VEDCO HOLDINGS, INC. has sponsored the creation of one or more 401k plans.
Additional information about VEDCO HOLDINGS, INC.
Submission information for form 5500 for 401k plan VEDCO HOLDINGS, INC.
401k plan membership statisitcs for VEDCO HOLDINGS, INC.
| Measure | Date | Value |
|---|
| 2022: VEDCO HOLDINGS, INC. 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-05-01 | 257 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 319 |
| Total of all active and inactive participants | 2022-05-01 | 319 |
| 2021: VEDCO HOLDINGS, INC. 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-05-01 | 238 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 257 |
| Total of all active and inactive participants | 2021-05-01 | 257 |
| 2020: VEDCO HOLDINGS, INC. 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 298 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 238 |
| Total of all active and inactive participants | 2020-05-01 | 238 |
| 2019: VEDCO HOLDINGS, INC. 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-12-01 | 267 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-12-01 | 298 |
| Total of all active and inactive participants | 2019-12-01 | 298 |
| 2018: VEDCO HOLDINGS, INC. 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-12-01 | 210 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 194 |
| Total of all active and inactive participants | 2018-12-01 | 194 |
| 2017: VEDCO HOLDINGS, INC. 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-01 | 180 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 210 |
| Total of all active and inactive participants | 2017-12-01 | 210 |
| Total participants | 2017-12-01 | 210 |
| 2016: VEDCO HOLDINGS, INC. 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-12-01 | 129 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 180 |
| Number of retired or separated participants receiving benefits | 2016-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-12-01 | 0 |
| Total of all active and inactive participants | 2016-12-01 | 180 |
| 2015: VEDCO HOLDINGS, INC. 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-12-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-01 | 129 |
| Number of retired or separated participants receiving benefits | 2015-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-12-01 | 0 |
| Total of all active and inactive participants | 2015-12-01 | 129 |
| 2014: VEDCO HOLDINGS, INC. 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-12-01 | 154 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-01 | 108 |
| Number of retired or separated participants receiving benefits | 2014-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-12-01 | 0 |
| Total of all active and inactive participants | 2014-12-01 | 108 |
| 2013: VEDCO HOLDINGS, INC. 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-12-01 | 151 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-01 | 154 |
| Number of retired or separated participants receiving benefits | 2013-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-12-01 | 0 |
| Total of all active and inactive participants | 2013-12-01 | 154 |
| 2012: VEDCO HOLDINGS, INC. 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-12-01 | 489 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-01 | 151 |
| Number of retired or separated participants receiving benefits | 2012-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-12-01 | 0 |
| Total of all active and inactive participants | 2012-12-01 | 151 |
| 2011: VEDCO HOLDINGS, INC. 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-12-01 | 489 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-01 | 489 |
| Number of retired or separated participants receiving benefits | 2011-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-12-01 | 0 |
| Total of all active and inactive participants | 2011-12-01 | 489 |
| 2022: VEDCO HOLDINGS, INC. 2022 form 5500 responses |
|---|
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: VEDCO HOLDINGS, INC. 2021 form 5500 responses |
|---|
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: VEDCO HOLDINGS, INC. 2020 form 5500 responses |
|---|
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: VEDCO HOLDINGS, INC. 2019 form 5500 responses |
|---|
| 2019-12-01 | Type of plan entity | Single employer plan |
| 2019-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-12-01 | Plan funding arrangement – Insurance | Yes |
| 2019-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: VEDCO HOLDINGS, INC. 2018 form 5500 responses |
|---|
| 2018-12-01 | Type of plan entity | Single employer plan |
| 2018-12-01 | Plan funding arrangement – Insurance | Yes |
| 2018-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: VEDCO HOLDINGS, INC. 2017 form 5500 responses |
|---|
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: VEDCO HOLDINGS, INC. 2016 form 5500 responses |
|---|
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | Plan funding arrangement – Insurance | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: VEDCO HOLDINGS, INC. 2015 form 5500 responses |
|---|
| 2015-12-01 | Type of plan entity | Single employer plan |
| 2015-12-01 | Plan funding arrangement – Insurance | Yes |
| 2015-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: VEDCO HOLDINGS, INC. 2014 form 5500 responses |
|---|
| 2014-12-01 | Type of plan entity | Single employer plan |
| 2014-12-01 | Plan funding arrangement – Insurance | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: VEDCO HOLDINGS, INC. 2013 form 5500 responses |
|---|
| 2013-12-01 | Type of plan entity | Single employer plan |
| 2013-12-01 | Submission has been amended | No |
| 2013-12-01 | This submission is the final filing | No |
| 2013-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-12-01 | Plan is a collectively bargained plan | No |
| 2013-12-01 | Plan funding arrangement – Insurance | Yes |
| 2013-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: VEDCO HOLDINGS, INC. 2012 form 5500 responses |
|---|
| 2012-12-01 | Type of plan entity | Single employer plan |
| 2012-12-01 | Submission has been amended | No |
| 2012-12-01 | This submission is the final filing | No |
| 2012-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-12-01 | Plan is a collectively bargained plan | No |
| 2012-12-01 | Plan funding arrangement – Insurance | Yes |
| 2012-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: VEDCO HOLDINGS, INC. 2011 form 5500 responses |
|---|
| 2011-12-01 | Type of plan entity | Single employer plan |
| 2011-12-01 | First time form 5500 has been submitted | Yes |
| 2011-12-01 | Submission has been amended | No |
| 2011-12-01 | This submission is the final filing | No |
| 2011-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-12-01 | Plan is a collectively bargained plan | No |
| 2011-12-01 | Plan funding arrangement – Insurance | Yes |
| 2011-12-01 | Plan benefit arrangement – Insurance | Yes |
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | 27652 |
| Policy instance | 3 |
| Insurance contract or identification number | 27652 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $29,176 | | Other welfare benefits provided | ACCIDENT & CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $86,922 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,988 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | KM05951436 |
| Policy instance | 2 |
| Insurance contract or identification number | KM05951436 | | Number of Individuals Covered | 319 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $10,977 | | Total amount of fees paid to insurance company | USD $733 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $56,027 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,977 | | Amount paid for insurance broker fees | 38 | | Additional information about fees paid to insurance broker | NON MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 080295 |
| Policy instance | 1 |
| Insurance contract or identification number | 080295 | | Number of Individuals Covered | 969 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $83,487 | | Total amount of fees paid to insurance company | USD $683 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,633,378 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $83,487 | | Amount paid for insurance broker fees | 683 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 080295 |
| Policy instance | 1 |
| Insurance contract or identification number | 080295 | | Number of Individuals Covered | 393 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $67,090 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,981,682 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $67,090 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5005939 |
| Policy instance | 2 |
| Insurance contract or identification number | E5005939 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $1,002 | | Total amount of fees paid to insurance company | USD $4 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $5,549 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $493 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3 | | Additional information about fees paid to insurance broker | FEES |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5028790 |
| Policy instance | 3 |
| Insurance contract or identification number | E5028790 | | Number of Individuals Covered | 61 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $4,129 | | Total amount of fees paid to insurance company | USD $131 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $14,423 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,173 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 67 | | Additional information about fees paid to insurance broker | FEES |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5053517 |
| Policy instance | 4 |
| Insurance contract or identification number | E5053517 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $252 | | Total amount of fees paid to insurance company | USD $12 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $728 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $151 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3 | | Additional information about fees paid to insurance broker | FEES |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | KM05951436 |
| Policy instance | 5 |
| Insurance contract or identification number | KM05951436 | | Number of Individuals Covered | 257 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $8,153 | | Total amount of fees paid to insurance company | USD $438 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $41,568 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,461 | | Amount paid for insurance broker fees | 34 | | Additional information about fees paid to insurance broker | NON MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | 0000027652 |
| Policy instance | 6 |
| Insurance contract or identification number | 0000027652 | | Number of Individuals Covered | 91 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $26,929 | | Other welfare benefits provided | CI, CANCER, HOSP, STD, ACC | | Welfare Benefit Premiums Paid to Carrier | USD $50,201 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,761 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5951436 |
| Policy instance | 5 |
| Insurance contract or identification number | 5951436 | | Number of Individuals Covered | 238 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $9,849 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $47,935 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,849 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5053517 |
| Policy instance | 4 |
| Insurance contract or identification number | E5053517 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $878 | | Total amount of fees paid to insurance company | USD $226 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $3,503 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $475 | | Amount paid for insurance broker fees | 179 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5028790 |
| Policy instance | 3 |
| Insurance contract or identification number | E5028790 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $23,461 | | Total amount of fees paid to insurance company | USD $6,490 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $77,769 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,139 | | Amount paid for insurance broker fees | 4616 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5005939 |
| Policy instance | 2 |
| Insurance contract or identification number | E5005939 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $4,232 | | Total amount of fees paid to insurance company | USD $884 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $20,724 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,024 | | Amount paid for insurance broker fees | 729 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 080295 |
| Policy instance | 1 |
| Insurance contract or identification number | 080295 | | Number of Individuals Covered | 311 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $58,931 | | Total amount of fees paid to insurance company | USD $229 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,749,143 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $58,931 | | Amount paid for insurance broker fees | 229 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 080295 |
| Policy instance | 1 |
| Insurance contract or identification number | 080295 | | Number of Individuals Covered | 384 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $41,660 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $910,850 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $41,660 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5951436 |
| Policy instance | 6 |
| Insurance contract or identification number | 5951436 | | Number of Individuals Covered | 298 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $4,931 | | Total amount of fees paid to insurance company | USD $769 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $24,190 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,931 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 769 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL/NON-MONETARY COMPENSATION |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 650237 |
| Policy instance | 2 |
| Insurance contract or identification number | 650237 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $1,205 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $38,889 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,205 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5005939 |
| Policy instance | 3 |
| Insurance contract or identification number | E5005939 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $568 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $6,524 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $332 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5028790 |
| Policy instance | 4 |
| Insurance contract or identification number | E5028790 | | Number of Individuals Covered | 45 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $1,711 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $20,764 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,010 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5053517 |
| Policy instance | 5 |
| Insurance contract or identification number | E5053517 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-12-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $17 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $172 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9 | | Insurance broker organization code? | 3 |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 080295 |
| Policy instance | 1 |
| Insurance contract or identification number | 080295 | | Number of Individuals Covered | 495 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $90,685 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,780,855 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $90,685 | | Insurance broker organization code? | 3 |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 650237 |
| Policy instance | 2 |
| Insurance contract or identification number | 650237 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $3,529 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $117,639 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,529 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5028790 |
| Policy instance | 4 |
| Insurance contract or identification number | E5028790 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $19,306 | | Total amount of fees paid to insurance company | USD $3,830 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $51,187 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,915 | | Amount paid for insurance broker fees | 2742 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5053517 |
| Policy instance | 5 |
| Insurance contract or identification number | E5053517 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $317 | | Total amount of fees paid to insurance company | USD $70 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $986 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $188 | | Amount paid for insurance broker fees | 59 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5005939 |
| Policy instance | 3 |
| Insurance contract or identification number | E5005939 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $9,949 | | Total amount of fees paid to insurance company | USD $2,105 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $24,094 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,991 | | Amount paid for insurance broker fees | 1571 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5028790 |
| Policy instance | 4 |
| Insurance contract or identification number | E5028790 | | Number of Individuals Covered | 72 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $9,543 | | Total amount of fees paid to insurance company | USD $5,294 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $21,820 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 650237 |
| Policy instance | 2 |
| Insurance contract or identification number | 650237 | | Number of Individuals Covered | 204 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $3,465 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $115,486 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | 80295 |
| Policy instance | 1 |
| Insurance contract or identification number | 80295 | | Number of Individuals Covered | 538 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $65,878 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,496,518 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5005939 |
| Policy instance | 3 |
| Insurance contract or identification number | E5005939 | | Number of Individuals Covered | 33 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $5,040 | | Total amount of fees paid to insurance company | USD $3,011 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $12,174 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5053517 |
| Policy instance | 5 |
| Insurance contract or identification number | E5053517 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $386 | | Total amount of fees paid to insurance company | USD $415 | | Other welfare benefits provided | ACC, CRITICAL ILLNESS, DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $722 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
