OKLAHOMA PUBLISHING CO. has sponsored the creation of one or more 401k plans.
Additional information about OKLAHOMA PUBLISHING CO.
Submission information for form 5500 for 401k plan BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS
401k plan membership statisitcs for BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS
| Measure | Date | Value |
|---|
| 2022: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 633 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 577 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 16 |
| Total of all active and inactive participants | 2022-01-01 | 593 |
| Total participants | 2022-01-01 | 593 |
| 2021: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 587 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 614 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 19 |
| Total of all active and inactive participants | 2021-01-01 | 633 |
| Total participants | 2021-01-01 | 633 |
| 2020: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 791 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 566 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 21 |
| Total of all active and inactive participants | 2020-01-01 | 587 |
| Total participants | 2020-01-01 | 587 |
| 2019: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 832 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 767 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 24 |
| Total of all active and inactive participants | 2019-01-01 | 791 |
| Total participants | 2019-01-01 | 791 |
| 2018: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 1,032 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 813 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 19 |
| Total of all active and inactive participants | 2018-01-01 | 832 |
| Total participants | 2018-01-01 | 832 |
| 2017: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 720 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 934 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 98 |
| Total of all active and inactive participants | 2017-01-01 | 1,032 |
| Total participants | 2017-01-01 | 1,032 |
| 2016: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 733 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 700 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 20 |
| Total of all active and inactive participants | 2016-01-01 | 720 |
| Total participants | 2016-01-01 | 720 |
| 2015: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 683 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 712 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 21 |
| Total of all active and inactive participants | 2015-01-01 | 733 |
| 2014: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 645 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 668 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 15 |
| Total of all active and inactive participants | 2014-01-01 | 683 |
| 2013: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 671 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 637 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 645 |
| 2012: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 710 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 651 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 10 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 10 |
| Total of all active and inactive participants | 2012-01-01 | 671 |
| 2011: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 706 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 695 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 15 |
| Total of all active and inactive participants | 2011-01-01 | 710 |
| 2010: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 722 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 693 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 13 |
| Total of all active and inactive participants | 2010-01-01 | 706 |
| 2009: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 678 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 712 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 10 |
| Total of all active and inactive participants | 2009-01-01 | 722 |
| 2022: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | Yes |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: BROADMOOR HOTEL, INC. AND AFFILIATED COMPANIES GROUP LIFE, AD&D, AND MEDICAL PLANS 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 15348 |
| Policy instance | 2 |
| Insurance contract or identification number | 15348 | | Number of Individuals Covered | 1011 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of fees paid to insurance company | USD $16,726 | | Amount paid for insurance broker fees | 16726 | | Additional information about fees paid to insurance broker | FEES |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 1 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 424 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $31,277 | | Total amount of fees paid to insurance company | USD $3,159 | | Welfare Benefit Premiums Paid to Carrier | USD $522,678 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3159 | | Additional information about fees paid to insurance broker | BONUSES AND ADDITIONAL PAYMENTS | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $31,277 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 1 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 411 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $32,439 | | Total amount of fees paid to insurance company | USD $3,436 | | Welfare Benefit Premiums Paid to Carrier | USD $539,249 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3436 | | Additional information about fees paid to insurance broker | BONUS AND ADDITIONAL PAYMENTS | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $32,439 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 1 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 587 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $35,028 | | Total amount of fees paid to insurance company | USD $4,290 | | Welfare Benefit Premiums Paid to Carrier | USD $583,797 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 4290 | | Additional information about fees paid to insurance broker | BONUSES AND ADDITIONAL PAYMENTS | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $35,028 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 1 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 791 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $39,391 | | Total amount of fees paid to insurance company | USD $4,053 | | Welfare Benefit Premiums Paid to Carrier | USD $609,706 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 4053 | | Additional information about fees paid to insurance broker | BONUS AND ADDITIONSL PAYMENTS | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $39,391 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 1 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 569 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $25,736 | | Total amount of fees paid to insurance company | USD $3,062 | | Welfare Benefit Premiums Paid to Carrier | USD $564,112 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,736 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 3062 | | Insurance broker name | UMR, INC |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 1 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 733 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $32,649 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | TOWERS WATSON DELAWARE INC |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 1 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 656 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $20,014 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $397,413 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,014 | | Insurance broker organization code? | 3 | | Insurance broker name | TOWERS WATSON DELAWARE INC |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 1 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 638 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $350,551 | | 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 | TOWERS WATSON DELAWARE INC. |
|
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) |
| Policy contract number | 3333901 |
| Policy instance | 1 |
| Insurance contract or identification number | 3333901 | | Number of Individuals Covered | 789 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $-39 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 2 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 628 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $351,297 | | 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 | TOWERS WATSON DELAWARE INC. |
|
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) |
| Policy contract number | 3333901 |
| Policy instance | 1 |
| Insurance contract or identification number | 3333901 | | Number of Individuals Covered | 1195 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,671 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 215818 |
| Policy instance | 2 |
| Insurance contract or identification number | 215818 | | Number of Individuals Covered | 638 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $332,859 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) |
| Policy contract number | 54013 |
| Policy instance | 1 |
| Insurance contract or identification number | 54013 | | Number of Individuals Covered | 969 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $442,859 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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