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TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 401k Plan overview

Plan NameTAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN
Plan identification number 501

TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

TAYLOR ELECTRIC, INC. has sponsored the creation of one or more 401k plans.

Company Name:TAYLOR ELECTRIC, INC.
Employer identification number (EIN):710886779
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Additional information about TAYLOR ELECTRIC, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1989-08-10
Company Identification Number: 601196073
Legal Registered Office Address: 3201 ROMANE RD

RAYMOND
United States of America (USA)
98577

More information about TAYLOR ELECTRIC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01RYAN TAYLOR2023-05-25 RYAN TAYLOR2023-05-25
5012021-01-01RYAN TAYLOR2022-05-11 RYAN TAYLOR2022-05-11
5012020-01-01RYAN TAYLOR2021-06-22 RYAN TAYLOR2021-06-22
5012019-01-01RYAN TAYLOR2020-09-23 RYAN TAYLOR2020-09-23
5012018-01-01RYAN TAYLOR2019-07-26 RYAN TAYLOR2019-07-26
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01SCOTT D RASMUSON, CPA
5012011-01-01SCOTT D RASMUSON, CPA
5012010-01-01SCOTT D RASMUSON, CPA
5012009-01-01SCOTT D RASMUSON, CPA
5012009-01-01SCOTT D RASMUSON, CPA
5012009-01-01SCOTT D RASMUSON, CPA

Plan Statistics for TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN

401k plan membership statisitcs for TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN

Measure Date Value
2022: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01287
Total number of active participants reported on line 7a of the Form 55002022-01-01290
Total of all active and inactive participants2022-01-01290
Total participants2022-01-01290
2021: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01288
Total number of active participants reported on line 7a of the Form 55002021-01-01287
Total of all active and inactive participants2021-01-01287
Total participants2021-01-01287
2020: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01287
Total number of active participants reported on line 7a of the Form 55002020-01-01288
Total of all active and inactive participants2020-01-01288
Total participants2020-01-01288
2019: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01270
Total number of active participants reported on line 7a of the Form 55002019-01-01287
Total of all active and inactive participants2019-01-01287
Total participants2019-01-01287
2018: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01257
Total number of active participants reported on line 7a of the Form 55002018-01-01270
Total of all active and inactive participants2018-01-01270
Total participants2018-01-01270
2017: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01240
Total number of active participants reported on line 7a of the Form 55002017-01-01257
Total of all active and inactive participants2017-01-01257
Total participants2017-01-01257
2016: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01213
Total number of active participants reported on line 7a of the Form 55002016-01-01240
Total of all active and inactive participants2016-01-01240
Total participants2016-01-01240
2015: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01200
Total number of active participants reported on line 7a of the Form 55002015-01-01212
Number of retired or separated participants receiving benefits2015-01-011
Total of all active and inactive participants2015-01-01213
Total participants2015-01-01213
2014: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01205
Total number of active participants reported on line 7a of the Form 55002014-01-01197
Number of retired or separated participants receiving benefits2014-01-013
Total of all active and inactive participants2014-01-01200
Total participants2014-01-01200
2013: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01214
Total number of active participants reported on line 7a of the Form 55002013-01-01197
Number of retired or separated participants receiving benefits2013-01-018
Total of all active and inactive participants2013-01-01205
Total participants2013-01-01205
2012: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01205
Total number of active participants reported on line 7a of the Form 55002012-01-01214
Total of all active and inactive participants2012-01-01214
Total participants2012-01-01214
2011: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01186
Total number of active participants reported on line 7a of the Form 55002011-01-01205
Number of retired or separated participants receiving benefits2011-01-010
Total of all active and inactive participants2011-01-01205
Total participants2011-01-01205
2010: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01142
Total number of active participants reported on line 7a of the Form 55002010-01-01186
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01186
Total participants2010-01-01186
2009: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01162
Total number of active participants reported on line 7a of the Form 55002009-01-01142
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01142
Number of participants with account balances2009-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Form 5500 Responses for TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN

2022: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: TAYLOR ELECTRIC, INC. MEDICAL BENEFITS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered290
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $21,436
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $213,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,436
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00623934
Policy instance 1
Insurance contract or identification number00623934
Number of Individuals Covered209
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $83,813
Total amount of fees paid to insurance companyUSD $195,883
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $550,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees195883
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $83,813
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered287
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $15,753
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $132,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,753
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00623934
Policy instance 1
Insurance contract or identification number00623934
Number of Individuals Covered202
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $74,933
Total amount of fees paid to insurance companyUSD $185,529
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $538,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,933
Insurance broker organization code?3
Amount paid for insurance broker fees185529
Additional information about fees paid to insurance brokerADMIN FEES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00623934
Policy instance 1
Insurance contract or identification number00623934
Number of Individuals Covered209
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $81,996
Total amount of fees paid to insurance companyUSD $206,731
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $467,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $81,996
Insurance broker organization code?3
Amount paid for insurance broker fees206731
Additional information about fees paid to insurance brokerADMIN FEES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered288
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $15,444
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $130,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,444
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00623934
Policy instance 1
Insurance contract or identification number00623934
Number of Individuals Covered211
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $75,907
Total amount of fees paid to insurance companyUSD $167,731
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $346,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,907
Insurance broker organization code?3
Amount paid for insurance broker fees167731
Additional information about fees paid to insurance brokerADMIN FEES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered287
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $13,006
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $113,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,006
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered257
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,549
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD - BAS LIFE-BTRM, LIFE-SDEP, LIFE-VOL, LTD-ABIL, AND WD-FLEX
Welfare Benefit Premiums Paid to CarrierUSD $52,680
Commission paid to Insurance BrokerUSD $6,549
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA
DENTAL MANAGEMENT ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 77674 )
Policy contract numberABI 4UTM51035
Policy instance 3
Insurance contract or identification numberABI 4UTM51035
Number of Individuals Covered170
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,179
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $142,196
Commission paid to Insurance BrokerUSD $7,179
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AM
STHEALTH/CHARTIS (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number501
Policy instance 1
Insurance contract or identification number501
Number of Individuals Covered161
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $49,371
Total amount of fees paid to insurance companyUSD $38,255
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $351,319
Commission paid to Insurance BrokerUSD $49,371
Insurance broker organization code?3
Amount paid for insurance broker fees38255
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered212
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,387
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD - BAS LIFE-BTRM LIFE-SDEP LIFE-VOL
Welfare Benefit Premiums Paid to CarrierUSD $49,965
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,387
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA
DENTAL MANAGEMENT ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 77674 )
Policy contract number004ABI 4UTM5103
Policy instance 3
Insurance contract or identification number004ABI 4UTM5103
Number of Individuals Covered159
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,600
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $141,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,600
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS FO AMERICA
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract numberGB00223UT-01
Policy instance 1
Insurance contract or identification numberGB00223UT-01
Number of Individuals Covered154
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $42,315
Total amount of fees paid to insurance companyUSD $52,312
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $234,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,315
Insurance broker organization code?3
Amount paid for insurance broker fees52312
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA, INC.
DENTAL MANAGEMENT ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 77674 )
Policy contract number004ABI 4UTM5103
Policy instance 3
Insurance contract or identification number004ABI 4UTM5103
Number of Individuals Covered474
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,057
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,057
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered197
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,229
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD - BAS LIFE-BTRM LIFE-SDEP LIFE-VOL
Welfare Benefit Premiums Paid to CarrierUSD $26,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,229
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract numberGB00223UT-01
Policy instance 1
Insurance contract or identification numberGB00223UT-01
Number of Individuals Covered133
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of fees paid to insurance companyUSD $48,659
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $266,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees48659
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA
DENTAL MANAGEMENT ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 77674 )
Policy contract number004ABI 4UTM5103
Policy instance 3
Insurance contract or identification number004ABI 4UTM5103
Number of Individuals Covered472
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,675
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,675
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AM
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered197
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,161
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD - BAS
Welfare Benefit Premiums Paid to CarrierUSD $25,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,161
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1010605 1001
Policy instance 1
Insurance contract or identification numberG1010605 1001
Number of Individuals Covered404
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $36,002
Total amount of fees paid to insurance companyUSD $12,241
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,450,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,002
Amount paid for insurance broker fees12241
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
Insurance broker nameMCDERMOTT COMPANY & ASSOCIATES
DENTAL MANAGEMENT ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 77674 )
Policy contract number004ABI4UTM51035
Policy instance 1
Insurance contract or identification number004ABI4UTM51035
Number of Individuals Covered476
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,278
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,278
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered211
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,172
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,172
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1010605 1001
Policy instance 3
Insurance contract or identification numberG1010605 1001
Number of Individuals Covered402
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $35,148
Total amount of fees paid to insurance companyUSD $11,950
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,148
Amount paid for insurance broker fees11950
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
Insurance broker nameMCDERMOTT COMPANY & ASSOCIATES
ORRIANT, LLC (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered214
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,045
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,045
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
Insurance broker nameORRIANT, LLC
ORRIANT, LLC (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered214
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,028
Health Insurance Welfare BenefitYes
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1010605 1001
Policy instance 3
Insurance contract or identification numberG1010605 1001
Number of Individuals Covered368
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $35,083
Total amount of fees paid to insurance companyUSD $12,149
Health Insurance Welfare BenefitYes
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered205
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,750
Life Insurance Welfare BenefitYes
DENTAL MANAGEMENT ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 77674 )
Policy contract number004ABI4UTM51035
Policy instance 1
Insurance contract or identification number004ABI4UTM51035
Number of Individuals Covered421
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,036
Dental Insurance Welfare BenefitYes
DENTAL MANAGEMENT ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: 77674 )
Policy contract number004ABI4UTM51035
Policy instance 1
Insurance contract or identification number004ABI4UTM51035
Number of Individuals Covered415
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,415
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $92,645
Commission paid to Insurance BrokerUSD $3,415
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220770G
Policy instance 2
Insurance contract or identification number220770G
Number of Individuals Covered186
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,244
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,662
Commission paid to Insurance BrokerUSD $2,244
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA
SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 )
Policy contract numberG1010605 1001
Policy instance 3
Insurance contract or identification numberG1010605 1001
Number of Individuals Covered351
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $32,331
Total amount of fees paid to insurance companyUSD $11,583
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $31,863
Amount paid for insurance broker fees11415
Insurance broker organization code?3
Insurance broker nameMCDERMOTT COMPANY & ASSOCIATES
HEALTH BEHAVIOR INNOVATIONS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered142
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $932
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,827
Commission paid to Insurance BrokerUSD $932
Insurance broker organization code?3
Insurance broker nameFINANCIAL CONCEPTS OF AMERICA

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