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HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN 401k Plan overview

Plan NameHELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN
Plan identification number 501

HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

HELLO! DESTINATION MANAGEMENT, LLC has sponsored the creation of one or more 401k plans.

Company Name:HELLO! DESTINATION MANAGEMENT, LLC
Employer identification number (EIN):831460166
NAIC Classification:485310
NAIC Description:Taxi Service

Additional information about HELLO! DESTINATION MANAGEMENT, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2018-05-30
Company Identification Number: L18000133623
Legal Registered Office Address: 200 E NEW ENGLAND AVE STE 300

WINTER PARK

32789

More information about HELLO! DESTINATION MANAGEMENT, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-04-01TIMOTHY BAKER, CFO2022-01-15
5012019-04-01TIMOTHY BAKER, CFO2021-01-15

Plan Statistics for HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN

401k plan membership statisitcs for HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN

Measure Date Value
2020: HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01289
Total number of active participants reported on line 7a of the Form 55002020-04-0163
Number of other retired or separated participants entitled to future benefits2020-04-0114
Total of all active and inactive participants2020-04-0177
Total participants2020-04-0177
2019: HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01262
Total number of active participants reported on line 7a of the Form 55002019-04-01262
Number of retired or separated participants receiving benefits2019-04-0127
Total of all active and inactive participants2019-04-01289
Total participants2019-04-01289

Financial Data on HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN

Measure Date Value
2021 : HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN 2021 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Was this plan covered by a fidelity bond2021-03-31No
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Did the plan have assets held for investment2021-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No

Form 5500 Responses for HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN

2020: HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN 2020 form 5500 responses
2020-04-01Type of plan entityMulti-employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: HELLO! DESTINATION MANAGEMENT, LLC WELFARE PLAN 2019 form 5500 responses
2019-04-01Type of plan entityMulti-employer plan
2019-04-01First time form 5500 has been submittedYes
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7292394
Policy instance 3
Insurance contract or identification numberE7292394
Number of Individuals Covered8
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $437
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $437
Insurance broker organization code?3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010263066
Policy instance 10
Insurance contract or identification number000010263066
Number of Individuals Covered8
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $0
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedFAMILY LEAVE
Welfare Benefit Premiums Paid to CarrierUSD $1,456
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4976379
Policy instance 8
Insurance contract or identification numberE4976379
Number of Individuals Covered1
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $26
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252533
Policy instance 7
Insurance contract or identification number000010252533
Number of Individuals Covered237
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $1,883
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,883
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400252535
Policy instance 6
Insurance contract or identification number000400252535
Number of Individuals Covered78
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $3,679
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,679
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252536
Policy instance 5
Insurance contract or identification number000010252536
Number of Individuals Covered52
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $3,290
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,290
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252534
Policy instance 4
Insurance contract or identification number000010252534
Number of Individuals Covered36
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $2,684
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,684
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4191573
Policy instance 2
Insurance contract or identification numberE4191573
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $52
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number824484
Policy instance 1
Insurance contract or identification number824484
Number of Individuals Covered295
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $4,005
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,005
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberJ7497
Policy instance 9
Insurance contract or identification numberJ7497
Number of Individuals Covered180
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $87,342
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $87,342
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberJ7497
Policy instance 9
Insurance contract or identification numberJ7497
Number of Individuals Covered120
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $46,810
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,810
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number824484
Policy instance 1
Insurance contract or identification number824484
Number of Individuals Covered193
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $3,137
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,982
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,137
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4976379
Policy instance 8
Insurance contract or identification numberE4976379
Number of Individuals Covered1
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $23
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252533
Policy instance 7
Insurance contract or identification number000010252533
Number of Individuals Covered157
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $1,114
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,114
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400252535
Policy instance 6
Insurance contract or identification number000400252535
Number of Individuals Covered42
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $3,213
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,213
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252536
Policy instance 5
Insurance contract or identification number000010252536
Number of Individuals Covered30
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $1,684
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,684
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252534
Policy instance 4
Insurance contract or identification number000010252534
Number of Individuals Covered14
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $1,364
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,578
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,364
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7292394
Policy instance 3
Insurance contract or identification numberE7292394
Number of Individuals Covered8
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $483
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $483
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4191573
Policy instance 2
Insurance contract or identification numberE4191573
Number of Individuals Covered1
Insurance policy start date2021-04-01
Insurance policy end date2022-03-30
Total amount of commissions paid to insurance brokerUSD $45
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number86310, F26310
Policy instance 11
Insurance contract or identification number86310, F26310
Number of Individuals Covered56
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $75
Welfare Benefit Premiums Paid to CarrierUSD $867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberAZZ98, FAZ298
Policy instance 12
Insurance contract or identification numberAZZ98, FAZ298
Number of Individuals Covered57
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $184
Welfare Benefit Premiums Paid to CarrierUSD $2,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5001, CD5002
Policy instance 13
Insurance contract or identification numberCD5001, CD5002
Number of Individuals Covered1
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $85
Welfare Benefit Premiums Paid to CarrierUSD $1,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberNV298, FNV298
Policy instance 14
Insurance contract or identification numberNV298, FNV298
Number of Individuals Covered57
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $183
Welfare Benefit Premiums Paid to CarrierUSD $2,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberM80240, M80230
Policy instance 15
Insurance contract or identification numberM80240, M80230
Number of Individuals Covered58
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $104
Welfare Benefit Premiums Paid to CarrierUSD $1,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCC5375, CH5376
Policy instance 16
Insurance contract or identification numberCC5375, CH5376
Number of Individuals Covered2
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $30
Welfare Benefit Premiums Paid to CarrierUSD $369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number80298, 70298
Policy instance 17
Insurance contract or identification number80298, 70298
Number of Individuals Covered56
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,388
Welfare Benefit Premiums Paid to CarrierUSD $15,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5380, CD5381
Policy instance 18
Insurance contract or identification numberCD5380, CD5381
Number of Individuals Covered57
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5375, CD5376
Policy instance 19
Insurance contract or identification numberCD5375, CD5376
Number of Individuals Covered58
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $221
Welfare Benefit Premiums Paid to CarrierUSD $2,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCP5380, CP5381
Policy instance 20
Insurance contract or identification numberCP5380, CP5381
Number of Individuals Covered57
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberIL300, IL3001
Policy instance 21
Insurance contract or identification numberIL300, IL3001
Number of Individuals Covered8
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $181
Welfare Benefit Premiums Paid to CarrierUSD $3,361
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberNV298C, FNV29C
Policy instance 22
Insurance contract or identification numberNV298C, FNV29C
Number of Individuals Covered57
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $4
Welfare Benefit Premiums Paid to CarrierUSD $278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4976379
Policy instance 10
Insurance contract or identification numberE4976379
Number of Individuals Covered1
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $26
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7852197
Policy instance 9
Insurance contract or identification numberE7852197
Number of Individuals Covered0
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $2
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $97
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342590
Policy instance 1
Insurance contract or identification number3342590
Number of Individuals Covered127
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $13,681
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $303,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number824484
Policy instance 2
Insurance contract or identification number824484
Number of Individuals Covered47
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $621
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4191573
Policy instance 3
Insurance contract or identification numberE4191573
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $51
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7292394
Policy instance 4
Insurance contract or identification numberE7292394
Number of Individuals Covered10
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,631
Total amount of fees paid to insurance companyUSD $27
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,210
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 number000010252534
Policy instance 5
Insurance contract or identification number000010252534
Number of Individuals Covered7
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,149
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,385
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 number000010252536
Policy instance 6
Insurance contract or identification number000010252536
Number of Individuals Covered6
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $2,116
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,753
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 number000400252535
Policy instance 7
Insurance contract or identification number000400252535
Number of Individuals Covered29
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $2,506
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,924
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 number000010252533
Policy instance 8
Insurance contract or identification number000010252533
Number of Individuals Covered52
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $882
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4976379
Policy instance 11
Insurance contract or identification numberE4976379
Number of Individuals Covered1
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $73
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $989
Commission paid to Insurance BrokerUSD $73
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7852197
Policy instance 10
Insurance contract or identification numberE7852197
Number of Individuals Covered1
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $6
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $315
Commission paid to Insurance BrokerUSD $6
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252533
Policy instance 9
Insurance contract or identification number000010252533
Number of Individuals Covered255
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $1,861
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,343
Commission paid to Insurance BrokerUSD $1,861
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400252535
Policy instance 8
Insurance contract or identification number000400252535
Number of Individuals Covered88
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $4,673
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,960
Commission paid to Insurance BrokerUSD $4,673
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE3704053
Policy instance 7
Insurance contract or identification numberE3704053
Number of Individuals Covered0
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of fees paid to insurance companyUSD $2
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82
Amount paid for insurance broker fees2
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252536
Policy instance 6
Insurance contract or identification number000010252536
Number of Individuals Covered67
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $4,387
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,373
Commission paid to Insurance BrokerUSD $4,387
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010252534
Policy instance 5
Insurance contract or identification number000010252534
Number of Individuals Covered59
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $4,719
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,221
Commission paid to Insurance BrokerUSD $4,719
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7292394
Policy instance 4
Insurance contract or identification numberE7292394
Number of Individuals Covered28
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $3,366
Total amount of fees paid to insurance companyUSD $189
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,510
Commission paid to Insurance BrokerUSD $3,366
Amount paid for insurance broker fees189
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4191573
Policy instance 3
Insurance contract or identification numberE4191573
Number of Individuals Covered1
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $51
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $744
Commission paid to Insurance BrokerUSD $51
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number824484
Policy instance 2
Insurance contract or identification number824484
Number of Individuals Covered133
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $1,585
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,757
Commission paid to Insurance BrokerUSD $1,585
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number86310, F26310
Policy instance 12
Insurance contract or identification number86310, F26310
Number of Individuals Covered1
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $11
Welfare Benefit Premiums Paid to CarrierUSD $185
Commission paid to Insurance BrokerUSD $11
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberAZZ98, FAZ298
Policy instance 13
Insurance contract or identification numberAZZ98, FAZ298
Number of Individuals Covered17
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $404
Welfare Benefit Premiums Paid to CarrierUSD $5,141
Commission paid to Insurance BrokerUSD $404
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number80298, 70298
Policy instance 23
Insurance contract or identification number80298, 70298
Number of Individuals Covered4
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $2,535
Welfare Benefit Premiums Paid to CarrierUSD $28,286
Commission paid to Insurance BrokerUSD $2,535
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5340, CM5340
Policy instance 22
Insurance contract or identification numberCD5340, CM5340
Number of Individuals Covered14
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $275
Welfare Benefit Premiums Paid to CarrierUSD $3,500
Commission paid to Insurance BrokerUSD $275
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5346, CE5346
Policy instance 21
Insurance contract or identification numberCD5346, CE5346
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $107
Welfare Benefit Premiums Paid to CarrierUSD $1,267
Commission paid to Insurance BrokerUSD $107
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5365, CN5365
Policy instance 20
Insurance contract or identification numberCD5365, CN5365
Number of Individuals Covered11
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $290
Welfare Benefit Premiums Paid to CarrierUSD $3,424
Commission paid to Insurance BrokerUSD $290
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5375, CD5376
Policy instance 19
Insurance contract or identification numberCD5375, CD5376
Number of Individuals Covered3
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $375
Welfare Benefit Premiums Paid to CarrierUSD $6,045
Commission paid to Insurance BrokerUSD $375
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5382, CM5382
Policy instance 18
Insurance contract or identification numberCD5382, CM5382
Number of Individuals Covered0
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $7
Welfare Benefit Premiums Paid to CarrierUSD $88
Commission paid to Insurance BrokerUSD $7
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberM80240, M80230
Policy instance 17
Insurance contract or identification numberM80240, M80230
Number of Individuals Covered10
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $269
Welfare Benefit Premiums Paid to CarrierUSD $3,213
Commission paid to Insurance BrokerUSD $269
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberNV298, FMV298
Policy instance 16
Insurance contract or identification numberNV298, FMV298
Number of Individuals Covered18
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $459
Welfare Benefit Premiums Paid to CarrierUSD $5,990
Commission paid to Insurance BrokerUSD $459
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5000
Policy instance 15
Insurance contract or identification numberCD5000
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $69
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD5001
Policy instance 14
Insurance contract or identification numberCD5001
Number of Individuals Covered1
Insurance policy start date2019-04-01
Insurance policy end date2020-03-30
Total amount of commissions paid to insurance brokerUSD $9
Welfare Benefit Premiums Paid to CarrierUSD $92
Commission paid to Insurance BrokerUSD $9
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342590
Policy instance 1
Insurance contract or identification number3342590
Number of Individuals Covered296
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $23,861
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $385,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,861
Insurance broker organization code?3

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