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REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameREGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN
Plan identification number 501

REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

REGIONAL ADJUSTMENT BUREAU INC. has sponsored the creation of one or more 401k plans.

Company Name:REGIONAL ADJUSTMENT BUREAU INC.
Employer identification number (EIN):620857453
NAIC Classification:522298
NAIC Description:All Other Nondepository Credit Intermediation

Additional information about REGIONAL ADJUSTMENT BUREAU INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 4413475

More information about REGIONAL ADJUSTMENT BUREAU INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-03-01RALPH GRIFFITH2016-11-01 RALPH GRIFFITH2016-11-01
5012014-03-01JAMES S SMITH2015-07-06 JAMES S SMITH2015-07-06
5012013-03-01JAMES S SMITH2014-09-26 JAMES S SMITH2014-09-26
5012012-03-01JAMES S SMITH2013-08-13 JAMES S SMITH2013-08-13
5012011-03-01JAMES S SMITH2012-07-24 JAMES S SMITH2012-07-24
5012010-03-01JAMES S SMITH2011-09-26 JAMES S SMITH2011-09-26
5012009-03-01JAMES S SMITH2010-08-05 JAMES S SMITH2010-08-05

Plan Statistics for REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN

Measure Date Value
2015: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01136
Total number of active participants reported on line 7a of the Form 55002015-03-0186
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-0186
2014: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01201
Total number of active participants reported on line 7a of the Form 55002014-03-01136
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01136
2013: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01229
Total number of active participants reported on line 7a of the Form 55002013-03-01201
Total of all active and inactive participants2013-03-01201
2012: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01246
Total number of active participants reported on line 7a of the Form 55002012-03-01229
Total of all active and inactive participants2012-03-01229
2011: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-01186
Total number of active participants reported on line 7a of the Form 55002011-03-01246
Total of all active and inactive participants2011-03-01246
2010: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-03-01237
Total number of active participants reported on line 7a of the Form 55002010-03-01186
Total of all active and inactive participants2010-03-01186
2009: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-01338
Total number of active participants reported on line 7a of the Form 55002009-03-01237
Total of all active and inactive participants2009-03-01237

Form 5500 Responses for REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN

2015: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – InsuranceYes
2012: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – InsuranceYes
2010: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – InsuranceYes
2009: REGIONAL ADJUSTMENT BUREAU, INC. WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number120653
Policy instance 2
Insurance contract or identification number120653
Number of Individuals Covered86
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $28,878
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $6,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,878
Additional information about fees paid to insurance brokerMEDICAL AND VISION INSURANCE
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number638562
Policy instance 1
Insurance contract or identification number638562
Number of Individuals Covered67
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $5,798
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,798
Additional information about fees paid to insurance brokerMEDICAL AND LIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number120653
Policy instance 2
Insurance contract or identification number120653
Number of Individuals Covered136
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $32,169
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $10,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,169
Additional information about fees paid to insurance brokerMEDICAL AND VISION INSURANCE
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number638562
Policy instance 1
Insurance contract or identification number638562
Number of Individuals Covered127
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $8,423
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,423
Additional information about fees paid to insurance brokerMEDICAL AND LIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number638562
Policy instance 1
Insurance contract or identification number638562
Number of Individuals Covered174
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $9,944
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,944
Additional information about fees paid to insurance brokerMEDICAL AND LIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number120653
Policy instance 2
Insurance contract or identification number120653
Number of Individuals Covered201
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $23,346
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $11,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,346
Additional information about fees paid to insurance brokerMEDICAL AND VISION INSURANCE
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number
Policy instance 3
Number of Individuals Covered152
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $6,135
Total amount of fees paid to insurance companyUSD $68,769
Welfare Benefit Premiums Paid to CarrierUSD $55,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,135
Amount paid for insurance broker fees68769
Additional information about fees paid to insurance brokerSTOP LOSS FOR MEDICAL INSURANCE
Insurance broker organization code?3
Insurance broker nameHEALTH COST SOLUTIONS
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number638562
Policy instance 1
Insurance contract or identification number638562
Number of Individuals Covered207
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $10,822
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $95,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,822
Additional information about fees paid to insurance brokerMEDICAL AND LIFE INSURANCE
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number
Policy instance 3
Number of Individuals Covered171
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $7,146
Total amount of fees paid to insurance companyUSD $78,634
Welfare Benefit Premiums Paid to CarrierUSD $64,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,146
Amount paid for insurance broker fees78634
Additional information about fees paid to insurance brokerSTOP LOSS FOR MEDICAL INSURANCE
Insurance broker organization code?3
Insurance broker nameHEALTH COST SOLUTIONS
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number120653
Policy instance 2
Insurance contract or identification number120653
Number of Individuals Covered229
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $25,659
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $12,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,659
Additional information about fees paid to insurance brokerMEDICAL AND VISION INSURANCE
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number638562
Policy instance 1
Insurance contract or identification number638562
Number of Individuals Covered201
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $11,791
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $96,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number120653
Policy instance 2
Insurance contract or identification number120653
Number of Individuals Covered246
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $36,412
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $14,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number
Policy instance 3
Number of Individuals Covered189
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $23,338
Total amount of fees paid to insurance companyUSD $70,798
Welfare Benefit Premiums Paid to CarrierUSD $69,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number638562
Policy instance 1
Insurance contract or identification number638562
Number of Individuals Covered178
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $8,313
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,313
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number120653
Policy instance 2
Insurance contract or identification number120653
Number of Individuals Covered186
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $45,231
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $1,207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,231
Insurance broker organization code?3
Insurance broker nameJAMES D COLLIER & CO

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