ASOCIACION DE EMPLEADOS DEL ELA has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN
| Measure | Date | Value |
|---|
| 2022: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 346 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 336 |
| Total of all active and inactive participants | 2022-01-01 | 336 |
| Total participants | 2022-01-01 | 336 |
| 2021: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 353 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 345 |
| Total of all active and inactive participants | 2021-01-01 | 345 |
| Total participants | 2021-01-01 | 345 |
| 2020: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 365 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 353 |
| Total of all active and inactive participants | 2020-01-01 | 353 |
| Total participants | 2020-01-01 | 353 |
| 2019: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 392 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 367 |
| Total of all active and inactive participants | 2019-01-01 | 367 |
| Total participants | 2019-01-01 | 367 |
| 2018: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 397 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 394 |
| Total of all active and inactive participants | 2018-01-01 | 394 |
| Total participants | 2018-01-01 | 394 |
| 2017: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 392 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 395 |
| Total of all active and inactive participants | 2017-01-01 | 395 |
| Total participants | 2017-01-01 | 395 |
| 2016: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 416 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 392 |
| Total of all active and inactive participants | 2016-01-01 | 392 |
| Total participants | 2016-01-01 | 392 |
| 2015: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 442 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 418 |
| Total of all active and inactive participants | 2015-01-01 | 418 |
| Total participants | 2015-01-01 | 418 |
| 2014: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 449 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 442 |
| Total of all active and inactive participants | 2014-01-01 | 442 |
| Total participants | 2014-01-01 | 442 |
| 2013: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 463 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 445 |
| Total of all active and inactive participants | 2013-01-01 | 445 |
| Total participants | 2013-01-01 | 445 |
| 2012: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 468 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 464 |
| Total of all active and inactive participants | 2012-01-01 | 464 |
| Total participants | 2012-01-01 | 464 |
| 2011: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 426 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 435 |
| Total of all active and inactive participants | 2011-01-01 | 435 |
| Total participants | 2011-01-01 | 435 |
| 2010: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 426 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 426 |
| Total of all active and inactive participants | 2010-01-01 | 426 |
| Total participants | 2010-01-01 | 426 |
| 2009: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 409 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 426 |
| Total of all active and inactive participants | 2009-01-01 | 426 |
| Total participants | 2009-01-01 | 426 |
| 2008: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-01-01 | 409 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-01-01 | 409 |
| Total of all active and inactive participants | 2008-01-01 | 409 |
| Total participants | 2008-01-01 | 409 |
| 2007: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-01-01 | 409 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-01-01 | 409 |
| Total of all active and inactive participants | 2007-01-01 | 409 |
| Total participants | 2007-01-01 | 409 |
| 2006: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-01-01 | 409 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-01-01 | 409 |
| Total of all active and inactive participants | 2006-01-01 | 409 |
| Total participants | 2006-01-01 | 409 |
| 2005: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2005 401k membership |
|---|
| Total participants, beginning-of-year | 2005-01-01 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-01-01 | 409 |
| Total of all active and inactive participants | 2005-01-01 | 409 |
| Total participants | 2005-01-01 | 409 |
| 2004: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2004 401k membership |
|---|
| Total participants, beginning-of-year | 2004-01-01 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 2004-01-01 | 406 |
| Total of all active and inactive participants | 2004-01-01 | 406 |
| Total participants | 2004-01-01 | 406 |
| 2003: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2003 401k membership |
|---|
| Total participants, beginning-of-year | 2003-01-01 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 2003-01-01 | 406 |
| Total of all active and inactive participants | 2003-01-01 | 406 |
| Total participants | 2003-01-01 | 406 |
| 2002: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2002 401k membership |
|---|
| Total participants, beginning-of-year | 2002-01-01 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 2002-01-01 | 406 |
| Total of all active and inactive participants | 2002-01-01 | 406 |
| Total participants | 2002-01-01 | 406 |
| 2001: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2001 401k membership |
|---|
| Total participants, beginning-of-year | 2001-01-01 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-01-01 | 406 |
| Total of all active and inactive participants | 2001-01-01 | 406 |
| Total participants | 2001-01-01 | 406 |
| 2000: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2000 401k membership |
|---|
| Total participants, beginning-of-year | 2000-01-01 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 2000-01-01 | 406 |
| Total of all active and inactive participants | 2000-01-01 | 406 |
| Total participants | 2000-01-01 | 406 |
| 1999: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1999 401k membership |
|---|
| Total participants, beginning-of-year | 1999-01-01 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 1999-01-01 | 406 |
| Total of all active and inactive participants | 1999-01-01 | 406 |
| Total participants | 1999-01-01 | 406 |
| 1998: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1998 401k membership |
|---|
| Total participants, beginning-of-year | 1998-01-01 | 406 |
| Total number of active participants reported on line 7a of the Form 5500 | 1998-01-01 | 406 |
| Total of all active and inactive participants | 1998-01-01 | 406 |
| Total participants | 1998-01-01 | 406 |
| 1997: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1997 401k membership |
|---|
| Total participants, beginning-of-year | 1997-01-01 | 400 |
| Total number of active participants reported on line 7a of the Form 5500 | 1997-01-01 | 406 |
| Total of all active and inactive participants | 1997-01-01 | 406 |
| Total participants | 1997-01-01 | 406 |
| 1996: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1996 401k membership |
|---|
| Total participants, beginning-of-year | 1996-01-01 | 400 |
| Total number of active participants reported on line 7a of the Form 5500 | 1996-01-01 | 400 |
| Total of all active and inactive participants | 1996-01-01 | 400 |
| Total participants | 1996-01-01 | 400 |
| 2022: ASOCIACION DE EMPLEADOS DEL ELA WELFARE 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: ASOCIACION DE EMPLEADOS DEL ELA WELFARE 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: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 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: ASOCIACION DE EMPLEADOS DEL ELA WELFARE 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: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2008 form 5500 responses |
|---|
| 2008-01-01 | Type of plan entity | Single employer plan |
| 2008-01-01 | Submission has been amended | No |
| 2008-01-01 | This submission is the final filing | No |
| 2008-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-01-01 | Plan is a collectively bargained plan | No |
| 2008-01-01 | Plan funding arrangement – Insurance | Yes |
| 2008-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2007 form 5500 responses |
|---|
| 2007-01-01 | Type of plan entity | Single employer plan |
| 2007-01-01 | Submission has been amended | No |
| 2007-01-01 | This submission is the final filing | No |
| 2007-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-01-01 | Plan is a collectively bargained plan | No |
| 2007-01-01 | Plan funding arrangement – Insurance | Yes |
| 2007-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2006 form 5500 responses |
|---|
| 2006-01-01 | Type of plan entity | Single employer plan |
| 2006-01-01 | Submission has been amended | No |
| 2006-01-01 | This submission is the final filing | No |
| 2006-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2006-01-01 | Plan is a collectively bargained plan | No |
| 2006-01-01 | Plan funding arrangement – Insurance | Yes |
| 2006-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2005 form 5500 responses |
|---|
| 2005-01-01 | Type of plan entity | Single employer plan |
| 2005-01-01 | Submission has been amended | No |
| 2005-01-01 | This submission is the final filing | No |
| 2005-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2005-01-01 | Plan is a collectively bargained plan | No |
| 2005-01-01 | Plan funding arrangement – Insurance | Yes |
| 2005-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2004 form 5500 responses |
|---|
| 2004-01-01 | Type of plan entity | Single employer plan |
| 2004-01-01 | Submission has been amended | No |
| 2004-01-01 | This submission is the final filing | No |
| 2004-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2004-01-01 | Plan is a collectively bargained plan | No |
| 2004-01-01 | Plan funding arrangement – Insurance | Yes |
| 2004-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2003 form 5500 responses |
|---|
| 2003-01-01 | Type of plan entity | Single employer plan |
| 2003-01-01 | Submission has been amended | No |
| 2003-01-01 | This submission is the final filing | No |
| 2003-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2003-01-01 | Plan is a collectively bargained plan | No |
| 2003-01-01 | Plan funding arrangement – Insurance | Yes |
| 2003-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2002: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2002 form 5500 responses |
|---|
| 2002-01-01 | Type of plan entity | Single employer plan |
| 2002-01-01 | Submission has been amended | No |
| 2002-01-01 | This submission is the final filing | No |
| 2002-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2002-01-01 | Plan is a collectively bargained plan | No |
| 2002-01-01 | Plan funding arrangement – Insurance | Yes |
| 2002-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2001 form 5500 responses |
|---|
| 2001-01-01 | Type of plan entity | Single employer plan |
| 2001-01-01 | Submission has been amended | No |
| 2001-01-01 | This submission is the final filing | No |
| 2001-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2001-01-01 | Plan is a collectively bargained plan | No |
| 2001-01-01 | Plan funding arrangement – Insurance | Yes |
| 2001-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2000: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 2000 form 5500 responses |
|---|
| 2000-01-01 | Type of plan entity | Single employer plan |
| 2000-01-01 | Submission has been amended | No |
| 2000-01-01 | This submission is the final filing | No |
| 2000-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2000-01-01 | Plan is a collectively bargained plan | No |
| 2000-01-01 | Plan funding arrangement – Insurance | Yes |
| 2000-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1999: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1999 form 5500 responses |
|---|
| 1999-01-01 | Type of plan entity | Single employer plan |
| 1999-01-01 | Submission has been amended | No |
| 1999-01-01 | This submission is the final filing | No |
| 1999-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1999-01-01 | Plan is a collectively bargained plan | No |
| 1999-01-01 | Plan funding arrangement – Insurance | Yes |
| 1999-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1998: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1998 form 5500 responses |
|---|
| 1998-01-01 | Type of plan entity | Single employer plan |
| 1998-01-01 | Submission has been amended | No |
| 1998-01-01 | This submission is the final filing | No |
| 1998-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1998-01-01 | Plan is a collectively bargained plan | No |
| 1998-01-01 | Plan funding arrangement – Insurance | Yes |
| 1998-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1997: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1997 form 5500 responses |
|---|
| 1997-01-01 | Type of plan entity | Single employer plan |
| 1997-01-01 | Submission has been amended | No |
| 1997-01-01 | This submission is the final filing | No |
| 1997-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1997-01-01 | Plan is a collectively bargained plan | No |
| 1997-01-01 | Plan funding arrangement – Insurance | Yes |
| 1997-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1996: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1996 form 5500 responses |
|---|
| 1996-01-01 | Type of plan entity | Single employer plan |
| 1996-01-01 | Submission has been amended | No |
| 1996-01-01 | This submission is the final filing | No |
| 1996-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1996-01-01 | Plan is a collectively bargained plan | No |
| 1996-01-01 | Plan funding arrangement – Insurance | Yes |
| 1996-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1995: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1995 form 5500 responses |
|---|
| 1995-01-01 | Type of plan entity | Single employer plan |
| 1995-01-01 | Submission has been amended | No |
| 1995-01-01 | This submission is the final filing | No |
| 1995-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1995-01-01 | Plan is a collectively bargained plan | No |
| 1995-01-01 | Plan funding arrangement – Insurance | Yes |
| 1995-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1994: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1994 form 5500 responses |
|---|
| 1994-01-01 | Type of plan entity | Single employer plan |
| 1994-01-01 | Submission has been amended | No |
| 1994-01-01 | This submission is the final filing | No |
| 1994-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1994-01-01 | Plan is a collectively bargained plan | No |
| 1994-01-01 | Plan funding arrangement – Insurance | Yes |
| 1994-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1993: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1993 form 5500 responses |
|---|
| 1993-01-01 | Type of plan entity | Single employer plan |
| 1993-01-01 | Submission has been amended | No |
| 1993-01-01 | This submission is the final filing | No |
| 1993-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1993-01-01 | Plan is a collectively bargained plan | No |
| 1993-01-01 | Plan funding arrangement – Insurance | Yes |
| 1993-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1992: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1992 form 5500 responses |
|---|
| 1992-01-01 | Type of plan entity | Single employer plan |
| 1992-01-01 | Submission has been amended | No |
| 1992-01-01 | This submission is the final filing | No |
| 1992-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1992-01-01 | Plan is a collectively bargained plan | No |
| 1992-01-01 | Plan funding arrangement – Insurance | Yes |
| 1992-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1991: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1991 form 5500 responses |
|---|
| 1991-01-01 | Type of plan entity | Single employer plan |
| 1991-01-01 | Submission has been amended | No |
| 1991-01-01 | This submission is the final filing | No |
| 1991-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1991-01-01 | Plan is a collectively bargained plan | No |
| 1991-01-01 | Plan funding arrangement – Insurance | Yes |
| 1991-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1990: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1990 form 5500 responses |
|---|
| 1990-01-01 | Type of plan entity | Single employer plan |
| 1990-01-01 | Submission has been amended | No |
| 1990-01-01 | This submission is the final filing | No |
| 1990-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1990-01-01 | Plan is a collectively bargained plan | No |
| 1990-01-01 | Plan funding arrangement – Insurance | Yes |
| 1990-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1989: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1989 form 5500 responses |
|---|
| 1989-01-01 | Type of plan entity | Single employer plan |
| 1989-01-01 | Submission has been amended | No |
| 1989-01-01 | This submission is the final filing | No |
| 1989-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1989-01-01 | Plan is a collectively bargained plan | No |
| 1989-01-01 | Plan funding arrangement – Insurance | Yes |
| 1989-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1988: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1988 form 5500 responses |
|---|
| 1988-01-01 | Type of plan entity | Single employer plan |
| 1988-01-01 | Submission has been amended | No |
| 1988-01-01 | This submission is the final filing | No |
| 1988-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1988-01-01 | Plan is a collectively bargained plan | No |
| 1988-01-01 | Plan funding arrangement – Insurance | Yes |
| 1988-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1987: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1987 form 5500 responses |
|---|
| 1987-01-01 | Type of plan entity | Single employer plan |
| 1987-01-01 | Submission has been amended | No |
| 1987-01-01 | This submission is the final filing | No |
| 1987-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1987-01-01 | Plan is a collectively bargained plan | No |
| 1987-01-01 | Plan funding arrangement – Insurance | Yes |
| 1987-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1986: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1986 form 5500 responses |
|---|
| 1986-01-01 | Type of plan entity | Single employer plan |
| 1986-01-01 | Submission has been amended | No |
| 1986-01-01 | This submission is the final filing | No |
| 1986-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1986-01-01 | Plan is a collectively bargained plan | No |
| 1986-01-01 | Plan funding arrangement – Insurance | Yes |
| 1986-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1985: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1985 form 5500 responses |
|---|
| 1985-01-01 | Type of plan entity | Single employer plan |
| 1985-01-01 | Submission has been amended | No |
| 1985-01-01 | This submission is the final filing | No |
| 1985-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1985-01-01 | Plan is a collectively bargained plan | No |
| 1985-01-01 | Plan funding arrangement – Insurance | Yes |
| 1985-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1984: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1984 form 5500 responses |
|---|
| 1984-01-01 | Type of plan entity | Single employer plan |
| 1984-01-01 | Submission has been amended | No |
| 1984-01-01 | This submission is the final filing | No |
| 1984-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1984-01-01 | Plan is a collectively bargained plan | No |
| 1984-01-01 | Plan funding arrangement – Insurance | Yes |
| 1984-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1983: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1983 form 5500 responses |
|---|
| 1983-01-01 | Type of plan entity | Single employer plan |
| 1983-01-01 | Submission has been amended | No |
| 1983-01-01 | This submission is the final filing | No |
| 1983-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1983-01-01 | Plan is a collectively bargained plan | No |
| 1983-01-01 | Plan funding arrangement – Insurance | Yes |
| 1983-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1982: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1982 form 5500 responses |
|---|
| 1982-01-01 | Type of plan entity | Single employer plan |
| 1982-01-01 | Submission has been amended | No |
| 1982-01-01 | This submission is the final filing | No |
| 1982-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1982-01-01 | Plan is a collectively bargained plan | No |
| 1982-01-01 | Plan funding arrangement – Insurance | Yes |
| 1982-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1981: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1981 form 5500 responses |
|---|
| 1981-01-01 | Type of plan entity | Single employer plan |
| 1981-01-01 | Submission has been amended | No |
| 1981-01-01 | This submission is the final filing | No |
| 1981-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1981-01-01 | Plan is a collectively bargained plan | No |
| 1981-01-01 | Plan funding arrangement – Insurance | Yes |
| 1981-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1980: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1980 form 5500 responses |
|---|
| 1980-01-01 | Type of plan entity | Single employer plan |
| 1980-01-01 | Submission has been amended | No |
| 1980-01-01 | This submission is the final filing | No |
| 1980-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1980-01-01 | Plan is a collectively bargained plan | No |
| 1980-01-01 | Plan funding arrangement – Insurance | Yes |
| 1980-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1979: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1979 form 5500 responses |
|---|
| 1979-01-01 | Type of plan entity | Single employer plan |
| 1979-01-01 | Submission has been amended | No |
| 1979-01-01 | This submission is the final filing | No |
| 1979-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1979-01-01 | Plan is a collectively bargained plan | No |
| 1979-01-01 | Plan funding arrangement – Insurance | Yes |
| 1979-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1978: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1978 form 5500 responses |
|---|
| 1978-01-01 | Type of plan entity | Single employer plan |
| 1978-01-01 | Submission has been amended | No |
| 1978-01-01 | This submission is the final filing | No |
| 1978-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1978-01-01 | Plan is a collectively bargained plan | No |
| 1978-01-01 | Plan funding arrangement – Insurance | Yes |
| 1978-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1977: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1977 form 5500 responses |
|---|
| 1977-01-01 | Type of plan entity | Single employer plan |
| 1977-01-01 | Submission has been amended | No |
| 1977-01-01 | This submission is the final filing | No |
| 1977-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1977-01-01 | Plan is a collectively bargained plan | No |
| 1977-01-01 | Plan funding arrangement – Insurance | Yes |
| 1977-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1976: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1976 form 5500 responses |
|---|
| 1976-01-01 | Type of plan entity | Single employer plan |
| 1976-01-01 | Submission has been amended | No |
| 1976-01-01 | This submission is the final filing | No |
| 1976-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1976-01-01 | Plan is a collectively bargained plan | No |
| 1976-01-01 | Plan funding arrangement – Insurance | Yes |
| 1976-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1975: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1975 form 5500 responses |
|---|
| 1975-01-01 | Type of plan entity | Single employer plan |
| 1975-01-01 | Submission has been amended | No |
| 1975-01-01 | This submission is the final filing | No |
| 1975-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1975-01-01 | Plan is a collectively bargained plan | No |
| 1975-01-01 | Plan funding arrangement – Insurance | Yes |
| 1975-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1974: ASOCIACION DE EMPLEADOS DEL ELA WELFARE PLAN 1974 form 5500 responses |
|---|
| 1974-01-01 | Type of plan entity | Single employer plan |
| 1974-01-01 | First time form 5500 has been submitted | Yes |
| 1974-01-01 | Submission has been amended | No |
| 1974-01-01 | This submission is the final filing | No |
| 1974-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1974-01-01 | Plan is a collectively bargained plan | No |
| 1974-01-01 | Plan funding arrangement – Insurance | Yes |
| 1974-01-01 | Plan benefit arrangement – Insurance | Yes |
| FIRST MEDICAL HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95722 ) |
| Policy contract number | 2236 |
| Policy instance | 2 |
| Insurance contract or identification number | 2236 | | Number of Individuals Covered | 171 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $62,666 | | Total amount of fees paid to insurance company | USD $113,397 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EPA | | 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 | | Amount paid for insurance broker fees | 113397 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES OR OTHER FEES | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $62,666 |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 307970-30797C |
| Policy instance | 1 |
| Insurance contract or identification number | 307970-30797C | | Number of Individuals Covered | 165 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $84,647 | | Total amount of fees paid to insurance company | USD $296,859 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAYOR MEDICAL, EPA | | 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 | | Amount paid for insurance broker fees | 296859 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES OR OTHER FEES | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $84,647 |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 307970-30797C |
| Policy instance | 2 |
| Insurance contract or identification number | 307970-30797C | | Number of Individuals Covered | 172 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $87,244 | | Total amount of fees paid to insurance company | USD $305,187 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAYOR MEDICAL, EAP | | 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 | | Amount paid for insurance broker fees | 305187 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES AND OTHER FEES | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $87,244 |
|
| FIRST MEDICAL HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95722 ) |
| Policy contract number | 22368 |
| Policy instance | 1 |
| Insurance contract or identification number | 22368 | | Number of Individuals Covered | 173 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $61,510 | | Total amount of fees paid to insurance company | USD $107,420 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 107420 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES AND OTHER FEE | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $61,510 |
|
| FIRST MEDICAL HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95722 ) |
| Policy contract number | 2236 |
| Policy instance | 2 |
| Insurance contract or identification number | 2236 | | Number of Individuals Covered | 178 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $60,595 | | Total amount of fees paid to insurance company | USD $107,862 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 107862 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES AND OTHER FEES | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $60,595 |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 307970/30797C |
| Policy instance | 1 |
| Insurance contract or identification number | 307970/30797C | | Number of Individuals Covered | 175 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $76,562 | | Total amount of fees paid to insurance company | USD $269,524 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAYOR MEDICAL EAP | | 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 | | Amount paid for insurance broker fees | 269524 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES AND OTHER FEES | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $76,562 |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 307970/30797C |
| Policy instance | 1 |
| Insurance contract or identification number | 307970/30797C | | Number of Individuals Covered | 181 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $80,191 | | Total amount of fees paid to insurance company | USD $258,662 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAYOR MEDICAL/EAP | | 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 | | Amount paid for insurance broker fees | 258662 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES OTHER FEES | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $80,121 |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 310400/31040C |
| Policy instance | 2 |
| Insurance contract or identification number | 310400/31040C | | Number of Individuals Covered | 186 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $59,699 | | Total amount of fees paid to insurance company | USD $225,511 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAYOR MEDICAL/EAP | | 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 | | Amount paid for insurance broker fees | 225511 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES AND OTHER FEES | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $59,699 |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 310400-31040C |
| Policy instance | 2 |
| Insurance contract or identification number | 310400-31040C | | Number of Individuals Covered | 204 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $74,048 | | Total amount of fees paid to insurance company | USD $200,343 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 | | Amount paid for insurance broker fees | 200343 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $74,048 |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 307970-30797C |
| Policy instance | 1 |
| Insurance contract or identification number | 307970-30797C | | Number of Individuals Covered | 194 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $63,397 | | Total amount of fees paid to insurance company | USD $269,571 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 | | Amount paid for insurance broker fees | 269571 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEE | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $63,397 |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0004289 |
| Policy instance | 2 |
| Insurance contract or identification number | SP0004289 | | Number of Individuals Covered | 193 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $69,379 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $69,379 | | Insurance broker organization code? | 3 | | Insurance broker name | MYRIAD BENEFITS |
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| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 310400 |
| Policy instance | 1 |
| Insurance contract or identification number | 310400 | | Number of Individuals Covered | 202 | | Insurance policy start date | 2016-10-01 | | Insurance policy end date | 2017-09-30 | | Total amount of commissions paid to insurance broker | USD $69,850 | | Total amount of fees paid to insurance company | USD $203,246 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 | | Amount paid for insurance broker fees | 203246 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE AND OTHER FEES | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $69,850 | | Insurance broker name | HUMAN ADVANTAGE INSURANCE |
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| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 310400 |
| Policy instance | 2 |
| Insurance contract or identification number | 310400 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $65,061 | | Total amount of fees paid to insurance company | USD $193,043 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $0 | | Amount paid for insurance broker fees | 193043 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES OF OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | HUMAN ADVANTAGE INSURANCE |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0004289 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0004289 | | Number of Individuals Covered | 194 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $50,734 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $50,734 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | MYRIAD BENEFITS INC |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 310400 |
| Policy instance | 2 |
| Insurance contract or identification number | 310400 | | Number of Individuals Covered | 228 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $65,224 | | Total amount of fees paid to insurance company | USD $192,626 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $0 | | Amount paid for insurance broker fees | 192626 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES OR OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | HUMAN ADVANTAGE INSURANCE |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0004289 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0004289 | | Number of Individuals Covered | 214 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $51,616 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $13,128 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | MYRIAD BENEFITS INC |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 310400 |
| Policy instance | 2 |
| Insurance contract or identification number | 310400 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $67,043 | | Total amount of fees paid to insurance company | USD $197,997 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $0 | | Amount paid for insurance broker fees | 197997 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICES OR OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | HUMAN ADVANTAGE INSURANCE |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0004289 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0004289 | | Number of Individuals Covered | 221 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $55,960 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $55,960 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | RR CORE INSURANCE CORP GROUP |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0004289 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0004289 | | Number of Individuals Covered | 223 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $62,466 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $62,466 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | RR CORE INSURANCE GROUP |
|
| HUMANA INSURANCE OF PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 84603 ) |
| Policy contract number | 310400 |
| Policy instance | 2 |
| Insurance contract or identification number | 310400 | | Number of Individuals Covered | 241 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $58,291 | | Total amount of fees paid to insurance company | USD $144,096 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $0 | | Amount paid for insurance broker fees | 144096 | | Insurance broker organization code? | 3 | | Insurance broker name | HUMAN ADVANTAGE INSURANCE |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0004289 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0004289 | | Number of Individuals Covered | 235 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $64,997 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $64,997 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | RR CORE INSURANCE GROUP |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 200 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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? | Yes |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 200 | | Insurance policy start date | 2009-10-01 | | Insurance policy end date | 2010-09-30 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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? | Yes |
|
| TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 ) |
| Policy contract number | SP0004289 |
| Policy instance | 1 |
| Insurance contract or identification number | SP0004289 | | Number of Individuals Covered | 226 | | Insurance policy start date | 2009-07-01 | | Insurance policy end date | 2010-06-30 | | Total amount of commissions paid to insurance broker | USD $58,175 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $58,175 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | RR CORE INSURANCE GROUP |
|
| MCS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60030 ) |
| Policy contract number | 79-790643 |
| Policy instance | 1 |
| Insurance contract or identification number | 79-790643 | | Number of Individuals Covered | 209 | | Insurance policy start date | 2005-02-01 | | Insurance policy end date | 2005-08-31 | | Total amount of commissions paid to insurance broker | USD $25,507 | | Total amount of fees paid to insurance company | USD $76,522 | | 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 | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | MAJOR MEDICAL | | 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 $0 | | Amount paid for insurance broker fees | 76522 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE AND OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | MARSH SALDANA |
|
