401k Plan data: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN plan

SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 401k Plan overview

Plan Name	SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN
Plan identification number	502

SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

SOUTHEAST FOODS LLC has sponsored the creation of one or more 401k plans.

Company Name: SOUTHEAST FOODS LLC

Employer identification number (EIN): 640559432

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-01-01 RYAN COLLINS
502 2015-01-01 RYAN COLLINS
502 2014-01-01 RYAN COLLINS
502 2013-01-01 ROBBIE JESTER
502 2012-01-01 ROBBIE JESTER
502 2011-01-01 ROBBIE JESTER
502 2009-01-01 CHARLES W DEDMON JR

Plan id#	Filing Submission Date	Name of Administrator
502	2016-01-01	RYAN COLLINS
502	2015-01-01	RYAN COLLINS
502	2014-01-01	RYAN COLLINS
502	2013-01-01	ROBBIE JESTER
502	2012-01-01	ROBBIE JESTER
502	2011-01-01	ROBBIE JESTER
502	2009-01-01	CHARLES W DEDMON JR

Plan Statistics for SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN

401k plan membership statisitcs for SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN

Measure Date Value
2016: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 214
Total of all active and inactive participants 2016-01-01 214
Total participants 2016-01-01 214
2015: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 236
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 222
Total of all active and inactive participants 2015-01-01 222
Total participants 2015-01-01 0
2014: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 215
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 236
Total of all active and inactive participants 2014-01-01 236
Total participants 2014-01-01 0
2013: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 215
Total of all active and inactive participants 2013-01-01 215
Total participants 2013-01-01 0
2012: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 240
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 218
Total of all active and inactive participants 2012-01-01 218
Total participants 2012-01-01 0
2011: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 268
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 240
Total of all active and inactive participants 2011-01-01 240
Total participants 2011-01-01 240
2009: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 266
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 262
Total of all active and inactive participants 2009-01-01 262
Total participants 2009-01-01 262

Measure	Date	Value
2016: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	214
Total of all active and inactive participants	2016-01-01	214
Total participants	2016-01-01	214
2015: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	236
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	222
Total of all active and inactive participants	2015-01-01	222
Total participants	2015-01-01	0
2014: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	215
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	236
Total of all active and inactive participants	2014-01-01	236
Total participants	2014-01-01	0
2013: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	215
Total of all active and inactive participants	2013-01-01	215
Total participants	2013-01-01	0
2012: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	240
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	218
Total of all active and inactive participants	2012-01-01	218
Total participants	2012-01-01	0
2011: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	268
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	240
Total of all active and inactive participants	2011-01-01	240
Total participants	2011-01-01	240
2009: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	266
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	262
Total of all active and inactive participants	2009-01-01	262
Total participants	2009-01-01	262

Form 5500 Responses for SOUTHEAST FOODS LLC EMPLOYEE MEDICAL PLAN

2016: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL 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: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL 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: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL 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: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL 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: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL 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: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL 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: SOUTHEAST FOODS LLC EMPLOYEE MEDICAL 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

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010082527

Policy instance

Insurance contract or identification number	000010082527
Number of Individuals Covered	100
Insurance policy start date	2015-04-01
Insurance policy end date	2016-03-31
Total amount of commissions paid to insurance broker	USD $6,888
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $34,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,888
Insurance broker organization code?	3
Insurance broker name	DANIEL C ARMSTRONG

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

754414

Policy instance

Insurance contract or identification number	754414
Number of Individuals Covered	222
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $58,320
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,576,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,656
Insurance broker organization code?	3
Insurance broker name	KILPATRICK COMPANIES LLC

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

00604161

Policy instance

Insurance contract or identification number	00604161
Number of Individuals Covered	159
Insurance policy start date	2015-04-01
Insurance policy end date	2016-03-31
Total amount of commissions paid to insurance broker	USD $6,751
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $67,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,751
Insurance broker organization code?	3
Insurance broker name	CLARA VICE

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

G#4039234

Policy instance

Insurance contract or identification number	G#4039234
Number of Individuals Covered	8
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $703
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $703
Insurance broker organization code?	3
Insurance broker name	CLARA LYNN VICE

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

754414

Policy instance

Insurance contract or identification number	754414
Number of Individuals Covered	236
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
Total amount of commissions paid to insurance broker	USD $78,935
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,578,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $63,148
Insurance broker organization code?	3
Insurance broker name	KILPATRICK COMPANIES LLC

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

00604161

Policy instance

Insurance contract or identification number	00604161
Number of Individuals Covered	177
Insurance policy start date	2014-04-01
Insurance policy end date	2015-03-31
Total amount of commissions paid to insurance broker	USD $12,048
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $120,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,048
Insurance broker organization code?	3
Insurance broker name	CLARA VICE

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100005731

Policy instance

Insurance contract or identification number	40000100005731
Number of Individuals Covered	130
Insurance policy start date	2014-04-01
Insurance policy end date	2015-03-31
Total amount of commissions paid to insurance broker	USD $5,356
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $26,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,822
Insurance broker organization code?	3
Insurance broker name	MWG BENEFITS INC

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010082527

Policy instance

Insurance contract or identification number	000010082527
Number of Individuals Covered	101
Insurance policy start date	2014-04-01
Insurance policy end date	2015-03-31
Total amount of commissions paid to insurance broker	USD $6,403
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,829
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	N/A
Insurance broker name	MWG BENEFITS, INC.

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

4039234

Policy instance

Insurance contract or identification number	4039234
Number of Individuals Covered	5
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
Total amount of commissions paid to insurance broker	USD $573
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $573
Insurance broker organization code?	3
Insurance broker name	CLARA LYNN VICE

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

754414

Policy instance

Insurance contract or identification number	754414
Number of Individuals Covered	215
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $69,391
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,387,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $55,513
Insurance broker organization code?	3
Insurance broker name	KILPATRICK COMPANIES LLC

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100005731

Policy instance

Insurance contract or identification number	40000100005731
Number of Individuals Covered	151
Insurance policy start date	2013-04-01
Insurance policy end date	2014-03-31
Total amount of commissions paid to insurance broker	USD $6,237
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $31,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,237
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	4
Insurance broker name	MWG BENEFITS, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010082527

Policy instance

Insurance contract or identification number	000010082527
Number of Individuals Covered	115
Insurance policy start date	2013-04-01
Insurance policy end date	2014-03-31
Total amount of commissions paid to insurance broker	USD $7,206
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $36,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,206
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	4
Insurance broker name	MWG BENEFITS, INC.

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

00604161

Policy instance

Insurance contract or identification number	00604161
Number of Individuals Covered	235
Insurance policy start date	2013-04-01
Insurance policy end date	2014-03-31
Total amount of fees paid to insurance company	USD $6,978
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $69,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	6978
Insurance broker organization code?	3
Insurance broker name	CLARA LYNN VICE

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

00604161

Policy instance

Insurance contract or identification number	00604161
Number of Individuals Covered	218
Insurance policy start date	2012-04-01
Insurance policy end date	2013-03-31
Total amount of commissions paid to insurance broker	USD $6,500
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $65,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,500
Insurance broker organization code?	3
Insurance broker name	CLARA LYNN VICE

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

76495FF2

Policy instance

Insurance contract or identification number	76495FF2
Number of Individuals Covered	195
Insurance policy start date	2012-04-01
Insurance policy end date	2013-04-01
Total amount of commissions paid to insurance broker	USD $45,362
Total amount of fees paid to insurance company	USD $174,649
Health 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 $45,362
Insurance broker organization code?	3
Amount paid for insurance broker fees	174649
Additional information about fees paid to insurance broker	ADMINISTRATIVE SERVICE
Insurance broker name	BLUE CROSS BLUE SHIELD OF LA

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010082527

Policy instance

Insurance contract or identification number	000010082527
Number of Individuals Covered	112
Insurance policy start date	2012-04-01
Insurance policy end date	2013-03-31
Total amount of commissions paid to insurance broker	USD $6,526
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,526
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	4
Insurance broker name	MWG BENEFITS, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100005731

Policy instance

Insurance contract or identification number	40000100005731
Number of Individuals Covered	148
Insurance policy start date	2012-04-01
Insurance policy end date	2013-03-31
Total amount of commissions paid to insurance broker	USD $5,763
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $28,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,763
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	4
Insurance broker name	MWG BENEFITS, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010082527

Policy instance

Insurance contract or identification number	000010082527
Number of Individuals Covered	127
Insurance policy start date	2011-04-01
Insurance policy end date	2012-03-31
Total amount of commissions paid to insurance broker	USD $7,951
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $33,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100005731

Policy instance

Insurance contract or identification number	40000100005731
Number of Individuals Covered	138
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $6,463
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $28,437
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

00604161

Policy instance

Insurance contract or identification number	00604161
Number of Individuals Covered	246
Insurance policy start date	2010-04-01
Insurance policy end date	2011-03-31
Total amount of commissions paid to insurance broker	USD $7,805
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $71,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

76495FF2

Policy instance

Insurance contract or identification number	76495FF2
Number of Individuals Covered	240
Insurance policy start date	2011-04-01
Insurance policy end date	2012-04-01
Total amount of commissions paid to insurance broker	USD $35,970
Total amount of fees paid to insurance company	USD $185,845
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

76495FF2

Policy instance

Insurance contract or identification number	76495FF2
Number of Individuals Covered	265
Insurance policy start date	2010-04-01
Insurance policy end date	2011-04-01
Total amount of commissions paid to insurance broker	USD $32,261
Total amount of fees paid to insurance company	USD $166,682
Health 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 $32,261
Additional information about fees paid to insurance broker	DIRECT COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	166682
Insurance broker name	BLUE CROSS BLUE SHIELD OF LA

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

40000100005731

Policy instance

Insurance contract or identification number	40000100005731
Number of Individuals Covered	154
Insurance policy start date	2009-10-01
Insurance policy end date	2010-09-30
Total amount of commissions paid to insurance broker	USD $5,585
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $26,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,585
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	4
Insurance broker name	MWG BENEFITS, INC.

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

00604161

Policy instance

Insurance contract or identification number	00604161
Number of Individuals Covered	268
Insurance policy start date	2010-04-01
Insurance policy end date	2011-03-31
Total amount of commissions paid to insurance broker	USD $7,666
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $76,658
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,666
Insurance broker organization code?	3
Insurance broker name	STEPHEN M JACKMAN

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010082527

Policy instance

Insurance contract or identification number	000010082527
Number of Individuals Covered	123
Insurance policy start date	2009-10-01
Insurance policy end date	2010-09-30
Total amount of commissions paid to insurance broker	USD $8,608
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $40,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,608
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	MWG BENEFITS, INC.

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	SOUTHEAST FOODS LLC
Employer identification number (EIN):	640559432
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores