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OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 401k Plan overview

Plan NameOUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST
Plan identification number 501

OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Long-term disability cover

401k Sponsoring company profile

OUTDOOR VENTURE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:OUTDOOR VENTURE CORPORATION
Employer identification number (EIN):610731457
NAIC Classification:314000
NAIC Description: Textile Product Mills

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-08-01JAMES C EGNEW2023-05-10
5012020-08-01DERRICK ROGERS2022-05-04
5012019-08-01MARK HENERSON2021-05-10
5012018-08-01MARK HENDERSON2020-07-08
5012017-08-01MARK HENDERSON2019-05-07
5012016-08-01
5012015-08-01
5012014-08-01
5012013-08-01
5012012-08-01JAMES C. EGNEW
5012011-08-01JAMES C. EGNEW
5012009-08-01JAMES C. EGNEW

Plan Statistics for OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST

401k plan membership statisitcs for OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST

Measure Date Value
2021: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-08-01253
Total number of active participants reported on line 7a of the Form 55002021-08-01197
Total of all active and inactive participants2021-08-01197
2020: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-08-01219
Total number of active participants reported on line 7a of the Form 55002020-08-01251
Number of retired or separated participants receiving benefits2020-08-012
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01253
2019: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-08-01193
Total number of active participants reported on line 7a of the Form 55002019-08-01217
Number of retired or separated participants receiving benefits2019-08-012
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-01219
2018: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-08-01145
Total number of active participants reported on line 7a of the Form 55002018-08-01191
Number of retired or separated participants receiving benefits2018-08-012
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01193
2017: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-08-01164
Total number of active participants reported on line 7a of the Form 55002017-08-01145
Number of retired or separated participants receiving benefits2017-08-012
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01147
2016: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-08-01193
Total number of active participants reported on line 7a of the Form 55002016-08-01164
Number of retired or separated participants receiving benefits2016-08-012
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01166
2015: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-08-01193
Total number of active participants reported on line 7a of the Form 55002015-08-01135
Total of all active and inactive participants2015-08-01135
2014: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-08-01154
Total number of active participants reported on line 7a of the Form 55002014-08-01193
Total of all active and inactive participants2014-08-01193
2013: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-08-01163
Total number of active participants reported on line 7a of the Form 55002013-08-01154
Total of all active and inactive participants2013-08-01154
2012: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-08-01123
Total number of active participants reported on line 7a of the Form 55002012-08-01163
Total of all active and inactive participants2012-08-01163
2011: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-08-01134
Total number of active participants reported on line 7a of the Form 55002011-08-01123
Total of all active and inactive participants2011-08-01123
2009: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-08-01166
Total number of active participants reported on line 7a of the Form 55002009-08-01167
Total of all active and inactive participants2009-08-01167

Financial Data on OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST

Measure Date Value
2022 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2022 401k financial data
Total income from all sources (including contributions)2022-07-31$3,026,305
Total of all expenses incurred2022-07-31$3,026,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-07-31$2,790,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-07-31$3,026,305
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-07-31$235,775
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-07-31No
Was this plan covered by a fidelity bond2022-07-31No
If this is an individual account plan, was there a blackout period2022-07-31No
Were there any nonexempt tranactions with any party-in-interest2022-07-31No
Contributions received from participants2022-07-31$275,521
Income. Received or receivable in cash from other sources (including rollovers)2022-07-31$8,071
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-31No
Value of net income/loss2022-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-07-31No
Were any leases to which the plan was party in default or uncollectible2022-07-31No
Investment advisory and management fees2022-07-31$235,775
Expenses. Payments to insurance carriers foe the provision of benefits2022-07-31$444,983
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-07-31No
Was there a failure to transmit to the plan any participant contributions2022-07-31No
Has the plan failed to provide any benefit when due under the plan2022-07-31No
Contributions received in cash from employer2022-07-31$2,742,713
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-07-31$2,345,547
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-07-31No
Did the plan have assets held for investment2022-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-07-31No
Opinion of an independent qualified public accountant for this plan2022-07-31Unqualified
Accountancy firm name2022-07-31BREEDING HENDERSON & HORD, PLLC
Accountancy firm EIN2022-07-31800874573
2021 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2021 401k financial data
Total income from all sources (including contributions)2021-07-31$3,017,686
Total of all expenses incurred2021-07-31$3,017,686
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-07-31$2,821,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-07-31$3,017,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-07-31$196,472
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-07-31No
Was this plan covered by a fidelity bond2021-07-31Yes
Value of fidelity bond cover2021-07-31$200,000
If this is an individual account plan, was there a blackout period2021-07-31No
Were there any nonexempt tranactions with any party-in-interest2021-07-31No
Contributions received from participants2021-07-31$321,930
Income. Received or receivable in cash from other sources (including rollovers)2021-07-31$8,364
Administrative expenses (other) incurred2021-07-31$196,472
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-07-31No
Value of net assets at end of year (total assets less liabilities)2021-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-07-31No
Were any leases to which the plan was party in default or uncollectible2021-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-07-31$341,595
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-07-31No
Was there a failure to transmit to the plan any participant contributions2021-07-31No
Has the plan failed to provide any benefit when due under the plan2021-07-31No
Contributions received in cash from employer2021-07-31$2,687,392
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-07-31$2,479,619
Did the plan have assets held for investment2021-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-07-31No
Opinion of an independent qualified public accountant for this plan2021-07-31Unqualified
Accountancy firm name2021-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2021-07-31800874573
2020 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2020 401k financial data
Total income from all sources (including contributions)2020-07-31$2,003,712
Total of all expenses incurred2020-07-31$2,003,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-31$1,861,058
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-31$2,003,712
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-31$142,654
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-31No
Was this plan covered by a fidelity bond2020-07-31Yes
Value of fidelity bond cover2020-07-31$200,000
If this is an individual account plan, was there a blackout period2020-07-31No
Were there any nonexempt tranactions with any party-in-interest2020-07-31No
Contributions received from participants2020-07-31$278,129
Income. Received or receivable in cash from other sources (including rollovers)2020-07-31$9,359
Administrative expenses (other) incurred2020-07-31$142,654
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Value of net assets at end of year (total assets less liabilities)2020-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-31No
Were any leases to which the plan was party in default or uncollectible2020-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-07-31$327,076
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-31No
Was there a failure to transmit to the plan any participant contributions2020-07-31No
Has the plan failed to provide any benefit when due under the plan2020-07-31No
Contributions received in cash from employer2020-07-31$1,716,224
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-07-31$1,533,982
Did the plan have assets held for investment2020-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-07-31No
Opinion of an independent qualified public accountant for this plan2020-07-31Unqualified
Accountancy firm name2020-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2020-07-31800874573
2019 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2019 401k financial data
Total income from all sources (including contributions)2019-07-31$2,653,938
Total of all expenses incurred2019-07-31$2,653,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-07-31$2,440,854
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-07-31$2,653,938
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-07-31$213,084
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-07-31No
Was this plan covered by a fidelity bond2019-07-31Yes
Value of fidelity bond cover2019-07-31$200,000
If this is an individual account plan, was there a blackout period2019-07-31No
Were there any nonexempt tranactions with any party-in-interest2019-07-31No
Contributions received from participants2019-07-31$257,409
Administrative expenses (other) incurred2019-07-31$213,084
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Value of net assets at end of year (total assets less liabilities)2019-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-07-31No
Were any leases to which the plan was party in default or uncollectible2019-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-07-31$286,533
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-07-31No
Was there a failure to transmit to the plan any participant contributions2019-07-31No
Has the plan failed to provide any benefit when due under the plan2019-07-31No
Contributions received in cash from employer2019-07-31$2,396,529
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-07-31$2,154,321
Did the plan have assets held for investment2019-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-07-31No
Opinion of an independent qualified public accountant for this plan2019-07-31Unqualified
Accountancy firm name2019-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2019-07-31800874573
2018 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2018 401k financial data
Total income from all sources (including contributions)2018-07-31$1,742,402
Total of all expenses incurred2018-07-31$1,742,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-07-31$1,635,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-07-31$1,742,402
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-07-31$106,417
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-07-31No
Was this plan covered by a fidelity bond2018-07-31Yes
Value of fidelity bond cover2018-07-31$200,000
If this is an individual account plan, was there a blackout period2018-07-31No
Were there any nonexempt tranactions with any party-in-interest2018-07-31No
Contributions received from participants2018-07-31$251,303
Administrative expenses (other) incurred2018-07-31$106,417
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Value of net assets at end of year (total assets less liabilities)2018-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-07-31No
Were any leases to which the plan was party in default or uncollectible2018-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-07-31$249,001
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-07-31No
Was there a failure to transmit to the plan any participant contributions2018-07-31No
Has the plan failed to provide any benefit when due under the plan2018-07-31No
Contributions received in cash from employer2018-07-31$1,491,099
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-07-31$1,386,984
Did the plan have assets held for investment2018-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-07-31No
Opinion of an independent qualified public accountant for this plan2018-07-31Unqualified
Accountancy firm name2018-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2018-07-31800874573
2017 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2017 401k financial data
Total income from all sources (including contributions)2017-07-31$1,471,653
Total of all expenses incurred2017-07-31$1,471,653
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-07-31$1,357,067
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-07-31$1,471,653
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-07-31$114,586
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-07-31No
Was this plan covered by a fidelity bond2017-07-31Yes
Value of fidelity bond cover2017-07-31$200,000
If this is an individual account plan, was there a blackout period2017-07-31No
Were there any nonexempt tranactions with any party-in-interest2017-07-31No
Contributions received from participants2017-07-31$239,790
Administrative expenses (other) incurred2017-07-31$114,586
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Value of net assets at end of year (total assets less liabilities)2017-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-07-31No
Were any leases to which the plan was party in default or uncollectible2017-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-07-31$221,608
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-07-31No
Was there a failure to transmit to the plan any participant contributions2017-07-31No
Has the plan failed to provide any benefit when due under the plan2017-07-31No
Contributions received in cash from employer2017-07-31$1,231,863
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-07-31$1,135,459
Did the plan have assets held for investment2017-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-07-31No
Opinion of an independent qualified public accountant for this plan2017-07-31Unqualified
Accountancy firm name2017-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2017-07-31800874573
2016 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2016 401k financial data
Total income from all sources (including contributions)2016-07-31$1,979,286
Total of all expenses incurred2016-07-31$1,979,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-07-31$1,885,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-07-31$1,979,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-07-31$93,441
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-07-31No
Was this plan covered by a fidelity bond2016-07-31Yes
Value of fidelity bond cover2016-07-31$200,000
If this is an individual account plan, was there a blackout period2016-07-31No
Were there any nonexempt tranactions with any party-in-interest2016-07-31No
Contributions received from participants2016-07-31$245,911
Administrative expenses (other) incurred2016-07-31$93,441
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-31No
Value of net income/loss2016-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-07-31No
Were any leases to which the plan was party in default or uncollectible2016-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-07-31$229,066
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-07-31No
Was there a failure to transmit to the plan any participant contributions2016-07-31No
Has the plan failed to provide any benefit when due under the plan2016-07-31No
Contributions received in cash from employer2016-07-31$1,733,375
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-07-31$1,656,779
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-07-31No
Did the plan have assets held for investment2016-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-07-31No
Opinion of an independent qualified public accountant for this plan2016-07-31Unqualified
Accountancy firm name2016-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2016-07-31800874573
2015 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2015 401k financial data
Total income from all sources (including contributions)2015-07-31$2,056,877
Total of all expenses incurred2015-07-31$2,056,877
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-07-31$1,939,786
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-07-31$2,056,877
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-07-31$117,091
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-07-31No
Was this plan covered by a fidelity bond2015-07-31Yes
Value of fidelity bond cover2015-07-31$500,000
If this is an individual account plan, was there a blackout period2015-07-31No
Were there any nonexempt tranactions with any party-in-interest2015-07-31No
Contributions received from participants2015-07-31$297,369
Administrative expenses (other) incurred2015-07-31$117,091
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-31No
Value of net income/loss2015-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-07-31No
Were any leases to which the plan was party in default or uncollectible2015-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-07-31$261,926
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-07-31No
Was there a failure to transmit to the plan any participant contributions2015-07-31No
Has the plan failed to provide any benefit when due under the plan2015-07-31No
Contributions received in cash from employer2015-07-31$1,759,508
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-07-31$1,677,860
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-07-31No
Did the plan have assets held for investment2015-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-07-31No
Opinion of an independent qualified public accountant for this plan2015-07-31Unqualified
Accountancy firm name2015-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2015-07-31800874573
2014 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2014 401k financial data
Total income from all sources (including contributions)2014-07-31$1,444,925
Total of all expenses incurred2014-07-31$1,444,925
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-07-31$1,359,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-07-31$1,444,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-07-31$85,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-07-31No
Was this plan covered by a fidelity bond2014-07-31Yes
Value of fidelity bond cover2014-07-31$500,000
If this is an individual account plan, was there a blackout period2014-07-31No
Were there any nonexempt tranactions with any party-in-interest2014-07-31No
Contributions received from participants2014-07-31$264,372
Administrative expenses (other) incurred2014-07-31$85,840
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-07-31No
Value of net income/loss2014-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-07-31No
Were any leases to which the plan was party in default or uncollectible2014-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-07-31$228,226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-07-31No
Was there a failure to transmit to the plan any participant contributions2014-07-31No
Has the plan failed to provide any benefit when due under the plan2014-07-31No
Contributions received in cash from employer2014-07-31$1,180,553
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-07-31$1,130,859
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-07-31No
Did the plan have assets held for investment2014-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-07-31No
Opinion of an independent qualified public accountant for this plan2014-07-31Unqualified
Accountancy firm name2014-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2014-07-31800874573
2013 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2013 401k financial data
Total income from all sources (including contributions)2013-07-31$1,226,894
Total of all expenses incurred2013-07-31$1,226,894
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-07-31$1,122,320
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-07-31$1,226,894
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-07-31$104,574
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-07-31No
Was this plan covered by a fidelity bond2013-07-31Yes
Value of fidelity bond cover2013-07-31$500,000
If this is an individual account plan, was there a blackout period2013-07-31No
Were there any nonexempt tranactions with any party-in-interest2013-07-31No
Contributions received from participants2013-07-31$204,519
Administrative expenses (other) incurred2013-07-31$104,574
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-31No
Value of net income/loss2013-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-07-31No
Were any leases to which the plan was party in default or uncollectible2013-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-07-31$165,357
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-07-31No
Was there a failure to transmit to the plan any participant contributions2013-07-31No
Has the plan failed to provide any benefit when due under the plan2013-07-31No
Contributions received in cash from employer2013-07-31$1,022,375
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-07-31$956,963
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-07-31No
Did the plan have assets held for investment2013-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-07-31No
Opinion of an independent qualified public accountant for this plan2013-07-31Unqualified
Accountancy firm name2013-07-31BREEDING HEDNERSON & HORD PLLC
Accountancy firm EIN2013-07-31800874573
2012 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2012 401k financial data
Total income from all sources (including contributions)2012-07-31$962,539
Total of all expenses incurred2012-07-31$962,539
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-07-31$865,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-07-31$962,539
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-07-31$96,814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-07-31No
Was this plan covered by a fidelity bond2012-07-31Yes
Value of fidelity bond cover2012-07-31$500,000
If this is an individual account plan, was there a blackout period2012-07-31No
Were there any nonexempt tranactions with any party-in-interest2012-07-31No
Contributions received from participants2012-07-31$197,779
Administrative expenses (other) incurred2012-07-31$96,814
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-31No
Value of net income/loss2012-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-07-31No
Were any leases to which the plan was party in default or uncollectible2012-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-07-31$197,164
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-07-31No
Was there a failure to transmit to the plan any participant contributions2012-07-31No
Has the plan failed to provide any benefit when due under the plan2012-07-31No
Contributions received in cash from employer2012-07-31$764,760
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-07-31$668,561
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-07-31No
Did the plan have assets held for investment2012-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-07-31No
Opinion of an independent qualified public accountant for this plan2012-07-31Unqualified
Accountancy firm name2012-07-31BREEDING HENDERSON & HORD PLLC
Accountancy firm EIN2012-07-31800874573
2011 : OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2011 401k financial data
Total income from all sources (including contributions)2011-07-31$1,274,094
Total of all expenses incurred2011-07-31$1,274,094
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-07-31$1,144,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-07-31$1,274,094
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-07-31$129,105
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-07-31No
Was this plan covered by a fidelity bond2011-07-31Yes
Value of fidelity bond cover2011-07-31$500,000
If this is an individual account plan, was there a blackout period2011-07-31No
Were there any nonexempt tranactions with any party-in-interest2011-07-31No
Contributions received from participants2011-07-31$274,708
Administrative expenses (other) incurred2011-07-31$129,105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-31No
Value of net income/loss2011-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-07-31No
Were any leases to which the plan was party in default or uncollectible2011-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-07-31$245,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-07-31No
Was there a failure to transmit to the plan any participant contributions2011-07-31No
Has the plan failed to provide any benefit when due under the plan2011-07-31No
Contributions received in cash from employer2011-07-31$999,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-07-31$899,942
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-07-31No
Did the plan have assets held for investment2011-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-07-31No
Opinion of an independent qualified public accountant for this plan2011-07-31Unqualified
Accountancy firm name2011-07-31DULWORTH, BREEDING, KARNS & PLEASAN
Accountancy firm EIN2011-07-31611165017

Form 5500 Responses for OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST

2021: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan funding arrangement – General assets of the sponsorYes
2021-08-01Plan benefit arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – General assets of the sponsorYes
2020: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – General assets of the sponsorYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – General assets of the sponsorYes
2019: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – General assets of the sponsorYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – General assets of the sponsorYes
2018: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – General assets of the sponsorYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – General assets of the sponsorYes
2017: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – General assets of the sponsorYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – General assets of the sponsorYes
2016: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – General assets of the sponsorYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – General assets of the sponsorYes
2015: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan funding arrangement – General assets of the sponsorYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – General assets of the sponsorYes
2014: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – General assets of the sponsorYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – General assets of the sponsorYes
2013: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – General assets of the sponsorYes
2012: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan funding arrangement – General assets of the sponsorYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – General assets of the sponsorYes
2011: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – General assets of the sponsorYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – General assets of the sponsorYes
2009: OUTDOOR VENTURE CORPORATION HEALTH BENEFIT TRUST 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01This submission is the final filingNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan funding arrangement – General assets of the sponsorYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100017156
Policy instance 6
Insurance contract or identification number40000100017156
Number of Individuals Covered62
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,960
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,960
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417002414014
Policy instance 5
Insurance contract or identification number417002414014
Insurance policy start date2021-07-01
Insurance policy end date2022-07-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $287,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10082062
Policy instance 4
Insurance contract or identification number10082062
Number of Individuals Covered180
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10082063
Policy instance 3
Insurance contract or identification number10082063
Number of Individuals Covered181
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10071717
Policy instance 2
Insurance contract or identification number10071717
Number of Individuals Covered181
Insurance policy start date2021-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number15559
Policy instance 1
Insurance contract or identification number15559
Number of Individuals Covered49
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $2,636
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,338
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010082063
Policy instance 1
Insurance contract or identification number000010082063
Number of Individuals Covered168
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,246
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 brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010071717
Policy instance 2
Insurance contract or identification number000010071717
Number of Individuals Covered169
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010082062
Policy instance 3
Insurance contract or identification number000010082062
Number of Individuals Covered167
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100017156
Policy instance 4
Insurance contract or identification number40000100017156
Number of Individuals Covered68
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $4,421
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,908
Additional information about fees paid to insurance brokerBROKER COMMISSIONS
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417002414014
Policy instance 5
Insurance contract or identification number417002414014
Number of Individuals Covered217
Insurance policy start date2020-07-01
Insurance policy end date2021-07-01
Welfare Benefit Premiums Paid to CarrierUSD $301,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number15559
Policy instance 6
Insurance contract or identification number15559
Number of Individuals Covered43
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $3,042
Total amount of fees paid to insurance companyUSD $93
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,042
Amount paid for insurance broker fees93
Additional information about fees paid to insurance brokerBROKER COMMISSIONS SUPPLEMENTAL COMP
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417002414014
Policy instance 5
Insurance contract or identification number417002414014
Number of Individuals Covered217
Insurance policy start date2019-08-01
Insurance policy end date2020-08-01
Welfare Benefit Premiums Paid to CarrierUSD $229,605
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100017156
Policy instance 4
Insurance contract or identification number40000100017156
Number of Individuals Covered61
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $3,360
Total amount of fees paid to insurance companyUSD $939
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,360
Amount paid for insurance broker fees939
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010082062
Policy instance 3
Insurance contract or identification number000010082062
Number of Individuals Covered148
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of fees paid to insurance companyUSD $763
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees763
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010071717
Policy instance 2
Insurance contract or identification number000010071717
Number of Individuals Covered150
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of fees paid to insurance companyUSD $637
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees637
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010082063
Policy instance 1
Insurance contract or identification number000010082063
Number of Individuals Covered149
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of fees paid to insurance companyUSD $778
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees778
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number15559
Policy instance 1
Insurance contract or identification number15559
Number of Individuals Covered53
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $3,492
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,492
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010082063
Policy instance 2
Insurance contract or identification number000010082063
Number of Individuals Covered154
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of fees paid to insurance companyUSD $1,025
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1025
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010071717
Policy instance 3
Insurance contract or identification number000010071717
Number of Individuals Covered155
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of fees paid to insurance companyUSD $823
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees823
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010082062
Policy instance 4
Insurance contract or identification number000010082062
Number of Individuals Covered153
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of fees paid to insurance companyUSD $1,000
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1000
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100017156
Policy instance 5
Insurance contract or identification number40000100017156
Number of Individuals Covered50
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $3,215
Total amount of fees paid to insurance companyUSD $1,226
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,215
Amount paid for insurance broker fees1226
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100017156
Policy instance 5
Insurance contract or identification number40000100017156
Number of Individuals Covered46
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $2,780
Total amount of fees paid to insurance companyUSD $911
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010082062
Policy instance 4
Insurance contract or identification number000010082062
Number of Individuals Covered137
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of fees paid to insurance companyUSD $734
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010071717
Policy instance 3
Insurance contract or identification number000010071717
Number of Individuals Covered139
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of fees paid to insurance companyUSD $611
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010082063
Policy instance 2
Insurance contract or identification number000010082063
Number of Individuals Covered138
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of fees paid to insurance companyUSD $758
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number15559
Policy instance 1
Insurance contract or identification number15559
Number of Individuals Covered51
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $2,962
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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