BILLY BARNES ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.
Additional information about BILLY BARNES ENTERPRISES, INC.
Submission information for form 5500 for 401k plan BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN
401k plan membership statisitcs for BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2022: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 230 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 143 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 143 |
| 2021: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 158 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 165 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 165 |
| 2020: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 158 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 158 |
| 2019: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 125 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 125 |
| 2018: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 132 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 132 |
| 2017: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| 2016: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| 2015: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 0 |
| 2014: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 322 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 0 |
| 2013: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 322 |
| Total of all active and inactive participants | 2013-01-01 | 0 |
| 2012: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 306 |
| Total of all active and inactive participants | 2012-01-01 | 0 |
| 2011: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 304 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 306 |
| Total of all active and inactive participants | 2011-01-01 | 306 |
| 2009: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 338 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 309 |
| Total of all active and inactive participants | 2009-01-01 | 309 |
| 2022: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BILLY BARNES ENTERPRISES, INC. GROUP HEALTH EMPLOYEE INSURANCE PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 7007570 |
| Policy instance | 3 |
| Insurance contract or identification number | 7007570 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Temporary 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 | CLAIMS ADMINSTRATIVE SERVICES |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | 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 | WRITING COMMISSION | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 247 | | Insurance policy start date | 2022-03-01 | | Insurance policy end date | 2023-02-28 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 247 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | 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 | WRITING COMMISSION | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 7007570 |
| Policy instance | 3 |
| Insurance contract or identification number | 7007570 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Temporary 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 | CLAIMS ADMINSTRATIVE SERVICES |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 247 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | 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 | WRITING COMMISSION | | Insurance broker organization code? | 3 |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 7007570 |
| Policy instance | 3 |
| Insurance contract or identification number | 7007570 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $725 | | Temporary 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 $315 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | CLAIMS ADMINSTRATIVE SERVICES |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 7007570 |
| Policy instance | 3 |
| Insurance contract or identification number | 7007570 | | Number of Individuals Covered | 36 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $6,218 | | Total amount of fees paid to insurance company | USD $1,314 | | Temporary 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 $3,362 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 896 | | Additional information about fees paid to insurance broker | CLAIMS ADMINSTRATIVE SERVICES |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 128 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $1,172 | | 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 | | Commission paid to Insurance Broker | USD $1,172 | | Additional information about fees paid to insurance broker | WRITING COMMISSION | | Insurance broker organization code? | 3 |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 211 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AIR MEDICAL SERVICES | | 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 | 7007570 |
| Policy instance | 3 |
| Insurance contract or identification number | 7007570 | | Number of Individuals Covered | 42 | | Insurance policy start date | 2016-09-01 | | Insurance policy end date | 2017-08-31 | | Total amount of commissions paid to insurance broker | USD $7,353 | | Total amount of fees paid to insurance company | USD $1,611 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,778 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1065 | | Additional information about fees paid to insurance broker | CLAIMS ADMINSTRATIVE SERVICES | | Insurance broker name | THE ABACUS GROUP, LLC |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Life 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 | WRITING COMMISSION | | Insurance broker organization code? | 3 | | Insurance broker name | BEN SCHOENFELD |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 234 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC, BABY YOURSELF | | Welfare Benefit Premiums Paid to Carrier | USD $13,197 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 143 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $1,258 | | Life 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 $1,258 | | Additional information about fees paid to insurance broker | WRITING COMMISSION | | Insurance broker organization code? | 3 | | Insurance broker name | BEN SCHOENFELD |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 7007570 |
| Policy instance | 3 |
| Insurance contract or identification number | 7007570 | | Number of Individuals Covered | 44 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $5,992 | | Total amount of fees paid to insurance company | USD $1,398 | | Temporary 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 $3,486 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 45 | | Additional information about fees paid to insurance broker | MARKETING FEE | | Insurance broker name | TOWERS PERRIN FORSTER & CROSBY, INC |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 344 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC, BABY YOURSELF | | Welfare Benefit Premiums Paid to Carrier | USD $1,254 | | 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 | 7007570 |
| Policy instance | 3 |
| Insurance contract or identification number | 7007570 | | Number of Individuals Covered | 38 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $8,017 | | Total amount of fees paid to insurance company | USD $1,507 | | Welfare Benefit Premiums Paid to Carrier | USD $22,589 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,939 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 197 | | Additional information about fees paid to insurance broker | MARKETING FEE | | Insurance broker name | TOWERS PERRIN FORSTER & CROSBY, INC |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 332 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC, BABY YOURSELF | | Welfare Benefit Premiums Paid to Carrier | USD $14,349 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 158 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $1,375 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,375 | | Additional information about fees paid to insurance broker | WRITING COMMISSION | | Insurance broker organization code? | 3 | | Insurance broker name | BEN SCHOENFELD |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 332 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC, BABY YOURSELF | | Welfare Benefit Premiums Paid to Carrier | USD $14,349 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 144 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $1,241 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,241 | | Additional information about fees paid to insurance broker | WRITING COMMISSION | | Insurance broker organization code? | 3 | | Insurance broker name | BEN SCHOENFELD |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 7007570 |
| Policy instance | 3 |
| Insurance contract or identification number | 7007570 | | Number of Individuals Covered | 38 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $7,546 | | Total amount of fees paid to insurance company | USD $1,372 | | Welfare Benefit Premiums Paid to Carrier | USD $19,859 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,430 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 220 | | Additional information about fees paid to insurance broker | MARKETING FEE | | Insurance broker name | TOWERS PERRIN FORSTER & CROSBY, INC |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 312 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC, BABY YOURSELF | | Welfare Benefit Premiums Paid to Carrier | USD $13,893 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 2 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | 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 | BEN SCHOENFELD |
|
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 7007570 |
| Policy instance | 2 |
| Insurance contract or identification number | 7007570 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2010-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $6,525 | | Total amount of fees paid to insurance company | USD $1,337 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,345 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 306 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC BABY YOURSELF | | Welfare Benefit Premiums Paid to Carrier | USD $13,741 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 3 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 128 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $1,168 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
| Policy contract number | G 00030542 |
| Policy instance | 3 |
| Insurance contract or identification number | G 00030542 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $1,041 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,041 | | Insurance broker organization code? | 3 | | Insurance broker name | BEN SCHOENFELD |
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| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
| Policy contract number | 7007570 |
| Policy instance | 2 |
| Insurance contract or identification number | 7007570 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2009-09-01 | | Insurance policy end date | 2010-08-31 | | Total amount of commissions paid to insurance broker | USD $3,076 | | Total amount of fees paid to insurance company | USD $1,036 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,993 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,602 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 516 | | Additional information about fees paid to insurance broker | CLAIMS ADMINISTRATION | | Insurance broker name | THE ABACUS GROUP LLC |
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| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) |
| Policy contract number | 01525 |
| Policy instance | 1 |
| Insurance contract or identification number | 01525 | | Number of Individuals Covered | 309 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EXPANDED PSYCHIATRIC BABY YOURSELF | | Welfare Benefit Premiums Paid to Carrier | USD $14,167 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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