ABILITIES UNLIMITED OF JONESBORO, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN
401k plan membership statisitcs for ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2020: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 474 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 429 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 429 |
| 2019: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 474 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 462 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 0 |
| Total of all active and inactive participants | 2019-05-01 | 462 |
| 2018: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-05-01 | 522 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 474 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 474 |
| 2017: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 370 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 522 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 522 |
| 2016: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 376 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 370 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 370 |
| 2015: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 437 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 376 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 376 |
| 2014: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 377 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 437 |
| Number of retired or separated participants receiving benefits | 2014-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-05-01 | 0 |
| Total of all active and inactive participants | 2014-05-01 | 437 |
| 2013: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 240 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 377 |
| Total of all active and inactive participants | 2013-05-01 | 377 |
| 2012: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 229 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 240 |
| Total of all active and inactive participants | 2012-05-01 | 240 |
| 2011: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 214 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 229 |
| Total of all active and inactive participants | 2011-05-01 | 229 |
| 2010: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-05-01 | 146 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-05-01 | 214 |
| Total of all active and inactive participants | 2010-05-01 | 214 |
| 2009: ABILITIES UNLIMITED OF JONESBORO INC. HEALTH AND DENTAL INSURANCE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-01 | 144 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 146 |
| Total of all active and inactive participants | 2009-05-01 | 146 |
| Total participants | 2009-05-01 | 146 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 061308, 061309 |
| Policy instance | 3 |
| Insurance contract or identification number | 061308, 061309 | | Number of Individuals Covered | 148 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,935 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584, 028585 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584, 028585 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167, 027413 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167, 027413 | | Number of Individuals Covered | 171 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167, 027413 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167, 027413 | | Number of Individuals Covered | 182 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584, 028585 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584, 028585 | | Number of Individuals Covered | 119 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 061308, 061309 |
| Policy instance | 3 |
| Insurance contract or identification number | 061308, 061309 | | Number of Individuals Covered | 161 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,563 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584, 028585 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584, 028585 | | Number of Individuals Covered | 140 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167, 027413 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167, 027413 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 061308, 061309 |
| Policy instance | 3 |
| Insurance contract or identification number | 061308, 061309 | | Number of Individuals Covered | 169 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,846 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028585 |
| Policy instance | 3 |
| Insurance contract or identification number | 028585 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027413 |
| Policy instance | 4 |
| Insurance contract or identification number | 027413 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 30025794 |
| Policy instance | 5 |
| Insurance contract or identification number | 30025794 | | Number of Individuals Covered | 169 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,127 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584 | | Number of Individuals Covered | 140 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 30025794 |
| Policy instance | 5 |
| Insurance contract or identification number | 30025794 | | Number of Individuals Covered | 145 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167 | | Number of Individuals Covered | 108 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584 | | Number of Individuals Covered | 156 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028585 |
| Policy instance | 3 |
| Insurance contract or identification number | 028585 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027413 |
| Policy instance | 4 |
| Insurance contract or identification number | 027413 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584 | | Number of Individuals Covered | 374 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028585 |
| Policy instance | 3 |
| Insurance contract or identification number | 028585 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 30025794 |
| Policy instance | 5 |
| Insurance contract or identification number | 30025794 | | Number of Individuals Covered | 145 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027413 |
| Policy instance | 4 |
| Insurance contract or identification number | 027413 | | Number of Individuals Covered | 210 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028585 |
| Policy instance | 3 |
| Insurance contract or identification number | 028585 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027413 |
| Policy instance | 4 |
| Insurance contract or identification number | 027413 | | Number of Individuals Covered | 210 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 30025794 |
| Policy instance | 5 |
| Insurance contract or identification number | 30025794 | | Number of Individuals Covered | 157 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584 | | Number of Individuals Covered | 374 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167 | | Number of Individuals Covered | 229 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584 | | Number of Individuals Covered | 186 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 30025794 |
| Policy instance | 4 |
| Insurance contract or identification number | 30025794 | | Number of Individuals Covered | 149 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028585 |
| Policy instance | 3 |
| Insurance contract or identification number | 028585 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028584 |
| Policy instance | 2 |
| Insurance contract or identification number | 028584 | | Number of Individuals Covered | 186 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 028585 |
| Policy instance | 3 |
| Insurance contract or identification number | 028585 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 ) |
| Policy contract number | 027167 |
| Policy instance | 1 |
| Insurance contract or identification number | 027167 | | Number of Individuals Covered | 229 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 500003218 |
| Policy instance | 9 |
| Insurance contract or identification number | 500003218 | | Number of Individuals Covered | 38 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $153 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 30025794 |
| Policy instance | 12 |
| Insurance contract or identification number | 30025794 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 101321801 |
| Policy instance | 4 |
| Insurance contract or identification number | 101321801 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $472 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 101321801 |
| Policy instance | 5 |
| Insurance contract or identification number | 101321801 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $561 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 500003218 |
| Policy instance | 11 |
| Insurance contract or identification number | 500003218 | | Number of Individuals Covered | 37 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $992 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 500003218 |
| Policy instance | 10 |
| Insurance contract or identification number | 500003218 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $589 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 101321801 |
| Policy instance | 6 |
| Insurance contract or identification number | 101321801 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $12 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 500003218 |
| Policy instance | 8 |
| Insurance contract or identification number | 500003218 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $576 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 500003218 |
| Policy instance | 7 |
| Insurance contract or identification number | 500003218 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $378 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | SRG 0009130645 |
| Policy instance | 4 |
| Insurance contract or identification number | SRG 0009130645 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $294 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| QCA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95448 ) |
| Policy contract number | 52874 |
| Policy instance | 1 |
| Insurance contract or identification number | 52874 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $15,259 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 ) |
| Policy contract number | 000009573 |
| Policy instance | 2 |
| Insurance contract or identification number | 000009573 | | Number of Individuals Covered | 214 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $4,675 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 ) |
| Policy contract number | 00009573V |
| Policy instance | 3 |
| Insurance contract or identification number | 00009573V | | Number of Individuals Covered | 196 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $2,746 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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