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CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 401k Plan overview

Plan NameCENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P
Plan identification number 501

CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Prepaid legal

401k Sponsoring company profile

CENTRAL ARKANSAS NURSING CENTERS, has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL ARKANSAS NURSING CENTERS,
Employer identification number (EIN):710694879
NAIC Classification:812990
NAIC Description:All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-08-01
5012018-08-01
5012017-08-01
5012016-08-01JERRY SAMS
5012015-08-01JERRY SAMS
5012014-08-01JERRY SAMS
5012013-08-01JERRY SAMS
5012012-08-01JERRY SAMS
5012011-08-01JERRY SAMS
5012010-08-01JERRY SAMS
5012010-01-01GARY ROBERTS
5012009-01-01JERRY SAMS
5012009-01-01GARY ROBERTS

Plan Statistics for CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P

401k plan membership statisitcs for CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P

Measure Date Value
2022: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2022 401k membership
Total participants, beginning-of-year2022-01-012,182
Total number of active participants reported on line 7a of the Form 55002022-01-012,175
Number of retired or separated participants receiving benefits2022-01-015
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,180
2021: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2021 401k membership
Total participants, beginning-of-year2021-01-012,100
Total number of active participants reported on line 7a of the Form 55002021-01-012,150
Number of retired or separated participants receiving benefits2021-01-0132
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,182
Total participants2021-01-012,182
2020: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2020 401k membership
Total participants, beginning-of-year2020-01-012,407
Total number of active participants reported on line 7a of the Form 55002020-01-012,072
Number of retired or separated participants receiving benefits2020-01-0128
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,100
2019: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2019 401k membership
Total participants, beginning-of-year2019-08-012,347
Total number of active participants reported on line 7a of the Form 55002019-08-012,387
Number of retired or separated participants receiving benefits2019-08-0120
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-012,407
2018: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2018 401k membership
Total participants, beginning-of-year2018-08-012,438
Total number of active participants reported on line 7a of the Form 55002018-08-012,319
Number of retired or separated participants receiving benefits2018-08-0128
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-012,347
2017: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2017 401k membership
Total participants, beginning-of-year2017-08-012,354
Total number of active participants reported on line 7a of the Form 55002017-08-012,420
Number of retired or separated participants receiving benefits2017-08-0118
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-012,438
2016: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2016 401k membership
Total participants, beginning-of-year2016-08-012,379
Total number of active participants reported on line 7a of the Form 55002016-08-012,342
Number of retired or separated participants receiving benefits2016-08-0112
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-012,354
2015: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2015 401k membership
Total participants, beginning-of-year2015-08-012,582
Total number of active participants reported on line 7a of the Form 55002015-08-012,356
Number of retired or separated participants receiving benefits2015-08-0123
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-012,379
2014: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2014 401k membership
Total participants, beginning-of-year2014-08-012,278
Total number of active participants reported on line 7a of the Form 55002014-08-012,570
Number of retired or separated participants receiving benefits2014-08-0112
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-012,582
2013: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2013 401k membership
Total participants, beginning-of-year2013-08-012,660
Total number of active participants reported on line 7a of the Form 55002013-08-012,268
Number of retired or separated participants receiving benefits2013-08-0110
Total of all active and inactive participants2013-08-012,278
Total participants2013-08-012,278
2012: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2012 401k membership
Total participants, beginning-of-year2012-08-012,440
Total number of active participants reported on line 7a of the Form 55002012-08-012,650
Number of retired or separated participants receiving benefits2012-08-0110
Total of all active and inactive participants2012-08-012,660
Total participants2012-08-012,660
2011: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2011 401k membership
Total participants, beginning-of-year2011-08-012,430
Total number of active participants reported on line 7a of the Form 55002011-08-012,433
Number of retired or separated participants receiving benefits2011-08-017
Total of all active and inactive participants2011-08-012,440
Total participants2011-08-012,440
2010: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2010 401k membership
Total participants, beginning-of-year2010-08-011,690
Total number of active participants reported on line 7a of the Form 55002010-08-012,426
Number of retired or separated participants receiving benefits2010-08-0112
Number of other retired or separated participants entitled to future benefits2010-08-010
Total of all active and inactive participants2010-08-012,438
Total participants2010-08-012,438
Total participants, beginning-of-year2010-01-011,682
Total number of active participants reported on line 7a of the Form 55002010-01-011,690
Number of retired or separated participants receiving benefits2010-01-0115
Total of all active and inactive participants2010-01-011,705
Total participants2010-01-011,705
2009: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2009 401k membership
Total participants, beginning-of-year2009-01-011,597
Total number of active participants reported on line 7a of the Form 55002009-01-011,660
Number of retired or separated participants receiving benefits2009-01-0122
Total of all active and inactive participants2009-01-011,682
Total participants2009-01-011,682

Form 5500 Responses for CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P

2022: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2019 form 5500 responses
2019-08-01Type of plan entityMulitple employer plan
2019-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – General assets of the sponsorYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – General assets of the sponsorYes
2018: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2018 form 5500 responses
2018-08-01Type of plan entityMulitple employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – General assets of the sponsorYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – General assets of the sponsorYes
2017: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2017 form 5500 responses
2017-08-01Type of plan entityMulitple employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – General assets of the sponsorYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – General assets of the sponsorYes
2016: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2016 form 5500 responses
2016-08-01Type of plan entityMulitple employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – General assets of the sponsorYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – General assets of the sponsorYes
2015: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2015 form 5500 responses
2015-08-01Type of plan entityMulitple employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan funding arrangement – General assets of the sponsorYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – General assets of the sponsorYes
2014: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2014 form 5500 responses
2014-08-01Type of plan entityMulitple employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – General assets of the sponsorYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – General assets of the sponsorYes
2013: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2013 form 5500 responses
2013-08-01Type of plan entityMulitple employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – General assets of the sponsorYes
2012: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2012 form 5500 responses
2012-08-01Type of plan entityMulitple employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan funding arrangement – General assets of the sponsorYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – General assets of the sponsorYes
2011: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2011 form 5500 responses
2011-08-01Type of plan entityMulitple employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – General assets of the sponsorYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – General assets of the sponsorYes
2010: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2010 form 5500 responses
2010-08-01Type of plan entityMulitple employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan funding arrangement – General assets of the sponsorYes
2010-08-01Plan benefit arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – General assets of the sponsorYes
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Submission has been amendedYes
2010-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: CENTRAL ARKANSAS NURSING CENTERS WELFARE BENEFIT P 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number480437
Policy instance 3
Insurance contract or identification number480437
Number of Individuals Covered3788
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number480436
Policy instance 2
Insurance contract or identification number480436
Number of Individuals Covered396
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $37,275
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $372,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,275
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number111627
Policy instance 1
Insurance contract or identification number111627
Number of Individuals Covered600
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $24,443
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $246,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,443
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number111627
Policy instance 3
Insurance contract or identification number111627
Number of Individuals Covered732
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $47,478
Total amount of fees paid to insurance companyUSD $4,367
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $254,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,668
Amount paid for insurance broker fees4367
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number578884
Policy instance 2
Insurance contract or identification number578884
Number of Individuals Covered409
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $142,482
Other welfare benefits providedOTHER (CANCER)
Welfare Benefit Premiums Paid to CarrierUSD $192,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $142,482
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number944938
Policy instance 1
Insurance contract or identification number944938
Number of Individuals Covered373
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,940
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $290,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,940
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number578884
Policy instance 3
Insurance contract or identification number578884
Number of Individuals Covered409
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $142,482
Other welfare benefits providedOTHER (CANCER)
Welfare Benefit Premiums Paid to CarrierUSD $192,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $142,482
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number944938
Policy instance 2
Insurance contract or identification number944938
Number of Individuals Covered373
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,940
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $290,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,940
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number111627
Policy instance 1
Insurance contract or identification number111627
Number of Individuals Covered732
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $47,478
Total amount of fees paid to insurance companyUSD $4,367
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $254,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,668
Amount paid for insurance broker fees4367
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number111627
Policy instance 3
Insurance contract or identification number111627
Number of Individuals Covered732
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $79,131
Total amount of fees paid to insurance companyUSD $6,923
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $367,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,131
Amount paid for insurance broker fees6923
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30076358
Policy instance 2
Insurance contract or identification number30076358
Number of Individuals Covered1416
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,570
Total amount of fees paid to insurance companyUSD $67,220
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $231,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,189
Amount paid for insurance broker fees67220
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number538673
Policy instance 1
Insurance contract or identification number538673
Number of Individuals Covered872
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,450
Total amount of fees paid to insurance companyUSD $302
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,450
Amount paid for insurance broker fees302
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number111627
Policy instance 3
Insurance contract or identification number111627
Number of Individuals Covered818
Insurance policy start date2019-08-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $67,327
Total amount of fees paid to insurance companyUSD $5,891
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $365,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,327
Amount paid for insurance broker fees5891
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30076358
Policy instance 2
Insurance contract or identification number30076358
Number of Individuals Covered1647
Insurance policy start date2019-08-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $32,260
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $177,321
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees32260
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number538673
Policy instance 1
Insurance contract or identification number538673
Number of Individuals Covered867
Insurance policy start date2019-08-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,665
Total amount of fees paid to insurance companyUSD $846
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,665
Amount paid for insurance broker fees846
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number538673
Policy instance 1
Insurance contract or identification number538673
Number of Individuals Covered941
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $11,330
Total amount of fees paid to insurance companyUSD $991
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,330
Amount paid for insurance broker fees991
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30076358
Policy instance 2
Insurance contract or identification number30076358
Number of Individuals Covered1591
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $3,670
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $174,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,670
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30076358
Policy instance 2
Insurance contract or identification number30076358
Number of Individuals Covered1479
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $3,433
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $158,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number538673
Policy instance 1
Insurance contract or identification number538673
Number of Individuals Covered796
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $9,647
Total amount of fees paid to insurance companyUSD $844
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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