401k Plan data: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT plan

SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 401k Plan overview

Plan Name	SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT
Plan identification number	505

SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Long-term disability cover

401k Sponsoring company profile

SOUTH PLAINS ELECTRIC COOP, INC. has sponsored the creation of one or more 401k plans.

Company Name: SOUTH PLAINS ELECTRIC COOP, INC.

Employer identification number (EIN): 750569260

NAIC Classification: 221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2022-01-01 SHANE ADAMS 2023-09-20 SHANE ADAMS 2023-09-20
505 2021-01-01 SHANE ADAMS 2022-09-30 SHANE ADAMS 2022-09-30
505 2020-01-01 SHANE ADAMS 2021-09-22 SHANE ADAMS 2021-09-22
505 2019-01-01 SHANE ADAMS 2020-09-23 SHANE ADAMS 2020-09-23
505 2018-01-01 SHANE ADAMS 2019-07-30 SHANE ADAMS 2019-07-30
505 2017-01-01
505 2016-01-01
505 2015-01-01
505 2014-01-01
505 2013-01-01
505 2012-01-01 SHANE ADAMS
505 2011-01-01 SHANE ADAMS
505 2009-01-01 SHANE ADAMS SHANE ADAMS 2010-09-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2022-01-01	SHANE ADAMS	2023-09-20	SHANE ADAMS	2023-09-20
505	2021-01-01	SHANE ADAMS	2022-09-30	SHANE ADAMS	2022-09-30
505	2020-01-01	SHANE ADAMS	2021-09-22	SHANE ADAMS	2021-09-22
505	2019-01-01	SHANE ADAMS	2020-09-23	SHANE ADAMS	2020-09-23
505	2018-01-01	SHANE ADAMS	2019-07-30	SHANE ADAMS	2019-07-30
505	2017-01-01
505	2016-01-01
505	2015-01-01
505	2014-01-01
505	2013-01-01
505	2012-01-01	SHANE ADAMS
505	2011-01-01	SHANE ADAMS
505	2009-01-01	SHANE ADAMS		SHANE ADAMS	2010-09-30

Plan Statistics for SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT

401k plan membership statisitcs for SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT

Measure Date Value
2022: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2022 401k membership
Total participants, beginning-of-year 2022-01-01 414
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 369
Number of retired or separated participants receiving benefits 2022-01-01 39
Total of all active and inactive participants 2022-01-01 408
2021: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2021 401k membership
Total participants, beginning-of-year 2021-01-01 405
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 385
Number of retired or separated participants receiving benefits 2021-01-01 29
Total of all active and inactive participants 2021-01-01 414
2020: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2020 401k membership
Total participants, beginning-of-year 2020-01-01 404
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 378
Number of retired or separated participants receiving benefits 2020-01-01 27
Total of all active and inactive participants 2020-01-01 405
2019: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2019 401k membership
Total participants, beginning-of-year 2019-01-01 367
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 369
Number of retired or separated participants receiving benefits 2019-01-01 35
Total of all active and inactive participants 2019-01-01 404
2018: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2018 401k membership
Total participants, beginning-of-year 2018-01-01 390
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 317
Number of retired or separated participants receiving benefits 2018-01-01 50
Total of all active and inactive participants 2018-01-01 367
2017: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2017 401k membership
Total participants, beginning-of-year 2017-01-01 394
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 342
Number of retired or separated participants receiving benefits 2017-01-01 48
Total of all active and inactive participants 2017-01-01 390
2016: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2016 401k membership
Total participants, beginning-of-year 2016-01-01 388
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 345
Number of retired or separated participants receiving benefits 2016-01-01 49
Total of all active and inactive participants 2016-01-01 394
2015: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2015 401k membership
Total participants, beginning-of-year 2015-01-01 398
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 358
Number of retired or separated participants receiving benefits 2015-01-01 30
Total of all active and inactive participants 2015-01-01 388
2014: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2014 401k membership
Total participants, beginning-of-year 2014-01-01 369
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 383
Number of retired or separated participants receiving benefits 2014-01-01 15
Total of all active and inactive participants 2014-01-01 398
2013: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2013 401k membership
Total participants, beginning-of-year 2013-01-01 366
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 334
Number of retired or separated participants receiving benefits 2013-01-01 35
Total of all active and inactive participants 2013-01-01 369
2012: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 354
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 333
Number of retired or separated participants receiving benefits 2012-01-01 33
Total of all active and inactive participants 2012-01-01 366
2011: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2011 401k membership
Total participants, beginning-of-year 2011-01-01 394
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 313
Number of retired or separated participants receiving benefits 2011-01-01 41
Total of all active and inactive participants 2011-01-01 354
2009: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 446
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 357
Number of retired or separated participants receiving benefits 2009-01-01 42
Total of all active and inactive participants 2009-01-01 399

Measure	Date	Value
2022: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2022 401k membership
Total participants, beginning-of-year	2022-01-01	414
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	369
Number of retired or separated participants receiving benefits	2022-01-01	39
Total of all active and inactive participants	2022-01-01	408
2021: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2021 401k membership
Total participants, beginning-of-year	2021-01-01	405
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	385
Number of retired or separated participants receiving benefits	2021-01-01	29
Total of all active and inactive participants	2021-01-01	414
2020: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2020 401k membership
Total participants, beginning-of-year	2020-01-01	404
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	378
Number of retired or separated participants receiving benefits	2020-01-01	27
Total of all active and inactive participants	2020-01-01	405
2019: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2019 401k membership
Total participants, beginning-of-year	2019-01-01	367
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	369
Number of retired or separated participants receiving benefits	2019-01-01	35
Total of all active and inactive participants	2019-01-01	404
2018: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2018 401k membership
Total participants, beginning-of-year	2018-01-01	390
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	317
Number of retired or separated participants receiving benefits	2018-01-01	50
Total of all active and inactive participants	2018-01-01	367
2017: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2017 401k membership
Total participants, beginning-of-year	2017-01-01	394
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	342
Number of retired or separated participants receiving benefits	2017-01-01	48
Total of all active and inactive participants	2017-01-01	390
2016: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2016 401k membership
Total participants, beginning-of-year	2016-01-01	388
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	345
Number of retired or separated participants receiving benefits	2016-01-01	49
Total of all active and inactive participants	2016-01-01	394
2015: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2015 401k membership
Total participants, beginning-of-year	2015-01-01	398
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	358
Number of retired or separated participants receiving benefits	2015-01-01	30
Total of all active and inactive participants	2015-01-01	388
2014: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2014 401k membership
Total participants, beginning-of-year	2014-01-01	369
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	383
Number of retired or separated participants receiving benefits	2014-01-01	15
Total of all active and inactive participants	2014-01-01	398
2013: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2013 401k membership
Total participants, beginning-of-year	2013-01-01	366
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	334
Number of retired or separated participants receiving benefits	2013-01-01	35
Total of all active and inactive participants	2013-01-01	369
2012: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	354
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	333
Number of retired or separated participants receiving benefits	2012-01-01	33
Total of all active and inactive participants	2012-01-01	366
2011: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2011 401k membership
Total participants, beginning-of-year	2011-01-01	394
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	313
Number of retired or separated participants receiving benefits	2011-01-01	41
Total of all active and inactive participants	2011-01-01	354
2009: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	446
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	357
Number of retired or separated participants receiving benefits	2009-01-01	42
Total of all active and inactive participants	2009-01-01	399

Form 5500 Responses for SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT

2022: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: SOUTH PLAINS ELECTRIC COOPERATIVE WELFARE BENEFIT 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	188
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $10,389
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $52,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,389
Insurance broker organization code?	3

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	408
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $7,319
Total amount of fees paid to insurance company	USD $18,702
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $965,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,319
Amount paid for insurance broker fees	18702
Additional information about fees paid to insurance broker	CONSULTING FEE AND VOLUME BONUS
Insurance broker organization code?	4

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	188
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $10,996
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $54,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,996
Insurance broker organization code?	3

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	414
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $6,657
Total amount of fees paid to insurance company	USD $20,820
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $892,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,657
Amount paid for insurance broker fees	20820
Additional information about fees paid to insurance broker	CONSULTING FEE AND VOLUME BONUS
Insurance broker organization code?	4

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	178
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $11,512
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $56,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,512

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	405
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $8,661
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $810,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,661

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	172
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $11,555
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $57,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,555

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	369
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,325
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $625,667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,325

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	140
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $12,584
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $62,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,584
Insurance broker organization code?	3
Insurance broker name	LYLE WALKER

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	390
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,968
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $494,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,968
Insurance broker organization code?	3
Insurance broker name	ASHMORE AND ASSOCIATES

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	388
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,004
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $428,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,004
Insurance broker organization code?	3
Insurance broker name	ASHMORE AND ASSOCIATES

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

467026

Policy instance

Insurance contract or identification number	467026
Number of Individuals Covered	181
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $31,271
Total amount of fees paid to insurance company	USD $3,300
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $208,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,271
Amount paid for insurance broker fees	3300
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	USI INSURANCE SERVICES CORP

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	156
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $12,642
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $63,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,642
Insurance broker name	LYLE WALKER

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	157
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $12,928
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $64,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,928
Insurance broker organization code?	3
Insurance broker name	LYLE WALKER

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

467026

Policy instance

Insurance contract or identification number	467026
Number of Individuals Covered	175
Insurance policy start date	2014-04-01
Insurance policy end date	2015-01-01
Total amount of commissions paid to insurance broker	USD $22,924
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $152,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,924
Insurance broker organization code?	3
Insurance broker name	SUMMIT GLOBAL PARTNERS

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	398
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,944
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $430,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1944
Additional information about fees paid to insurance broker	SPECIAL PROGRAMS
Insurance broker organization code?	3
Insurance broker name	ASHMORE AND ASSOCIATES

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144757

Policy instance

Insurance contract or identification number	144757
Number of Individuals Covered	142
Insurance policy start date	2013-03-01
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $15,299
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,100
Insurance broker organization code?	3
Insurance broker name	SUMMIT GLOBAL PARTNERS

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144757

Policy instance

Insurance contract or identification number	144757
Number of Individuals Covered	169
Insurance policy start date	2013-03-01
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $21,417
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,742
Insurance broker organization code?	3
Insurance broker name	SUMMIT GLOBAL PARTNERS

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	369
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,152
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2152
Additional information about fees paid to insurance broker	SPECIAL PROGRAMS
Insurance broker organization code?	3
Insurance broker name	ASHMORE AND ASSOCIATES

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	152
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $13,115
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $65,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,115
Insurance broker organization code?	3
Insurance broker name	LYLE WALKER

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144757

Policy instance

Insurance contract or identification number	144757
Number of Individuals Covered	165
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $19,718
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,718
Insurance broker organization code?	3
Insurance broker name	SGP BENEFITS

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

99012

Policy instance

Insurance contract or identification number	99012
Number of Individuals Covered	366
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144757

Policy instance

Insurance contract or identification number	144757
Number of Individuals Covered	138
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $13,085
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,085
Insurance broker organization code?	3
Insurance broker name	SGP BENEFITS

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

217427

Policy instance

Insurance contract or identification number	217427
Number of Individuals Covered	149
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $13,463
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	GROUP LONG TERM CARE
Welfare Benefit Premiums Paid to Carrier	USD $65,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,463
Insurance broker organization code?	3
Insurance broker name	LYLE WALKER

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144757

Policy instance

Insurance contract or identification number	144757
Number of Individuals Covered	138
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-28
Total amount of commissions paid to insurance broker	USD $11,224
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SOUTHWEST LIFE AND HEALTH (National Association of Insurance Commissioners NAIC id number: 66117 )

Policy contract number

P22L12

Policy instance

Insurance contract or identification number	P22L12
Number of Individuals Covered	10
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $71,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144757

Policy instance

Insurance contract or identification number	144757
Number of Individuals Covered	165
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-28
Total amount of commissions paid to insurance broker	USD $18,286
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SHA, L.L.C. (National Association of Insurance Commissioners NAIC id number: 95138 )

Policy contract number

22L012

Policy instance

Insurance contract or identification number	22L012
Number of Individuals Covered	354
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,896,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SHA, L.L.C. (National Association of Insurance Commissioners NAIC id number: 95138 )

Policy contract number

22L012

Policy instance

Insurance contract or identification number	22L012
Number of Individuals Covered	394
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $55,107
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,002,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144757

Policy instance

Insurance contract or identification number	144757
Number of Individuals Covered	162
Insurance policy start date	2010-03-01
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $17,585
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SOUTHWEST LIFE AND HEALTH (National Association of Insurance Commissioners NAIC id number: 66117 )

Policy contract number

P22L12

Policy instance

Insurance contract or identification number	P22L12
Number of Individuals Covered	14
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,172
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $78,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

144757

Policy instance

Insurance contract or identification number	144757
Number of Individuals Covered	134
Insurance policy start date	2010-03-01
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $10,776
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability 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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Company Name:	SOUTH PLAINS ELECTRIC COOP, INC.
Employer identification number (EIN):	750569260
NAIC Classification:	221100