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LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 401k Plan overview

Plan NameLOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN
Plan identification number 501

LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. has sponsored the creation of one or more 401k plans.

Company Name:LOVE'S TRAVEL STOPS & COUNTRY STORES, INC.
Employer identification number (EIN):731220756
NAIC Classification:445120
NAIC Description:Convenience Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01SPENCER HAINES2023-10-13
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01DOUGLAS J STUSSI DOUGLAS J STUSSI2018-10-02
5012016-01-01DOUGLAS J STUSSI DOUGLAS J STUSSI2017-10-11
5012015-01-01DOUGLAS J STUSSI DOUGLAS J STUSSI2016-10-04
5012014-01-01DOUGLAS J STUSSI DOUGLAS J STUSSI2015-10-06
5012013-01-01DOUGLAS J STUSSI DOUGLAS J STUSSI2014-10-06
5012012-01-01DOUGLAS J STUSSI DOUGLAS J STUSSI2013-10-02
5012011-01-01DOUGLAS J STUSSI DOUGLAS J STUSSI2012-10-12
5012009-01-01DOUGLAS J STUSSI DOUGLAS J STUSSI2010-10-13

Plan Statistics for LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN

401k plan membership statisitcs for LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN

Measure Date Value
2022: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0127,589
Total number of active participants reported on line 7a of the Form 55002022-01-0129,400
Number of retired or separated participants receiving benefits2022-01-01129
Number of other retired or separated participants entitled to future benefits2022-01-01828
Total of all active and inactive participants2022-01-0130,357
Number of employers contributing to the scheme2022-01-010
2021: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0121,569
Total number of active participants reported on line 7a of the Form 55002021-01-0127,502
Number of other retired or separated participants entitled to future benefits2021-01-0187
Total of all active and inactive participants2021-01-0127,589
2020: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0120,435
Total number of active participants reported on line 7a of the Form 55002020-01-0121,513
Number of other retired or separated participants entitled to future benefits2020-01-0156
Total of all active and inactive participants2020-01-0121,569
2019: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0120,301
Total number of active participants reported on line 7a of the Form 55002019-01-0120,360
Number of other retired or separated participants entitled to future benefits2019-01-0175
Total of all active and inactive participants2019-01-0120,435
2018: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0117,463
Total number of active participants reported on line 7a of the Form 55002018-01-0118,735
Number of retired or separated participants receiving benefits2018-01-0166
Total of all active and inactive participants2018-01-0118,801
2017: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0114,180
Total number of active participants reported on line 7a of the Form 55002017-01-0117,578
Number of retired or separated participants receiving benefits2017-01-01123
Total of all active and inactive participants2017-01-0117,701
2016: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-016,933
Total number of active participants reported on line 7a of the Form 55002016-01-0116,969
Number of retired or separated participants receiving benefits2016-01-01215
Total of all active and inactive participants2016-01-0117,184
2015: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-015,450
Total number of active participants reported on line 7a of the Form 55002015-01-016,866
Number of retired or separated participants receiving benefits2015-01-0167
Total of all active and inactive participants2015-01-016,933
2014: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014,119
Total number of active participants reported on line 7a of the Form 55002014-01-015,410
Number of retired or separated participants receiving benefits2014-01-0140
Total of all active and inactive participants2014-01-015,450
2013: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,649
Total number of active participants reported on line 7a of the Form 55002013-01-014,102
Number of retired or separated participants receiving benefits2013-01-0117
Total of all active and inactive participants2013-01-014,119
2012: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,241
Total number of active participants reported on line 7a of the Form 55002012-01-013,631
Number of retired or separated participants receiving benefits2012-01-0118
Total of all active and inactive participants2012-01-013,649
2011: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,892
Total number of active participants reported on line 7a of the Form 55002011-01-013,214
Number of retired or separated participants receiving benefits2011-01-0127
Total of all active and inactive participants2011-01-013,241
2009: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,191
Total number of active participants reported on line 7a of the Form 55002009-01-012,505
Number of retired or separated participants receiving benefits2009-01-0118
Total of all active and inactive participants2009-01-012,523

Form 5500 Responses for LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN

2022: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: LOVE'S TRAVEL STOPS & COUNTRY STORES, INC. EMPLOYEE HEALTH CARE PLAN AND DENTAL CARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10219950
Policy instance 7
Insurance contract or identification number10219950
Number of Individuals Covered27846
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $76,277
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,387,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees76277
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
TELADOC, INC. (National Association of Insurance Commissioners NAIC id number: 62199 )
Policy contract numberLOVE'S
Policy instance 1
Insurance contract or identification numberLOVE'S
Number of Individuals Covered26207
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTELEHEALTH
Welfare Benefit Premiums Paid to CarrierUSD $152,535
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 number11607
Policy instance 2
Insurance contract or identification number11607
Number of Individuals Covered16297
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPSYCH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberLOVES
Policy instance 3
Insurance contract or identification numberLOVES
Number of Individuals Covered37615
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $385,044
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MARQUEE HEALTH (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberLOVE'S
Policy instance 4
Insurance contract or identification numberLOVE'S
Number of Individuals Covered38573
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWELLNESS
Welfare Benefit Premiums Paid to CarrierUSD $410,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number70698-1
Policy instance 5
Insurance contract or identification number70698-1
Number of Individuals Covered21128
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,958,793
Total amount of fees paid to insurance companyUSD $352,319
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $5,380,961
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,229,105
Amount paid for insurance broker fees121915
Additional information about fees paid to insurance brokerTECHNOLOGY FEE
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10304731001
Policy instance 6
Insurance contract or identification number10304731001
Number of Individuals Covered27950
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $1,843,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number904487
Policy instance 4
Insurance contract or identification number904487
Number of Individuals Covered8290
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $89,789
Welfare Benefit Premiums Paid to CarrierUSD $1,795,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees89789
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number040000100021542
Policy instance 3
Insurance contract or identification number040000100021542
Number of Individuals Covered14525
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $38,403
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,867,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees38403
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021995000000
Policy instance 2
Insurance contract or identification number001021995000000
Number of Individuals Covered25324
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $21,080
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $995,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees21080
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021995100000
Policy instance 1
Insurance contract or identification number001021995100000
Number of Individuals Covered7498
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $27,607
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,274,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees27607
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number904487
Policy instance 4
Insurance contract or identification number904487
Number of Individuals Covered13202
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $82,648
Welfare Benefit Premiums Paid to CarrierUSD $1,652,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees82648
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number040000100021542
Policy instance 3
Insurance contract or identification number040000100021542
Number of Individuals Covered11935
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $25,937
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,616,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees25937
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021995000000
Policy instance 2
Insurance contract or identification number001021995000000
Number of Individuals Covered23340
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,031
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $611,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15031
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021995100000
Policy instance 1
Insurance contract or identification number001021995100000
Number of Individuals Covered6450
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $18,788
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,144,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees18788
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021995100000
Policy instance 1
Insurance contract or identification number001021995100000
Number of Individuals Covered6392
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $32,016
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,045,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees32016
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021995000000
Policy instance 2
Insurance contract or identification number001021995000000
Number of Individuals Covered20435
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $30,219
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $827,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees30219
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number040000100021542
Policy instance 3
Insurance contract or identification number040000100021542
Number of Individuals Covered11119
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $35,046
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,500,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees35046
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number904487
Policy instance 4
Insurance contract or identification number904487
Number of Individuals Covered10563
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $71,105
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,233,888
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 brokerOVERRIDE COMMISSIONS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021995100000
Policy instance 1
Insurance contract or identification number001021995100000
Number of Individuals Covered5616
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $23,750
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $857,990
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees23750
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021995000000
Policy instance 2
Insurance contract or identification number001021995000000
Number of Individuals Covered18796
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $23,750
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $737,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees23750
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number040000100021542
Policy instance 3
Insurance contract or identification number040000100021542
Number of Individuals Covered9856
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $23,750
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,457,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees23750
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021950020000
Policy instance 3
Insurance contract or identification number001021950020000
Number of Individuals Covered17438
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $27,500
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $533,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees27500
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number040000100021542
Policy instance 2
Insurance contract or identification number040000100021542
Number of Individuals Covered8496
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $27,500
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,098,595
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees27500
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001021950000000
Policy instance 1
Insurance contract or identification number001021950000000
Number of Individuals Covered5046
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $27,500
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $618,439
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees27500
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC

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