
| Policy instance | 1 |
| Insurance contract or identification number | 16362 | | Number of Individuals Covered | 348 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES LLC |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 3 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 255 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $3 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3 | | Insurance broker organization code? | 3 | | Insurance broker name | TIKIA CONSULTING GROUP, INC. |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL30464 |
| Policy instance | 2 |
| Insurance contract or identification number | HCL30464 | | Number of Individuals Covered | 330 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $17,819 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SPECIFIC STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,819 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES LLC |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 16362 |
| Policy instance | 1 |
| Insurance contract or identification number | 16362 | | Number of Individuals Covered | 320 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES LLC |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 2 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 241 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $7,671 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,151 | | Insurance broker organization code? | 3 | | Insurance broker name | TIKIA CONSULTING GROUP, INC. |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 403092 0010 |
| Policy instance | 1 |
| Insurance contract or identification number | 403092 0010 | | Number of Individuals Covered | 50 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $2,870 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $442 | | Insurance broker organization code? | 3 | | Insurance broker name | TIKIA CONSULTING GROUP |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 401354 0010 |
| Policy instance | 3 |
| Insurance contract or identification number | 401354 0010 | | Number of Individuals Covered | 331 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $69,267 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | SPECIFIC STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,694 | | Insurance broker organization code? | 3 | | Insurance broker name | TIKIA CONSULTING GROUP, INC. |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | FG1D0350 |
| Policy instance | 4 |
| Insurance contract or identification number | FG1D0350 | | Number of Individuals Covered | 325 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $29,602 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,310 | | Insurance broker organization code? | 3 | | Insurance broker name | TIKIA CONSULTING GROUP, INC. |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | FG1D0350 |
| Policy instance | 3 |
| Insurance contract or identification number | FG1D0350 | | Number of Individuals Covered | 312 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $27,465 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 1 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 248 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $7,790 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 401354 0010 |
| Policy instance | 2 |
| Insurance contract or identification number | 401354 0010 | | Number of Individuals Covered | 312 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $94,320 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 401354 0010 |
| Policy instance | 2 |
| Insurance contract or identification number | 401354 0010 | | Number of Individuals Covered | 361 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $103,185 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $103,185 | | Insurance broker organization code? | 3 | | Insurance broker name | TIKIA CONSULTING GROUP, INC. |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | FG1D0350 |
| Policy instance | 3 |
| Insurance contract or identification number | FG1D0350 | | Number of Individuals Covered | 338 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $26,293 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,293 | | Insurance broker organization code? | 3 | | Insurance broker name | TIKIA CONSULTING GROUP, INC. |
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| CITIZENS SECURITY (National Association of Insurance Commissioners NAIC id number: 61921 ) |
| Policy contract number | 13292 |
| Policy instance | 1 |
| Insurance contract or identification number | 13292 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $3,231 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,231 | | Insurance broker organization code? | 3 | | Insurance broker name | TIKIA CONSULTING GROUP, INC. |
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