SOUTHWEST HIDE COMPANY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2021: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-11-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-11-01 | 97 |
| Number of retired or separated participants receiving benefits | 2021-11-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2021-11-01 | 0 |
| Total of all active and inactive participants | 2021-11-01 | 98 |
| 2020: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-11-01 | 99 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-11-01 | 97 |
| Number of retired or separated participants receiving benefits | 2020-11-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2020-11-01 | 0 |
| Total of all active and inactive participants | 2020-11-01 | 99 |
| 2019: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-11-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-11-01 | 97 |
| Number of retired or separated participants receiving benefits | 2019-11-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2019-11-01 | 0 |
| Total of all active and inactive participants | 2019-11-01 | 99 |
| 2018: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-11-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-11-01 | 106 |
| Number of retired or separated participants receiving benefits | 2018-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-11-01 | 0 |
| Total of all active and inactive participants | 2018-11-01 | 106 |
| 2017: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-11-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 102 |
| Number of retired or separated participants receiving benefits | 2017-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-11-01 | 0 |
| Total of all active and inactive participants | 2017-11-01 | 102 |
| 2016: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-11-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 107 |
| Number of retired or separated participants receiving benefits | 2016-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-11-01 | 0 |
| Total of all active and inactive participants | 2016-11-01 | 107 |
| 2015: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-11-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 101 |
| Number of retired or separated participants receiving benefits | 2015-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-11-01 | 0 |
| Total of all active and inactive participants | 2015-11-01 | 101 |
| 2014: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-11-01 | 83 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 108 |
| Number of retired or separated participants receiving benefits | 2014-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-11-01 | 0 |
| Total of all active and inactive participants | 2014-11-01 | 108 |
| 2013: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-11-01 | 82 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-11-01 | 83 |
| Number of retired or separated participants receiving benefits | 2013-11-01 | 0 |
| Total of all active and inactive participants | 2013-11-01 | 83 |
| 2012: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-11-01 | 82 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-11-01 | 81 |
| Number of retired or separated participants receiving benefits | 2012-11-01 | 1 |
| Total of all active and inactive participants | 2012-11-01 | 82 |
| Total participants | 2012-11-01 | 0 |
| 2011: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-11-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-11-01 | 80 |
| Number of retired or separated participants receiving benefits | 2011-11-01 | 2 |
| Total of all active and inactive participants | 2011-11-01 | 82 |
| Total participants | 2011-11-01 | 82 |
| 2009: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-11-01 | 86 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-11-01 | 83 |
| Number of retired or separated participants receiving benefits | 2009-11-01 | 2 |
| Total of all active and inactive participants | 2009-11-01 | 85 |
| Total participants | 2009-11-01 | 85 |
| Measure | Date | Value |
|---|
| 2022 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-10-31 | $3,282,643 |
| Expenses. Total of all expenses incurred | 2022-10-31 | $3,282,643 |
| Benefits paid (including direct rollovers) | 2022-10-31 | $3,225,342 |
| Total plan assets at end of year | 2022-10-31 | $0 |
| Total plan assets at beginning of year | 2022-10-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2022-10-31 | $57,301 |
| Contributions received from other sources (not participants or employers) | 2022-10-31 | $1,313,854 |
| Net plan assets at end of year (total assets less liabilities) | 2022-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2022-10-31 | $1,968,789 |
| 2021 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-10-31 | $3,439,457 |
| Expenses. Total of all expenses incurred | 2021-10-31 | $3,439,457 |
| Benefits paid (including direct rollovers) | 2021-10-31 | $3,439,457 |
| Total plan assets at end of year | 2021-10-31 | $0 |
| Total plan assets at beginning of year | 2021-10-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2021-10-31 | $1,775,723 |
| Net plan assets at end of year (total assets less liabilities) | 2021-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2021-10-31 | $1,663,734 |
| 2020 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2020 401k financial data |
|---|
| Total income from all sources | 2020-10-31 | $1,631,532 |
| Expenses. Total of all expenses incurred | 2020-10-31 | $1,631,532 |
| Benefits paid (including direct rollovers) | 2020-10-31 | $1,631,532 |
| Total plan assets at end of year | 2020-10-31 | $0 |
| Total plan assets at beginning of year | 2020-10-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2020-10-31 | $180,552 |
| Net plan assets at end of year (total assets less liabilities) | 2020-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2020-10-31 | $1,450,980 |
| 2019 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-10-31 | $1,922,045 |
| Expenses. Total of all expenses incurred | 2019-10-31 | $1,922,045 |
| Benefits paid (including direct rollovers) | 2019-10-31 | $1,922,045 |
| Total plan assets at end of year | 2019-10-31 | $0 |
| Total plan assets at beginning of year | 2019-10-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2019-10-31 | $418,938 |
| Net plan assets at end of year (total assets less liabilities) | 2019-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2019-10-31 | $1,503,107 |
| 2018 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-10-31 | $1,844,700 |
| Expenses. Total of all expenses incurred | 2018-10-31 | $1,844,700 |
| Benefits paid (including direct rollovers) | 2018-10-31 | $1,844,700 |
| Total plan assets at end of year | 2018-10-31 | $0 |
| Total plan assets at beginning of year | 2018-10-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2018-10-31 | $268,348 |
| Net plan assets at end of year (total assets less liabilities) | 2018-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2018-10-31 | $1,576,352 |
| 2017 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-10-31 | $1,233,421 |
| Expenses. Total of all expenses incurred | 2017-10-31 | $1,233,421 |
| Benefits paid (including direct rollovers) | 2017-10-31 | $1,233,421 |
| Total plan assets at end of year | 2017-10-31 | $0 |
| Total plan assets at beginning of year | 2017-10-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2017-10-31 | $70,401 |
| Net plan assets at end of year (total assets less liabilities) | 2017-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2017-10-31 | $1,163,020 |
| 2016 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-10-31 | $1,372,022 |
| Expenses. Total of all expenses incurred | 2016-10-31 | $1,372,022 |
| Benefits paid (including direct rollovers) | 2016-10-31 | $1,327,224 |
| Total plan assets at end of year | 2016-10-31 | $0 |
| Total plan assets at beginning of year | 2016-10-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2016-10-31 | $44,798 |
| Contributions received from other sources (not participants or employers) | 2016-10-31 | $48,674 |
| Net plan assets at end of year (total assets less liabilities) | 2016-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2016-10-31 | $1,323,348 |
| 2015 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-10-31 | $1,122,886 |
| Expenses. Total of all expenses incurred | 2015-10-31 | $1,122,886 |
| Benefits paid (including direct rollovers) | 2015-10-31 | $1,083,079 |
| Total plan assets at end of year | 2015-10-31 | $0 |
| Total plan assets at beginning of year | 2015-10-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2015-10-31 | $39,807 |
| Contributions received from other sources (not participants or employers) | 2015-10-31 | $12,348 |
| Net plan assets at end of year (total assets less liabilities) | 2015-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2015-10-31 | $1,110,538 |
| 2014 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-10-31 | $1,210,215 |
| Expenses. Total of all expenses incurred | 2014-10-31 | $1,210,215 |
| Benefits paid (including direct rollovers) | 2014-10-31 | $1,177,068 |
| Total plan assets at end of year | 2014-10-31 | $0 |
| Total plan assets at beginning of year | 2014-10-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2014-10-31 | $33,147 |
| Contributions received from other sources (not participants or employers) | 2014-10-31 | $94,631 |
| Net plan assets at end of year (total assets less liabilities) | 2014-10-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2014-10-31 | $1,115,584 |
| 2013 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-10-31 | $1,112,884 |
| Expenses. Total of all expenses incurred | 2013-10-31 | $1,112,884 |
| Benefits paid (including direct rollovers) | 2013-10-31 | $1,112,884 |
| Total contributions received or receivable from employer(s) | 2013-10-31 | $1,112,884 |
| 2012 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-10-31 | $959,304 |
| Expenses. Total of all expenses incurred | 2012-10-31 | $959,304 |
| Benefits paid (including direct rollovers) | 2012-10-31 | $959,304 |
| Contributions received from other sources (not participants or employers) | 2012-10-31 | $7,272 |
| Total contributions received or receivable from employer(s) | 2012-10-31 | $952,032 |
| 2011 : SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-10-31 | $1,190,352 |
| Expenses. Total of all expenses incurred | 2011-10-31 | $1,190,352 |
| Benefits paid (including direct rollovers) | 2011-10-31 | $1,190,352 |
| Contributions received from other sources (not participants or employers) | 2011-10-31 | $138,180 |
| Total contributions received or receivable from employer(s) | 2011-10-31 | $1,052,172 |
| 2021: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-11-01 | Type of plan entity | Single employer plan |
| 2021-11-01 | Plan funding arrangement – Insurance | Yes |
| 2021-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2020 form 5500 responses |
|---|
| 2020-11-01 | Type of plan entity | Single employer plan |
| 2020-11-01 | Submission has been amended | Yes |
| 2020-11-01 | Plan funding arrangement – Insurance | Yes |
| 2020-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2019 form 5500 responses |
|---|
| 2019-11-01 | Type of plan entity | Single employer plan |
| 2019-11-01 | Plan funding arrangement – Insurance | Yes |
| 2019-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2018 form 5500 responses |
|---|
| 2018-11-01 | Type of plan entity | Single employer plan |
| 2018-11-01 | Plan funding arrangement – Insurance | Yes |
| 2018-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2015 form 5500 responses |
|---|
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2014 form 5500 responses |
|---|
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2013 form 5500 responses |
|---|
| 2013-11-01 | Type of plan entity | Single employer plan |
| 2013-11-01 | Plan funding arrangement – Insurance | Yes |
| 2013-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2012 form 5500 responses |
|---|
| 2012-11-01 | Type of plan entity | Single employer plan |
| 2012-11-01 | Plan funding arrangement – Insurance | Yes |
| 2012-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2011 form 5500 responses |
|---|
| 2011-11-01 | Type of plan entity | Single employer plan |
| 2011-11-01 | Plan funding arrangement – Insurance | Yes |
| 2011-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: SOUTHWEST HIDE COMPANY GROUP BENEFIT PLAN 2009 form 5500 responses |
|---|
| 2009-11-01 | Type of plan entity | Single employer plan |
| 2009-11-01 | Plan funding arrangement – Insurance | Yes |
| 2009-11-01 | Plan benefit arrangement – Insurance | Yes |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638822 |
| Policy instance | 3 |
| Insurance contract or identification number | 638822 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $3,649 | | 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 $3,649 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638022 |
| Policy instance | 2 |
| Insurance contract or identification number | 638022 | | Number of Individuals Covered | 101 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $2,829 | | 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 $2,829 | | Insurance broker organization code? | 3 |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-21 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-21 | | Number of Individuals Covered | 101 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Total amount of commissions paid to insurance broker | USD $65,430 | | Total amount of fees paid to insurance company | USD $43,176 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $545,246 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $65,430 | | Amount paid for insurance broker fees | 2342 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638822 |
| Policy instance | 3 |
| Insurance contract or identification number | 638822 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $3,331 | | 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 $3,331 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638022 |
| Policy instance | 2 |
| Insurance contract or identification number | 638022 | | Number of Individuals Covered | 94 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $2,791 | | 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 $2,791 | | Insurance broker organization code? | 3 |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-16 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-16 | | Number of Individuals Covered | 105 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $56,002 | | Total amount of fees paid to insurance company | USD $39,722 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $466,686 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $56,002 | | Amount paid for insurance broker fees | 2282 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638822 |
| Policy instance | 3 |
| Insurance contract or identification number | 638822 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $3,751 | | 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 $3,751 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638022 |
| Policy instance | 2 |
| Insurance contract or identification number | 638022 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $3,051 | | 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 $3,051 | | Insurance broker organization code? | 3 |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-16 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-16 | | Number of Individuals Covered | 105 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Total amount of commissions paid to insurance broker | USD $56,737 | | Total amount of fees paid to insurance company | USD $41,179 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $472,807 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $56,737 | | Amount paid for insurance broker fees | 2445 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638022 |
| Policy instance | 2 |
| Insurance contract or identification number | 638022 | | Number of Individuals Covered | 108 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $3,064 | | 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 $3,064 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638822 |
| Policy instance | 3 |
| Insurance contract or identification number | 638822 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $2,986 | | 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 $2,986 | | Insurance broker organization code? | 3 |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-16 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-16 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Total amount of commissions paid to insurance broker | USD $50,946 | | Total amount of fees paid to insurance company | USD $40,543 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $424,547 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50,946 | | Amount paid for insurance broker fees | 2475 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-16 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-16 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $50,996 | | Total amount of fees paid to insurance company | USD $38,257 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $399,972 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50,996 | | Amount paid for insurance broker fees | 2412 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 | | Insurance broker name | M S ADMINISTRATIVE SERVICES, INC |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638822 |
| Policy instance | 3 |
| Insurance contract or identification number | 638822 | | Number of Individuals Covered | 103 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of fees paid to insurance company | USD $3,264 | | 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 | | Amount paid for insurance broker fees | 3264 | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH P BASTIDA |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638022 |
| Policy instance | 2 |
| Insurance contract or identification number | 638022 | | Number of Individuals Covered | 103 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of fees paid to insurance company | USD $3,292 | | Life 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 | 3292 | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH BASTIDA |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638022 |
| Policy instance | 2 |
| Insurance contract or identification number | 638022 | | Number of Individuals Covered | 101 | | Insurance policy start date | 2015-09-01 | | Insurance policy end date | 2016-08-31 | | Total amount of commissions paid to insurance broker | USD $3,251 | | 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 $3,251 | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH BASTIDA |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638822 |
| Policy instance | 3 |
| Insurance contract or identification number | 638822 | | Number of Individuals Covered | 99 | | Insurance policy start date | 2015-09-01 | | Insurance policy end date | 2016-08-31 | | Total amount of commissions paid to insurance broker | USD $3,635 | | 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 $3,635 | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH P BASTIDA |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-15 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-15 | | Number of Individuals Covered | 108 | | Insurance policy start date | 2015-11-01 | | Insurance policy end date | 2016-10-31 | | Total amount of commissions paid to insurance broker | USD $54,808 | | Total amount of fees paid to insurance company | USD $2,513 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $365,384 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $54,808 | | Amount paid for insurance broker fees | 2513 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH BASTIDA |
|
| QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-14 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-14 | | Number of Individuals Covered | 108 | | Insurance policy start date | 2014-11-01 | | Insurance policy end date | 2015-10-31 | | Total amount of commissions paid to insurance broker | USD $51,929 | | Total amount of fees paid to insurance company | USD $2,295 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $346,195 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51,929 | | Amount paid for insurance broker fees | 2295 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH BASTIDA |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 638022 |
| Policy instance | 2 |
| Insurance contract or identification number | 638022 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $1,931 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,874 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,931 | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH BASTIDA |
|
| QBE INSURANCE (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-13 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-13 | | Number of Individuals Covered | 83 | | Insurance policy start date | 2013-11-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $49,299 | | Total amount of fees paid to insurance company | USD $1,942 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $328,658 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $49,299 | | Amount paid for insurance broker fees | 1942 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH BASTIDA |
|
| QBE INSURANCE (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-12 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-12 | | Number of Individuals Covered | 82 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-10-31 | | Total amount of commissions paid to insurance broker | USD $48,312 | | Total amount of fees paid to insurance company | USD $1,899 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $322,283 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $48,312 | | Amount paid for insurance broker fees | 1899 | | Additional information about fees paid to insurance broker | AGENT FEE | | Insurance broker organization code? | 3 | | Insurance broker name | JOSEPH BASTIDA |
|
| QBE INSURANCE (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-09 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-09 | | Number of Individuals Covered | 82 | | Insurance policy start date | 2011-11-01 | | Insurance policy end date | 2012-10-31 | | Total amount of commissions paid to insurance broker | USD $44,853 | | Total amount of fees paid to insurance company | USD $1,878 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $298,673 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| QBE INSURANCE (National Association of Insurance Commissioners NAIC id number: 10219 ) |
| Policy contract number | LGS00407-09 |
| Policy instance | 1 |
| Insurance contract or identification number | LGS00407-09 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2010-11-01 | | Insurance policy end date | 2011-10-31 | | Total amount of commissions paid to insurance broker | USD $41,020 | | Total amount of fees paid to insurance company | USD $1,893 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $273,304 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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