DON DAVIS AUTO GROUP, INC. has sponsored the creation of one or more 401k plans.
Additional information about DON DAVIS AUTO GROUP, INC.
Submission information for form 5500 for 401k plan DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST
401k plan membership statisitcs for DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST
| Measure | Date | Value |
|---|
| 2022 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2022 401k financial data |
|---|
| Total income from all sources (including contributions) | 2022-03-31 | $312,602 |
| Total of all expenses incurred | 2022-03-31 | $293,523 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-03-31 | $291,273 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-03-31 | $312,602 |
| Value of total assets at end of year | 2022-03-31 | $513,383 |
| Value of total assets at beginning of year | 2022-03-31 | $494,304 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-03-31 | $2,250 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-03-31 | No |
| Was this plan covered by a fidelity bond | 2022-03-31 | No |
| If this is an individual account plan, was there a blackout period | 2022-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-03-31 | No |
| Administrative expenses (other) incurred | 2022-03-31 | $2,250 |
| Total non interest bearing cash at end of year | 2022-03-31 | $513,383 |
| Total non interest bearing cash at beginning of year | 2022-03-31 | $494,304 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-03-31 | No |
| Value of net income/loss | 2022-03-31 | $19,079 |
| Value of net assets at end of year (total assets less liabilities) | 2022-03-31 | $513,383 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-03-31 | $494,304 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-03-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-03-31 | No |
| Contributions received in cash from employer | 2022-03-31 | $312,602 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-03-31 | $291,273 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-03-31 | No |
| Did the plan have assets held for investment | 2022-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-03-31 | Unqualified |
| Accountancy firm name | 2022-03-31 | ROSENFIELD AND CO., PLLC |
| Accountancy firm EIN | 2022-03-31 | 274077786 |
| 2021 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2021 401k financial data |
|---|
| Total income from all sources (including contributions) | 2021-03-31 | $2,680,940 |
| Total of all expenses incurred | 2021-03-31 | $2,186,636 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-03-31 | $2,157,095 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-03-31 | $2,680,940 |
| Value of total assets at end of year | 2021-03-31 | $494,304 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-03-31 | $29,541 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-03-31 | No |
| Was this plan covered by a fidelity bond | 2021-03-31 | No |
| If this is an individual account plan, was there a blackout period | 2021-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-03-31 | No |
| Contributions received from participants | 2021-03-31 | $816,411 |
| Total non interest bearing cash at end of year | 2021-03-31 | $494,304 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-03-31 | No |
| Value of net income/loss | 2021-03-31 | $494,304 |
| Value of net assets at end of year (total assets less liabilities) | 2021-03-31 | $494,304 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-03-31 | $2,157,095 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-03-31 | No |
| Contributions received in cash from employer | 2021-03-31 | $1,864,529 |
| Contract administrator fees | 2021-03-31 | $29,541 |
| Did the plan have assets held for investment | 2021-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-03-31 | Unqualified |
| Accountancy firm name | 2021-03-31 | ROSENFIELD AND CO., PLLC |
| Accountancy firm EIN | 2021-03-31 | 274077786 |
| 2020 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2020 401k financial data |
|---|
| Total income from all sources (including contributions) | 2020-03-31 | $1,519,419 |
| Total of all expenses incurred | 2020-03-31 | $1,884,722 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-03-31 | $1,807,668 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-03-31 | $1,519,419 |
| Value of total assets at beginning of year | 2020-03-31 | $365,303 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-03-31 | $77,054 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-03-31 | No |
| Was this plan covered by a fidelity bond | 2020-03-31 | No |
| If this is an individual account plan, was there a blackout period | 2020-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-03-31 | No |
| Contributions received from participants | 2020-03-31 | $815,590 |
| Total non interest bearing cash at beginning of year | 2020-03-31 | $365,303 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-03-31 | No |
| Value of net income/loss | 2020-03-31 | $-365,303 |
| Value of net assets at end of year (total assets less liabilities) | 2020-03-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-03-31 | $365,303 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-03-31 | $1,807,668 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-03-31 | No |
| Contributions received in cash from employer | 2020-03-31 | $703,829 |
| Contract administrator fees | 2020-03-31 | $77,054 |
| Did the plan have assets held for investment | 2020-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-03-31 | Unqualified |
| Accountancy firm name | 2020-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2020-03-31 | 752716468 |
| 2019 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2019 401k financial data |
|---|
| Total income from all sources (including contributions) | 2019-03-31 | $1,696,041 |
| Total of all expenses incurred | 2019-03-31 | $1,330,738 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-03-31 | $1,236,573 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-03-31 | $1,696,041 |
| Value of total assets at end of year | 2019-03-31 | $365,303 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-03-31 | $94,165 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-03-31 | No |
| Was this plan covered by a fidelity bond | 2019-03-31 | No |
| If this is an individual account plan, was there a blackout period | 2019-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-03-31 | No |
| Contributions received from participants | 2019-03-31 | $835,791 |
| Total non interest bearing cash at end of year | 2019-03-31 | $365,303 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-03-31 | No |
| Value of net income/loss | 2019-03-31 | $365,303 |
| Value of net assets at end of year (total assets less liabilities) | 2019-03-31 | $365,303 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-03-31 | $1,236,573 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-03-31 | No |
| Contributions received in cash from employer | 2019-03-31 | $860,250 |
| Contract administrator fees | 2019-03-31 | $94,165 |
| Did the plan have assets held for investment | 2019-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-03-31 | Unqualified |
| Accountancy firm name | 2019-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2019-03-31 | 752716468 |
| 2018 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2018 401k financial data |
|---|
| Total income from all sources (including contributions) | 2018-03-31 | $1,522,596 |
| Total of all expenses incurred | 2018-03-31 | $2,555,012 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-03-31 | $2,460,375 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-03-31 | $1,522,596 |
| Value of total assets at beginning of year | 2018-03-31 | $1,032,416 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-03-31 | $94,637 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-03-31 | No |
| Was this plan covered by a fidelity bond | 2018-03-31 | Yes |
| Value of fidelity bond cover | 2018-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2018-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-03-31 | No |
| Contributions received from participants | 2018-03-31 | $814,314 |
| Total non interest bearing cash at beginning of year | 2018-03-31 | $1,032,416 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-03-31 | No |
| Value of net income/loss | 2018-03-31 | $-1,032,416 |
| Value of net assets at end of year (total assets less liabilities) | 2018-03-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-03-31 | $1,032,416 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-03-31 | $2,460,375 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-03-31 | No |
| Contributions received in cash from employer | 2018-03-31 | $708,282 |
| Contract administrator fees | 2018-03-31 | $94,637 |
| Did the plan have assets held for investment | 2018-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-03-31 | Unqualified |
| Accountancy firm name | 2018-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2018-03-31 | 752716468 |
| 2017 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2017 401k financial data |
|---|
| Total income from all sources (including contributions) | 2017-03-31 | $1,430,953 |
| Total of all expenses incurred | 2017-03-31 | $1,506,102 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-03-31 | $1,400,137 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-03-31 | $1,430,953 |
| Value of total assets at end of year | 2017-03-31 | $1,032,416 |
| Value of total assets at beginning of year | 2017-03-31 | $1,107,565 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-03-31 | $105,965 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-03-31 | No |
| Was this plan covered by a fidelity bond | 2017-03-31 | Yes |
| Value of fidelity bond cover | 2017-03-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-03-31 | No |
| Contributions received from participants | 2017-03-31 | $748,833 |
| Total non interest bearing cash at end of year | 2017-03-31 | $1,032,416 |
| Total non interest bearing cash at beginning of year | 2017-03-31 | $1,107,565 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-03-31 | No |
| Value of net income/loss | 2017-03-31 | $-75,149 |
| Value of net assets at end of year (total assets less liabilities) | 2017-03-31 | $1,032,416 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-03-31 | $1,107,565 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-03-31 | $1,400,137 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-03-31 | No |
| Contributions received in cash from employer | 2017-03-31 | $682,120 |
| Contract administrator fees | 2017-03-31 | $105,965 |
| Did the plan have assets held for investment | 2017-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-03-31 | Unqualified |
| Accountancy firm name | 2017-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2017-03-31 | 752716468 |
| 2016 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2016 401k financial data |
|---|
| Total income from all sources (including contributions) | 2016-03-31 | $1,677,015 |
| Total of all expenses incurred | 2016-03-31 | $1,360,784 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-03-31 | $1,253,449 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-03-31 | $1,677,015 |
| Value of total assets at end of year | 2016-03-31 | $1,107,565 |
| Value of total assets at beginning of year | 2016-03-31 | $791,334 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-03-31 | $107,335 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-03-31 | No |
| Was this plan covered by a fidelity bond | 2016-03-31 | Yes |
| Value of fidelity bond cover | 2016-03-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-03-31 | No |
| Contributions received from participants | 2016-03-31 | $658,095 |
| Total non interest bearing cash at end of year | 2016-03-31 | $1,107,565 |
| Total non interest bearing cash at beginning of year | 2016-03-31 | $791,334 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-03-31 | No |
| Value of net income/loss | 2016-03-31 | $316,231 |
| Value of net assets at end of year (total assets less liabilities) | 2016-03-31 | $1,107,565 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-03-31 | $791,334 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-03-31 | $1,253,449 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-03-31 | No |
| Contributions received in cash from employer | 2016-03-31 | $1,018,920 |
| Contract administrator fees | 2016-03-31 | $107,335 |
| Did the plan have assets held for investment | 2016-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-03-31 | Unqualified |
| Accountancy firm name | 2016-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2016-03-31 | 752716468 |
| 2015 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2015 401k financial data |
|---|
| Total income from all sources (including contributions) | 2015-03-31 | $1,854,177 |
| Total of all expenses incurred | 2015-03-31 | $1,433,251 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-03-31 | $1,337,427 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-03-31 | $1,854,177 |
| Value of total assets at end of year | 2015-03-31 | $791,334 |
| Value of total assets at beginning of year | 2015-03-31 | $370,408 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-03-31 | $95,824 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-03-31 | No |
| Was this plan covered by a fidelity bond | 2015-03-31 | Yes |
| Value of fidelity bond cover | 2015-03-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2015-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-03-31 | No |
| Contributions received from participants | 2015-03-31 | $660,891 |
| Total non interest bearing cash at end of year | 2015-03-31 | $791,334 |
| Total non interest bearing cash at beginning of year | 2015-03-31 | $370,408 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-03-31 | No |
| Value of net income/loss | 2015-03-31 | $420,926 |
| Value of net assets at end of year (total assets less liabilities) | 2015-03-31 | $791,334 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-03-31 | $370,408 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-03-31 | $1,337,427 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-03-31 | No |
| Contributions received in cash from employer | 2015-03-31 | $1,193,286 |
| Contract administrator fees | 2015-03-31 | $95,824 |
| Did the plan have assets held for investment | 2015-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-03-31 | Unqualified |
| Accountancy firm name | 2015-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2015-03-31 | 752716468 |
| 2014 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2014 401k financial data |
|---|
| Total income from all sources (including contributions) | 2014-03-31 | $1,979,302 |
| Total of all expenses incurred | 2014-03-31 | $1,707,308 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-03-31 | $1,608,632 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-03-31 | $1,979,302 |
| Value of total assets at end of year | 2014-03-31 | $370,408 |
| Value of total assets at beginning of year | 2014-03-31 | $98,414 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-03-31 | $98,676 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-03-31 | No |
| Was this plan covered by a fidelity bond | 2014-03-31 | Yes |
| Value of fidelity bond cover | 2014-03-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2014-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-03-31 | No |
| Contributions received from participants | 2014-03-31 | $759,261 |
| Total non interest bearing cash at end of year | 2014-03-31 | $370,408 |
| Total non interest bearing cash at beginning of year | 2014-03-31 | $98,414 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-03-31 | No |
| Value of net income/loss | 2014-03-31 | $271,994 |
| Value of net assets at end of year (total assets less liabilities) | 2014-03-31 | $370,408 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-03-31 | $98,414 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-03-31 | $1,608,632 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-03-31 | No |
| Contributions received in cash from employer | 2014-03-31 | $1,220,041 |
| Contract administrator fees | 2014-03-31 | $98,676 |
| Did the plan have assets held for investment | 2014-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-03-31 | Unqualified |
| Accountancy firm name | 2014-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2014-03-31 | 752716468 |
| 2013 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2013 401k financial data |
|---|
| Total income from all sources (including contributions) | 2013-03-31 | $1,728,574 |
| Total of all expenses incurred | 2013-03-31 | $1,680,231 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-03-31 | $1,593,247 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-03-31 | $1,728,574 |
| Value of total assets at end of year | 2013-03-31 | $98,414 |
| Value of total assets at beginning of year | 2013-03-31 | $50,071 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-03-31 | $86,984 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-03-31 | No |
| Was this plan covered by a fidelity bond | 2013-03-31 | Yes |
| Value of fidelity bond cover | 2013-03-31 | $100,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-03-31 | No |
| Contributions received from participants | 2013-03-31 | $717,018 |
| Total non interest bearing cash at end of year | 2013-03-31 | $98,414 |
| Total non interest bearing cash at beginning of year | 2013-03-31 | $50,071 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-03-31 | No |
| Value of net income/loss | 2013-03-31 | $48,343 |
| Value of net assets at end of year (total assets less liabilities) | 2013-03-31 | $98,414 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-03-31 | $50,071 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-03-31 | No |
| Value of interest in common/collective trusts at end of year | 2013-03-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-03-31 | $1,593,247 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-03-31 | No |
| Contributions received in cash from employer | 2013-03-31 | $1,011,556 |
| Contract administrator fees | 2013-03-31 | $86,984 |
| Did the plan have assets held for investment | 2013-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-03-31 | Unqualified |
| Accountancy firm name | 2013-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2013-03-31 | 752716468 |
| 2012 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2012 401k financial data |
|---|
| Total income from all sources (including contributions) | 2012-03-31 | $1,548,295 |
| Total of all expenses incurred | 2012-03-31 | $1,517,074 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-03-31 | $1,431,280 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-03-31 | $1,548,295 |
| Value of total assets at end of year | 2012-03-31 | $50,071 |
| Value of total assets at beginning of year | 2012-03-31 | $18,850 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-03-31 | $85,794 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-03-31 | No |
| Was this plan covered by a fidelity bond | 2012-03-31 | Yes |
| Value of fidelity bond cover | 2012-03-31 | $100,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-03-31 | No |
| Contributions received from participants | 2012-03-31 | $635,649 |
| Total non interest bearing cash at end of year | 2012-03-31 | $50,071 |
| Total non interest bearing cash at beginning of year | 2012-03-31 | $18,850 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-03-31 | No |
| Value of net income/loss | 2012-03-31 | $31,221 |
| Value of net assets at end of year (total assets less liabilities) | 2012-03-31 | $50,071 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-03-31 | $18,850 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-03-31 | $1,431,280 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-03-31 | No |
| Contributions received in cash from employer | 2012-03-31 | $912,646 |
| Contract administrator fees | 2012-03-31 | $85,794 |
| Did the plan have assets held for investment | 2012-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-03-31 | Unqualified |
| Accountancy firm name | 2012-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2012-03-31 | 752716468 |
| 2011 : DON DAVIS AUTO GROUP EMPLOYEE BENEFIT PLAN TRUST 2011 401k financial data |
|---|
| Total income from all sources (including contributions) | 2011-03-31 | $1,155,182 |
| Total of all expenses incurred | 2011-03-31 | $1,136,332 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-03-31 | $1,035,967 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-03-31 | $1,155,182 |
| Value of total assets at end of year | 2011-03-31 | $18,850 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-03-31 | $100,365 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-03-31 | No |
| Was this plan covered by a fidelity bond | 2011-03-31 | Yes |
| Value of fidelity bond cover | 2011-03-31 | $100,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-03-31 | No |
| Contributions received from participants | 2011-03-31 | $487,166 |
| Total non interest bearing cash at end of year | 2011-03-31 | $18,850 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Value of net income/loss | 2011-03-31 | $18,850 |
| Value of net assets at end of year (total assets less liabilities) | 2011-03-31 | $18,850 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-03-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-03-31 | $1,035,967 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-03-31 | No |
| Contributions received in cash from employer | 2011-03-31 | $668,016 |
| Contract administrator fees | 2011-03-31 | $100,365 |
| Did the plan have assets held for investment | 2011-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-03-31 | Unqualified |
| Accountancy firm name | 2011-03-31 | GREEN & MILLER, PC |
| Accountancy firm EIN | 2011-03-31 | 752716468 |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 295094 |
| Policy instance | 1 |
| Insurance contract or identification number | 295094 | | Number of Individuals Covered | 277 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | 417003413935 |
| Policy instance | 2 |
| Insurance contract or identification number | 417003413935 | | Number of Individuals Covered | 219 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Welfare Benefit Premiums Paid to Carrier | USD $380,024 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 917212 |
| Policy instance | 1 |
| Insurance contract or identification number | 917212 | | Number of Individuals Covered | 223 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $1,746 | | Total amount of fees paid to insurance company | USD $989 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,454 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,746 | | Amount paid for insurance broker fees | 989 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 917212 |
| Policy instance | 2 |
| Insurance contract or identification number | 917212 | | Number of Individuals Covered | 301 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $2,227 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,269 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,227 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 417004413935 |
| Policy instance | 1 |
| Insurance contract or identification number | 417004413935 | | Number of Individuals Covered | 179 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,856 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | 417003413935 |
| Policy instance | 3 |
| Insurance contract or identification number | 417003413935 | | Number of Individuals Covered | 240 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Welfare Benefit Premiums Paid to Carrier | USD $334,520 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212802 |
| Policy instance | 1 |
| Insurance contract or identification number | 212802 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $22,137 | | Total amount of fees paid to insurance company | USD $664 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $88,548 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,137 | | Amount paid for insurance broker fees | 664 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212803 |
| Policy instance | 2 |
| Insurance contract or identification number | 212803 | | Number of Individuals Covered | 307 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $530 | | Total amount of fees paid to insurance company | USD $40 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $4,949 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $530 | | Amount paid for insurance broker fees | 40 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212804 |
| Policy instance | 4 |
| Insurance contract or identification number | 212804 | | Number of Individuals Covered | 190 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $17,436 | | Total amount of fees paid to insurance company | USD $523 | | Other welfare benefits provided | LIFESTYLE ADD, LIFESTYLE LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $69,745 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,436 | | Amount paid for insurance broker fees | 523 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 406491 |
| Policy instance | 5 |
| Insurance contract or identification number | 406491 | | Number of Individuals Covered | 272 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $377,074 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 9418161 |
| Policy instance | 3 |
| Insurance contract or identification number | 9418161 | | Number of Individuals Covered | 38 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $663 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,248 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $398 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212802 |
| Policy instance | 1 |
| Insurance contract or identification number | 212802 | | Number of Individuals Covered | 164 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $22,317 | | Total amount of fees paid to insurance company | USD $670 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $89,269 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,317 | | Amount paid for insurance broker fees | 670 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI, SW, INC. - DALLAS |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 406491 |
| Policy instance | 5 |
| Insurance contract or identification number | 406491 | | Number of Individuals Covered | 282 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $325,018 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | USI SOUTHWEST INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212804 |
| Policy instance | 4 |
| Insurance contract or identification number | 212804 | | Number of Individuals Covered | 202 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $17,002 | | Total amount of fees paid to insurance company | USD $510 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | LIFESTYLE ADD | | Welfare Benefit Premiums Paid to Carrier | USD $68,007 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,002 | | Amount paid for insurance broker fees | 510 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI SW, INC. - DALLAS |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 9418161 |
| Policy instance | 3 |
| Insurance contract or identification number | 9418161 | | Number of Individuals Covered | 57 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $1,338 | | Total amount of fees paid to insurance company | USD $23 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,083 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $803 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 10 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker name | DAVIS ALLEN AGENCY INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212803 |
| Policy instance | 2 |
| Insurance contract or identification number | 212803 | | Number of Individuals Covered | 303 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $553 | | Total amount of fees paid to insurance company | USD $41 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $5,528 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $553 | | Amount paid for insurance broker fees | 41 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI, SW, INC. - DALLAS |
|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 ) |
| Policy contract number | 9418161 |
| Policy instance | 6 |
| Insurance contract or identification number | 9418161 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $18,569 | | Total amount of fees paid to insurance company | USD $2,073 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,630 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,428 | | Amount paid for insurance broker fees | 676 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | DAVIS ALLEN AGENCY INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0416404 |
| Policy instance | 5 |
| Insurance contract or identification number | R0416404 | | Number of Individuals Covered | 283 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $13,740 | | Total amount of fees paid to insurance company | USD $1,443 | | Other welfare benefits provided | GROUP CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $49,806 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 627 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker name | TOTAL BENEFIT SOLUTIONS |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL31108 |
| Policy instance | 4 |
| Insurance contract or identification number | HCL31108 | | Number of Individuals Covered | 267 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $3,342 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $334,212 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,342 | | Insurance broker organization code? | 3 | | Insurance broker name | MERITAIN HEALTH |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212804 |
| Policy instance | 3 |
| Insurance contract or identification number | 212804 | | Number of Individuals Covered | 202 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $17,609 | | Total amount of fees paid to insurance company | USD $748 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $70,437 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,609 | | Amount paid for insurance broker fees | 748 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI, SW, INC. - DALLAS |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212803 |
| Policy instance | 2 |
| Insurance contract or identification number | 212803 | | Number of Individuals Covered | 293 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $558 | | Total amount of fees paid to insurance company | USD $60 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $5,585 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $558 | | Amount paid for insurance broker fees | 60 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI, SW, INC. - DALLAS |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212802 |
| Policy instance | 1 |
| Insurance contract or identification number | 212802 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $19,135 | | Total amount of fees paid to insurance company | USD $815 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $76,541 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,135 | | Amount paid for insurance broker fees | 815 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI, SW, INC. - DALLAS |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | R0416404 |
| Policy instance | 5 |
| Insurance contract or identification number | R0416404 | | Number of Individuals Covered | 341 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $25,657 | | Total amount of fees paid to insurance company | USD $3,726 | | Other welfare benefits provided | GROUP CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $56,005 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1385 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker name | TOTAL BENEFIT SOLUTIONS |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL31108 |
| Policy instance | 4 |
| Insurance contract or identification number | HCL31108 | | Number of Individuals Covered | 285 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $11,946 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $477,840 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,946 | | Insurance broker organization code? | 3 | | Insurance broker name | MERITAIN HEALTH |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212803 |
| Policy instance | 2 |
| Insurance contract or identification number | 212803 | | Number of Individuals Covered | 299 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $509 | | Total amount of fees paid to insurance company | USD $64 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $5,087 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $509 | | Amount paid for insurance broker fees | 64 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI, SW, INC. - DALLAS |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212802 |
| Policy instance | 1 |
| Insurance contract or identification number | 212802 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $15,965 | | Total amount of fees paid to insurance company | USD $798 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $63,862 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,965 | | Amount paid for insurance broker fees | 798 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI, SW, INC. - DALLAS |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212804 |
| Policy instance | 3 |
| Insurance contract or identification number | 212804 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $13,882 | | Total amount of fees paid to insurance company | USD $694 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $55,527 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,882 | | Amount paid for insurance broker fees | 694 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | USI, SW, INC. - DALLAS |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212802 |
| Policy instance | 1 |
| Insurance contract or identification number | 212802 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $16,728 | | Total amount of fees paid to insurance company | USD $836 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $66,914 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,728 | | Amount paid for insurance broker fees | 836 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | SUMMITT GLOBAL PARTNERS OF TX I |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212804 |
| Policy instance | 3 |
| Insurance contract or identification number | 212804 | | Number of Individuals Covered | 220 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $13,649 | | Total amount of fees paid to insurance company | USD $682 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $54,594 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,649 | | Amount paid for insurance broker fees | 682 | | Additional information about fees paid to insurance broker | ADDITIONAL INFORMATION | | Insurance broker organization code? | 3 | | Insurance broker name | SUMMITT GLOBAL PARTNERS OF TX I |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00835-13 |
| Policy instance | 4 |
| Insurance contract or identification number | LGS00835-13 | | Number of Individuals Covered | 220 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $295,000 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | ENTRUST, INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212803 |
| Policy instance | 2 |
| Insurance contract or identification number | 212803 | | Number of Individuals Covered | 214 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $380 | | Total amount of fees paid to insurance company | USD $52 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $4,171 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $380 | | Amount paid for insurance broker fees | 52 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | SUMMITT GLOBAL PARTNERS OF TX I |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212804 |
| Policy instance | 2 |
| Insurance contract or identification number | 212804 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-04-01 | | Total amount of commissions paid to insurance broker | USD $16,475 | | Total amount of fees paid to insurance company | USD $1,318 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $65,898 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,837 | | Amount paid for insurance broker fees | 227 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | SUMMIT GLOBAL PARTNERS OF TX |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212802 |
| Policy instance | 3 |
| Insurance contract or identification number | 212802 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-04-01 | | Total amount of commissions paid to insurance broker | USD $18,150 | | Total amount of fees paid to insurance company | USD $1,452 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $72,603 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,426 | | Amount paid for insurance broker fees | 274 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | SUMMIT GLOBAL PARTNERS OF TX |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 212803 |
| Policy instance | 4 |
| Insurance contract or identification number | 212803 | | Number of Individuals Covered | 252 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-04-01 | | Total amount of commissions paid to insurance broker | USD $874 | | Total amount of fees paid to insurance company | USD $95 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $4,743 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $391 | | Amount paid for insurance broker fees | 78 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | ENTRUST AGENCIES INC. |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00835-12 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00835-12 | | Number of Individuals Covered | 104 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $242,793 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN NATIONAL INSURANCE/BARDON INSURANCE GROUP (National Association of Insurance Commissioners NAIC id number: 000 ) |
| Policy contract number | AN-1004002D-2 |
| Policy instance | 1 |
| Insurance contract or identification number | AN-1004002D-2 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,456 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000400141307 |
| Policy instance | 5 |
| Insurance contract or identification number | 000400141307 | | Number of Individuals Covered | 79 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $2,991 | | Other welfare benefits provided | VOLUNTARY WI | | Welfare Benefit Premiums Paid to Carrier | USD $20,007 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN NATIONAL INSURANCE/BARDON INSURANCE GROUP (National Association of Insurance Commissioners NAIC id number: 000 ) |
| Policy contract number | AN-1004002A-2 |
| Policy instance | 4 |
| Insurance contract or identification number | AN-1004002A-2 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,617 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000400141306 |
| Policy instance | 6 |
| Insurance contract or identification number | 000400141306 | | Number of Individuals Covered | 63 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $3,481 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,281 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000010141304 |
| Policy instance | 7 |
| Insurance contract or identification number | 000010141304 | | Number of Individuals Covered | 236 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $766 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $5,085 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN NATIONAL INSURANCE/BARDON INSURANCE GROUP (National Association of Insurance Commissioners NAIC id number: 000 ) |
| Policy contract number | AN-1004002C-2 |
| Policy instance | 2 |
| Insurance contract or identification number | AN-1004002C-2 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $107,626 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN NATIONAL INSURANCE/BARDON INSURANCE GROUP (National Association of Insurance Commissioners NAIC id number: 000 ) |
| Policy contract number | AN-1004002B-2 |
| Policy instance | 3 |
| Insurance contract or identification number | AN-1004002B-2 | | Number of Individuals Covered | 69 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $87,947 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 000400141305 |
| Policy instance | 8 |
| Insurance contract or identification number | 000400141305 | | Number of Individuals Covered | 118 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $3,583 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $23,766 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN NATIONAL INSURANCE/BARDON INSURANCE GROUP (National Association of Insurance Commissioners NAIC id number: 000 ) |
| Policy contract number | AN-1004002B |
| Policy instance | 3 |
| Insurance contract or identification number | AN-1004002B | | Number of Individuals Covered | 73 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $98,946 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN NATIONAL INSURANCE/BARDON INSURANCE GROUP (National Association of Insurance Commissioners NAIC id number: 000 ) |
| Policy contract number | AN-1004002A |
| Policy instance | 4 |
| Insurance contract or identification number | AN-1004002A | | Number of Individuals Covered | 45 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2010-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $50,452 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN NATIONAL INSURANCE/BARDON INSURANCE GROUP (National Association of Insurance Commissioners NAIC id number: 000 ) |
| Policy contract number | AN-1004002D |
| Policy instance | 1 |
| Insurance contract or identification number | AN-1004002D | | Number of Individuals Covered | 5 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,088 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN NATIONAL INSURANCE/BARDON INSURANCE GROUP (National Association of Insurance Commissioners NAIC id number: 000 ) |
| Policy contract number | AN-1004002C |
| Policy instance | 2 |
| Insurance contract or identification number | AN-1004002C | | Number of Individuals Covered | 108 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $74,437 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
