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JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 401k Plan overview

Plan NameJOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN
Plan identification number 501

JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

JOHN W. STONE OIL DISTRIBUTOR, L.L.C. has sponsored the creation of one or more 401k plans.

Company Name:JOHN W. STONE OIL DISTRIBUTOR, L.L.C.
Employer identification number (EIN):721322067
NAIC Classification:424700

Additional information about JOHN W. STONE OIL DISTRIBUTOR, L.L.C.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1996-07-24
Company Identification Number: 0701975623
Legal Registered Office Address: PO BOX 2010

GRETNA
United States of America (USA)
70054

More information about JOHN W. STONE OIL DISTRIBUTOR, L.L.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-11-01CLAUDELLE VALLETTE
5012017-11-01
5012016-11-01
5012016-11-01
5012015-11-01
5012014-11-01
5012013-11-01
5012012-11-01
5012011-11-01
5012010-11-01
5012009-11-01
5012008-11-01
5012007-11-01
5012006-11-01
5012005-11-01
5012004-11-01
5012003-11-01
5012002-11-01
5012001-11-01
5012000-11-01

Plan Statistics for JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN

401k plan membership statisitcs for JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN

Measure Date Value
2018: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01736
Total number of active participants reported on line 7a of the Form 55002018-11-010
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-010
2017: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01768
Total number of active participants reported on line 7a of the Form 55002017-11-01751
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01751
2016: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01805
Total number of active participants reported on line 7a of the Form 55002016-11-01791
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01791
2015: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01350
Total number of active participants reported on line 7a of the Form 55002015-11-01315
Total of all active and inactive participants2015-11-01315
2014: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01349
Total number of active participants reported on line 7a of the Form 55002014-11-01350
Total of all active and inactive participants2014-11-01350
2013: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01299
Total number of active participants reported on line 7a of the Form 55002013-11-01349
Total of all active and inactive participants2013-11-01349
Total participants2013-11-01349
2012: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01284
Total number of active participants reported on line 7a of the Form 55002012-11-01299
Total of all active and inactive participants2012-11-01299
2011: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01274
Total number of active participants reported on line 7a of the Form 55002011-11-01284
Total of all active and inactive participants2011-11-01284
2010: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-11-01279
Total number of active participants reported on line 7a of the Form 55002010-11-01274
Total of all active and inactive participants2010-11-01274
2009: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01278
Total number of active participants reported on line 7a of the Form 55002009-11-01279
Total of all active and inactive participants2009-11-01279
2008: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2008 401k membership
Total participants, beginning-of-year2008-11-01272
Total number of active participants reported on line 7a of the Form 55002008-11-01278
Total of all active and inactive participants2008-11-01278
2007: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2007 401k membership
Total participants, beginning-of-year2007-11-01260
Total number of active participants reported on line 7a of the Form 55002007-11-01272
Total of all active and inactive participants2007-11-01272
2006: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2006 401k membership
Total participants, beginning-of-year2006-11-01214
Total number of active participants reported on line 7a of the Form 55002006-11-01260
Total of all active and inactive participants2006-11-01260
2005: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2005 401k membership
Total participants, beginning-of-year2005-11-01180
Total number of active participants reported on line 7a of the Form 55002005-11-01214
Total of all active and inactive participants2005-11-01214
2004: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2004 401k membership
Total participants, beginning-of-year2004-11-01178
Total number of active participants reported on line 7a of the Form 55002004-11-01180
Total of all active and inactive participants2004-11-01180
2003: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2003 401k membership
Total participants, beginning-of-year2003-11-01171
Total number of active participants reported on line 7a of the Form 55002003-11-01178
Total of all active and inactive participants2003-11-01178
2002: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2002 401k membership
Total participants, beginning-of-year2002-11-01195
Total number of active participants reported on line 7a of the Form 55002002-11-01171
Total of all active and inactive participants2002-11-01171
2001: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2001 401k membership
Total participants, beginning-of-year2001-11-01199
Total number of active participants reported on line 7a of the Form 55002001-11-01195
Total of all active and inactive participants2001-11-01195
2000: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2000 401k membership
Total participants, beginning-of-year2000-11-01199
Total number of active participants reported on line 7a of the Form 55002000-11-01199
Total of all active and inactive participants2000-11-01199

Form 5500 Responses for JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN

2018: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingYes
2018-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – General assets of the sponsorYes
2017: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – General assets of the sponsorYes
2016: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedYes
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – General assets of the sponsorYes
2015: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – General assets of the sponsorYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – General assets of the sponsorYes
2014: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – General assets of the sponsorYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – General assets of the sponsorYes
2013: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – General assets of the sponsorYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – General assets of the sponsorYes
2012: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – General assets of the sponsorYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – General assets of the sponsorYes
2011: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – General assets of the sponsorYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – General assets of the sponsorYes
2010: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Plan funding arrangement – InsuranceYes
2010-11-01Plan funding arrangement – General assets of the sponsorYes
2010-11-01Plan benefit arrangement – InsuranceYes
2010-11-01Plan benefit arrangement – General assets of the sponsorYes
2009: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – General assets of the sponsorYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – General assets of the sponsorYes
2008: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Plan funding arrangement – InsuranceYes
2008-11-01Plan funding arrangement – General assets of the sponsorYes
2008-11-01Plan benefit arrangement – InsuranceYes
2008-11-01Plan benefit arrangement – General assets of the sponsorYes
2007: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2007 form 5500 responses
2007-11-01Type of plan entitySingle employer plan
2007-11-01Plan funding arrangement – InsuranceYes
2007-11-01Plan funding arrangement – General assets of the sponsorYes
2007-11-01Plan benefit arrangement – InsuranceYes
2007-11-01Plan benefit arrangement – General assets of the sponsorYes
2006: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2006 form 5500 responses
2006-11-01Type of plan entitySingle employer plan
2006-11-01Plan funding arrangement – InsuranceYes
2006-11-01Plan funding arrangement – General assets of the sponsorYes
2006-11-01Plan benefit arrangement – InsuranceYes
2006-11-01Plan benefit arrangement – General assets of the sponsorYes
2005: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2005 form 5500 responses
2005-11-01Type of plan entitySingle employer plan
2005-11-01Plan funding arrangement – InsuranceYes
2005-11-01Plan funding arrangement – General assets of the sponsorYes
2005-11-01Plan benefit arrangement – InsuranceYes
2005-11-01Plan benefit arrangement – General assets of the sponsorYes
2004: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2004 form 5500 responses
2004-11-01Type of plan entitySingle employer plan
2004-11-01Plan funding arrangement – InsuranceYes
2004-11-01Plan funding arrangement – General assets of the sponsorYes
2004-11-01Plan benefit arrangement – InsuranceYes
2004-11-01Plan benefit arrangement – General assets of the sponsorYes
2003: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2003 form 5500 responses
2003-11-01Type of plan entitySingle employer plan
2003-11-01Plan funding arrangement – InsuranceYes
2003-11-01Plan funding arrangement – General assets of the sponsorYes
2003-11-01Plan benefit arrangement – InsuranceYes
2003-11-01Plan benefit arrangement – General assets of the sponsorYes
2002: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2002 form 5500 responses
2002-11-01Type of plan entitySingle employer plan
2002-11-01Plan funding arrangement – InsuranceYes
2002-11-01Plan funding arrangement – General assets of the sponsorYes
2002-11-01Plan benefit arrangement – InsuranceYes
2002-11-01Plan benefit arrangement – General assets of the sponsorYes
2001: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2001 form 5500 responses
2001-11-01Type of plan entitySingle employer plan
2001-11-01Plan funding arrangement – InsuranceYes
2001-11-01Plan funding arrangement – General assets of the sponsorYes
2001-11-01Plan benefit arrangement – InsuranceYes
2001-11-01Plan benefit arrangement – General assets of the sponsorYes
2000: JOHN W. STONE OIL DISTRIBUTOR, L.L.C. HEALTH PLAN 2000 form 5500 responses
2000-11-01Type of plan entitySingle employer plan
2000-11-01First time form 5500 has been submittedYes
2000-11-01Plan funding arrangement – InsuranceYes
2000-11-01Plan funding arrangement – General assets of the sponsorYes
2000-11-01Plan benefit arrangement – InsuranceYes
2000-11-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFA-P15-853
Policy instance 1
Insurance contract or identification numberAFA-P15-853
Number of Individuals Covered315
Insurance policy start date2015-11-01
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $142,027
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $887,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $88,767
Insurance broker organization code?3
Insurance broker nameVINCENT VARISCO
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFA-P13-693
Policy instance 1
Insurance contract or identification numberAFA-P13-693
Number of Individuals Covered350
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $159,881
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $999,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $99,926
Insurance broker organization code?3
Insurance broker nameVINCENT VARISCO
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFA-P13-693
Policy instance 1
Insurance contract or identification numberAFA-P13-693
Number of Individuals Covered349
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $147,742
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $923,385
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,403
Insurance broker organization code?3
Insurance broker nameDAVID TRUXILLO
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSSL-P06-169R
Policy instance 1
Insurance contract or identification numberSSL-P06-169R
Number of Individuals Covered299
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $132,986
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $860,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $81,362
Insurance broker organization code?3
Insurance broker nameVINCENT VARISCO
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSSL-P06-169R
Policy instance 1
Insurance contract or identification numberSSL-P06-169R
Number of Individuals Covered284
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $35,228
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $704,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,228
Insurance broker organization code?3
Insurance broker nameVINCENT VARISCO
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSSL-P06-169R
Policy instance 1
Insurance contract or identification numberSSL-P06-169R
Number of Individuals Covered274
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $34,387
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $687,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,387
Insurance broker organization code?3
Insurance broker nameVINCENT VARISCO
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSSL-P06-169R
Policy instance 1
Insurance contract or identification numberSSL-P06-169R
Number of Individuals Covered279
Insurance policy start date2009-11-01
Insurance policy end date2010-10-31
Total amount of commissions paid to insurance brokerUSD $35,150
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $702,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,150
Insurance broker organization code?3
Insurance broker nameVINCENT VARISCO
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSSL-P06-169R
Policy instance 1
Insurance contract or identification numberSSL-P06-169R
Number of Individuals Covered278
Insurance policy start date2008-11-01
Insurance policy end date2009-10-31
Total amount of commissions paid to insurance brokerUSD $122,037
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $739,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $110,943
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSSL-P06-169R
Policy instance 1
Insurance contract or identification numberSSL-P06-169R
Number of Individuals Covered272
Insurance policy start date2007-11-01
Insurance policy end date2008-10-31
Total amount of commissions paid to insurance brokerUSD $105,927
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $641,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $96,297
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSSL-P06-169N
Policy instance 1
Insurance contract or identification numberSSL-P06-169N
Number of Individuals Covered260
Insurance policy start date2006-11-01
Insurance policy end date2007-10-31
Total amount of commissions paid to insurance brokerUSD $67,491
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $409,036
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,355
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number36-36-511R
Policy instance 1
Insurance contract or identification number36-36-511R
Number of Individuals Covered214
Insurance policy start date2005-11-01
Insurance policy end date2006-10-31
Total amount of commissions paid to insurance brokerUSD $58,733
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $355,961
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,394
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number36-36-511R
Policy instance 1
Insurance contract or identification number36-36-511R
Number of Individuals Covered180
Insurance policy start date2004-11-01
Insurance policy end date2005-10-31
Total amount of commissions paid to insurance brokerUSD $53,944
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $326,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,040
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number36-36-511
Policy instance 1
Insurance contract or identification number36-36-511
Number of Individuals Covered178
Insurance policy start date2003-11-01
Insurance policy end date2004-10-31
Total amount of commissions paid to insurance brokerUSD $53,750
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $325,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,864
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number36-36-511
Policy instance 1
Insurance contract or identification number36-36-511
Number of Individuals Covered171
Insurance policy start date2002-11-01
Insurance policy end date2003-10-31
Total amount of commissions paid to insurance brokerUSD $51,372
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $311,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,702
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number36-36-511
Policy instance 1
Insurance contract or identification number36-36-511
Number of Individuals Covered195
Insurance policy start date2001-11-01
Insurance policy end date2002-10-31
Total amount of commissions paid to insurance brokerUSD $57,345
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $327,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,430
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number36-36-511
Policy instance 1
Insurance contract or identification number36-36-511
Number of Individuals Covered199
Insurance policy start date2000-11-01
Insurance policy end date2001-10-31
Total amount of commissions paid to insurance brokerUSD $56,471
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $342,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,337
Insurance broker organization code?3
Insurance broker nameGILSBAR, INC. - BROKERAGE

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