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MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 401k Plan overview

Plan NameMISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS
Plan identification number 504

MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

MISSISSIPPI BANKERS ASSOCIATION FINANCIAL INSTITUTIONS OF DEPOSIT has sponsored the creation of one or more 401k plans.

Company Name:MISSISSIPPI BANKERS ASSOCIATION FINANCIAL INSTITUTIONS OF DEPOSIT
Employer identification number (EIN):640204860
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01
5042021-01-01
5042020-01-01
5042019-01-01
5042018-01-01
5042017-01-01MCKINLEY W. DEAVER
5042016-01-01MCKINLEY W. DEAVER
5042015-01-01MCKINLEY W. DEAVER
5042014-01-01MCKINLEY W. DEAVER
5042013-01-01MCKINLEY W. DEAVER
5042012-01-01MCKINLEY W. DEAVER
5042011-01-01MCKINLEY W. DEAVER
5042010-01-01MCKINLEY W. DEAVER
5042009-01-01MCKINLEY W. DEAVER MCKINLEY W. DEAVER2010-10-12

Plan Statistics for MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS

401k plan membership statisitcs for MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS

Measure Date Value
2022: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2022 401k membership
Total participants, beginning-of-year2022-01-012,400
Total number of active participants reported on line 7a of the Form 55002022-01-012,400
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,400
2021: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2021 401k membership
Total participants, beginning-of-year2021-01-012,400
Total number of active participants reported on line 7a of the Form 55002021-01-012,400
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,400
2020: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2020 401k membership
Total participants, beginning-of-year2020-01-012,400
Total number of active participants reported on line 7a of the Form 55002020-01-012,400
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,400
2019: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2019 401k membership
Total participants, beginning-of-year2019-01-012,400
Total number of active participants reported on line 7a of the Form 55002019-01-012,400
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,400
2018: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2018 401k membership
Total participants, beginning-of-year2018-01-012,400
Total number of active participants reported on line 7a of the Form 55002018-01-012,400
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012,400
2017: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2017 401k membership
Total participants, beginning-of-year2017-01-012,400
Total number of active participants reported on line 7a of the Form 55002017-01-012,400
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-012,400
2016: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2016 401k membership
Total participants, beginning-of-year2016-01-012,400
Total number of active participants reported on line 7a of the Form 55002016-01-012,400
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-012,400
2015: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2015 401k membership
Total participants, beginning-of-year2015-01-012,400
Total number of active participants reported on line 7a of the Form 55002015-01-012,400
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-012,400
2014: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2014 401k membership
Total participants, beginning-of-year2014-01-012,400
Total number of active participants reported on line 7a of the Form 55002014-01-012,400
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-012,400
2013: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2013 401k membership
Total participants, beginning-of-year2013-01-012,400
Total number of active participants reported on line 7a of the Form 55002013-01-012,400
Total of all active and inactive participants2013-01-012,400
2012: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2012 401k membership
Total participants, beginning-of-year2012-01-012,380
Total number of active participants reported on line 7a of the Form 55002012-01-012,400
Total of all active and inactive participants2012-01-012,400
2011: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2011 401k membership
Total participants, beginning-of-year2011-01-013,465
Total number of active participants reported on line 7a of the Form 55002011-01-012,380
Total of all active and inactive participants2011-01-012,380
2010: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2010 401k membership
Total participants, beginning-of-year2010-01-013,065
Total number of active participants reported on line 7a of the Form 55002010-01-013,465
Total of all active and inactive participants2010-01-013,465
2009: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2009 401k membership
Total participants, beginning-of-year2009-01-013,600
Total number of active participants reported on line 7a of the Form 55002009-01-013,065
Total of all active and inactive participants2009-01-013,065

Form 5500 Responses for MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS

2022: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Submission has been amendedYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MISSISSIPPI BANKERS ASSOCIATION SALARY CONTINUANCE ACCIDENT & SICKNESS 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2400
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $50,159
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $333,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $50,159
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2400
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,823
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $7,823
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2400
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $55,780
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $372,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $55,780
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2400
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $53,528
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $356,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $53,528
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2400
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $58,296
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $388,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $58,296
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2400
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $56,177
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $374,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $56,177
Additional information about fees paid to insurance brokerSALES & SERVICE OVERRIDE
Insurance broker organization code?3
Insurance broker nameSTOCKETT THOMAS AGENCY LLP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2400
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $52,186
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $347,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $52,186
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameSTOCKETT THOMAS AGENCY LLP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2325
Insurance policy start date2014-01-01
Insurance policy end date2015-01-01
Total amount of commissions paid to insurance brokerUSD $47,384
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $315,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $47,384
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameSTOCKETT THOMAS AGENCY LLP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 750491
Policy instance 2
Insurance contract or identification numberLK 750491
Number of Individuals Covered75
Insurance policy start date2014-01-01
Insurance policy end date2015-01-01
Total amount of commissions paid to insurance brokerUSD $2,707
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,707
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
Insurance broker nameSTOCKETT & THOMAS AGENCY
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 750491
Policy instance 2
Insurance contract or identification numberLK 750491
Number of Individuals Covered75
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $2,344
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,344
Additional information about fees paid to insurance brokerSALES & SERVICE 3
Insurance broker nameSTOCKETT & THOMAS AGENCY
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2275
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $53,801
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $358,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $53,801
Additional information about fees paid to insurance brokerSALES & SERVICE 3
Insurance broker nameSTOCKETT THOMAS AGENCY LLP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2325
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $57,926
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $386,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $57,926
Additional information about fees paid to insurance brokerSALES & SERVICE 3
Insurance broker nameSTOCKETT THOMAS AGENCY LLP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 750491
Policy instance 2
Insurance contract or identification numberLK 750491
Number of Individuals Covered75
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $2,388
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,388
Additional information about fees paid to insurance brokerSALES & SERVICE 3
Insurance broker nameSTOCKETT & THOMAS AGENCY
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 750491
Policy instance 2
Insurance contract or identification numberLK 750491
Number of Individuals Covered65
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $2,427
Total amount of fees paid to insurance companyUSD $259
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered2315
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $67,790
Total amount of fees paid to insurance companyUSD $6,785
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $451,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 961645
Policy instance 1
Insurance contract or identification numberLK 961645
Number of Individuals Covered3400
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $65,839
Total amount of fees paid to insurance companyUSD $7,201
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $438,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65,839
Additional information about fees paid to insurance brokerSALES SERVICE
Insurance broker organization code?3
Amount paid for insurance broker fees7201
Insurance broker nameSTOCKETT THOMAS AGENCY LLP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 750491
Policy instance 2
Insurance contract or identification numberLK 750491
Number of Individuals Covered65
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $2,795
Total amount of fees paid to insurance companyUSD $239
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,795
Additional information about fees paid to insurance brokerSALES SERVICE
Insurance broker organization code?3
Amount paid for insurance broker fees239
Insurance broker nameSTOCKETT & THOMAS AGENCY

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