THE AROUND THE CLOCK FREIGHTLINER GROUP, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan THE AROUND THE CLOCK FREIGHTLINER GROUP LLC EMPLOYEE GROUP BENEFIT TRUST
401k plan membership statisitcs for THE AROUND THE CLOCK FREIGHTLINER GROUP LLC EMPLOYEE GROUP BENEFIT TRUST
| Measure | Date | Value |
|---|
| 2015 : THE AROUND THE CLOCK FREIGHTLINER GROUP LLC EMPLOYEE GROUP BENEFIT TRUST 2015 401k financial data |
|---|
| Total transfer of assets from this plan | 2015-12-31 | $1,002,450 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $3,888 |
| Total income from all sources (including contributions) | 2015-12-31 | $5,455,757 |
| Total of all expenses incurred | 2015-12-31 | $5,617,323 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $5,219,391 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $5,455,757 |
| Value of total assets at end of year | 2015-12-31 | $0 |
| Value of total assets at beginning of year | 2015-12-31 | $1,167,904 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $397,932 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Was this plan covered by a fidelity bond | 2015-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $2,243,810 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $48,904 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-161,566 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $1,164,016 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $686,922 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $3,211,947 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $1,119,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $4,532,469 |
| Contract administrator fees | 2015-12-31 | $397,932 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $3,888 |
| Did the plan have assets held for investment | 2015-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | PETERS & CHANDLER, P.C. |
| Accountancy firm EIN | 2015-12-31 | 731078673 |
| 2014 : THE AROUND THE CLOCK FREIGHTLINER GROUP LLC EMPLOYEE GROUP BENEFIT TRUST 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $3,888 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $9,392 |
| Total income from all sources (including contributions) | 2014-12-31 | $7,333,991 |
| Total of all expenses incurred | 2014-12-31 | $7,061,461 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $6,496,265 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $7,333,991 |
| Value of total assets at end of year | 2014-12-31 | $1,167,904 |
| Value of total assets at beginning of year | 2014-12-31 | $900,878 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $565,196 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $1,702,353 |
| Total non interest bearing cash at end of year | 2014-12-31 | $48,904 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $40,878 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $272,530 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $1,164,016 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $891,486 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $519,355 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $5,631,638 |
| Employer contributions (assets) at end of year | 2014-12-31 | $1,119,000 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $860,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $5,976,910 |
| Contract administrator fees | 2014-12-31 | $565,196 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $3,888 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $9,392 |
| Did the plan have assets held for investment | 2014-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | PETERS & CHANDLER, P.C. |
| Accountancy firm EIN | 2014-12-31 | 731078673 |
| 2013 : THE AROUND THE CLOCK FREIGHTLINER GROUP LLC EMPLOYEE GROUP BENEFIT TRUST 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $9,392 |
| Total income from all sources (including contributions) | 2013-12-31 | $5,708,858 |
| Total of all expenses incurred | 2013-12-31 | $5,476,406 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $5,046,444 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $5,708,858 |
| Value of total assets at end of year | 2013-12-31 | $900,878 |
| Value of total assets at beginning of year | 2013-12-31 | $659,034 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $429,962 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $1,552,636 |
| Total non interest bearing cash at end of year | 2013-12-31 | $40,878 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $68,034 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $232,452 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $891,486 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $659,034 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $277,289 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $4,156,222 |
| Employer contributions (assets) at end of year | 2013-12-31 | $860,000 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $591,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $4,769,155 |
| Contract administrator fees | 2013-12-31 | $429,962 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $9,392 |
| Did the plan have assets held for investment | 2013-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | PETERS & CHANDLER, P.C. |
| Accountancy firm EIN | 2013-12-31 | 731078673 |
| 2012 : THE AROUND THE CLOCK FREIGHTLINER GROUP LLC EMPLOYEE GROUP BENEFIT TRUST 2012 401k financial data |
|---|
| Total income from all sources (including contributions) | 2012-12-31 | $4,333,376 |
| Total of all expenses incurred | 2012-12-31 | $4,195,180 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $3,908,935 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $4,333,376 |
| Value of total assets at end of year | 2012-12-31 | $659,034 |
| Value of total assets at beginning of year | 2012-12-31 | $520,838 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $286,245 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $1,309,193 |
| Total non interest bearing cash at end of year | 2012-12-31 | $68,034 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $9,838 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $138,196 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $659,034 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $520,838 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $380,481 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $3,024,183 |
| Employer contributions (assets) at end of year | 2012-12-31 | $591,000 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $511,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $3,528,454 |
| Contract administrator fees | 2012-12-31 | $286,245 |
| Did the plan have assets held for investment | 2012-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | PETERS & CHANDLER, P.C. |
| Accountancy firm EIN | 2012-12-31 | 731078673 |
| 2011 : THE AROUND THE CLOCK FREIGHTLINER GROUP LLC EMPLOYEE GROUP BENEFIT TRUST 2011 401k financial data |
|---|
| Total income from all sources (including contributions) | 2011-12-31 | $3,669,149 |
| Total of all expenses incurred | 2011-12-31 | $3,802,782 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $3,566,053 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $3,669,149 |
| Value of total assets at end of year | 2011-12-31 | $508,123 |
| Value of total assets at beginning of year | 2011-12-31 | $641,756 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $236,729 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $1,095,422 |
| Total non interest bearing cash at end of year | 2011-12-31 | $92,589 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $49,591 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $-133,633 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $508,123 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $641,756 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $323,372 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $2,573,727 |
| Employer contributions (assets) at end of year | 2011-12-31 | $415,534 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $592,165 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $3,242,681 |
| Contract administrator fees | 2011-12-31 | $236,729 |
| Did the plan have assets held for investment | 2011-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | PETERS & CHANDLER, P.C. |
| Accountancy firm EIN | 2011-12-31 | 731078673 |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 153550 |
| Policy instance | 1 |
| Insurance contract or identification number | 153550 | | Number of Individuals Covered | 1366 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 010199343 00000 |
| Policy instance | 3 |
| Insurance contract or identification number | 010199343 00000 | | Number of Individuals Covered | 708 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of fees paid to insurance company | USD $3,283 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $66,334 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3283 | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker organization code? | 3 | | Insurance broker name | THE PLEXUS GROUPE LLC |
|
| DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 ) |
| Policy contract number | 8825 |
| Policy instance | 2 |
| Insurance contract or identification number | 8825 | | Number of Individuals Covered | 579 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker name | GALLAGHER BENEFIT SERVICES INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 010199374 00000 |
| Policy instance | 5 |
| Insurance contract or identification number | 010199374 00000 | | Number of Individuals Covered | 707 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of fees paid to insurance company | USD $2,712 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $183,819 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2712 | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker organization code? | 3 | | Insurance broker name | THE PLEXUS GROUPE LLC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 400199344 00000 |
| Policy instance | 4 |
| Insurance contract or identification number | 400199344 00000 | | Number of Individuals Covered | 122 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of fees paid to insurance company | USD $1,783 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $37,498 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1783 | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker organization code? | 3 | | Insurance broker name | THE PLEXUS GROUPE LLC |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | 9935495 |
| Policy instance | 6 |
| Insurance contract or identification number | 9935495 | | Number of Individuals Covered | 1330 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $49,658 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-202078 |
| Policy instance | 7 |
| Insurance contract or identification number | UNI-202078 | | Number of Individuals Covered | 580 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of fees paid to insurance company | USD $36,991 | | Welfare Benefit Premiums Paid to Carrier | USD $528,428 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 10569 | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker organization code? | 3 | | Insurance broker name | STHEALTH BENEFIT SOLUTIONS LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131195 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 131195 | | Number of Individuals Covered | 587 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $63,465 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker name | THE PLEXUS GROUPE LLC |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HLC18298 |
| Policy instance | 3 |
| Insurance contract or identification number | HLC18298 | | Number of Individuals Covered | 500 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $22,520 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $433,370 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,667 | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker name | STHEALTH BENEFIT SOLUTIONS, LLC |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3332478 |
| Policy instance | 4 |
| Insurance contract or identification number | 3332478 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $163 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 ) |
| Policy contract number | 8825 |
| Policy instance | 2 |
| Insurance contract or identification number | 8825 | | Number of Individuals Covered | 545 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker name | THE PLEXUS GROUPE INC, |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HLC18298 |
| Policy instance | 3 |
| Insurance contract or identification number | HLC18298 | | Number of Individuals Covered | 500 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $4,198 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $209,896 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 ) |
| Policy contract number | 8825 |
| Policy instance | 2 |
| Insurance contract or identification number | 8825 | | Number of Individuals Covered | 526 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131195 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 131195 | | Number of Individuals Covered | 587 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of fees paid to insurance company | USD $1,569 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $63,195 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131195 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 131195 | | Number of Individuals Covered | 537 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $52,295 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker name | THE PLEXUS GROUPE LLC |
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| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HLC18298 |
| Policy instance | 3 |
| Insurance contract or identification number | HLC18298 | | Number of Individuals Covered | 447 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $6,435 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $321,750 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,435 | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker name | PLEXUS GROUPE, THE |
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| DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 ) |
| Policy contract number | 8825 |
| Policy instance | 2 |
| Insurance contract or identification number | 8825 | | Number of Individuals Covered | 468 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | AGENT | | Insurance broker name | THE PLEXUS GROUPE INC, |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 131195 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 131195 | | Number of Individuals Covered | 496 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,339 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3332478 |
| Policy instance | 2 |
| Insurance contract or identification number | 3332478 | | Number of Individuals Covered | 1890 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $-595 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 ) |
| Policy contract number | 8825 |
| Policy instance | 3 |
| Insurance contract or identification number | 8825 | | Number of Individuals Covered | 439 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HLC18298 |
| Policy instance | 4 |
| Insurance contract or identification number | HLC18298 | | Number of Individuals Covered | 434 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $5,097 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $278,779 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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