INDUSTRIAL MANUFACTURING AND PROFESSIONAL COMMERCIAL TRUST has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST
401k plan membership statisitcs for INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST
| Measure | Date | Value |
|---|
| 2022 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-12-31 | $106,868 |
| Total unrealized appreciation/depreciation of assets | 2022-12-31 | $106,868 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $3,619,326 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $3,098,294 |
| Total income from all sources (including contributions) | 2022-12-31 | $44,399,748 |
| Total loss/gain on sale of assets | 2022-12-31 | $-31,914 |
| Total of all expenses incurred | 2022-12-31 | $45,680,840 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $44,327,496 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $44,926,884 |
| Value of total assets at end of year | 2022-12-31 | $7,742,453 |
| Value of total assets at beginning of year | 2022-12-31 | $8,502,513 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $1,353,344 |
| Total interest from all sources | 2022-12-31 | $43,829 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $73,483 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-12-31 | $64,403 |
| Administrative expenses professional fees incurred | 2022-12-31 | $168,103 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $654,521 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $706,315 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-12-31 | $1,681,998 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $1,576,069 |
| Administrative expenses (other) incurred | 2022-12-31 | $493,246 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $97,910 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $86,159 |
| Total non interest bearing cash at end of year | 2022-12-31 | $1,827,700 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $1,942,751 |
| Value of net income/loss | 2022-12-31 | $-1,281,092 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $4,123,127 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $5,404,219 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Investment advisory and management fees | 2022-12-31 | $37,928 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $2,194,394 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $3,230,321 |
| Income. Interest from corporate debt instruments | 2022-12-31 | $25,688 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-12-31 | $1,878,652 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $155,040 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $155,040 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $18,141 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $29,983,709 |
| Asset value of US Government securities at end of year | 2022-12-31 | $589,742 |
| Asset value of US Government securities at beginning of year | 2022-12-31 | $704,141 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-12-31 | $-719,402 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $44,926,884 |
| Employer contributions (assets) at end of year | 2022-12-31 | $69,723 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $40,119 |
| Income. Dividends from common stock | 2022-12-31 | $9,080 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $14,343,787 |
| Contract administrator fees | 2022-12-31 | $654,067 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2022-12-31 | $527,721 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2022-12-31 | $1,723,826 |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $1,839,418 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $1,436,066 |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2022-12-31 | $5,465,107 |
| Aggregate carrying amount (costs) on sale of assets | 2022-12-31 | $5,497,021 |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2022-12-31 | 611336870 |
| 2021 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-12-31 | $322,059 |
| Total unrealized appreciation/depreciation of assets | 2021-12-31 | $322,059 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $3,098,294 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $1,806,073 |
| Total income from all sources (including contributions) | 2021-12-31 | $50,017,391 |
| Total loss/gain on sale of assets | 2021-12-31 | $65,884 |
| Total of all expenses incurred | 2021-12-31 | $49,773,000 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $48,744,436 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $49,366,988 |
| Value of total assets at end of year | 2021-12-31 | $8,502,513 |
| Value of total assets at beginning of year | 2021-12-31 | $6,965,901 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $1,028,564 |
| Total interest from all sources | 2021-12-31 | $33,255 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $119,987 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-12-31 | $92,230 |
| Administrative expenses professional fees incurred | 2021-12-31 | $43,872 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $706,315 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $1,367,397 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $1,576,069 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-12-31 | $1,695,968 |
| Administrative expenses (other) incurred | 2021-12-31 | $22,308 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $86,159 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $97,147 |
| Total non interest bearing cash at end of year | 2021-12-31 | $1,942,751 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $191,125 |
| Value of net income/loss | 2021-12-31 | $244,391 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $5,404,219 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $5,159,828 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Investment advisory and management fees | 2021-12-31 | $35,222 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $3,230,321 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $2,866,705 |
| Income. Interest from corporate debt instruments | 2021-12-31 | $33,236 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $155,040 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $117,296 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $117,296 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-12-31 | $19 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $44,965,304 |
| Asset value of US Government securities at end of year | 2021-12-31 | $704,141 |
| Asset value of US Government securities at beginning of year | 2021-12-31 | $936,123 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-12-31 | $109,218 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $49,366,988 |
| Employer contributions (assets) at end of year | 2021-12-31 | $40,119 |
| Employer contributions (assets) at beginning of year | 2021-12-31 | $127,402 |
| Income. Dividends from common stock | 2021-12-31 | $27,757 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $3,779,132 |
| Contract administrator fees | 2021-12-31 | $927,162 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2021-12-31 | $1,723,826 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2021-12-31 | $1,359,853 |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $1,436,066 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $12,958 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2021-12-31 | $2,779,952 |
| Aggregate carrying amount (costs) on sale of assets | 2021-12-31 | $2,714,068 |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2021-12-31 | 611336870 |
| 2020 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-12-31 | $191,145 |
| Total unrealized appreciation/depreciation of assets | 2020-12-31 | $191,145 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $1,806,073 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $2,368,651 |
| Total income from all sources (including contributions) | 2020-12-31 | $53,749,334 |
| Total loss/gain on sale of assets | 2020-12-31 | $-71,014 |
| Total of all expenses incurred | 2020-12-31 | $53,403,950 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $52,446,782 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $53,152,109 |
| Value of total assets at end of year | 2020-12-31 | $6,965,901 |
| Value of total assets at beginning of year | 2020-12-31 | $7,183,095 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $957,168 |
| Total interest from all sources | 2020-12-31 | $35,862 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $105,890 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $84,921 |
| Administrative expenses professional fees incurred | 2020-12-31 | $11,000 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $1,367,397 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $853,690 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $1,695,968 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $1,445,268 |
| Other income not declared elsewhere | 2020-12-31 | $182,088 |
| Administrative expenses (other) incurred | 2020-12-31 | $31,650 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $97,147 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $76,381 |
| Total non interest bearing cash at end of year | 2020-12-31 | $191,125 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $1,464,222 |
| Value of net income/loss | 2020-12-31 | $345,384 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $5,159,828 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $4,814,444 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Investment advisory and management fees | 2020-12-31 | $27,873 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $2,866,705 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $1,961,992 |
| Income. Interest from corporate debt instruments | 2020-12-31 | $35,479 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $117,296 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $121,814 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $121,814 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $383 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $52,446,782 |
| Asset value of US Government securities at end of year | 2020-12-31 | $936,123 |
| Asset value of US Government securities at beginning of year | 2020-12-31 | $1,374,709 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-12-31 | $153,254 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $53,152,109 |
| Employer contributions (assets) at end of year | 2020-12-31 | $127,402 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $168,082 |
| Income. Dividends from common stock | 2020-12-31 | $20,969 |
| Contract administrator fees | 2020-12-31 | $886,645 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2020-12-31 | $1,359,853 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2020-12-31 | $1,238,586 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $12,958 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $847,002 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2020-12-31 | $3,682,210 |
| Aggregate carrying amount (costs) on sale of assets | 2020-12-31 | $3,753,224 |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2020-12-31 | 611336870 |
| 2019 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-12-31 | $173,097 |
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $173,097 |
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $173,097 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $2,368,651 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $2,368,651 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $2,120,704 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $2,120,704 |
| Total income from all sources (including contributions) | 2019-12-31 | $50,948,187 |
| Total income from all sources (including contributions) | 2019-12-31 | $50,948,187 |
| Total loss/gain on sale of assets | 2019-12-31 | $39,698 |
| Total loss/gain on sale of assets | 2019-12-31 | $39,698 |
| Total of all expenses incurred | 2019-12-31 | $50,327,248 |
| Total of all expenses incurred | 2019-12-31 | $50,327,248 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $49,423,581 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $49,423,581 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $50,338,526 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $50,338,526 |
| Value of total assets at end of year | 2019-12-31 | $7,183,095 |
| Value of total assets at end of year | 2019-12-31 | $7,183,095 |
| Value of total assets at beginning of year | 2019-12-31 | $6,314,209 |
| Value of total assets at beginning of year | 2019-12-31 | $6,314,209 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $903,667 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $903,667 |
| Total interest from all sources | 2019-12-31 | $64,384 |
| Total interest from all sources | 2019-12-31 | $64,384 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $87,572 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $87,572 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $62,475 |
| Administrative expenses professional fees incurred | 2019-12-31 | $10,000 |
| Administrative expenses professional fees incurred | 2019-12-31 | $10,000 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $853,690 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $853,690 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $1,133,751 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $1,133,751 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $1,445,268 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $1,445,268 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $1,724,534 |
| Other income not declared elsewhere | 2019-12-31 | $11,279 |
| Other income not declared elsewhere | 2019-12-31 | $11,279 |
| Administrative expenses (other) incurred | 2019-12-31 | $28,669 |
| Administrative expenses (other) incurred | 2019-12-31 | $28,669 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $76,381 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $76,381 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $58,693 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $58,693 |
| Total non interest bearing cash at end of year | 2019-12-31 | $1,464,222 |
| Total non interest bearing cash at end of year | 2019-12-31 | $1,464,222 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $853,094 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $853,094 |
| Value of net income/loss | 2019-12-31 | $620,939 |
| Value of net income/loss | 2019-12-31 | $620,939 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $4,814,444 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $4,814,444 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $4,193,505 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $4,193,505 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Investment advisory and management fees | 2019-12-31 | $26,942 |
| Investment advisory and management fees | 2019-12-31 | $26,942 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $1,961,992 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $1,799,478 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $1,799,478 |
| Income. Interest from corporate debt instruments | 2019-12-31 | $59,082 |
| Income. Interest from corporate debt instruments | 2019-12-31 | $59,082 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $121,814 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $902,525 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $902,525 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $902,525 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $902,525 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $5,302 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $5,302 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $49,423,581 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $49,423,581 |
| Asset value of US Government securities at end of year | 2019-12-31 | $1,374,709 |
| Asset value of US Government securities at end of year | 2019-12-31 | $1,374,709 |
| Asset value of US Government securities at beginning of year | 2019-12-31 | $1,207,474 |
| Asset value of US Government securities at beginning of year | 2019-12-31 | $1,207,474 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $233,631 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $233,631 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | Yes |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $50,338,526 |
| Contributions received in cash from employer | 2019-12-31 | $50,338,526 |
| Employer contributions (assets) at end of year | 2019-12-31 | $168,082 |
| Employer contributions (assets) at end of year | 2019-12-31 | $168,082 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $164,065 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $164,065 |
| Income. Dividends from common stock | 2019-12-31 | $25,097 |
| Income. Dividends from common stock | 2019-12-31 | $25,097 |
| Contract administrator fees | 2019-12-31 | $838,056 |
| Contract administrator fees | 2019-12-31 | $838,056 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2019-12-31 | $1,238,586 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2019-12-31 | $1,238,586 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2019-12-31 | $253,822 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2019-12-31 | $253,822 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $847,002 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $847,002 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $337,477 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $337,477 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2019-12-31 | $4,735,609 |
| Aggregate proceeds on sale of assets | 2019-12-31 | $4,735,609 |
| Aggregate carrying amount (costs) on sale of assets | 2019-12-31 | $4,695,911 |
| Aggregate carrying amount (costs) on sale of assets | 2019-12-31 | $4,695,911 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2019-12-31 | 611336870 |
| Accountancy firm EIN | 2019-12-31 | 611336870 |
| 2018 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-12-31 | $-91,231 |
| Total unrealized appreciation/depreciation of assets | 2018-12-31 | $-91,231 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $2,120,704 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $1,875,031 |
| Total income from all sources (including contributions) | 2018-12-31 | $44,431,436 |
| Total loss/gain on sale of assets | 2018-12-31 | $16,541 |
| Total of all expenses incurred | 2018-12-31 | $43,688,991 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $42,879,615 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $44,200,879 |
| Value of total assets at end of year | 2018-12-31 | $6,314,209 |
| Value of total assets at beginning of year | 2018-12-31 | $5,326,091 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $809,376 |
| Total interest from all sources | 2018-12-31 | $68,399 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $58,754 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $52,799 |
| Administrative expenses professional fees incurred | 2018-12-31 | $11,000 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $1,133,751 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $1,017,912 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $1,724,534 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $1,508,048 |
| Other income not declared elsewhere | 2018-12-31 | $303,015 |
| Administrative expenses (other) incurred | 2018-12-31 | $53,489 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $58,693 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $46,998 |
| Total non interest bearing cash at end of year | 2018-12-31 | $853,094 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $563,210 |
| Value of net income/loss | 2018-12-31 | $742,445 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $4,193,505 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $3,451,060 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Investment advisory and management fees | 2018-12-31 | $23,407 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $1,799,478 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $1,862,577 |
| Income. Interest from corporate debt instruments | 2018-12-31 | $62,456 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $902,525 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $264,680 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $264,680 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $5,943 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $42,879,615 |
| Asset value of US Government securities at end of year | 2018-12-31 | $1,207,474 |
| Asset value of US Government securities at beginning of year | 2018-12-31 | $1,234,860 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-124,921 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $44,200,879 |
| Employer contributions (assets) at end of year | 2018-12-31 | $164,065 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $73,712 |
| Income. Dividends from common stock | 2018-12-31 | $5,955 |
| Contract administrator fees | 2018-12-31 | $721,480 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2018-12-31 | $253,822 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-12-31 | $309,140 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $337,477 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $319,985 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2018-12-31 | $2,573,894 |
| Aggregate carrying amount (costs) on sale of assets | 2018-12-31 | $2,557,353 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2018-12-31 | 611336870 |
| 2017 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $122,431 |
| Total unrealized appreciation/depreciation of assets | 2017-12-31 | $122,431 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $1,875,031 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $2,974,567 |
| Total income from all sources (including contributions) | 2017-12-31 | $35,567,192 |
| Total loss/gain on sale of assets | 2017-12-31 | $5,639 |
| Total of all expenses incurred | 2017-12-31 | $35,410,851 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $34,731,349 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $35,290,482 |
| Value of total assets at end of year | 2017-12-31 | $5,326,091 |
| Value of total assets at beginning of year | 2017-12-31 | $6,269,286 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $679,502 |
| Total interest from all sources | 2017-12-31 | $42,130 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $75,777 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-12-31 | $71,779 |
| Administrative expenses professional fees incurred | 2017-12-31 | $12,000 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $1,017,912 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $952,791 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $1,508,048 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $1,210,229 |
| Administrative expenses (other) incurred | 2017-12-31 | $26,508 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $46,998 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $43,795 |
| Total non interest bearing cash at end of year | 2017-12-31 | $563,210 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $1,282,352 |
| Value of net income/loss | 2017-12-31 | $156,341 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $3,451,060 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $3,294,719 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Investment advisory and management fees | 2017-12-31 | $23,080 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $1,862,577 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $1,474,515 |
| Income. Interest from corporate debt instruments | 2017-12-31 | $38,672 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $264,680 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $1,027,672 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $1,027,672 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $3,458 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $34,731,349 |
| Asset value of US Government securities at end of year | 2017-12-31 | $1,234,860 |
| Asset value of US Government securities at beginning of year | 2017-12-31 | $1,267,617 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-12-31 | $30,733 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $35,290,482 |
| Employer contributions (assets) at end of year | 2017-12-31 | $73,712 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $20,918 |
| Income. Dividends from common stock | 2017-12-31 | $3,998 |
| Contract administrator fees | 2017-12-31 | $617,914 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2017-12-31 | $309,140 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-12-31 | $243,421 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $319,985 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $1,720,543 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2017-12-31 | $3,113,117 |
| Aggregate carrying amount (costs) on sale of assets | 2017-12-31 | $3,107,478 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2017-12-31 | 611336870 |
| 2016 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $-9,589 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $-9,589 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $2,974,567 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $2,907,692 |
| Total income from all sources (including contributions) | 2016-12-31 | $32,635,316 |
| Total loss/gain on sale of assets | 2016-12-31 | $-4,691 |
| Total of all expenses incurred | 2016-12-31 | $32,596,391 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $32,014,527 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $32,524,491 |
| Value of total assets at end of year | 2016-12-31 | $6,269,286 |
| Value of total assets at beginning of year | 2016-12-31 | $6,163,486 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $581,864 |
| Total interest from all sources | 2016-12-31 | $44,596 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $37,778 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $32,950 |
| Administrative expenses professional fees incurred | 2016-12-31 | $13,000 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $952,791 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $663,031 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $1,210,229 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $1,128,615 |
| Administrative expenses (other) incurred | 2016-12-31 | $35,828 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $43,795 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $58,659 |
| Total non interest bearing cash at end of year | 2016-12-31 | $1,282,352 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $1,240,852 |
| Value of net income/loss | 2016-12-31 | $38,925 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $3,294,719 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $3,255,794 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Investment advisory and management fees | 2016-12-31 | $12,685 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $1,474,515 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $1,957,929 |
| Income. Interest from corporate debt instruments | 2016-12-31 | $40,694 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $1,027,672 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $1,036,519 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $1,036,519 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $3,902 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $32,014,527 |
| Asset value of US Government securities at end of year | 2016-12-31 | $1,267,617 |
| Asset value of US Government securities at beginning of year | 2016-12-31 | $969,341 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-12-31 | $42,731 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $32,524,491 |
| Employer contributions (assets) at end of year | 2016-12-31 | $20,918 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $64,542 |
| Income. Dividends from common stock | 2016-12-31 | $4,828 |
| Contract administrator fees | 2016-12-31 | $520,351 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2016-12-31 | $243,421 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2016-12-31 | $231,272 |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $1,720,543 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $1,720,418 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2016-12-31 | $2,801,140 |
| Aggregate carrying amount (costs) on sale of assets | 2016-12-31 | $2,805,831 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2016-12-31 | 611336870 |
| 2015 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $-35,655 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $-35,655 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $2,907,692 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $1,210,138 |
| Total income from all sources (including contributions) | 2015-12-31 | $34,573,429 |
| Total loss/gain on sale of assets | 2015-12-31 | $-25,897 |
| Total of all expenses incurred | 2015-12-31 | $35,053,238 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $34,228,654 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $34,476,379 |
| Value of total assets at end of year | 2015-12-31 | $6,163,486 |
| Value of total assets at beginning of year | 2015-12-31 | $4,945,741 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $824,584 |
| Total interest from all sources | 2015-12-31 | $55,239 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $47,881 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-12-31 | $47,881 |
| Administrative expenses professional fees incurred | 2015-12-31 | $11,112 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $663,031 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $809,635 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $1,128,615 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $1,105,005 |
| Other income not declared elsewhere | 2015-12-31 | $91,641 |
| Administrative expenses (other) incurred | 2015-12-31 | $50,244 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $58,659 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $79,822 |
| Total non interest bearing cash at end of year | 2015-12-31 | $1,240,852 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $242,291 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-479,809 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $3,255,794 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $3,735,603 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $19,014 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $1,957,929 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $1,049,656 |
| Income. Interest from corporate debt instruments | 2015-12-31 | $54,356 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $1,036,519 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $1,659,997 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $1,659,997 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $883 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $34,228,654 |
| Asset value of US Government securities at end of year | 2015-12-31 | $969,341 |
| Asset value of US Government securities at beginning of year | 2015-12-31 | $1,166,334 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $-36,159 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $34,476,379 |
| Employer contributions (assets) at end of year | 2015-12-31 | $64,542 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $17,828 |
| Contract administrator fees | 2015-12-31 | $744,214 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2015-12-31 | $231,272 |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $1,720,418 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $25,311 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Aggregate proceeds on sale of assets | 2015-12-31 | $3,796,877 |
| Aggregate carrying amount (costs) on sale of assets | 2015-12-31 | $3,822,774 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2015-12-31 | 611336870 |
| 2014 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $-25,215 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $-25,215 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $1,210,138 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $4,331,093 |
| Total income from all sources (including contributions) | 2014-12-31 | $1,356,358 |
| Total loss/gain on sale of assets | 2014-12-31 | $-5,551 |
| Total of all expenses incurred | 2014-12-31 | $1,533,200 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $482,996 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $1,318,319 |
| Value of total assets at end of year | 2014-12-31 | $4,945,741 |
| Value of total assets at beginning of year | 2014-12-31 | $8,243,538 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $1,050,204 |
| Total interest from all sources | 2014-12-31 | $37,953 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $17,499 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-12-31 | $17,499 |
| Administrative expenses professional fees incurred | 2014-12-31 | $25,146 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $809,635 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $797,201 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $1,105,005 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $2,712,409 |
| Administrative expenses (other) incurred | 2014-12-31 | $23,759 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $79,822 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $411,834 |
| Total non interest bearing cash at end of year | 2014-12-31 | $242,291 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $-176,842 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $3,735,603 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $3,912,445 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $15,159 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $1,049,656 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $1,521,716 |
| Income. Interest from US Government securities | 2014-12-31 | $1,500 |
| Income. Interest from corporate debt instruments | 2014-12-31 | $36,083 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $1,659,997 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $3,054,247 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $3,054,247 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $370 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $482,996 |
| Asset value of US Government securities at end of year | 2014-12-31 | $1,166,334 |
| Asset value of US Government securities at beginning of year | 2014-12-31 | $2,809,584 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-12-31 | $13,353 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $1,318,319 |
| Employer contributions (assets) at end of year | 2014-12-31 | $17,828 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $60,790 |
| Contract administrator fees | 2014-12-31 | $986,140 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $25,311 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $1,206,850 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Aggregate proceeds on sale of assets | 2014-12-31 | $4,277,286 |
| Aggregate carrying amount (costs) on sale of assets | 2014-12-31 | $4,282,837 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2014-12-31 | 611336870 |
| 2013 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $-14,405 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $-14,405 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $4,331,093 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $3,340,186 |
| Total income from all sources (including contributions) | 2013-12-31 | $53,502,205 |
| Total loss/gain on sale of assets | 2013-12-31 | $-4,063 |
| Total of all expenses incurred | 2013-12-31 | $54,647,392 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $53,352,289 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $53,485,112 |
| Value of total assets at end of year | 2013-12-31 | $8,243,538 |
| Value of total assets at beginning of year | 2013-12-31 | $8,397,818 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $1,295,103 |
| Total interest from all sources | 2013-12-31 | $33,757 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $16,062 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $16,062 |
| Administrative expenses professional fees incurred | 2013-12-31 | $85,444 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $797,201 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $705,438 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $2,712,409 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $2,676,685 |
| Administrative expenses (other) incurred | 2013-12-31 | $12,646 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $411,834 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $61,038 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $503,023 |
| Value of net income/loss | 2013-12-31 | $-1,145,187 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $3,912,445 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $5,057,632 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Investment advisory and management fees | 2013-12-31 | $20,069 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $1,521,716 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $1,337,906 |
| Income. Interest from US Government securities | 2013-12-31 | $6,500 |
| Income. Interest from corporate debt instruments | 2013-12-31 | $25,864 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $3,054,247 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $3,056,408 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $3,056,408 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $1,393 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $53,352,289 |
| Asset value of US Government securities at end of year | 2013-12-31 | $2,809,584 |
| Asset value of US Government securities at beginning of year | 2013-12-31 | $2,409,192 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $-14,258 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $53,485,112 |
| Employer contributions (assets) at end of year | 2013-12-31 | $60,790 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $335,851 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2013-12-31 | $50,000 |
| Contract administrator fees | 2013-12-31 | $1,176,944 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $1,206,850 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $602,463 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2013-12-31 | $24,196,128 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $24,200,191 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2013-12-31 | 611336870 |
| 2012 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $-56 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $-56 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $3,340,186 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $4,380,457 |
| Total income from all sources (including contributions) | 2012-12-31 | $56,907,119 |
| Total loss/gain on sale of assets | 2012-12-31 | $-2,965 |
| Total of all expenses incurred | 2012-12-31 | $56,318,156 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $55,030,221 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $56,893,980 |
| Value of total assets at end of year | 2012-12-31 | $8,397,818 |
| Value of total assets at beginning of year | 2012-12-31 | $8,849,126 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $1,287,935 |
| Total interest from all sources | 2012-12-31 | $14,757 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $3,129 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-12-31 | $3,129 |
| Administrative expenses professional fees incurred | 2012-12-31 | $27,091 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $705,438 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $568,818 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $2,676,685 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $3,041,369 |
| Administrative expenses (other) incurred | 2012-12-31 | $12,676 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $61,038 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $82,164 |
| Total non interest bearing cash at end of year | 2012-12-31 | $503,023 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $269,523 |
| Value of net income/loss | 2012-12-31 | $588,963 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $5,057,632 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $4,468,669 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Investment advisory and management fees | 2012-12-31 | $25,906 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $1,337,906 |
| Income. Interest from US Government securities | 2012-12-31 | $9,556 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $3,056,408 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $6,163,175 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $6,163,175 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $5,201 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $55,030,221 |
| Asset value of US Government securities at end of year | 2012-12-31 | $2,409,192 |
| Asset value of US Government securities at beginning of year | 2012-12-31 | $1,569,092 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $-1,726 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $56,893,980 |
| Employer contributions (assets) at end of year | 2012-12-31 | $335,851 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $278,518 |
| Asset. Corporate debt instrument preferred debt at end of year | 2012-12-31 | $50,000 |
| Contract administrator fees | 2012-12-31 | $1,222,262 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $602,463 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $1,256,924 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2012-12-31 | $3,293,892 |
| Aggregate carrying amount (costs) on sale of assets | 2012-12-31 | $3,296,857 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2012-12-31 | 611336870 |
| 2011 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $2,507 |
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $2,507 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $4,380,457 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $4,870,218 |
| Total income from all sources (including contributions) | 2011-12-31 | $59,549,488 |
| Total loss/gain on sale of assets | 2011-12-31 | $-10,615 |
| Total of all expenses incurred | 2011-12-31 | $58,999,880 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $57,635,094 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $59,274,155 |
| Value of total assets at end of year | 2011-12-31 | $8,849,126 |
| Value of total assets at beginning of year | 2011-12-31 | $8,789,279 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $1,364,786 |
| Total interest from all sources | 2011-12-31 | $27,645 |
| Administrative expenses professional fees incurred | 2011-12-31 | $16,300 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $568,818 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $827,994 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-12-31 | $3,041,369 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $3,325,985 |
| Other income not declared elsewhere | 2011-12-31 | $255,796 |
| Administrative expenses (other) incurred | 2011-12-31 | $14,842 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $82,164 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $59,522 |
| Total non interest bearing cash at end of year | 2011-12-31 | $269,523 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $220,982 |
| Value of net income/loss | 2011-12-31 | $549,608 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $4,468,669 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $3,919,061 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Investment advisory and management fees | 2011-12-31 | $24,000 |
| Income. Interest from US Government securities | 2011-12-31 | $23,875 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $6,163,175 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $5,946,144 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $5,946,144 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $3,770 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $57,635,094 |
| Asset value of US Government securities at end of year | 2011-12-31 | $1,569,092 |
| Asset value of US Government securities at beginning of year | 2011-12-31 | $1,583,648 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $59,274,155 |
| Employer contributions (assets) at end of year | 2011-12-31 | $278,518 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $210,511 |
| Contract administrator fees | 2011-12-31 | $1,309,644 |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $1,256,924 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $1,484,711 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Aggregate proceeds on sale of assets | 2011-12-31 | $2,604,130 |
| Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $2,614,745 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2011-12-31 | 611336870 |
| 2010 : INDUSTRIAL MANUFACTURING PROFESSIONAL AND COMMERCIAL TRUST 2010 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $-1,050 |
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $-1,050 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $4,870,218 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $5,270,898 |
| Total income from all sources (including contributions) | 2010-12-31 | $60,574,987 |
| Total of all expenses incurred | 2010-12-31 | $61,005,158 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $59,578,336 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $60,560,725 |
| Value of total assets at end of year | 2010-12-31 | $8,789,279 |
| Value of total assets at beginning of year | 2010-12-31 | $9,620,130 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $1,426,822 |
| Total interest from all sources | 2010-12-31 | $15,312 |
| Administrative expenses professional fees incurred | 2010-12-31 | $22,364 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $827,994 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $1,396,595 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $3,325,985 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $3,525,358 |
| Administrative expenses (other) incurred | 2010-12-31 | $21,262 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $59,522 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $51,341 |
| Total non interest bearing cash at end of year | 2010-12-31 | $220,982 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $460,155 |
| Value of net income/loss | 2010-12-31 | $-430,171 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $3,919,061 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $4,349,232 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Investment advisory and management fees | 2010-12-31 | $26,531 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $5,946,144 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $6,305,361 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $6,305,361 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $15,312 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $59,578,336 |
| Asset value of US Government securities at end of year | 2010-12-31 | $1,583,648 |
| Asset value of US Government securities at beginning of year | 2010-12-31 | $1,289,003 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $60,560,725 |
| Employer contributions (assets) at end of year | 2010-12-31 | $210,511 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $169,016 |
| Contract administrator fees | 2010-12-31 | $1,356,665 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $1,484,711 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $1,694,199 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | FRANK N HESTAND CPA PSC |
| Accountancy firm EIN | 2010-12-31 | 611336870 |
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 2 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 647 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164068 |
| Policy instance | 14 |
| Insurance contract or identification number | 164068 | | Number of Individuals Covered | 49 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-08-31 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,782 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 166169 |
| Policy instance | 15 |
| Insurance contract or identification number | 166169 | | Number of Individuals Covered | 128 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2022-08-31 | | Life 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 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 169772 |
| Policy instance | 16 |
| Insurance contract or identification number | 169772 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $2,296 | | Total amount of fees paid to insurance company | USD $858 | | Welfare Benefit Premiums Paid to Carrier | USD $12,555 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,296 | | Amount paid for insurance broker fees | 168 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 1 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1827 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164068 |
| Policy instance | 13 |
| Insurance contract or identification number | 164068 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $657 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,570 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $657 | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 3 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | 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 | ADMINISTRATION FEE | | Insurance broker organization code? | 5 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 4 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | 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 | ADMINISTRATION FEES | | Insurance broker organization code? | 5 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 5 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 1030 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $272,718 | | Total amount of fees paid to insurance company | USD $66 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,626,236 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $272,718 | | Amount paid for insurance broker fees | 66 | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYWT |
| Policy instance | 6 |
| Insurance contract or identification number | ASGKYWT | | Number of Individuals Covered | 245 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $51,505 | | Total amount of fees paid to insurance company | USD $54 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,882,978 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36,012 | | Amount paid for insurance broker fees | 54 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164796 |
| Policy instance | 12 |
| Insurance contract or identification number | 164796 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $2,027 | | Total amount of fees paid to insurance company | USD $1,216 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,157 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,027 | | Amount paid for insurance broker fees | 327 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKAIH |
| Policy instance | 11 |
| Insurance contract or identification number | ASGIKAIH | | Number of Individuals Covered | 105 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Health Insurance Welfare Benefit | Yes | | 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 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIPST |
| Policy instance | 10 |
| Insurance contract or identification number | ASGIPST | | Number of Individuals Covered | 407 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $94,706 | | Total amount of fees paid to insurance company | USD $1,100 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,614,192 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $53,175 | | Amount paid for insurance broker fees | 800 | | Insurance broker organization code? | 4 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKAIH |
| Policy instance | 9 |
| Insurance contract or identification number | ASGIKAIH | | Number of Individuals Covered | 65 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $16,955 | | Welfare Benefit Premiums Paid to Carrier | USD $755,267 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,173 | | Insurance broker organization code? | 4 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYTHO |
| Policy instance | 8 |
| Insurance contract or identification number | ASGKYTHO | | Number of Individuals Covered | 1831 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $281,493 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,509,856 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $281,493 | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKRA |
| Policy instance | 7 |
| Insurance contract or identification number | ASGKRA | | Number of Individuals Covered | 1104 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,907,646 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYWT |
| Policy instance | 7 |
| Insurance contract or identification number | ASGKYWT | | Number of Individuals Covered | 253 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,290,774 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 6 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 1404 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,001,527 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 5 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $48,226 | | 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 | ADMINISTRATION FEES | | Insurance broker organization code? | 5 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 4 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,013 | | 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 | ADMINISTRATION FEE | | Insurance broker organization code? | 5 |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 3 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 2 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 663 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 1 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1898 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKRA |
| Policy instance | 8 |
| Insurance contract or identification number | ASGKRA | | Number of Individuals Covered | 1104 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,711,780 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYTHO |
| Policy instance | 9 |
| Insurance contract or identification number | ASGKYTHO | | Number of Individuals Covered | 1996 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,751,801 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGI-KAM |
| Policy instance | 10 |
| Insurance contract or identification number | ASGI-KAM | | Number of Individuals Covered | 1212 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $6,341,669 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 4 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIPST |
| Policy instance | 11 |
| Insurance contract or identification number | ASGIPST | | Number of Individuals Covered | 272 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,908,349 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 4 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164068 |
| Policy instance | 17 |
| Insurance contract or identification number | 164068 | | Number of Individuals Covered | 49 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164068 |
| Policy instance | 16 |
| Insurance contract or identification number | 164068 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $469 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $71,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $469 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164068 |
| Policy instance | 15 |
| Insurance contract or identification number | 164068 | | Number of Individuals Covered | 49 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,194 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164068 |
| Policy instance | 14 |
| Insurance contract or identification number | 164068 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $189 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,445 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $189 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164796 |
| Policy instance | 13 |
| Insurance contract or identification number | 164796 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability 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 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKAIH |
| Policy instance | 12 |
| Insurance contract or identification number | ASGIKAIH | | Number of Individuals Covered | 105 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $739,706 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 2 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 642 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 1 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1994 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 4 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-02-29 | | Total amount of fees paid to insurance company | USD $301 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,027 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 301 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEE | | Insurance broker organization code? | 5 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 5 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of fees paid to insurance company | USD $903 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,182 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 903 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEES | | Insurance broker organization code? | 5 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 6 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 1404 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $304,239 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,623,427 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $304,239 | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYWT |
| Policy instance | 7 |
| Insurance contract or identification number | ASGKYWT | | Number of Individuals Covered | 253 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $52,574 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,927,084 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,402 | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKRA |
| Policy instance | 8 |
| Insurance contract or identification number | ASGKRA | | Number of Individuals Covered | 1104 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $363,791 | | Total amount of fees paid to insurance company | USD $130 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,934,697 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $148,385 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 30 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYTHO |
| Policy instance | 9 |
| Insurance contract or identification number | ASGKYTHO | | Number of Individuals Covered | 1996 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $336,004 | | Total amount of fees paid to insurance company | USD $200 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,007,261 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $335,914 | | Amount paid for insurance broker fees | 200 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 3 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164068 |
| Policy instance | 14 |
| Insurance contract or identification number | 164068 | | Number of Individuals Covered | 151 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $7,161 | | Total amount of fees paid to insurance company | USD $1,871 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability 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 $7,161 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1871 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164796 |
| Policy instance | 13 |
| Insurance contract or identification number | 164796 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $4,243 | | Total amount of fees paid to insurance company | USD $3,877 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability 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 $4,243 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3877 | | Additional information about fees paid to insurance broker | ADMINISTRATION FEES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKAIH |
| Policy instance | 12 |
| Insurance contract or identification number | ASGIKAIH | | Number of Individuals Covered | 105 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $928,405 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIPST |
| Policy instance | 11 |
| Insurance contract or identification number | ASGIPST | | Number of Individuals Covered | 272 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,637,013 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 4 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGI-KAM |
| Policy instance | 10 |
| Insurance contract or identification number | ASGI-KAM | | Number of Individuals Covered | 1212 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $9,711,406 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 4 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 166169 |
| Policy instance | 14 |
| Insurance contract or identification number | 166169 | | Number of Individuals Covered | 143 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,797 | | Total amount of fees paid to insurance company | USD $1,797 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1797 | | Insurance broker organization code? | 5 | | Commission paid to Insurance Broker | USD $1,797 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164796 |
| Policy instance | 13 |
| Insurance contract or identification number | 164796 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,048 | | Total amount of fees paid to insurance company | USD $356 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability 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 $1,048 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 356 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKAIH |
| Policy instance | 12 |
| Insurance contract or identification number | ASGIKAIH | | Number of Individuals Covered | 105 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $14,650 | | Total amount of fees paid to insurance company | USD $65 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $700,097 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,005 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 65 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIPST |
| Policy instance | 11 |
| Insurance contract or identification number | ASGIPST | | Number of Individuals Covered | 272 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $64,215 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,826,679 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36,241 | | Insurance broker organization code? | 4 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGI-KAM |
| Policy instance | 10 |
| Insurance contract or identification number | ASGI-KAM | | Number of Individuals Covered | 1212 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $204,161 | | Total amount of fees paid to insurance company | USD $885 | | Welfare Benefit Premiums Paid to Carrier | USD $6,876,889 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $140,128 | | Insurance broker organization code? | 4 | | Amount paid for insurance broker fees | 885 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYTHO |
| Policy instance | 9 |
| Insurance contract or identification number | ASGKYTHO | | Number of Individuals Covered | 1996 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $353,890 | | Total amount of fees paid to insurance company | USD $41,044 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,105,453 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $353,890 | | Amount paid for insurance broker fees | 41044 | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKRA |
| Policy instance | 8 |
| Insurance contract or identification number | ASGKRA | | Number of Individuals Covered | 1104 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $249,976 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,827,787 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $91,213 | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 6 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 1404 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $300,148 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,066,398 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $300,148 | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 5 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of fees paid to insurance company | USD $4,044 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,622 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 4044 | | Insurance broker organization code? | 5 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 4 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of fees paid to insurance company | USD $7,344 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $36,758 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 7344 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 3 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 2 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 452 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 1 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 2168 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 164068 |
| Policy instance | 15 |
| Insurance contract or identification number | 164068 | | Number of Individuals Covered | 126 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $4,962 | | Total amount of fees paid to insurance company | USD $1,598 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability 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 $4,962 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1598 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYWT |
| Policy instance | 7 |
| Insurance contract or identification number | ASGKYWT | | Number of Individuals Covered | 253 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $44,604 | | Total amount of fees paid to insurance company | USD $1,400 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,709,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,240 | | Amount paid for insurance broker fees | 1400 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 2 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 322 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIPST |
| Policy instance | 16 |
| Insurance contract or identification number | ASGIPST | | Number of Individuals Covered | 288 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $55,064 | | Total amount of fees paid to insurance company | USD $3,200 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,759,582 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,070 | | Amount paid for insurance broker fees | 2400 | | Insurance broker organization code? | 4 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGI-KAM |
| Policy instance | 15 |
| Insurance contract or identification number | ASGI-KAM | | Number of Individuals Covered | 620 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $94,555 | | Total amount of fees paid to insurance company | USD $5,927 | | Welfare Benefit Premiums Paid to Carrier | USD $3,761,830 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $58,823 | | Amount paid for insurance broker fees | 4409 | | Insurance broker organization code? | 4 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYTHO |
| Policy instance | 14 |
| Insurance contract or identification number | ASGKYTHO | | Number of Individuals Covered | 1930 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $281,782 | | Total amount of fees paid to insurance company | USD $12,626 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,395,985 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $281,782 | | Amount paid for insurance broker fees | 12626 | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKRA |
| Policy instance | 13 |
| Insurance contract or identification number | ASGKRA | | Number of Individuals Covered | 1001 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $176,581 | | Total amount of fees paid to insurance company | USD $125,166 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,992,485 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 120583 | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $42,039 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYLUM |
| Policy instance | 12 |
| Insurance contract or identification number | ASGIKYLUM | | Number of Individuals Covered | 8 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYWT |
| Policy instance | 11 |
| Insurance contract or identification number | ASGKYWT | | Number of Individuals Covered | 253 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $44,603 | | Total amount of fees paid to insurance company | USD $1,400 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,658,653 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,240 | | Amount paid for insurance broker fees | 1400 | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 4 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | 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 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIHOME |
| Policy instance | 10 |
| Insurance contract or identification number | ASGIHOME | | Number of Individuals Covered | 1333 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $332,962 | | Total amount of fees paid to insurance company | USD $24,352 | | Welfare Benefit Premiums Paid to Carrier | USD $9,690,248 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $332,962 | | Amount paid for insurance broker fees | 24352 | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 9 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 963 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | 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 |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 1 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 2064 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 3 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 5 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 6 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $3,943 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $38,348 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3943 | | Insurance broker organization code? | 5 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G0034340 |
| Policy instance | 7 |
| Insurance contract or identification number | G0034340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $7,529 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $37,622 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 7529 | | Insurance broker organization code? | 5 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 8 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 3 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 4 |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 8 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 3 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,020 | | Welfare Benefit Premiums Paid to Carrier | USD $30,091 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,020 | | Insurance broker organization code? | 4 | | Insurance broker name | LOGAN LAVELLE HUNT |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 9 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 963 | | Insurance policy start date | 2016-10-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $221,402 | | Total amount of fees paid to insurance company | USD $6,500 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,887,237 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $221,146 | | Amount paid for insurance broker fees | 6500 | | Insurance broker organization code? | 3 | | Insurance broker name | HIRAM D SNOWDEN & ASSOCIATES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIHOME |
| Policy instance | 10 |
| Insurance contract or identification number | ASGIHOME | | Number of Individuals Covered | 4 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | 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 | LOGAN LAVELLE HUNT INSURANCE AGENCY |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYWT |
| Policy instance | 11 |
| Insurance contract or identification number | ASGKYWT | | Number of Individuals Covered | 221 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-05-31 | | Total amount of commissions paid to insurance broker | USD $31,924 | | Total amount of fees paid to insurance company | USD $2,845 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,685,157 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,539 | | Amount paid for insurance broker fees | 2020 | | Insurance broker organization code? | 3 | | Insurance broker name | HOUCHENS INSURANCE |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYLUM |
| Policy instance | 12 |
| Insurance contract or identification number | ASGIKYLUM | | Number of Individuals Covered | 8 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | 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 | LOGAN LAVELLE HUNT INSURANCE AGENCY |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKRA |
| Policy instance | 13 |
| Insurance contract or identification number | ASGKRA | | Number of Individuals Covered | 963 | | Insurance policy start date | 2016-12-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $165,513 | | Total amount of fees paid to insurance company | USD $3,645 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,873,120 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68,454 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 500 | | Insurance broker name | HATFIELD LOUISVILLE LLC |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKRA |
| Policy instance | 14 |
| Insurance contract or identification number | ASGIKRA | | Number of Individuals Covered | 7 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | 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 | FOSTER INSURANCE SERVICES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYTHO |
| Policy instance | 15 |
| Insurance contract or identification number | ASGKYTHO | | Number of Individuals Covered | 1930 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $164,614 | | Total amount of fees paid to insurance company | USD $14,930 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,311,029 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $164,614 | | Amount paid for insurance broker fees | 14930 | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT INSURANCE MARKETING INC. |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYTHO |
| Policy instance | 16 |
| Insurance contract or identification number | ASGIKYTHO | | Number of Individuals Covered | 11 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | 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 | ROBBINS TRUITT & ASSOCIATES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGICPA |
| Policy instance | 17 |
| Insurance contract or identification number | ASGICPA | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIPST |
| Policy instance | 18 |
| Insurance contract or identification number | ASGIPST | | Number of Individuals Covered | 73 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G0034340 |
| Policy instance | 7 |
| Insurance contract or identification number | G0034340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of fees paid to insurance company | USD $7,360 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $36,799 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 7360 | | Insurance broker organization code? | 5 | | Insurance broker name | UMR |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 6 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of fees paid to insurance company | USD $4,330 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $42,459 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 4330 | | Insurance broker organization code? | 5 | | Insurance broker name | UMR |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 5 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 4 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | 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 | | Insurance broker name | UMR |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 3 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 2 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 307 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 1 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 2064 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYTHO |
| Policy instance | 16 |
| Insurance contract or identification number | ASGIKYTHO | | Number of Individuals Covered | 13 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $951 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,527 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $351 | | Insurance broker organization code? | 3 | | Insurance broker name | ROBBINS TRUITT & ASSOCIATES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGICPA |
| Policy instance | 17 |
| Insurance contract or identification number | ASGICPA | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $1,555 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIPST |
| Policy instance | 18 |
| Insurance contract or identification number | ASGIPST | | Number of Individuals Covered | 3 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $755 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,470 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $755 | | Insurance broker organization code? | 3 | | Insurance broker name | LOGAN LAVELLE HUNT |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 4 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of fees paid to insurance company | USD $7,619 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $38,090 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 7619 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | UMR |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 3 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 2 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 1 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1485 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYTHO |
| Policy instance | 15 |
| Insurance contract or identification number | ASGKYTHO | | Number of Individuals Covered | 3 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $204 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,779 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $60 | | Insurance broker organization code? | 3 | | Insurance broker name | ROBBINS TRUITT AND ASSOCIATES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKRA |
| Policy instance | 14 |
| Insurance contract or identification number | ASGIKRA | | Number of Individuals Covered | 7 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,948 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $721 | | Insurance broker organization code? | 3 | | Insurance broker name | FOSTER INSURANCE SERVICES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKRA |
| Policy instance | 13 |
| Insurance contract or identification number | ASGKRA | | Number of Individuals Covered | 27 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $8,611 | | Total amount of fees paid to insurance company | USD $1,220 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $185,047 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,029 | | Amount paid for insurance broker fees | 500 | | Insurance broker organization code? | 3 | | Insurance broker name | LOGAN LAVELLE HUNT INSURANCE AGENCY |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYLUM |
| Policy instance | 12 |
| Insurance contract or identification number | ASGIKYLUM | | Number of Individuals Covered | 8 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,376 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,376 | | Insurance broker organization code? | 3 | | Insurance broker name | LOGAN LAVELLE HUNT INSURANCE AGENCY |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIHOME |
| Policy instance | 10 |
| Insurance contract or identification number | ASGIHOME | | Number of Individuals Covered | 4 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $2,075 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,075 | | Insurance broker organization code? | 3 | | Insurance broker name | LOGAN LAVELLE HUNT INSURANCE AGENCY |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 9 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 44 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $12,344 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $257,356 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,344 | | Insurance broker organization code? | 4 | | Insurance broker name | LOGAN LAVELLE HUNT INSURANCE |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGHOME |
| Policy instance | 8 |
| Insurance contract or identification number | ASGHOME | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $282 | | Welfare Benefit Premiums Paid to Carrier | USD $9,244 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $282 | | Insurance broker organization code? | 4 | | Insurance broker name | LOGAN LAVELLE HUNT |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G58039 |
| Policy instance | 7 |
| Insurance contract or identification number | G58039 | | Number of Individuals Covered | 142 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of fees paid to insurance company | USD $1 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,479 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1 | | Insurance broker name | UMR |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 6 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of fees paid to insurance company | USD $1,830 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $41,788 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1830 | | Insurance broker organization code? | 5 | | Insurance broker name | UMR |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGKYWT |
| Policy instance | 11 |
| Insurance contract or identification number | ASGKYWT | | Number of Individuals Covered | 7 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,229 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,831 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,229 | | Insurance broker organization code? | 3 | | Insurance broker name | LOGAN LAVELLE HUNT INSURANCE AGENCY |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 5 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 3 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 4 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 120 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $9,576 | | Total amount of fees paid to insurance company | USD $3,192 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $63,843 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,576 | | Amount paid for insurance broker fees | 3192 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | UMR |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 5 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 6 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 571 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $3,374 | | Total amount of fees paid to insurance company | USD $2,000 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $45,888 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,374 | | Amount paid for insurance broker fees | 2000 | | Insurance broker name | UMR |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 1 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1617 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 2 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 247 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G58039 |
| Policy instance | 7 |
| Insurance contract or identification number | G58039 | | Number of Individuals Covered | 470 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $26,268 | | Total amount of fees paid to insurance company | USD $4,461 | | Welfare Benefit Premiums Paid to Carrier | USD $148,685 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,268 | | Amount paid for insurance broker fees | 4461 | | Insurance broker name | HCBA SERVICES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | PST |
| Policy instance | 1 |
| Insurance contract or identification number | PST | | Number of Individuals Covered | 578 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $84,038 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,193,940 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $55,480 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker organization code? | 3 | | Insurance broker name | STRATEGIC EMPLOYEE BENEFITS |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 5 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1777 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | KTOB |
| Policy instance | 4 |
| Insurance contract or identification number | KTOB | | Number of Individuals Covered | 2226 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $269,009 | | Total amount of fees paid to insurance company | USD $1,000 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,341,096 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $268,061 | | Amount paid for insurance broker fees | 1000 | | Insurance broker name | BENEFIT INSURANCE MARKETING |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYWT |
| Policy instance | 2 |
| Insurance contract or identification number | ASGIKYWT | | Number of Individuals Covered | 2546 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $294,668 | | Total amount of fees paid to insurance company | USD $5,510 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,227,278 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $650 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1638 | | Insurance broker name | BENEFIT INSURANCE MARKETING |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | KRF |
| Policy instance | 3 |
| Insurance contract or identification number | KRF | | Number of Individuals Covered | 1333 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $262,025 | | Total amount of fees paid to insurance company | USD $8,029 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,697,086 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $2,105 | | Amount paid for insurance broker fees | 1000 | | Additional information about fees paid to insurance broker | 4 | | Insurance broker name | ZINSER BENEFIT SERVICE INC |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 7 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYLUM |
| Policy instance | 8 |
| Insurance contract or identification number | ASGIKYLUM | | Number of Individuals Covered | 80 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $11,869 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $553,648 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,869 | | Insurance broker organization code? | 3 | | Insurance broker name | LOGAN LAVELLE HUNT |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 9 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $10,320 | | Total amount of fees paid to insurance company | USD $3,440 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $68,801 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,320 | | Amount paid for insurance broker fees | 3440 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | UMR |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGICPA |
| Policy instance | 10 |
| Insurance contract or identification number | ASGICPA | | Number of Individuals Covered | 1239 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $114,589 | | Total amount of fees paid to insurance company | USD $500 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,316,535 | | 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 | | Additional information about fees paid to insurance broker | 3 | | Amount paid for insurance broker fees | 500 | | Insurance broker organization code? | 4 | | Insurance broker name | FOWLER SECURITIES |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGILBA |
| Policy instance | 11 |
| Insurance contract or identification number | ASGILBA | | Number of Individuals Covered | 578 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $77,385 | | Total amount of fees paid to insurance company | USD $1,000 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,611,968 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $77,385 | | Amount paid for insurance broker fees | 1000 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | FOWLER SECURITES AND BENEFITS |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 13 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGPSTCPALBA |
| Policy instance | 14 |
| Insurance contract or identification number | ASGPSTCPALBA | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | 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 | JOHN SPARROW |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G42624 |
| Policy instance | 15 |
| Insurance contract or identification number | G42624 | | Number of Individuals Covered | 571 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of fees paid to insurance company | USD $6,721 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $56,431 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 6721 | | Insurance broker name | UMR |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKCTRF |
| Policy instance | 12 |
| Insurance contract or identification number | ASGIKCTRF | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $18,144 | | Welfare Benefit Premiums Paid to Carrier | USD $507,166 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,626 | | Insurance broker name | BENEFIT INSURANCE MARKETING |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G58039 |
| Policy instance | 16 |
| Insurance contract or identification number | G58039 | | Number of Individuals Covered | 465 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $25,985 | | Total amount of fees paid to insurance company | USD $4,408 | | Welfare Benefit Premiums Paid to Carrier | USD $146,935 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 4408 | | Commission paid to Insurance Broker | USD $25,985 | | Insurance broker name | HCBA SERVICES |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 6 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 261 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | PST |
| Policy instance | 1 |
| Insurance contract or identification number | PST | | Number of Individuals Covered | 628 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $118,996 | | Total amount of fees paid to insurance company | USD $34,941 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,440,613 | | 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 | 3 | | Commission paid to Insurance Broker | USD $790 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 100 | | Insurance broker name | ARISON INSURANCE |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYWT |
| Policy instance | 17 |
| Insurance contract or identification number | ASGIKYWT | | Number of Individuals Covered | 1568 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,682,017 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G58039 |
| Policy instance | 16 |
| Insurance contract or identification number | G58039 | | Number of Individuals Covered | 465 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $14,668 | | Welfare Benefit Premiums Paid to Carrier | USD $70,861 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 14668 | | Insurance broker name | UMR |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G34340 |
| Policy instance | 15 |
| Insurance contract or identification number | G34340 | | Number of Individuals Covered | 199 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $11,977 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,114 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 11977 | | Insurance broker name | UMR |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGPSTCPALBA |
| Policy instance | 14 |
| Insurance contract or identification number | ASGPSTCPALBA | | Insurance policy start date | 2011-12-01 | | Insurance policy end date | 2012-11-30 | | Total amount of commissions paid to insurance broker | USD $92,156 | | Total amount of fees paid to insurance company | USD $1,390 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,378,848 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,505 | | Amount paid for insurance broker fees | 825 | | Insurance broker organization code? | 3 | | Insurance broker name | JOHN SPARROW |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKCTRF |
| Policy instance | 12 |
| Insurance contract or identification number | ASGIKCTRF | | Insurance policy start date | 2011-12-01 | | Insurance policy end date | 2012-11-30 | | Total amount of commissions paid to insurance broker | USD $21,138 | | Welfare Benefit Premiums Paid to Carrier | USD $615,143 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,074 | | Insurance broker name | BENEFIT INSURANCE MARKETING |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGILBA |
| Policy instance | 11 |
| Insurance contract or identification number | ASGILBA | | Number of Individuals Covered | 969 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $87,871 | | Total amount of fees paid to insurance company | USD $2,795 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,788,331 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $87,871 | | Amount paid for insurance broker fees | 2795 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | FOWLER SECURITES AND BENEFITS |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGICPA |
| Policy instance | 10 |
| Insurance contract or identification number | ASGICPA | | Number of Individuals Covered | 1534 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | 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 | 3 | | Insurance broker name | ARISON INSURANCE SERVICES |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 9 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 471 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $10,732 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $67,974 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 10732 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Insurance broker name | UMR |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKYLUM |
| Policy instance | 8 |
| Insurance contract or identification number | ASGIKYLUM | | Number of Individuals Covered | 2053 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $13,983 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $602,710 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,983 | | Insurance broker organization code? | 3 | | Insurance broker name | LOGAN LAVELLE HUNT |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 13 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | HBAK |
| Policy instance | 2 |
| Insurance contract or identification number | HBAK | | Number of Individuals Covered | 1979 | | Insurance policy start date | 2011-12-01 | | Insurance policy end date | 2012-11-30 | | Total amount of commissions paid to insurance broker | USD $6,033 | | Total amount of fees paid to insurance company | USD $867 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,016,568 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,953 | | Amount paid for insurance broker fees | 800 | | Insurance broker organization code? | 3 | | Insurance broker name | ARISON INSURANCE |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | KRF |
| Policy instance | 3 |
| Insurance contract or identification number | KRF | | Number of Individuals Covered | 1075 | | Insurance policy start date | 2011-12-01 | | Insurance policy end date | 2012-11-30 | | Total amount of commissions paid to insurance broker | USD $289,416 | | Total amount of fees paid to insurance company | USD $5,103 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,120,999 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $103,775 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | 4 | | Amount paid for insurance broker fees | 610 | | Insurance broker name | CUMBERLAND VALLEY INS |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | KTOB |
| Policy instance | 4 |
| Insurance contract or identification number | KTOB | | Number of Individuals Covered | 2226 | | Insurance policy start date | 2011-12-01 | | Insurance policy end date | 2012-11-30 | | Total amount of commissions paid to insurance broker | USD $298,332 | | Total amount of fees paid to insurance company | USD $2,928 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,550,741 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,547 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 2928 | | Insurance broker name | BENEFIT INSURANCE MARKETING |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 6 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 83 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 5 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1591 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 7 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 34340 |
| Policy instance | 9 |
| Insurance contract or identification number | G 34340 | | Number of Individuals Covered | 477 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $12,858 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $64,291 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 5 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1591 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGPSTCPALBA |
| Policy instance | 15 |
| Insurance contract or identification number | ASGPSTCPALBA | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $235,857 | | Total amount of fees paid to insurance company | USD $20,754 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,494,598 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 14 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $168 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGIKCTRF |
| Policy instance | 13 |
| Insurance contract or identification number | ASGIKCTRF | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $22,200 | | Welfare Benefit Premiums Paid to Carrier | USD $529,508 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGILBA |
| Policy instance | 12 |
| Insurance contract or identification number | ASGILBA | | Number of Individuals Covered | 969 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $78,417 | | Total amount of fees paid to insurance company | USD $4,547 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,411,106 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGICPA |
| Policy instance | 11 |
| Insurance contract or identification number | ASGICPA | | Number of Individuals Covered | 1534 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $86,740 | | Total amount of fees paid to insurance company | USD $1,690 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,660,919 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | PST |
| Policy instance | 1 |
| Insurance contract or identification number | PST | | Number of Individuals Covered | 628 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $68,700 | | Total amount of fees paid to insurance company | USD $14,527 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,422,573 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | HBAK |
| Policy instance | 2 |
| Insurance contract or identification number | HBAK | | Number of Individuals Covered | 1979 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $417,193 | | Total amount of fees paid to insurance company | USD $4,946 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,735,964 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | KRF |
| Policy instance | 3 |
| Insurance contract or identification number | KRF | | Number of Individuals Covered | 1075 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $283,894 | | Total amount of fees paid to insurance company | USD $9,024 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,547,280 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | KTOB |
| Policy instance | 4 |
| Insurance contract or identification number | KTOB | | Number of Individuals Covered | 2226 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 6 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 73 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 7 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 84 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | WTT |
| Policy instance | 8 |
| Insurance contract or identification number | WTT | | Number of Individuals Covered | 2053 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 10 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $13,325 | | Total amount of fees paid to insurance company | USD $4,439 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $88,791 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | KRF |
| Policy instance | 3 |
| Insurance contract or identification number | KRF | | Number of Individuals Covered | 1075 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $22,200 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $529,508 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | KTOB |
| Policy instance | 4 |
| Insurance contract or identification number | KTOB | | Number of Individuals Covered | 2226 | | Insurance policy start date | 2009-07-01 | | Insurance policy end date | 2010-06-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00050 |
| Policy instance | 5 |
| Insurance contract or identification number | 000M00050 | | Number of Individuals Covered | 1591 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M00027 |
| Policy instance | 7 |
| Insurance contract or identification number | 000M00027 | | Number of Individuals Covered | 112 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) |
| Policy contract number | 000M0028 |
| Policy instance | 6 |
| Insurance contract or identification number | 000M0028 | | Number of Individuals Covered | 73 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | WTT |
| Policy instance | 8 |
| Insurance contract or identification number | WTT | | Number of Individuals Covered | 2053 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | G 58039 |
| Policy instance | 9 |
| Insurance contract or identification number | G 58039 | | Number of Individuals Covered | 477 | | Insurance policy start date | 2009-02-01 | | Insurance policy end date | 2010-01-31 | | Welfare Benefit Premiums Paid to Carrier | USD $139,816 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 811025 |
| Policy instance | 10 |
| Insurance contract or identification number | OK 811025 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-01 | | Total amount of fees paid to insurance company | USD $38 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $184 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | PST |
| Policy instance | 1 |
| Insurance contract or identification number | PST | | Number of Individuals Covered | 628 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $102,356 | | Total amount of fees paid to insurance company | USD $12,006 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,374,874 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGICPA |
| Policy instance | 11 |
| Insurance contract or identification number | ASGICPA | | Number of Individuals Covered | 1534 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $135,728 | | Total amount of fees paid to insurance company | USD $3,885 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,965,129 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | ASGILBA |
| Policy instance | 12 |
| Insurance contract or identification number | ASGILBA | | Number of Individuals Covered | 969 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $118,658 | | Total amount of fees paid to insurance company | USD $3,755 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,406,853 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) |
| Policy contract number | HBAK |
| Policy instance | 2 |
| Insurance contract or identification number | HBAK | | Number of Individuals Covered | 1979 | | Insurance policy start date | 2009-07-01 | | Insurance policy end date | 2010-06-30 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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