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WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 401k Plan overview

Plan NameWON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN
Plan identification number 501

WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN has sponsored the creation of one or more 401k plans.

Company Name:WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN
Employer identification number (EIN):870262989
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WON DOOR CORPORATION EMPLOYEE MEDICAL 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
5012017-01-01J.D. PORTER, VP
5012016-01-01J.D. PORTER, VP
5012015-01-01J.D. PORTER, VP
5012014-01-01J.D. PORTER, VP
5012013-01-01J.D. PORTER, VP
5012012-01-01J.D. PORTER, VP
5012011-01-01J.D. PORTER, VP J.D. PORTER, VP2012-07-23
5012010-01-01J.D. PORTER, VP J.D. PORTER, VP2011-08-02
5012009-01-01J.D. PORTER
5012009-01-01JAMES PORTER JAMES PORTER2010-09-30

Plan Statistics for WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN

401k plan membership statisitcs for WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN

Measure Date Value
2022: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0183
Total of all active and inactive participants2022-01-010
Total participants2022-01-010
2021: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0197
Total number of active participants reported on line 7a of the Form 55002021-01-0183
Total of all active and inactive participants2021-01-0183
Total participants2021-01-0183
2020: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01100
Total number of active participants reported on line 7a of the Form 55002020-01-0197
Total of all active and inactive participants2020-01-0197
Total participants2020-01-0197
2019: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0190
Total number of active participants reported on line 7a of the Form 55002019-01-01100
Number of retired or separated participants receiving benefits2019-01-011
Total of all active and inactive participants2019-01-01101
Total participants2019-01-01101
Number of participants with account balances2019-01-010
2018: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0181
Total number of active participants reported on line 7a of the Form 55002018-01-0190
Total of all active and inactive participants2018-01-0190
Total participants2018-01-0190
2017: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0179
Total number of active participants reported on line 7a of the Form 55002017-01-0181
Total of all active and inactive participants2017-01-0181
Total participants2017-01-0181
2016: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0173
Total number of active participants reported on line 7a of the Form 55002016-01-0179
Total of all active and inactive participants2016-01-0179
Total participants2016-01-010
2015: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0167
Total number of active participants reported on line 7a of the Form 55002015-01-0173
Total of all active and inactive participants2015-01-0173
Total participants2015-01-010
2014: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total number of active participants reported on line 7a of the Form 55002014-01-0167
Total of all active and inactive participants2014-01-0167
Total participants2014-01-010
2013: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0164
Total number of active participants reported on line 7a of the Form 55002013-01-0165
Total of all active and inactive participants2013-01-0165
Total participants2013-01-010
2012: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0170
Total number of active participants reported on line 7a of the Form 55002012-01-0164
Total of all active and inactive participants2012-01-0164
Total participants2012-01-010
2011: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0170
Total number of active participants reported on line 7a of the Form 55002011-01-0170
Number of retired or separated participants receiving benefits2011-01-010
Total of all active and inactive participants2011-01-0170
Total participants2011-01-0170
2010: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0175
Total number of active participants reported on line 7a of the Form 55002010-01-0169
Number of retired or separated participants receiving benefits2010-01-011
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0170
Total participants2010-01-0170
2009: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0188
Total number of active participants reported on line 7a of the Form 55002009-01-0174
Number of retired or separated participants receiving benefits2009-01-011
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN

Measure Date Value
2022 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2022 401k financial data
Total income from all sources2022-12-31$174,525
Expenses. Total of all expenses incurred2022-12-31$146,806
Benefits paid (including direct rollovers)2022-12-31$136,639
Total plan assets at end of year2022-12-31$47,072
Total plan assets at beginning of year2022-12-31$19,353
Expenses. Other expenses not covered elsewhere2022-12-31$10,167
Contributions received from other sources (not participants or employers)2022-12-31$79,525
Net income (gross income less expenses)2022-12-31$27,719
Net plan assets at end of year (total assets less liabilities)2022-12-31$47,072
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$19,353
Total contributions received or receivable from employer(s)2022-12-31$95,000
2021 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2021 401k financial data
Total income from all sources2021-12-31$1,476,274
Expenses. Total of all expenses incurred2021-12-31$1,621,296
Benefits paid (including direct rollovers)2021-12-31$1,576,371
Total plan assets at end of year2021-12-31$19,353
Total plan assets at beginning of year2021-12-31$164,375
Total contributions received or receivable from participants2021-12-31$359,882
Expenses. Other expenses not covered elsewhere2021-12-31$44,925
Contributions received from other sources (not participants or employers)2021-12-31$327,986
Net income (gross income less expenses)2021-12-31$-145,022
Net plan assets at end of year (total assets less liabilities)2021-12-31$19,353
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$164,375
Total contributions received or receivable from employer(s)2021-12-31$788,406
2020 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-12-31$1,658,864
Expenses. Total of all expenses incurred2020-12-31$1,567,338
Benefits paid (including direct rollovers)2020-12-31$1,519,623
Total plan assets at end of year2020-12-31$164,375
Total plan assets at beginning of year2020-12-31$72,849
Total contributions received or receivable from participants2020-12-31$428,665
Expenses. Other expenses not covered elsewhere2020-12-31$47,715
Contributions received from other sources (not participants or employers)2020-12-31$86,925
Net income (gross income less expenses)2020-12-31$91,526
Net plan assets at end of year (total assets less liabilities)2020-12-31$164,375
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$72,849
Total contributions received or receivable from employer(s)2020-12-31$1,143,274
2019 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-12-31$1,290,792
Expenses. Total of all expenses incurred2019-12-31$1,337,040
Benefits paid (including direct rollovers)2019-12-31$1,290,106
Total plan assets at end of year2019-12-31$72,849
Total plan assets at beginning of year2019-12-31$119,097
Total contributions received or receivable from participants2019-12-31$415,707
Expenses. Other expenses not covered elsewhere2019-12-31$46,934
Contributions received from other sources (not participants or employers)2019-12-31$44,021
Net income (gross income less expenses)2019-12-31$-46,248
Net plan assets at end of year (total assets less liabilities)2019-12-31$72,849
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$119,097
Total contributions received or receivable from employer(s)2019-12-31$831,064
2018 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2018 401k financial data
Total income from all sources2018-12-31$1,107,110
Expenses. Total of all expenses incurred2018-12-31$1,059,400
Benefits paid (including direct rollovers)2018-12-31$1,006,204
Total plan assets at end of year2018-12-31$119,097
Total plan assets at beginning of year2018-12-31$71,387
Total contributions received or receivable from participants2018-12-31$364,804
Expenses. Other expenses not covered elsewhere2018-12-31$386
Net income (gross income less expenses)2018-12-31$47,710
Net plan assets at end of year (total assets less liabilities)2018-12-31$119,097
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$71,387
Total contributions received or receivable from employer(s)2018-12-31$742,306
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$52,810
2017 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,158,543
Expenses. Total of all expenses incurred2017-12-31$1,133,232
Benefits paid (including direct rollovers)2017-12-31$1,094,750
Total plan assets at end of year2017-12-31$71,387
Total plan assets at beginning of year2017-12-31$46,076
Total contributions received or receivable from participants2017-12-31$338,539
Expenses. Other expenses not covered elsewhere2017-12-31$427
Contributions received from other sources (not participants or employers)2017-12-31$115,920
Net income (gross income less expenses)2017-12-31$25,311
Net plan assets at end of year (total assets less liabilities)2017-12-31$71,387
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$46,076
Total contributions received or receivable from employer(s)2017-12-31$704,084
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$38,055
2016 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,485,765
Expenses. Total of all expenses incurred2016-12-31$1,472,310
Benefits paid (including direct rollovers)2016-12-31$1,435,002
Total plan assets at end of year2016-12-31$46,076
Total plan assets at beginning of year2016-12-31$32,621
Total contributions received or receivable from participants2016-12-31$318,700
Contributions received from other sources (not participants or employers)2016-12-31$219,038
Net income (gross income less expenses)2016-12-31$13,455
Net plan assets at end of year (total assets less liabilities)2016-12-31$46,076
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$32,621
Total contributions received or receivable from employer(s)2016-12-31$948,027
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$37,308
2015 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,047,208
Expenses. Total of all expenses incurred2015-12-31$1,123,499
Benefits paid (including direct rollovers)2015-12-31$1,090,158
Total plan assets at end of year2015-12-31$32,621
Total plan assets at beginning of year2015-12-31$108,912
Total contributions received or receivable from participants2015-12-31$280,542
Expenses. Other expenses not covered elsewhere2015-12-31$33,341
Contributions received from other sources (not participants or employers)2015-12-31$12,508
Net income (gross income less expenses)2015-12-31$-76,291
Net plan assets at end of year (total assets less liabilities)2015-12-31$32,621
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$108,912
Total contributions received or receivable from employer(s)2015-12-31$754,158
2014 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2014 401k financial data
Total income from all sources2014-12-31$909,314
Expenses. Total of all expenses incurred2014-12-31$803,167
Benefits paid (including direct rollovers)2014-12-31$773,588
Total plan assets at end of year2014-12-31$108,912
Total plan assets at beginning of year2014-12-31$2,765
Total contributions received or receivable from participants2014-12-31$248,487
Expenses. Other expenses not covered elsewhere2014-12-31$29,579
Net income (gross income less expenses)2014-12-31$106,147
Net plan assets at end of year (total assets less liabilities)2014-12-31$108,912
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,765
Total contributions received or receivable from employer(s)2014-12-31$660,827
2013 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-12-31$789,652
Expenses. Total of all expenses incurred2013-12-31$824,178
Benefits paid (including direct rollovers)2013-12-31$789,974
Total plan assets at end of year2013-12-31$2,765
Total plan assets at beginning of year2013-12-31$37,291
Total contributions received or receivable from participants2013-12-31$247,265
Expenses. Other expenses not covered elsewhere2013-12-31$637
Net income (gross income less expenses)2013-12-31$-34,526
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,765
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$37,291
Total contributions received or receivable from employer(s)2013-12-31$542,387
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$33,567
2012 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-12-31$756,069
Expenses. Total of all expenses incurred2012-12-31$738,480
Benefits paid (including direct rollovers)2012-12-31$690,365
Total plan assets at end of year2012-12-31$37,291
Total plan assets at beginning of year2012-12-31$19,702
Total contributions received or receivable from participants2012-12-31$262,878
Net income (gross income less expenses)2012-12-31$17,589
Net plan assets at end of year (total assets less liabilities)2012-12-31$37,291
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$19,702
Total contributions received or receivable from employer(s)2012-12-31$493,191
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$48,115
2011 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-12-31$106,043
Total income from all sources2011-12-31$1,224,048
Expenses. Total of all expenses incurred2011-12-31$1,098,303
Benefits paid (including direct rollovers)2011-12-31$1,073,175
Total plan assets at end of year2011-12-31$19,702
Total contributions received or receivable from participants2011-12-31$322,897
Expenses. Other expenses not covered elsewhere2011-12-31$0
Other income received2011-12-31$0
Net income (gross income less expenses)2011-12-31$125,745
Net plan assets at end of year (total assets less liabilities)2011-12-31$19,702
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$-106,043
Total contributions received or receivable from employer(s)2011-12-31$901,151
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$25,128
2010 : WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$106,043
Total income from all sources2010-12-31$815,263
Expenses. Total of all expenses incurred2010-12-31$923,585
Benefits paid (including direct rollovers)2010-12-31$887,700
Total plan assets at beginning of year2010-12-31$2,279
Total contributions received or receivable from participants2010-12-31$213,277
Other income received2010-12-31$0
Net income (gross income less expenses)2010-12-31$-108,322
Net plan assets at end of year (total assets less liabilities)2010-12-31$-106,043
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,279
Total contributions received or receivable from employer(s)2010-12-31$601,986
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$35,885

Form 5500 Responses for WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN

2022: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: WON DOOR CORPORATION EMPLOYEE MEDICAL 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 – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: WON DOOR CORPORATION EMPLOYEE MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10200451001
Policy instance 4
Insurance contract or identification number10200451001
Number of Individuals Covered113
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $896
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $896
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688629
Policy instance 3
Insurance contract or identification number688629
Number of Individuals Covered18
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,386
Total amount of fees paid to insurance companyUSD $162
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,386
Amount paid for insurance broker fees162
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688628
Policy instance 2
Insurance contract or identification number688628
Number of Individuals Covered70
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $277
Total amount of fees paid to insurance companyUSD $48
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $277
Amount paid for insurance broker fees48
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202459
Policy instance 1
Insurance contract or identification numberUNI-202459
Number of Individuals Covered83
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $63,979
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees63979
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES, DEMAND MANAGEMENT, & UTILIZATION REVIEW
Insurance broker organization code?5
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202459
Policy instance 1
Insurance contract or identification numberUNI-202459
Number of Individuals Covered85
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $90,266
Total amount of fees paid to insurance companyUSD $83,049
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 $90,266
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Amount paid for insurance broker fees83049
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688628
Policy instance 2
Insurance contract or identification number688628
Number of Individuals Covered83
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $333
Total amount of fees paid to insurance companyUSD $58
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $333
Amount paid for insurance broker fees58
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688629
Policy instance 3
Insurance contract or identification number688629
Number of Individuals Covered22
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,550
Total amount of fees paid to insurance companyUSD $181
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,550
Amount paid for insurance broker fees181
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10200451001
Policy instance 4
Insurance contract or identification number10200451001
Number of Individuals Covered124
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $877
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $877
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10200451001
Policy instance 4
Insurance contract or identification number10200451001
Number of Individuals Covered96
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $544
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $544
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688629
Policy instance 3
Insurance contract or identification number688629
Number of Individuals Covered23
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,777
Total amount of fees paid to insurance companyUSD $420
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,777
Amount paid for insurance broker fees420
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688628
Policy instance 2
Insurance contract or identification number688628
Number of Individuals Covered89
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $553
Total amount of fees paid to insurance companyUSD $141
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $553
Amount paid for insurance broker fees141
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202459
Policy instance 1
Insurance contract or identification numberUNI-202459
Number of Individuals Covered92
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $83,098
Total amount of fees paid to insurance companyUSD $55,127
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 $83,098
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Amount paid for insurance broker fees55127
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7037740
Policy instance 3
Insurance contract or identification numberE7037740
Number of Individuals Covered29
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,423
Total amount of fees paid to insurance companyUSD $376
Other welfare benefits providedSUPPLEMENTAL
Welfare Benefit Premiums Paid to CarrierUSD $26,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,660
Amount paid for insurance broker fees348
Insurance broker organization code?3
Insurance broker nameROGER LAPHAM
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1061118
Policy instance 2
Insurance contract or identification number1061118
Number of Individuals Covered143
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,178
Total amount of fees paid to insurance companyUSD $615
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,178
Amount paid for insurance broker fees615
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameGBS BENEFITS INS AGENCY
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202459
Policy instance 1
Insurance contract or identification numberUNI-202459
Number of Individuals Covered76
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $61,765
Total amount of fees paid to insurance companyUSD $54,502
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $280,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,765
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Amount paid for insurance broker fees54502
Insurance broker nameMERITAIN HEALTH
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01165-15
Policy instance 1
Insurance contract or identification numberLGS01165-15
Number of Individuals Covered69
Total amount of commissions paid to insurance brokerUSD $35,908
Total amount of fees paid to insurance companyUSD $11,969
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $238,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,908
Amount paid for insurance broker fees11969
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Insurance broker nameMERITAIN HEALTH
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220904G
Policy instance 2
Insurance contract or identification number220904G
Total amount of commissions paid to insurance brokerUSD $530
Total amount of fees paid to insurance companyUSD $69
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $530
Insurance broker organization code?3
Amount paid for insurance broker fees69
Additional information about fees paid to insurance brokerBONUS
Insurance broker nameLEAVITT GROUP AGCY ASSOC
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7037740
Policy instance 3
Insurance contract or identification numberE7037740
Number of Individuals Covered32
Total amount of commissions paid to insurance brokerUSD $2,739
Total amount of fees paid to insurance companyUSD $191
Other welfare benefits providedSUPPLEMENTAL
Welfare Benefit Premiums Paid to CarrierUSD $22,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,742
Amount paid for insurance broker fees118
Insurance broker organization code?3
Insurance broker nameJILL WHITE
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220904G
Policy instance 2
Insurance contract or identification number220904G
Total amount of commissions paid to insurance brokerUSD $433
Total amount of fees paid to insurance companyUSD $74
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $433
Insurance broker organization code?3
Amount paid for insurance broker fees74
Additional information about fees paid to insurance brokerBONUS
Insurance broker nameLEAVITT GROUP AGCY ASSOC
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL19025
Policy instance 1
Insurance contract or identification numberHCL19025
Number of Individuals Covered56
Total amount of commissions paid to insurance brokerUSD $33,715
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $178,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,309
Insurance broker nameMERITAIN HEALTH
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220904G
Policy instance 2
Insurance contract or identification number220904G
Number of Individuals Covered64
Total amount of commissions paid to insurance brokerUSD $394
Total amount of fees paid to insurance companyUSD $92
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $394
Insurance broker organization code?3
Amount paid for insurance broker fees92
Additional information about fees paid to insurance brokerBONUS
Insurance broker nameLEAVITT GROUP AGCY ASSOC
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL19025
Policy instance 1
Insurance contract or identification numberHCL19025
Number of Individuals Covered61
Total amount of commissions paid to insurance brokerUSD $32,713
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $162,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,330
Insurance broker nameMERITAIN HEALTH
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL19025
Policy instance 1
Insurance contract or identification numberHCL19025
Number of Individuals Covered62
Total amount of commissions paid to insurance brokerUSD $25,214
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $159,081
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,352
Insurance broker nameGBS BENEFITS, INC INSURANCGE AGENCY
USBENEFITS INSURANCE SERVICES, LLC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberANTX-44037
Policy instance 1
Insurance contract or identification numberANTX-44037
Number of Individuals Covered70
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $22,486
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $149,903
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number220904G
Policy instance 1
Insurance contract or identification number220904G
Number of Individuals Covered77
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $453
Total amount of fees paid to insurance companyUSD $93
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,848
Amount paid for insurance broker fees93
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $453
Insurance broker nameGBS BENEFITS INS AGENCY
USBENEFITS INSURANCE SERVICES, LLC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberANTX-44037
Policy instance 2
Insurance contract or identification numberANTX-44037
Number of Individuals Covered70
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $21,333
Commission paid to Insurance BrokerUSD $21,333
Insurance broker organization code?3
Insurance broker nameGBS BENEFITS INC

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