BAKER MANUFACTURING COMPANY, INC. has sponsored the creation of one or more 401k plans.
Additional information about BAKER MANUFACTURING COMPANY, INC.
Submission information for form 5500 for 401k plan BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST
401k plan membership statisitcs for BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST
Measure | Date | Value |
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2020 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2020 401k financial data |
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Total income from all sources | 2020-04-21 | $3,962 |
Expenses. Total of all expenses incurred | 2020-04-21 | $4,295 |
Benefits paid (including direct rollovers) | 2020-04-21 | $4,216 |
Total plan assets at end of year | 2020-04-21 | $0 |
Total plan assets at beginning of year | 2020-04-21 | $333 |
Expenses. Other expenses not covered elsewhere | 2020-04-21 | $79 |
Other income received | 2020-04-21 | $3,962 |
Net income (gross income less expenses) | 2020-04-21 | $-333 |
Net plan assets at end of year (total assets less liabilities) | 2020-04-21 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2020-04-21 | $333 |
2019 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2019 401k financial data |
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Total income from all sources | 2019-05-31 | $576,847 |
Expenses. Total of all expenses incurred | 2019-05-31 | $581,966 |
Benefits paid (including direct rollovers) | 2019-05-31 | $562,744 |
Total plan assets at end of year | 2019-05-31 | $333 |
Total plan assets at beginning of year | 2019-05-31 | $5,452 |
Expenses. Other expenses not covered elsewhere | 2019-05-31 | $19,222 |
Net income (gross income less expenses) | 2019-05-31 | $-5,119 |
Net plan assets at end of year (total assets less liabilities) | 2019-05-31 | $333 |
Net plan assets at beginning of year (total assets less liabilities) | 2019-05-31 | $5,452 |
Total contributions received or receivable from employer(s) | 2019-05-31 | $576,847 |
2018 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2018 401k financial data |
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Total income from all sources | 2018-05-31 | $833,275 |
Expenses. Total of all expenses incurred | 2018-05-31 | $863,390 |
Benefits paid (including direct rollovers) | 2018-05-31 | $830,365 |
Total plan assets at end of year | 2018-05-31 | $5,452 |
Total plan assets at beginning of year | 2018-05-31 | $35,567 |
Expenses. Other expenses not covered elsewhere | 2018-05-31 | $33,025 |
Other income received | 2018-05-31 | $45 |
Net income (gross income less expenses) | 2018-05-31 | $-30,115 |
Net plan assets at end of year (total assets less liabilities) | 2018-05-31 | $5,452 |
Net plan assets at beginning of year (total assets less liabilities) | 2018-05-31 | $35,567 |
Total contributions received or receivable from employer(s) | 2018-05-31 | $833,230 |
2017 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2017 401k financial data |
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Total income from all sources | 2017-05-31 | $1,076,070 |
Expenses. Total of all expenses incurred | 2017-05-31 | $1,064,001 |
Benefits paid (including direct rollovers) | 2017-05-31 | $1,016,969 |
Total plan assets at end of year | 2017-05-31 | $35,567 |
Total plan assets at beginning of year | 2017-05-31 | $23,498 |
Expenses. Other expenses not covered elsewhere | 2017-05-31 | $47,032 |
Other income received | 2017-05-31 | $100,250 |
Net income (gross income less expenses) | 2017-05-31 | $12,069 |
Net plan assets at end of year (total assets less liabilities) | 2017-05-31 | $35,567 |
Net plan assets at beginning of year (total assets less liabilities) | 2017-05-31 | $23,498 |
Total contributions received or receivable from employer(s) | 2017-05-31 | $975,820 |
2016 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2016 401k financial data |
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Total income from all sources | 2016-05-31 | $1,444,555 |
Expenses. Total of all expenses incurred | 2016-05-31 | $1,431,078 |
Benefits paid (including direct rollovers) | 2016-05-31 | $1,373,676 |
Total plan assets at end of year | 2016-05-31 | $23,498 |
Total plan assets at beginning of year | 2016-05-31 | $10,021 |
Expenses. Other expenses not covered elsewhere | 2016-05-31 | $57,402 |
Other income received | 2016-05-31 | $135,841 |
Net income (gross income less expenses) | 2016-05-31 | $13,477 |
Net plan assets at end of year (total assets less liabilities) | 2016-05-31 | $23,498 |
Net plan assets at beginning of year (total assets less liabilities) | 2016-05-31 | $10,021 |
Total contributions received or receivable from employer(s) | 2016-05-31 | $1,308,714 |
2015 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2015 401k financial data |
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Total income from all sources | 2015-05-31 | $1,218,021 |
Expenses. Total of all expenses incurred | 2015-05-31 | $1,228,951 |
Benefits paid (including direct rollovers) | 2015-05-31 | $1,169,937 |
Total plan assets at end of year | 2015-05-31 | $10,021 |
Total plan assets at beginning of year | 2015-05-31 | $20,951 |
Expenses. Other expenses not covered elsewhere | 2015-05-31 | $59,014 |
Net income (gross income less expenses) | 2015-05-31 | $-10,930 |
Net plan assets at end of year (total assets less liabilities) | 2015-05-31 | $10,021 |
Net plan assets at beginning of year (total assets less liabilities) | 2015-05-31 | $20,951 |
Total contributions received or receivable from employer(s) | 2015-05-31 | $1,218,021 |
2014 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2014 401k financial data |
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Total income from all sources | 2014-05-31 | $1,200,682 |
Expenses. Total of all expenses incurred | 2014-05-31 | $1,236,185 |
Benefits paid (including direct rollovers) | 2014-05-31 | $1,184,074 |
Total plan assets at end of year | 2014-05-31 | $20,951 |
Total plan assets at beginning of year | 2014-05-31 | $56,454 |
Expenses. Other expenses not covered elsewhere | 2014-05-31 | $52,111 |
Other income received | 2014-05-31 | $95,381 |
Net income (gross income less expenses) | 2014-05-31 | $-35,503 |
Net plan assets at end of year (total assets less liabilities) | 2014-05-31 | $20,951 |
Net plan assets at beginning of year (total assets less liabilities) | 2014-05-31 | $56,454 |
Total contributions received or receivable from employer(s) | 2014-05-31 | $1,105,301 |
2013 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2013 401k financial data |
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Total income from all sources | 2013-05-31 | $998,652 |
Expenses. Total of all expenses incurred | 2013-05-31 | $948,193 |
Benefits paid (including direct rollovers) | 2013-05-31 | $884,848 |
Total plan assets at end of year | 2013-05-31 | $56,454 |
Total plan assets at beginning of year | 2013-05-31 | $5,995 |
Expenses. Other expenses not covered elsewhere | 2013-05-31 | $63,345 |
Other income received | 2013-05-31 | $4 |
Net income (gross income less expenses) | 2013-05-31 | $50,459 |
Net plan assets at end of year (total assets less liabilities) | 2013-05-31 | $56,454 |
Net plan assets at beginning of year (total assets less liabilities) | 2013-05-31 | $5,995 |
Total contributions received or receivable from employer(s) | 2013-05-31 | $998,648 |
2012 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2012 401k financial data |
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Total income from all sources | 2012-05-31 | $697,190 |
Expenses. Total of all expenses incurred | 2012-05-31 | $713,069 |
Benefits paid (including direct rollovers) | 2012-05-31 | $656,690 |
Total plan assets at end of year | 2012-05-31 | $5,995 |
Total plan assets at beginning of year | 2012-05-31 | $21,874 |
Other income received | 2012-05-31 | $36 |
Net income (gross income less expenses) | 2012-05-31 | $-15,879 |
Net plan assets at end of year (total assets less liabilities) | 2012-05-31 | $5,995 |
Net plan assets at beginning of year (total assets less liabilities) | 2012-05-31 | $21,874 |
Total contributions received or receivable from employer(s) | 2012-05-31 | $697,154 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2012-05-31 | $56,379 |
2011 : BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2011 401k financial data |
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Total income from all sources | 2011-05-31 | $923,799 |
Expenses. Total of all expenses incurred | 2011-05-31 | $923,295 |
Benefits paid (including direct rollovers) | 2011-05-31 | $874,873 |
Total plan assets at end of year | 2011-05-31 | $21,874 |
Total plan assets at beginning of year | 2011-05-31 | $21,370 |
Other income received | 2011-05-31 | $25,966 |
Net income (gross income less expenses) | 2011-05-31 | $504 |
Net plan assets at end of year (total assets less liabilities) | 2011-05-31 | $21,874 |
Net plan assets at beginning of year (total assets less liabilities) | 2011-05-31 | $21,370 |
Total contributions received or receivable from employer(s) | 2011-05-31 | $897,833 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2011-05-31 | $48,422 |
2019: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2019 form 5500 responses |
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2019-06-01 | Type of plan entity | Single employer plan |
2019-06-01 | This submission is the final filing | Yes |
2019-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2019-06-01 | Plan funding arrangement – Trust | Yes |
2019-06-01 | Plan benefit arrangement - Trust | Yes |
2018: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2018 form 5500 responses |
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2018-06-01 | Type of plan entity | Single employer plan |
2018-06-01 | Plan funding arrangement – Insurance | Yes |
2018-06-01 | Plan funding arrangement – Trust | Yes |
2018-06-01 | Plan benefit arrangement – Insurance | Yes |
2018-06-01 | Plan benefit arrangement - Trust | Yes |
2017: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2017 form 5500 responses |
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2017-06-01 | Type of plan entity | Single employer plan |
2017-06-01 | Plan funding arrangement – Insurance | Yes |
2017-06-01 | Plan funding arrangement – Trust | Yes |
2017-06-01 | Plan benefit arrangement – Insurance | Yes |
2017-06-01 | Plan benefit arrangement - Trust | Yes |
2016: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2016 form 5500 responses |
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2016-06-01 | Type of plan entity | Single employer plan |
2016-06-01 | Plan funding arrangement – Insurance | Yes |
2016-06-01 | Plan funding arrangement – Trust | Yes |
2016-06-01 | Plan benefit arrangement – Insurance | Yes |
2016-06-01 | Plan benefit arrangement - Trust | Yes |
2015: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2015 form 5500 responses |
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2015-06-01 | Type of plan entity | Single employer plan |
2015-06-01 | Plan funding arrangement – Insurance | Yes |
2015-06-01 | Plan funding arrangement – Trust | Yes |
2015-06-01 | Plan benefit arrangement – Insurance | Yes |
2015-06-01 | Plan benefit arrangement - Trust | Yes |
2014: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2014 form 5500 responses |
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2014-06-01 | Type of plan entity | Single employer plan |
2014-06-01 | Plan funding arrangement – Insurance | Yes |
2014-06-01 | Plan funding arrangement – Trust | Yes |
2014-06-01 | Plan benefit arrangement – Insurance | Yes |
2014-06-01 | Plan benefit arrangement - Trust | Yes |
2013: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2013 form 5500 responses |
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2013-06-01 | Type of plan entity | Single employer plan |
2013-06-01 | Plan funding arrangement – Insurance | Yes |
2013-06-01 | Plan funding arrangement – Trust | Yes |
2013-06-01 | Plan benefit arrangement – Insurance | Yes |
2013-06-01 | Plan benefit arrangement - Trust | Yes |
2012: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2012 form 5500 responses |
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2012-06-01 | Type of plan entity | Single employer plan |
2012-06-01 | Plan funding arrangement – Insurance | Yes |
2012-06-01 | Plan funding arrangement – Trust | Yes |
2012-06-01 | Plan benefit arrangement – Insurance | Yes |
2012-06-01 | Plan benefit arrangement - Trust | Yes |
2011: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2011 form 5500 responses |
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2011-06-01 | Type of plan entity | Single employer plan |
2011-06-01 | Plan funding arrangement – Insurance | Yes |
2011-06-01 | Plan funding arrangement – Trust | Yes |
2011-06-01 | Plan benefit arrangement – Insurance | Yes |
2011-06-01 | Plan benefit arrangement - Trust | Yes |
2010: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2010 form 5500 responses |
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2010-06-01 | Type of plan entity | Single employer plan |
2010-06-01 | Plan funding arrangement – Insurance | Yes |
2010-06-01 | Plan funding arrangement – Trust | Yes |
2010-06-01 | Plan benefit arrangement – Insurance | Yes |
2010-06-01 | Plan benefit arrangement - Trust | Yes |
2009: BAKER MANUFACTURING CO., INC. EMPLOYEE BENEFIT PLAN AND TRUST 2009 form 5500 responses |
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2009-06-01 | Type of plan entity | Single employer plan |
2009-06-01 | This submission is the final filing | No |
2009-06-01 | Plan funding arrangement – Insurance | Yes |
2009-06-01 | Plan funding arrangement – Trust | Yes |
2009-06-01 | Plan benefit arrangement – Insurance | Yes |
2009-06-01 | Plan benefit arrangement - Trust | Yes |
PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 0 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $15,884 | Total amount of fees paid to insurance company | USD $15,088 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $101,175 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15,884 | Amount paid for insurance broker fees | 15088 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 |
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AMERICAN HEALTH HOLDINGS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 0 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $752 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $2,025 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $752 | Insurance broker organization code? | 5 |
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VERITY HEALTHNET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 0 | Insurance policy start date | 2018-06-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $2,074 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $6,222 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,074 | Insurance broker organization code? | 5 |
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HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 71 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $25,991 | Total amount of fees paid to insurance company | USD $28,856 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $173,289 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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AMERICAN HEALTH HOLDINGS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 71 | Insurance policy start date | 2017-06-01 | Insurance policy end date | 2018-05-31 | Total amount of commissions paid to insurance broker | USD $1,130 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $3,264 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2015-06-01 | Insurance policy end date | 2016-05-31 | Total amount of commissions paid to insurance broker | USD $1,510 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, DEP. LIFE | Welfare Benefit Premiums Paid to Carrier | USD $7,589 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,510 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2015-06-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $673 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $3,547 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $673 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2015-06-01 | Insurance policy end date | 2016-05-31 | Total amount of commissions paid to insurance broker | USD $30,723 | Total amount of fees paid to insurance company | USD $41,143 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $225,927 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $30,723 | Amount paid for insurance broker fees | 33805 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 | Insurance broker name | JOHN BREWER |
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ACTIVENET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2015-06-01 | Insurance policy end date | 2016-05-31 | Total amount of commissions paid to insurance broker | USD $3,679 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $6,832 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,679 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2015-06-01 | Insurance policy end date | 2016-05-31 | Total amount of commissions paid to insurance broker | USD $1,223 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $8,561 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,223 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
|
PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2014-06-01 | Insurance policy end date | 2015-05-31 | Total amount of commissions paid to insurance broker | USD $1,245 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $8,715 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,245 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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ACTIVENET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 6 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2014-06-01 | Insurance policy end date | 2015-05-31 | Total amount of commissions paid to insurance broker | USD $4,316 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $8,015 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,316 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2014-06-01 | Insurance policy end date | 2015-05-31 | Total amount of commissions paid to insurance broker | USD $1,350 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, DEP. LIFE | Welfare Benefit Premiums Paid to Carrier | USD $6,744 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,350 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2014-06-01 | Insurance policy end date | 2014-06-30 | Total amount of commissions paid to insurance broker | USD $55 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $265 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $55 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 103 | Insurance policy start date | 2014-06-01 | Insurance policy end date | 2015-05-31 | Total amount of commissions paid to insurance broker | USD $33,962 | Total amount of fees paid to insurance company | USD $43,192 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $226,419 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $33,962 | Amount paid for insurance broker fees | 35722 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 | Insurance broker name | JOHN BREWER |
|
ACTIVENET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 6 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Total amount of commissions paid to insurance broker | USD $3,528 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $6,552 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,528 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Total amount of commissions paid to insurance broker | USD $1,118 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $7,174 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,118 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Total amount of commissions paid to insurance broker | USD $26,841 | Total amount of fees paid to insurance company | USD $39,081 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $178,922 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $26,841 | Amount paid for insurance broker fees | 32373 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 | Insurance broker name | JOHN BREWER |
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IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Total amount of commissions paid to insurance broker | USD $615 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $2,963 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $615 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Total amount of commissions paid to insurance broker | USD $1,677 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | HEALTH BENEFIT MANAGEMENT | Welfare Benefit Premiums Paid to Carrier | USD $6,149 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,677 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2013-06-01 | Insurance policy end date | 2014-05-31 | Total amount of commissions paid to insurance broker | USD $1,089 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, DEP. LIFE | Welfare Benefit Premiums Paid to Carrier | USD $5,437 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,089 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 96 | Insurance policy start date | 2012-06-01 | Insurance policy end date | 2013-05-31 | Total amount of commissions paid to insurance broker | USD $1,087 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, DEP. LIFE | Welfare Benefit Premiums Paid to Carrier | USD $5,429 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,087 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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ACTIVENET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 6 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 96 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-05-31 | Total amount of commissions paid to insurance broker | USD $3,619 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $6,721 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,619 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 96 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-05-31 | Total amount of commissions paid to insurance broker | USD $1,123 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $6,738 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,123 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 96 | Insurance policy start date | 2012-06-01 | Insurance policy end date | 2013-05-31 | Total amount of commissions paid to insurance broker | USD $1,685 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | HEALTH BENEFIT MANAGEMENT | Welfare Benefit Premiums Paid to Carrier | USD $6,177 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,685 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 96 | Insurance policy start date | 2012-06-01 | Insurance policy end date | 2013-05-31 | Total amount of commissions paid to insurance broker | USD $26,921 | Total amount of fees paid to insurance company | USD $37,051 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $179,463 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $26,921 | Amount paid for insurance broker fees | 30313 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 | Insurance broker name | JOHN BREWER |
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IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 96 | Insurance policy start date | 2012-06-01 | Insurance policy end date | 2013-05-31 | Total amount of commissions paid to insurance broker | USD $618 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $2,976 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $618 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC. |
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PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 7 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 92 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $453 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $2,718 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 6 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 92 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $24,212 | Total amount of fees paid to insurance company | USD $34,457 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $161,435 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HEALTHSMART (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 92 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $9 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $49 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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ACTIVENET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 8 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 92 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $1,586 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $2,945 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 92 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $1,593 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | HEALTH BENEFIT MANAGEMENT | Welfare Benefit Premiums Paid to Carrier | USD $5,841 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BEECHSTREET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 92 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $692 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $3,100 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 92 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $1,032 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, DEP. LIFE | Welfare Benefit Premiums Paid to Carrier | USD $5,152 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 92 | Insurance policy start date | 2011-06-01 | Insurance policy end date | 2012-05-31 | Total amount of commissions paid to insurance broker | USD $584 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $2,814 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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ALLIANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 68136 ) |
Policy contract number | AULM0873 |
Policy instance | 6 |
Insurance contract or identification number | AULM0873 | Number of Individuals Covered | 95 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $25,172 | Total amount of fees paid to insurance company | USD $30,081 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $167,010 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $25,172 | Amount paid for insurance broker fees | 25557 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 | Insurance broker name | JOHN BREWER |
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HEALTHSMART (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $15 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $72 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $15 | Insurance broker organization code? | 5 | Insurance broker name | INSURANCE MANAGEMENT ADMINISTRATORS |
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IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $1,697 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | HEALTH BENEFIT MANAGEMENT | Welfare Benefit Premiums Paid to Carrier | USD $6,221 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,697 | Insurance broker organization code? | 5 | Insurance broker name | INSURANCE MANAGEMENT ADMINISTRATORS |
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IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $622 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $2,997 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $622 | Insurance broker organization code? | 5 | Insurance broker name | INSURANCE MANAGEMENT ADMINISTRATORS |
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BEECHSTREET (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $1,287 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Welfare Benefit Premiums Paid to Carrier | USD $5,763 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,287 | Insurance broker organization code? | 5 | Insurance broker name | INSURANCE MANAGEMENT ADMINISTRATORS |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 95 | Insurance policy start date | 2010-06-01 | Insurance policy end date | 2011-05-31 | Total amount of commissions paid to insurance broker | USD $1,001 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD AND D | Welfare Benefit Premiums Paid to Carrier | USD $4,997 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,001 | Insurance broker organization code? | 5 | Insurance broker name | INSURANCE MANAGEMENT ADMINISTRATORS |
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