MEDVED CHEVROLET, INC. has sponsored the creation of one or more 401k plans.
Additional information about MEDVED CHEVROLET, INC.
Submission information for form 5500 for 401k plan MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN
401k plan membership statisitcs for MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN
Measure | Date | Value |
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2020: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-09-01 | 225 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 216 |
Number of retired or separated participants receiving benefits | 2020-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-09-01 | 0 |
Total of all active and inactive participants | 2020-09-01 | 216 |
Number of employers contributing to the scheme | 2020-09-01 | 0 |
2019: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-09-01 | 271 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 225 |
Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-09-01 | 0 |
Total of all active and inactive participants | 2019-09-01 | 225 |
Number of employers contributing to the scheme | 2019-09-01 | 0 |
2018: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-09-01 | 301 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 265 |
Number of retired or separated participants receiving benefits | 2018-09-01 | 6 |
Total of all active and inactive participants | 2018-09-01 | 271 |
Total participants | 2018-09-01 | 271 |
2017: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-09-01 | 330 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 296 |
Number of retired or separated participants receiving benefits | 2017-09-01 | 5 |
Total of all active and inactive participants | 2017-09-01 | 301 |
Total participants | 2017-09-01 | 301 |
2016: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-09-01 | 300 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 322 |
Number of retired or separated participants receiving benefits | 2016-09-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 6 |
Total of all active and inactive participants | 2016-09-01 | 330 |
Total participants | 2016-09-01 | 330 |
2014: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-09-01 | 227 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 265 |
Number of other retired or separated participants entitled to future benefits | 2014-09-01 | 3 |
Total of all active and inactive participants | 2014-09-01 | 268 |
Total participants | 2014-09-01 | 0 |
2013: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-09-01 | 193 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 183 |
Number of retired or separated participants receiving benefits | 2013-09-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2013-09-01 | 1 |
Total of all active and inactive participants | 2013-09-01 | 186 |
Total participants | 2013-09-01 | 0 |
2012: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-09-01 | 154 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 183 |
Number of retired or separated participants receiving benefits | 2012-09-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2012-09-01 | 8 |
Total of all active and inactive participants | 2012-09-01 | 193 |
Total participants | 2012-09-01 | 0 |
2011: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-09-01 | 153 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 145 |
Number of retired or separated participants receiving benefits | 2011-09-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2011-09-01 | 6 |
Total of all active and inactive participants | 2011-09-01 | 154 |
Total participants | 2011-09-01 | 154 |
2010: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-09-01 | 156 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-09-01 | 147 |
Number of retired or separated participants receiving benefits | 2010-09-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2010-09-01 | 4 |
Total of all active and inactive participants | 2010-09-01 | 153 |
Total participants | 2010-09-01 | 153 |
2009: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-09-01 | 132 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 151 |
Number of retired or separated participants receiving benefits | 2009-09-01 | 4 |
Number of other retired or separated participants entitled to future benefits | 2009-09-01 | 1 |
Total of all active and inactive participants | 2009-09-01 | 156 |
Total participants | 2009-09-01 | 156 |
2020: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2020 form 5500 responses |
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2020-09-01 | Type of plan entity | Single employer plan |
2020-09-01 | Submission has been amended | Yes |
2020-09-01 | This submission is the final filing | Yes |
2020-09-01 | Plan funding arrangement – Insurance | Yes |
2020-09-01 | Plan benefit arrangement – Insurance | Yes |
2019: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2019 form 5500 responses |
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2019-09-01 | Type of plan entity | Single employer plan |
2019-09-01 | Plan funding arrangement – Insurance | Yes |
2019-09-01 | Plan benefit arrangement – Insurance | Yes |
2018: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2018 form 5500 responses |
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2018-09-01 | Type of plan entity | Single employer plan |
2018-09-01 | Plan funding arrangement – Insurance | Yes |
2018-09-01 | Plan benefit arrangement – Insurance | Yes |
2017: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2017 form 5500 responses |
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2017-09-01 | Type of plan entity | Single employer plan |
2017-09-01 | Plan funding arrangement – Insurance | Yes |
2017-09-01 | Plan benefit arrangement – Insurance | Yes |
2016: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2016 form 5500 responses |
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2016-09-01 | Type of plan entity | Single employer plan |
2016-09-01 | Plan funding arrangement – Insurance | Yes |
2016-09-01 | Plan benefit arrangement – Insurance | Yes |
2014: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2014 form 5500 responses |
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2014-09-01 | Type of plan entity | Single employer plan |
2014-09-01 | Plan funding arrangement – Insurance | Yes |
2014-09-01 | Plan benefit arrangement – Insurance | Yes |
2013: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2013 form 5500 responses |
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2013-09-01 | Type of plan entity | Single employer plan |
2013-09-01 | Plan funding arrangement – Insurance | Yes |
2013-09-01 | Plan benefit arrangement – Insurance | Yes |
2012: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2012 form 5500 responses |
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2012-09-01 | Type of plan entity | Single employer plan |
2012-09-01 | Plan funding arrangement – Insurance | Yes |
2012-09-01 | Plan benefit arrangement – Insurance | Yes |
2011: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2011 form 5500 responses |
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2011-09-01 | Type of plan entity | Single employer plan |
2011-09-01 | Plan funding arrangement – Insurance | Yes |
2011-09-01 | Plan benefit arrangement – Insurance | Yes |
2010: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2010 form 5500 responses |
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2010-09-01 | Type of plan entity | Single employer plan |
2010-09-01 | Plan funding arrangement – Insurance | Yes |
2010-09-01 | Plan benefit arrangement – Insurance | Yes |
2009: MEDVED CHEVROLET, INC. EMPLOYEE HEALTH CARE PLAN 2009 form 5500 responses |
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2009-09-01 | Type of plan entity | Single employer plan |
2009-09-01 | Plan funding arrangement – Insurance | Yes |
2009-09-01 | Plan benefit arrangement – Insurance | Yes |
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0AXKX |
Policy instance | 4 |
Insurance contract or identification number | GLUG0AXKX | Number of Individuals Covered | 216 | Insurance policy start date | 2020-09-01 | Insurance policy end date | 2021-06-30 | Total amount of commissions paid to insurance broker | USD $3,034 | Total amount of fees paid to insurance company | USD $3,276 | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $30,335 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,393 | Amount paid for insurance broker fees | 2977 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 915703 |
Policy instance | 3 |
Insurance contract or identification number | 915703 | Number of Individuals Covered | 63 | Insurance policy start date | 2020-09-01 | Insurance policy end date | 2021-08-31 | Total amount of commissions paid to insurance broker | USD $4,378 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $43,819 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,800 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
Policy contract number | 10021311001 |
Policy instance | 2 |
Insurance contract or identification number | 10021311001 | Number of Individuals Covered | 149 | Insurance policy start date | 2020-09-01 | Insurance policy end date | 2021-08-31 | Total amount of commissions paid to insurance broker | USD $931 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $8,750 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $809 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
Policy contract number | 28821 |
Policy instance | 1 |
Insurance contract or identification number | 28821 | Number of Individuals Covered | 252 | Insurance policy start date | 2020-09-01 | Insurance policy end date | 2021-06-30 | Total amount of commissions paid to insurance broker | USD $48,106 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,203,556 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $34,763 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
Policy contract number | 28821 |
Policy instance | 1 |
Insurance contract or identification number | 28821 | Number of Individuals Covered | 218 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $55,045 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,360,305 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $55,045 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
Policy contract number | 10021311001 |
Policy instance | 2 |
Insurance contract or identification number | 10021311001 | Number of Individuals Covered | 121 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $986 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $9,576 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $986 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 915703 |
Policy instance | 3 |
Insurance contract or identification number | 915703 | Number of Individuals Covered | 59 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $4,296 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $43,148 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,296 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0AXKX |
Policy instance | 4 |
Insurance contract or identification number | GLUG0AXKX | Number of Individuals Covered | 225 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $4,057 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $40,566 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,057 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
Policy contract number | 915703 |
Policy instance | 6 |
Insurance contract or identification number | 915703 | Number of Individuals Covered | 72 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $5,042 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $50,311 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,042 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GVTL0AXKX |
Policy instance | 5 |
Insurance contract or identification number | GVTL0AXKX | Number of Individuals Covered | 75 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $3,363 | Total amount of fees paid to insurance company | USD $695 | Other welfare benefits provided | VOLUNTARY LIFE | Welfare Benefit Premiums Paid to Carrier | USD $33,629 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,363 | Amount paid for insurance broker fees | 695 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUDH0AXKX |
Policy instance | 4 |
Insurance contract or identification number | GUDH0AXKX | Number of Individuals Covered | 51 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $977 | Total amount of fees paid to insurance company | USD $171 | Other welfare benefits provided | ACCIDENT VOLUNTARY | Welfare Benefit Premiums Paid to Carrier | USD $9,768 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $977 | Amount paid for insurance broker fees | 171 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0AXKX |
Policy instance | 3 |
Insurance contract or identification number | GLUG0AXKX | Number of Individuals Covered | 258 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $434 | Total amount of fees paid to insurance company | USD $92 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $4,345 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $434 | Amount paid for insurance broker fees | 92 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
Policy contract number | 10021311001 |
Policy instance | 2 |
Insurance contract or identification number | 10021311001 | Number of Individuals Covered | 152 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $1,095 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,095 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,095 | Insurance broker organization code? | 3 |
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KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
Policy contract number | 28821 |
Policy instance | 1 |
Insurance contract or identification number | 28821 | Number of Individuals Covered | 265 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $55,700 | Total amount of fees paid to insurance company | USD $341 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,396,496 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $55,700 | Amount paid for insurance broker fees | 341 | Additional information about fees paid to insurance broker | BONUS | Insurance broker organization code? | 3 |
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UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) |
Policy contract number | 5454228 |
Policy instance | 2 |
Insurance contract or identification number | 5454228 | Number of Individuals Covered | 62 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $4,295 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $42,947 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
Policy contract number | 10021311001 |
Policy instance | 3 |
Insurance contract or identification number | 10021311001 | Number of Individuals Covered | 154 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $1,317 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $12,020 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GLUG0AXKX |
Policy instance | 4 |
Insurance contract or identification number | GLUG0AXKX | Number of Individuals Covered | 249 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $412 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $4,123 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GUDH0AXKX |
Policy instance | 5 |
Insurance contract or identification number | GUDH0AXKX | Number of Individuals Covered | 52 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $1,060 | Other welfare benefits provided | ACCIDENT VOLUNTARY | Welfare Benefit Premiums Paid to Carrier | USD $10,599 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | GVTL0AXKX |
Policy instance | 6 |
Insurance contract or identification number | GVTL0AXKX | Number of Individuals Covered | 69 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $3,389 | Other welfare benefits provided | VOLUNTARY LIFE | Welfare Benefit Premiums Paid to Carrier | USD $33,894 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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UNITED DENTAL CARE OF COLORADO, INC (National Association of Insurance Commissioners NAIC id number: 52032 ) |
Policy contract number | 5454228 |
Policy instance | 7 |
Insurance contract or identification number | 5454228 | Number of Individuals Covered | 68 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of fees paid to insurance company | USD $1,481 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $14,810 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 ) |
Policy contract number | 28821 |
Policy instance | 1 |
Insurance contract or identification number | 28821 | Number of Individuals Covered | 291 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $59,134 | Total amount of fees paid to insurance company | USD $1,342 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,463,758 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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