BEKAERT CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN
| Measure | Date | Value |
|---|
| 2022: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 1,130 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 1,224 |
| Total of all active and inactive participants | 2022-01-01 | 1,224 |
| 2021: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 1,311 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 1,130 |
| Total of all active and inactive participants | 2021-01-01 | 1,130 |
| 2020: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 1,311 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 1,311 |
| Total of all active and inactive participants | 2020-01-01 | 1,311 |
| 2019: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 1,470 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 1,311 |
| Total of all active and inactive participants | 2019-01-01 | 1,311 |
| 2018: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-04-01 | 1,470 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-04-01 | 1,475 |
| Total of all active and inactive participants | 2018-04-01 | 1,475 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-04-01 | 0 |
| 2017: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-17 | 1,280 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-17 | 1,043 |
| Total of all active and inactive participants | 2017-07-17 | 1,043 |
| 2016: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-17 | 1,268 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-17 | 1,280 |
| Total of all active and inactive participants | 2016-07-17 | 1,280 |
| 2015: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-17 | 1,246 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-17 | 1,268 |
| Total of all active and inactive participants | 2015-07-17 | 1,268 |
| 2014: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-17 | 1,255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-17 | 1,246 |
| Total of all active and inactive participants | 2014-07-17 | 1,246 |
| 2013: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-17 | 1,187 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-17 | 1,255 |
| Total of all active and inactive participants | 2013-07-17 | 1,255 |
| 2012: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-17 | 1,247 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-17 | 1,187 |
| Number of retired or separated participants receiving benefits | 2012-07-17 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-07-17 | 0 |
| Total of all active and inactive participants | 2012-07-17 | 1,187 |
| 2011: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-17 | 1,548 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-17 | 1,247 |
| Number of retired or separated participants receiving benefits | 2011-07-17 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-07-17 | 0 |
| Total of all active and inactive participants | 2011-07-17 | 1,247 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-07-17 | 0 |
| Number of participants with account balances | 2011-07-17 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-07-17 | 0 |
| 2009: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-17 | 1,585 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-17 | 1,504 |
| Number of retired or separated participants receiving benefits | 2009-07-17 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-07-17 | 0 |
| Total of all active and inactive participants | 2009-07-17 | 1,504 |
| 2022: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | Yes |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2018 form 5500 responses |
|---|
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | Submission has been amended | No |
| 2018-04-01 | This submission is the final filing | No |
| 2018-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-04-01 | Plan is a collectively bargained plan | No |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2017 form 5500 responses |
|---|
| 2017-07-17 | Type of plan entity | Single employer plan |
| 2017-07-17 | Submission has been amended | Yes |
| 2017-07-17 | This submission is the final filing | No |
| 2017-07-17 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-07-17 | Plan is a collectively bargained plan | No |
| 2017-07-17 | Plan funding arrangement – Insurance | Yes |
| 2017-07-17 | Plan benefit arrangement – Insurance | Yes |
| 2016: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2016 form 5500 responses |
|---|
| 2016-07-17 | Type of plan entity | Single employer plan |
| 2016-07-17 | Submission has been amended | No |
| 2016-07-17 | This submission is the final filing | No |
| 2016-07-17 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-07-17 | Plan is a collectively bargained plan | No |
| 2016-07-17 | Plan funding arrangement – Insurance | Yes |
| 2016-07-17 | Plan benefit arrangement – Insurance | Yes |
| 2015: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2015 form 5500 responses |
|---|
| 2015-07-17 | Type of plan entity | Single employer plan |
| 2015-07-17 | Submission has been amended | No |
| 2015-07-17 | This submission is the final filing | No |
| 2015-07-17 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-07-17 | Plan is a collectively bargained plan | No |
| 2015-07-17 | Plan funding arrangement – Insurance | Yes |
| 2015-07-17 | Plan benefit arrangement – Insurance | Yes |
| 2014: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2014 form 5500 responses |
|---|
| 2014-07-17 | Type of plan entity | Single employer plan |
| 2014-07-17 | Submission has been amended | No |
| 2014-07-17 | This submission is the final filing | No |
| 2014-07-17 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-07-17 | Plan is a collectively bargained plan | No |
| 2014-07-17 | Plan funding arrangement – Insurance | Yes |
| 2014-07-17 | Plan benefit arrangement – Insurance | Yes |
| 2013: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2013 form 5500 responses |
|---|
| 2013-07-17 | Type of plan entity | Single employer plan |
| 2013-07-17 | Submission has been amended | No |
| 2013-07-17 | This submission is the final filing | No |
| 2013-07-17 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-07-17 | Plan is a collectively bargained plan | No |
| 2013-07-17 | Plan funding arrangement – Insurance | Yes |
| 2013-07-17 | Plan benefit arrangement – Insurance | Yes |
| 2012: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2012 form 5500 responses |
|---|
| 2012-07-17 | Type of plan entity | Single employer plan |
| 2012-07-17 | Submission has been amended | No |
| 2012-07-17 | This submission is the final filing | No |
| 2012-07-17 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-17 | Plan is a collectively bargained plan | No |
| 2012-07-17 | Plan funding arrangement – Insurance | Yes |
| 2012-07-17 | Plan benefit arrangement – Insurance | Yes |
| 2011: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2011 form 5500 responses |
|---|
| 2011-07-17 | Type of plan entity | Single employer plan |
| 2011-07-17 | Submission has been amended | No |
| 2011-07-17 | This submission is the final filing | No |
| 2011-07-17 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-07-17 | Plan is a collectively bargained plan | No |
| 2011-07-17 | Plan funding arrangement – Insurance | Yes |
| 2011-07-17 | Plan benefit arrangement – Insurance | Yes |
| 2009: BEKAERT CORP GROUP TRAVEL ACCIDENT PLAN 2009 form 5500 responses |
|---|
| 2009-07-17 | Type of plan entity | Single employer plan |
| 2009-07-17 | Submission has been amended | No |
| 2009-07-17 | This submission is the final filing | No |
| 2009-07-17 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-07-17 | Plan is a collectively bargained plan | No |
| 2009-07-17 | Plan funding arrangement – Insurance | Yes |
| 2009-07-17 | Plan benefit arrangement – Insurance | Yes |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU438000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU438000 | | Number of Individuals Covered | 1311 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU438000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU438000 | | Number of Individuals Covered | 1130 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $475 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,165 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $475 | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU4380000 | | Number of Individuals Covered | 1311 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $559 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $7,455 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $559 | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU4380000 | | Number of Individuals Covered | 1311 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,307 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $8,712 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,307 | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU4380000 | | Number of Individuals Covered | 1475 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,425 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,491 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $713 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU4380000 | | Number of Individuals Covered | 1043 | | Insurance policy start date | 2017-07-17 | | Insurance policy end date | 2018-07-16 | | Total amount of commissions paid to insurance broker | USD $658 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $658 | | Insurance broker organization code? | 3 | | Insurance broker name | JAMES B OSWALD COMPANY |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU 4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU 4380000 | | Number of Individuals Covered | 1268 | | Insurance policy start date | 2015-07-17 | | Insurance policy end date | 2016-07-16 | | Total amount of commissions paid to insurance broker | USD $658 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $329 | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES BENTZ |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU 4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU 4380000 | | Number of Individuals Covered | 1246 | | Insurance policy start date | 2014-07-17 | | Insurance policy end date | 2015-07-16 | | Total amount of commissions paid to insurance broker | USD $732 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $366 | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES BENTZ |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU 4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU 4380000 | | Number of Individuals Covered | 1255 | | Insurance policy start date | 2013-07-17 | | Insurance policy end date | 2014-07-16 | | Total amount of commissions paid to insurance broker | USD $732 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $366 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES BENTZ |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU 4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU 4380000 | | Number of Individuals Covered | 1187 | | Insurance policy start date | 2012-07-17 | | Insurance policy end date | 2013-07-16 | | Total amount of commissions paid to insurance broker | USD $732 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $366 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CHARLES BENTZ |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU 4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU 4380000 | | Number of Individuals Covered | 1247 | | Insurance policy start date | 2011-07-17 | | Insurance policy end date | 2012-07-16 | | Total amount of commissions paid to insurance broker | USD $734 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU 4380000 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU 4380000 | | Number of Individuals Covered | 1548 | | Insurance policy start date | 2010-07-16 | | Insurance policy end date | 2011-07-16 | | Total amount of commissions paid to insurance broker | USD $734 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
