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WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 401k Plan overview

Plan NameWATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN
Plan identification number 501

WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

WATSON TRUCK & SUPPLY INC has sponsored the creation of one or more 401k plans.

Company Name:WATSON TRUCK & SUPPLY INC
Employer identification number (EIN):850212450
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01LYNETTA RICHARDS R. FINN SMITH2018-07-31
5012016-01-01LYNETTA RICHARDS R. FINN SMITH2017-07-26
5012015-01-01LYNETTA RICHARDS R. FINN SMITH2016-07-08
5012014-01-01LYNETTA RICHARDS R. FINN SMITH2015-07-30
5012013-01-01LYNETTA RICHARDS R. FINN SMITH2014-07-21
5012012-01-01LYNETTA RICHARDS R. FINN SMITH2013-07-23
5012011-01-01LYNETTA RICHARDS R. FINN SMITH2012-07-21
5012009-01-01ALITA SLATE R. FINN SMITH2010-10-11

Plan Statistics for WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN

401k plan membership statisitcs for WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN

Measure Date Value
2022: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0151
Total number of active participants reported on line 7a of the Form 55002022-01-0157
Total of all active and inactive participants2022-01-0157
2021: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0151
Total number of active participants reported on line 7a of the Form 55002021-01-0165
Total of all active and inactive participants2021-01-0165
2020: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0169
Total number of active participants reported on line 7a of the Form 55002020-01-0151
Total of all active and inactive participants2020-01-0151
2019: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0163
Total number of active participants reported on line 7a of the Form 55002019-01-0164
Total of all active and inactive participants2019-01-0164
2018: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0169
Total number of active participants reported on line 7a of the Form 55002018-01-0166
Total of all active and inactive participants2018-01-0166
2017: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0164
Total number of active participants reported on line 7a of the Form 55002017-01-0171
Total of all active and inactive participants2017-01-0171
Total participants2017-01-0171
2016: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0176
Total number of active participants reported on line 7a of the Form 55002016-01-0166
Total of all active and inactive participants2016-01-0166
Total participants2016-01-0166
2015: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01121
Total number of active participants reported on line 7a of the Form 55002015-01-0180
Total of all active and inactive participants2015-01-0180
Total participants2015-01-0180
2014: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01113
Total number of active participants reported on line 7a of the Form 55002014-01-01113
Number of retired or separated participants receiving benefits2014-01-012
Total of all active and inactive participants2014-01-01115
Total participants2014-01-01115
2013: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0175
Total number of active participants reported on line 7a of the Form 55002013-01-0190
Total of all active and inactive participants2013-01-0190
Total participants2013-01-0190
2012: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0176
Total number of active participants reported on line 7a of the Form 55002012-01-0175
Total of all active and inactive participants2012-01-0175
Total participants2012-01-0175
2011: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0166
Total number of active participants reported on line 7a of the Form 55002011-01-0170
Total of all active and inactive participants2011-01-0170
Total participants2011-01-0170
2009: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0184
Total number of active participants reported on line 7a of the Form 55002009-01-0174
Number of retired or separated participants receiving benefits2009-01-012
Total of all active and inactive participants2009-01-0176
Total participants2009-01-0176

Financial Data on WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN

Measure Date Value
2022 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2022 401k financial data
Total income from all sources2022-12-31$947,760
Expenses. Total of all expenses incurred2022-12-31$947,760
Benefits paid (including direct rollovers)2022-12-31$903,730
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$170,803
Expenses. Other expenses not covered elsewhere2022-12-31$16,553
Contributions received from other sources (not participants or employers)2022-12-31$115,307
Net income (gross income less expenses)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$661,650
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$27,477
2021 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2021 401k financial data
Total income from all sources2021-12-31$1,018,347
Expenses. Total of all expenses incurred2021-12-31$1,018,347
Benefits paid (including direct rollovers)2021-12-31$980,457
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$170,803
Expenses. Other expenses not covered elsewhere2021-12-31$14,258
Contributions received from other sources (not participants or employers)2021-12-31$482,397
Net income (gross income less expenses)2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$365,147
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$23,632
2020 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-12-31$803,115
Expenses. Total of all expenses incurred2020-12-31$803,115
Benefits paid (including direct rollovers)2020-12-31$757,159
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$209,487
Expenses. Other expenses not covered elsewhere2020-12-31$17,346
Contributions received from other sources (not participants or employers)2020-12-31$86,065
Net income (gross income less expenses)2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$507,563
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$28,610
2019 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-12-31$576,875
Expenses. Total of all expenses incurred2019-12-31$576,875
Benefits paid (including direct rollovers)2019-12-31$530,698
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$225,134
Expenses. Other expenses not covered elsewhere2019-12-31$18,549
Net income (gross income less expenses)2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$351,741
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$27,628
2018 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2018 401k financial data
Total income from all sources2018-12-31$619,025
Expenses. Total of all expenses incurred2018-12-31$619,025
Benefits paid (including direct rollovers)2018-12-31$571,808
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$246,586
Expenses. Other expenses not covered elsewhere2018-12-31$22,217
Net income (gross income less expenses)2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$372,439
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$25,000
2017 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-12-31$874,768
Expenses. Total of all expenses incurred2017-12-31$874,768
Benefits paid (including direct rollovers)2017-12-31$848,068
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$234,788
Contributions received from other sources (not participants or employers)2017-12-31$161,674
Net income (gross income less expenses)2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$478,306
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$26,700
2016 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-12-31$955,311
Expenses. Total of all expenses incurred2016-12-31$955,311
Benefits paid (including direct rollovers)2016-12-31$925,186
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$262,887
Contributions received from other sources (not participants or employers)2016-12-31$73,852
Net income (gross income less expenses)2016-12-31$0
Total contributions received or receivable from employer(s)2016-12-31$618,572
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$30,125
2015 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,466,721
Expenses. Total of all expenses incurred2015-12-31$1,466,721
Benefits paid (including direct rollovers)2015-12-31$1,091,084
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$401,459
Expenses. Other expenses not covered elsewhere2015-12-31$333,187
Contributions received from other sources (not participants or employers)2015-12-31$130,921
Net income (gross income less expenses)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$934,341
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$42,450
2014 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2014 401k financial data
Total income from all sources2014-12-31$2,059,422
Expenses. Total of all expenses incurred2014-12-31$2,059,422
Benefits paid (including direct rollovers)2014-12-31$1,650,191
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$438,888
Contributions received from other sources (not participants or employers)2014-12-31$551,434
Net income (gross income less expenses)2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$1,069,100
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$409,231
2013 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-12-31$965,422
Expenses. Total of all expenses incurred2013-12-31$965,422
Benefits paid (including direct rollovers)2013-12-31$612,474
Total plan assets at end of year2013-12-31$0
Total plan assets at beginning of year2013-12-31$0
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$311,250
Contributions received from other sources (not participants or employers)2013-12-31$70,284
Net income (gross income less expenses)2013-12-31$0
Net plan assets at end of year (total assets less liabilities)2013-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$583,888
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$352,948
2012 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-12-31$875,609
Expenses. Total of all expenses incurred2012-12-31$875,609
Benefits paid (including direct rollovers)2012-12-31$567,951
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$277,678
Contributions received from other sources (not participants or employers)2012-12-31$94,758
Net income (gross income less expenses)2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$503,173
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$307,658
2011 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2011 401k financial data
Total income from all sources2011-12-31$957,538
Expenses. Total of all expenses incurred2011-12-31$957,538
Benefits paid (including direct rollovers)2011-12-31$932,984
Total plan assets at beginning of year2011-12-31$0
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$264,412
Contributions received from other sources (not participants or employers)2011-12-31$60,822
Net income (gross income less expenses)2011-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$632,304
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$24,554
2010 : WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2010 401k financial data
Total income from all sources2010-12-31$908,649
Expenses. Total of all expenses incurred2010-12-31$908,649
Benefits paid (including direct rollovers)2010-12-31$908,649
Total plan assets at end of year2010-12-31$0
Total plan assets at beginning of year2010-12-31$0
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$227,805
Contributions received from other sources (not participants or employers)2010-12-31$391,413
Net income (gross income less expenses)2010-12-31$0
Net plan assets at end of year (total assets less liabilities)2010-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$289,431

Form 5500 Responses for WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN

2022: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: WATSON TRUCK & SUPPLY HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered57
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $850
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $8,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $425
Insurance broker organization code?5
INTERMEDIARY INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 52413 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered57
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $15,345
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $175,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees10281
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?3
INTERMEDIARY INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 52413 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered65
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $14,258
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $179,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees9553
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered65
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $680
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $6,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $340
Insurance broker organization code?5
INTERMEDIARY INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 52413 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered51
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $17,346
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11625
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered51
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $615
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $8,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $410
Insurance broker organization code?5
INTERMEDIARY INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 52413 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered64
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $18,382
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $117,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12316
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered68
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $796
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $8,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $398
Insurance broker organization code?5
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered71
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $804
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $8,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $402
Insurance broker organization code?5
Insurance broker nameASHMORE & ASSOCIATES
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered71
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $47,796
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $195,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,261
Insurance broker organization code?3
Insurance broker nameASHMORE & ASSOCIATES
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered42
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,140
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $11,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $570
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00483632
Policy instance 3
Insurance contract or identification number00483632
Number of Individuals Covered88
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,328
Total amount of fees paid to insurance companyUSD $5,142
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $83,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,328
Amount paid for insurance broker fees5142
Additional information about fees paid to insurance brokerREINSURANCE FEE
Insurance broker organization code?3
Insurance broker nameASHMORE & ASSOCIATES
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered80
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $48,180
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $322,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,120
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered113
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $47,639
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $348,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,761
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered113
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,608
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $17,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $804
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00483632
Policy instance 3
Insurance contract or identification number00483632
Number of Individuals Covered125
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,059
Total amount of fees paid to insurance companyUSD $4,035
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,590
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,059
Amount paid for insurance broker fees4035
Insurance broker organization code?3
Insurance broker nameASHMORE & ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered90
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $46,259
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $308,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,839
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered90
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,230
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $12,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $615
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered75
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $40,571
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $270,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,047
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered75
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $976
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $9,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $488
Insurance broker organization code?3
Insurance broker nameINSURANCE MANAGEMENT SERVICES
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered70
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $914
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $9,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered70
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $34,638
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $231,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract numberSWT0906
Policy instance 2
Insurance contract or identification numberSWT0906
Number of Individuals Covered62
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $772
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $7,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $386
Additional information about fees paid to insurance brokerINSURANCE AGENT
Insurance broker organization code?3
Insurance broker nameIMS
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberSWT0906
Policy instance 1
Insurance contract or identification numberSWT0906
Number of Individuals Covered62
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $27,321
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,214
Additional information about fees paid to insurance brokerINSURANCE AGENT
Insurance broker organization code?3
Insurance broker nameIMS

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