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ASSETS, INC. HEALTH & WELFARE PLAN 401k Plan overview

Plan NameASSETS, INC. HEALTH & WELFARE PLAN
Plan identification number 510

ASSETS, INC. HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

ASSETS, INC. has sponsored the creation of one or more 401k plans.

Company Name:ASSETS, INC.
Employer identification number (EIN):920076696
NAIC Classification:238300

Additional information about ASSETS, INC.

Jurisdiction of Incorporation: Alaska Department Commerce, Community & Economic Development
Incorporation Date: 1980-06-04
Company Identification Number: 22000D
Legal Registered Office Address: 2330 NICHOLS STREET

ANCHORAGE
United States of America (USA)
99508

More information about ASSETS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSETS, INC. HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102022-01-01
5102021-01-01
5102020-01-01
5102019-01-01

Plan Statistics for ASSETS, INC. HEALTH & WELFARE PLAN

401k plan membership statisitcs for ASSETS, INC. HEALTH & WELFARE PLAN

Measure Date Value
2022: ASSETS, INC. HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01106
Total number of active participants reported on line 7a of the Form 55002022-01-01108
Total of all active and inactive participants2022-01-01108
Total participants2022-01-01108
2021: ASSETS, INC. HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01101
Total number of active participants reported on line 7a of the Form 55002021-01-01106
Total of all active and inactive participants2021-01-01106
Total participants2021-01-01106
2020: ASSETS, INC. HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01105
Total number of active participants reported on line 7a of the Form 55002020-01-01101
Total of all active and inactive participants2020-01-01101
Total participants2020-01-01101
2019: ASSETS, INC. HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01102
Total number of active participants reported on line 7a of the Form 55002019-01-01105
Total of all active and inactive participants2019-01-01105
Total participants2019-01-01105

Financial Data on ASSETS, INC. HEALTH & WELFARE PLAN

Measure Date Value
2022 : ASSETS, INC. HEALTH & WELFARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$63,974
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$143,626
Total income from all sources (including contributions)2022-12-31$519,868
Total of all expenses incurred2022-12-31$606,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$578,179
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$518,289
Value of total assets at end of year2022-12-31$115,888
Value of total assets at beginning of year2022-12-31$282,331
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$28,480
Total interest from all sources2022-12-31$1,579
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$90,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Assets. Other investments not covered elsewhere at end of year2022-12-31$5,887
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$5,887
Administrative expenses (other) incurred2022-12-31$28,480
Liabilities. Value of operating payables at end of year2022-12-31$18,164
Liabilities. Value of operating payables at beginning of year2022-12-31$29,471
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-86,791
Value of net assets at end of year (total assets less liabilities)2022-12-31$51,914
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$138,705
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$95,679
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$181,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$181,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,579
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$577,922
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$518,289
Employer contributions (assets) at end of year2022-12-31$14,322
Employer contributions (assets) at beginning of year2022-12-31$95,053
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$257
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$45,810
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$114,155
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2022-12-31541643141
2021 : ASSETS, INC. HEALTH & WELFARE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$143,626
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$165,797
Total income from all sources (including contributions)2021-12-31$573,660
Total of all expenses incurred2021-12-31$740,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$682,733
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$573,241
Value of total assets at end of year2021-12-31$282,331
Value of total assets at beginning of year2021-12-31$471,090
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$57,515
Total interest from all sources2021-12-31$419
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$100,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Assets. Other investments not covered elsewhere at end of year2021-12-31$5,887
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$5,887
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$10,049
Administrative expenses (other) incurred2021-12-31$57,515
Liabilities. Value of operating payables at end of year2021-12-31$29,471
Liabilities. Value of operating payables at beginning of year2021-12-31$67
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-166,588
Value of net assets at end of year (total assets less liabilities)2021-12-31$138,705
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$305,293
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$181,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$278,860
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$278,860
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$419
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$678,209
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$573,241
Employer contributions (assets) at end of year2021-12-31$95,053
Employer contributions (assets) at beginning of year2021-12-31$176,294
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$4,524
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$114,155
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$165,730
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2021-12-31541643141
2020 : ASSETS, INC. HEALTH & WELFARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$165,797
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$270,053
Total income from all sources (including contributions)2020-12-31$560,509
Total of all expenses incurred2020-12-31$685,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$672,858
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$559,539
Value of total assets at end of year2020-12-31$471,090
Value of total assets at beginning of year2020-12-31$700,090
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$12,395
Total interest from all sources2020-12-31$970
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$65,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Participant contributions at beginning of year2020-12-31$1,810
Assets. Other investments not covered elsewhere at end of year2020-12-31$5,887
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$5,887
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$10,049
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$223
Administrative expenses (other) incurred2020-12-31$12,395
Liabilities. Value of operating payables at end of year2020-12-31$67
Liabilities. Value of operating payables at beginning of year2020-12-31$19,654
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-124,744
Value of net assets at end of year (total assets less liabilities)2020-12-31$305,293
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$430,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$278,860
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$429,244
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$429,244
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$970
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$666,432
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$559,539
Employer contributions (assets) at end of year2020-12-31$176,294
Employer contributions (assets) at beginning of year2020-12-31$262,926
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$6,426
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$165,730
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$250,399
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2020-12-31541643141
2019 : ASSETS, INC. HEALTH & WELFARE PLAN 2019 401k financial data
Total transfer of assets to this plan2019-12-31$513,981
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$270,053
Total income from all sources (including contributions)2019-12-31$611,298
Total of all expenses incurred2019-12-31$695,242
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$642,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$607,611
Value of total assets at end of year2019-12-31$700,090
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$52,818
Total interest from all sources2019-12-31$3,687
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$2,716
Participant contributions at end of year2019-12-31$1,810
Assets. Other investments not covered elsewhere at end of year2019-12-31$5,887
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$223
Administrative expenses (other) incurred2019-12-31$51,233
Liabilities. Value of operating payables at end of year2019-12-31$19,654
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-83,944
Value of net assets at end of year (total assets less liabilities)2019-12-31$430,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$429,244
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$3,687
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$636,151
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$604,895
Employer contributions (assets) at end of year2019-12-31$262,926
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,273
Contract administrator fees2019-12-31$1,585
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$250,399
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2019-12-31541643141

Form 5500 Responses for ASSETS, INC. HEALTH & WELFARE PLAN

2022: ASSETS, INC. HEALTH & WELFARE 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 benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ASSETS, INC. HEALTH & WELFARE 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 benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ASSETS, INC. HEALTH & WELFARE 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 benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ASSETS, INC. HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number020569
Policy instance 1
Insurance contract or identification number020569
Number of Individuals Covered126
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $82,130
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $498,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $82,130
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberTRUSTILG,11362F
Policy instance 2
Insurance contract or identification numberTRUSTILG,11362F
Number of Individuals Covered139
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $22,881
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $141,673
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,881
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberGP020566/020569
Policy instance 1
Insurance contract or identification numberGP020566/020569
Number of Individuals Covered96
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $99,962
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $595,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,400
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number11362F/11362C
Policy instance 2
Insurance contract or identification number11362F/11362C
Number of Individuals Covered303
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $25,477
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $171,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,897
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberGP020566/020569
Policy instance 1
Insurance contract or identification numberGP020566/020569
Number of Individuals Covered99
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $97,947
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $576,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,346
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number11362F/11362C
Policy instance 2
Insurance contract or identification number11362F/11362C
Number of Individuals Covered205
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $22,509
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $140,253
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,450
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberGP020566/020569
Policy instance 1
Insurance contract or identification numberGP020566/020569
Number of Individuals Covered104
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $63,559
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $384,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,650
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number11362F/11362C
Policy instance 2
Insurance contract or identification number11362F/11362C
Number of Individuals Covered105
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $414
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $414
Insurance broker organization code?3

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