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LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameLAS VEGAS RAIDERS HEALTH AND WELFARE PLAN
Plan identification number 512

LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

LAS VEGAS RAIDERS has sponsored the creation of one or more 401k plans.

Company Name:LAS VEGAS RAIDERS
Employer identification number (EIN):941517788
NAIC Classification:711210
NAIC Description: Spectator Sports

Additional information about LAS VEGAS RAIDERS

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1643829

More information about LAS VEGAS RAIDERS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5122022-04-01HEATHER DESANTO2024-01-03
5122021-04-01HEATHER DESANTO2022-10-17
5122020-04-01JENNIFER LEVINE2022-01-11
5122019-04-01JENNIFER LEVINE2021-01-13
5122018-04-01KARLA TAI2019-10-23
5122017-04-01
5122016-04-01
5122015-04-01KARLA TAI
5122015-04-01
5122014-04-01KARLA TAI
5122013-04-01KARLA TAI
5122012-04-01KARLA TAI
5122011-04-01KARLA TAI
5122010-04-01KARLA TAI
5122009-04-01KARLA TAI
5122008-04-01KARLA TAI
5122007-04-01KARLA TAI
5122006-04-01KARLA TAI
5122005-04-01KARLA TAI
5122004-04-01KARLA TAI
5122003-04-01KARLA TAI

Plan Statistics for LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN

Measure Date Value
2022: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01451
Total number of active participants reported on line 7a of the Form 55002022-04-01324
Number of retired or separated participants receiving benefits2022-04-0110
Number of other retired or separated participants entitled to future benefits2022-04-0117
Total of all active and inactive participants2022-04-01351
Number of employers contributing to the scheme2022-04-010
2021: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01424
Total number of active participants reported on line 7a of the Form 55002021-04-01451
Number of retired or separated participants receiving benefits2021-04-018
Number of other retired or separated participants entitled to future benefits2021-04-0111
Total of all active and inactive participants2021-04-01470
Number of employers contributing to the scheme2021-04-010
2020: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01420
Total number of active participants reported on line 7a of the Form 55002020-04-01424
Number of retired or separated participants receiving benefits2020-04-0110
Number of other retired or separated participants entitled to future benefits2020-04-018
Total of all active and inactive participants2020-04-01442
Number of employers contributing to the scheme2020-04-010
2019: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01407
Total number of active participants reported on line 7a of the Form 55002019-04-01392
Number of retired or separated participants receiving benefits2019-04-0128
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01420
Number of employers contributing to the scheme2019-04-010
2018: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01329
Total number of active participants reported on line 7a of the Form 55002018-04-01385
Number of retired or separated participants receiving benefits2018-04-0122
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-01407
Number of employers contributing to the scheme2018-04-010
2017: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01223
Total number of active participants reported on line 7a of the Form 55002017-04-01396
Number of retired or separated participants receiving benefits2017-04-0130
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01426
2016: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01202
Total number of active participants reported on line 7a of the Form 55002016-04-01211
Number of retired or separated participants receiving benefits2016-04-0112
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-01223
2015: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01181
Total number of active participants reported on line 7a of the Form 55002015-04-01202
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-01202
2014: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01146
Total number of active participants reported on line 7a of the Form 55002014-04-01181
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-010
Total of all active and inactive participants2014-04-01181
2013: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01164
Total number of active participants reported on line 7a of the Form 55002013-04-01146
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-010
Total of all active and inactive participants2013-04-01146
2012: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01144
Total number of active participants reported on line 7a of the Form 55002012-04-01164
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-01164
2011: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01144
Total number of active participants reported on line 7a of the Form 55002011-04-01144
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-010
Total of all active and inactive participants2011-04-01144
2010: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01138
Total number of active participants reported on line 7a of the Form 55002010-04-01144
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-010
Total of all active and inactive participants2010-04-01144
2009: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01157
Total number of active participants reported on line 7a of the Form 55002009-04-01138
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-010
Total of all active and inactive participants2009-04-01138
2008: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year2008-04-01161
Total number of active participants reported on line 7a of the Form 55002008-04-01157
Number of retired or separated participants receiving benefits2008-04-010
Number of other retired or separated participants entitled to future benefits2008-04-010
Total of all active and inactive participants2008-04-01157
2007: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year2007-04-01161
Total number of active participants reported on line 7a of the Form 55002007-04-01161
Number of retired or separated participants receiving benefits2007-04-010
Number of other retired or separated participants entitled to future benefits2007-04-010
Total of all active and inactive participants2007-04-01161
2006: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year2006-04-01132
Total number of active participants reported on line 7a of the Form 55002006-04-01161
Number of retired or separated participants receiving benefits2006-04-010
Number of other retired or separated participants entitled to future benefits2006-04-010
Total of all active and inactive participants2006-04-01161
2005: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2005 401k membership
Total participants, beginning-of-year2005-04-01122
Total number of active participants reported on line 7a of the Form 55002005-04-01132
Number of retired or separated participants receiving benefits2005-04-010
Number of other retired or separated participants entitled to future benefits2005-04-010
Total of all active and inactive participants2005-04-01132
2004: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2004 401k membership
Total participants, beginning-of-year2004-04-01115
Total number of active participants reported on line 7a of the Form 55002004-04-01122
Number of retired or separated participants receiving benefits2004-04-010
Number of other retired or separated participants entitled to future benefits2004-04-010
Total of all active and inactive participants2004-04-01122
2003: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2003 401k membership
Total participants, beginning-of-year2003-04-01100
Total number of active participants reported on line 7a of the Form 55002003-04-01115
Number of retired or separated participants receiving benefits2003-04-010
Number of other retired or separated participants entitled to future benefits2003-04-010
Total of all active and inactive participants2003-04-01115

Form 5500 Responses for LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN

2022: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2009: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes
2008: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2008 form 5500 responses
2008-04-01Type of plan entitySingle employer plan
2008-04-01Submission has been amendedNo
2008-04-01This submission is the final filingNo
2008-04-01This return/report is a short plan year return/report (less than 12 months)No
2008-04-01Plan is a collectively bargained planNo
2008-04-01Plan funding arrangement – InsuranceYes
2008-04-01Plan benefit arrangement – InsuranceYes
2007: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2007 form 5500 responses
2007-04-01Type of plan entitySingle employer plan
2007-04-01Submission has been amendedNo
2007-04-01This submission is the final filingNo
2007-04-01This return/report is a short plan year return/report (less than 12 months)No
2007-04-01Plan is a collectively bargained planNo
2007-04-01Plan funding arrangement – InsuranceYes
2007-04-01Plan benefit arrangement – InsuranceYes
2006: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2006 form 5500 responses
2006-04-01Type of plan entitySingle employer plan
2006-04-01Submission has been amendedNo
2006-04-01This submission is the final filingNo
2006-04-01This return/report is a short plan year return/report (less than 12 months)No
2006-04-01Plan is a collectively bargained planNo
2006-04-01Plan funding arrangement – InsuranceYes
2006-04-01Plan benefit arrangement – InsuranceYes
2005: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2005 form 5500 responses
2005-04-01Type of plan entitySingle employer plan
2005-04-01Submission has been amendedNo
2005-04-01This submission is the final filingNo
2005-04-01This return/report is a short plan year return/report (less than 12 months)No
2005-04-01Plan is a collectively bargained planNo
2005-04-01Plan funding arrangement – InsuranceYes
2005-04-01Plan benefit arrangement – InsuranceYes
2004: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2004 form 5500 responses
2004-04-01Type of plan entitySingle employer plan
2004-04-01Submission has been amendedNo
2004-04-01This submission is the final filingNo
2004-04-01This return/report is a short plan year return/report (less than 12 months)No
2004-04-01Plan is a collectively bargained planNo
2004-04-01Plan funding arrangement – InsuranceYes
2004-04-01Plan benefit arrangement – InsuranceYes
2003: LAS VEGAS RAIDERS HEALTH AND WELFARE PLAN 2003 form 5500 responses
2003-04-01Type of plan entitySingle employer plan
2003-04-01First time form 5500 has been submittedYes
2003-04-01Submission has been amendedNo
2003-04-01This submission is the final filingNo
2003-04-01This return/report is a short plan year return/report (less than 12 months)No
2003-04-01Plan is a collectively bargained planNo
2003-04-01Plan funding arrangement – InsuranceYes
2003-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5927249
Policy instance 1
Insurance contract or identification number5927249
Number of Individuals Covered1177
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $61,658
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $603,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,658
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30101461
Policy instance 2
Insurance contract or identification number30101461
Number of Individuals Covered324
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $6,541
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,541
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5927249
Policy instance 1
Insurance contract or identification number5927249
Number of Individuals Covered1059
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $59,549
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $538,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,549
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30101461
Policy instance 2
Insurance contract or identification number30101461
Number of Individuals Covered277
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $8,079
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,079
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5927249
Policy instance 1
Insurance contract or identification number5927249
Number of Individuals Covered996
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $32,280
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $348,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,280
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5927249
Policy instance 1
Insurance contract or identification number5927249
Number of Individuals Covered921
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $30,955
Total amount of fees paid to insurance companyUSD $6,684
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $305,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,955
Amount paid for insurance broker fees6684
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5927249
Policy instance 1
Insurance contract or identification number5927249
Number of Individuals Covered904
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $38,308
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $353,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,308
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM5927249
Policy instance 1
Insurance contract or identification numberKM5927249
Number of Individuals Covered235
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $29,591
Total amount of fees paid to insurance companyUSD $1,570
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $331,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,591
Amount paid for insurance broker fees1570
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameANDREINI AND COMPANY

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