BAYOU CHATEAU NURSING CENTER, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST
401k plan membership statisitcs for BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST
Measure | Date | Value |
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2022: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2022 401k membership |
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Total participants, beginning-of-year | 2022-01-01 | 49 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 48 |
Total of all active and inactive participants | 2022-01-01 | 48 |
2021: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2021 401k membership |
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Total participants, beginning-of-year | 2021-01-01 | 50 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 49 |
Total of all active and inactive participants | 2021-01-01 | 49 |
2020: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 55 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 50 |
Total of all active and inactive participants | 2020-01-01 | 50 |
2019: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 54 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 55 |
Total of all active and inactive participants | 2019-01-01 | 55 |
2018: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 56 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 54 |
Total of all active and inactive participants | 2018-01-01 | 54 |
2017: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 57 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 56 |
Total of all active and inactive participants | 2017-01-01 | 56 |
2016: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 95 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 57 |
Total of all active and inactive participants | 2016-01-01 | 57 |
Measure | Date | Value |
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2022 : BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2022 401k financial data |
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Total income from all sources | 2022-12-31 | $485,083 |
Expenses. Total of all expenses incurred | 2022-12-31 | $438,859 |
Benefits paid (including direct rollovers) | 2022-12-31 | $405,850 |
Total plan assets at end of year | 2022-12-31 | $124,109 |
Total plan assets at beginning of year | 2022-12-31 | $77,885 |
Expenses. Other expenses not covered elsewhere | 2022-12-31 | $33,009 |
Other income received | 2022-12-31 | $15,197 |
Net income (gross income less expenses) | 2022-12-31 | $46,224 |
Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $124,109 |
Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $77,885 |
Total contributions received or receivable from employer(s) | 2022-12-31 | $469,886 |
2021 : BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2021 401k financial data |
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Total income from all sources | 2021-12-31 | $485,546 |
Expenses. Total of all expenses incurred | 2021-12-31 | $416,702 |
Benefits paid (including direct rollovers) | 2021-12-31 | $382,593 |
Total plan assets at end of year | 2021-12-31 | $77,885 |
Total plan assets at beginning of year | 2021-12-31 | $9,041 |
Expenses. Other expenses not covered elsewhere | 2021-12-31 | $34,109 |
Net income (gross income less expenses) | 2021-12-31 | $68,844 |
Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $77,885 |
Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $9,041 |
Total contributions received or receivable from employer(s) | 2021-12-31 | $485,546 |
2020 : BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2020 401k financial data |
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Total income from all sources | 2020-12-31 | $740,242 |
Expenses. Total of all expenses incurred | 2020-12-31 | $773,396 |
Benefits paid (including direct rollovers) | 2020-12-31 | $736,957 |
Total plan assets at end of year | 2020-12-31 | $9,041 |
Total plan assets at beginning of year | 2020-12-31 | $42,195 |
Expenses. Other expenses not covered elsewhere | 2020-12-31 | $36,439 |
Other income received | 2020-12-31 | $268,437 |
Net income (gross income less expenses) | 2020-12-31 | $-33,154 |
Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $9,041 |
Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $42,195 |
Total contributions received or receivable from employer(s) | 2020-12-31 | $471,805 |
2019 : BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2019 401k financial data |
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Total income from all sources | 2019-12-31 | $893,318 |
Expenses. Total of all expenses incurred | 2019-12-31 | $955,863 |
Benefits paid (including direct rollovers) | 2019-12-31 | $921,634 |
Total plan assets at end of year | 2019-12-31 | $42,195 |
Total plan assets at beginning of year | 2019-12-31 | $104,740 |
Expenses. Other expenses not covered elsewhere | 2019-12-31 | $34,229 |
Other income received | 2019-12-31 | $531,965 |
Net income (gross income less expenses) | 2019-12-31 | $-62,545 |
Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $42,195 |
Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $104,740 |
Total contributions received or receivable from employer(s) | 2019-12-31 | $361,353 |
2018 : BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2018 401k financial data |
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Total income from all sources | 2018-12-31 | $456,741 |
Expenses. Total of all expenses incurred | 2018-12-31 | $493,192 |
Benefits paid (including direct rollovers) | 2018-12-31 | $448,898 |
Total plan assets at end of year | 2018-12-31 | $104,740 |
Total plan assets at beginning of year | 2018-12-31 | $141,191 |
Expenses. Other expenses not covered elsewhere | 2018-12-31 | $44,294 |
Other income received | 2018-12-31 | $48,579 |
Net income (gross income less expenses) | 2018-12-31 | $-36,451 |
Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $104,740 |
Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $141,191 |
Total contributions received or receivable from employer(s) | 2018-12-31 | $408,162 |
2017 : BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2017 401k financial data |
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Total income from all sources | 2017-12-31 | $365,707 |
Expenses. Total of all expenses incurred | 2017-12-31 | $297,844 |
Benefits paid (including direct rollovers) | 2017-12-31 | $251,193 |
Total plan assets at end of year | 2017-12-31 | $141,191 |
Total plan assets at beginning of year | 2017-12-31 | $73,328 |
Expenses. Other expenses not covered elsewhere | 2017-12-31 | $46,651 |
Net income (gross income less expenses) | 2017-12-31 | $67,863 |
Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $141,191 |
Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $73,328 |
Total contributions received or receivable from employer(s) | 2017-12-31 | $365,707 |
2016 : BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2016 401k financial data |
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Total income from all sources | 2016-12-31 | $451,329 |
Expenses. Total of all expenses incurred | 2016-12-31 | $378,001 |
Benefits paid (including direct rollovers) | 2016-12-31 | $322,753 |
Total plan assets at end of year | 2016-12-31 | $73,328 |
Total plan assets at beginning of year | 2016-12-31 | $0 |
Expenses. Other expenses not covered elsewhere | 2016-12-31 | $55,248 |
Net income (gross income less expenses) | 2016-12-31 | $73,328 |
Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $73,328 |
Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $0 |
Total contributions received or receivable from employer(s) | 2016-12-31 | $451,329 |
2022: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2022 form 5500 responses |
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan funding arrangement – Trust | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement - Trust | Yes |
2021: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2021 form 5500 responses |
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan funding arrangement – Trust | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement - Trust | Yes |
2020: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2020 form 5500 responses |
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan funding arrangement – Trust | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement - Trust | Yes |
2019: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan funding arrangement – Trust | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement - Trust | Yes |
2018: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan funding arrangement – Trust | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement - Trust | Yes |
2017: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan funding arrangement – Trust | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement - Trust | Yes |
2016: BAYOU CHATEAU NURSING CENTER, INC. EMPLOYEE BENEFIT PLAN & TRUST 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | First time form 5500 has been submitted | Yes |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan funding arrangement – Trust | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement - Trust | Yes |
VERITY HEALTHNET (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 | 48 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $577 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $6,058 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $577 | Insurance broker organization code? | 5 |
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BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 48 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $2,144 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D SUPPLEMENTAL LIFE | Welfare Benefit Premiums Paid to Carrier | USD $12,676 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,144 | 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 | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 49 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $612 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $5,814 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $612 | Insurance broker organization code? | 5 |
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BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 49 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $2,093 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D SUPPLEMENTAL LIFE | Welfare Benefit Premiums Paid to Carrier | USD $13,410 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,093 | 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 | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 50 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $667 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $6,337 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $667 | Insurance broker organization code? | 5 |
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BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 50 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $2,310 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D SUPPLEMENTAL LIFE | Welfare Benefit Premiums Paid to Carrier | USD $13,635 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,310 | 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 | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 55 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $682 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $6,479 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $682 | Insurance broker organization code? | 5 |
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BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 2 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 55 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,933 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D SUPPLEMENTAL LIFE | Welfare Benefit Premiums Paid to Carrier | USD $11,500 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,933 | Insurance broker organization code? | 5 |
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PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 55 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $18,945 | Total amount of fees paid to insurance company | USD $28,344 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $123,416 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $18,945 | Amount paid for insurance broker fees | 28344 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 |
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BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 54 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $1,942 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D SUPPLEMENTAL LIFE | Welfare Benefit Premiums Paid to Carrier | USD $11,615 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,942 | Insurance broker organization code? | 5 |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 54 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $575 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $5,767 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $575 | 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 | 3 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 54 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $1,083 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $2,917 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,083 | Insurance broker organization code? | 5 |
|
PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 54 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $19,649 | Total amount of fees paid to insurance company | USD $37,129 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $128,003 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,649 | Amount paid for insurance broker fees | 25996 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 |
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BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 5 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 56 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $1,963 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D SUPPLEMENTAL LIFE | Welfare Benefit Premiums Paid to Carrier | USD $11,651 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,963 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 4 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 56 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $616 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $6,003 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $616 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC |
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AMERICAN HEALTH HOLDINGS (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 | 56 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $381 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | PRECERTIFICATION | Welfare Benefit Premiums Paid to Carrier | USD $2,149 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $381 | Insurance broker organization code? | 5 | Insurance broker name | IMA, INC |
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PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | NOT AVAILABLE |
Policy instance | 1 |
Insurance contract or identification number | NOT AVAILABLE | Number of Individuals Covered | 56 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $19,920 | Total amount of fees paid to insurance company | USD $36,879 | Health Insurance Welfare Benefit | Yes | Other welfare benefits provided | COMPLIANCE | Welfare Benefit Premiums Paid to Carrier | USD $129,881 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $19,920 | Amount paid for insurance broker fees | 24850 | Additional information about fees paid to insurance broker | THIRD PARTY ADMIN FEES | Insurance broker organization code? | 5 | Insurance broker name | IMSA |
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