FOSTER POULTRY FARMS has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES
401k plan membership statisitcs for EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES
| Measure | Date | Value |
|---|
| 2017: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-11 | 443 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-11 | 0 |
| Total of all active and inactive participants | 2017-05-11 | 0 |
| 2016: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-11 | 520 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-11 | 443 |
| Total of all active and inactive participants | 2016-05-11 | 443 |
| 2015: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-11 | 453 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-11 | 520 |
| Total of all active and inactive participants | 2015-05-11 | 520 |
| 2014: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-11 | 508 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-11 | 453 |
| Total of all active and inactive participants | 2014-05-11 | 453 |
| 2013: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-11 | 683 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-11 | 508 |
| Number of retired or separated participants receiving benefits | 2013-05-11 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-05-11 | 0 |
| Total of all active and inactive participants | 2013-05-11 | 508 |
| 2012: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-11 | 386 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-11 | 683 |
| Number of retired or separated participants receiving benefits | 2012-05-11 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-05-11 | 0 |
| Total of all active and inactive participants | 2012-05-11 | 683 |
| 2011: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-11 | 407 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-11 | 386 |
| Number of retired or separated participants receiving benefits | 2011-05-11 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-05-11 | 0 |
| Total of all active and inactive participants | 2011-05-11 | 386 |
| 2010: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-05-11 | 455 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-05-11 | 433 |
| Number of retired or separated participants receiving benefits | 2010-05-11 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-05-11 | 0 |
| Total of all active and inactive participants | 2010-05-11 | 433 |
| 2009: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-11 | 632 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-11 | 433 |
| Total of all active and inactive participants | 2009-05-11 | 433 |
| 2017: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2017 form 5500 responses |
|---|
| 2017-05-11 | Type of plan entity | Single employer plan |
| 2017-05-11 | Submission has been amended | No |
| 2017-05-11 | This submission is the final filing | Yes |
| 2017-05-11 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-05-11 | Plan is a collectively bargained plan | No |
| 2017-05-11 | Plan funding arrangement – Insurance | Yes |
| 2017-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2017-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2016 form 5500 responses |
|---|
| 2016-05-11 | Type of plan entity | Single employer plan |
| 2016-05-11 | Submission has been amended | No |
| 2016-05-11 | This submission is the final filing | No |
| 2016-05-11 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-05-11 | Plan is a collectively bargained plan | No |
| 2016-05-11 | Plan funding arrangement – Insurance | Yes |
| 2016-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2016-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2015 form 5500 responses |
|---|
| 2015-05-11 | Type of plan entity | Single employer plan |
| 2015-05-11 | Submission has been amended | No |
| 2015-05-11 | This submission is the final filing | No |
| 2015-05-11 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-05-11 | Plan is a collectively bargained plan | No |
| 2015-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2015-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2014 form 5500 responses |
|---|
| 2014-05-11 | Type of plan entity | Single employer plan |
| 2014-05-11 | Submission has been amended | No |
| 2014-05-11 | This submission is the final filing | No |
| 2014-05-11 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-05-11 | Plan is a collectively bargained plan | No |
| 2014-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2014-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2013 form 5500 responses |
|---|
| 2013-05-11 | Type of plan entity | Single employer plan |
| 2013-05-11 | Submission has been amended | No |
| 2013-05-11 | This submission is the final filing | No |
| 2013-05-11 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-05-11 | Plan is a collectively bargained plan | Yes |
| 2013-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2013-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2012 form 5500 responses |
|---|
| 2012-05-11 | Type of plan entity | Single employer plan |
| 2012-05-11 | Submission has been amended | No |
| 2012-05-11 | This submission is the final filing | No |
| 2012-05-11 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-05-11 | Plan is a collectively bargained plan | Yes |
| 2012-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2012-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2011 form 5500 responses |
|---|
| 2011-05-11 | Type of plan entity | Single employer plan |
| 2011-05-11 | Submission has been amended | No |
| 2011-05-11 | This submission is the final filing | No |
| 2011-05-11 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-05-11 | Plan is a collectively bargained plan | Yes |
| 2011-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2011-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2010 form 5500 responses |
|---|
| 2010-05-11 | Type of plan entity | Single employer plan |
| 2010-05-11 | Submission has been amended | No |
| 2010-05-11 | This submission is the final filing | No |
| 2010-05-11 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-05-11 | Plan is a collectively bargained plan | Yes |
| 2010-05-11 | Plan funding arrangement – Insurance | Yes |
| 2010-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2010-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: EMPLOYEE MEDICAL DENTAL & VISION PLAN OF PNW UNION EMPLOYEES 2009 form 5500 responses |
|---|
| 2009-05-11 | Type of plan entity | Single employer plan |
| 2009-05-11 | Submission has been amended | No |
| 2009-05-11 | This submission is the final filing | No |
| 2009-05-11 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-05-11 | Plan is a collectively bargained plan | No |
| 2009-05-11 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-05-11 | Plan benefit arrangement – Insurance | Yes |
| 2009-05-11 | Plan benefit arrangement – General assets of the sponsor | Yes |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 9735 |
| Policy instance | 1 |
| Insurance contract or identification number | 9735 | | Number of Individuals Covered | 889 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $42,794 | | Total amount of fees paid to insurance company | USD $3,000 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,706,688 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $42,794 | | Amount paid for insurance broker fees | 3000 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 | | Insurance broker name | COLLURA C. SALVATORE |
|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 9735 |
| Policy instance | 1 |
| Insurance contract or identification number | 9735 | | Number of Individuals Covered | 1004 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $48,366 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $5,353,845 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $48,366 | | Insurance broker organization code? | 3 | | Insurance broker name | COLLURA C. SALVATORE |
|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 9735 |
| Policy instance | 1 |
| Insurance contract or identification number | 9735 | | Number of Individuals Covered | 1017 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $51,943 | | Total amount of fees paid to insurance company | USD $6,000 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $5,844,162 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51,943 | | Amount paid for insurance broker fees | 6000 | | Additional information about fees paid to insurance broker | BONUS AMOUNT | | Insurance broker organization code? | 3 | | Insurance broker name | COLLURA C. SALVATORE |
|
| KAISER PERMANENTE (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 9735 |
| Policy instance | 1 |
| Insurance contract or identification number | 9735 | | Number of Individuals Covered | 458 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $34,996 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,888,430 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,996 | | Insurance broker organization code? | 3 | | Insurance broker name | COLLURA C. SALVATORE |
|
| KAISER PERMANENTE (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 9735 |
| Policy instance | 1 |
| Insurance contract or identification number | 9735 | | Number of Individuals Covered | 683 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $34,606 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,184,964 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,606 | | Insurance broker organization code? | 3 | | Insurance broker name | COLLURA C. SALVATORE |
|
| KAISER PERMANENTE (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 9735 |
| Policy instance | 1 |
| Insurance contract or identification number | 9735 | | Number of Individuals Covered | 386 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $31,843 | | Total amount of fees paid to insurance company | USD $6,000 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,184,326 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER PERMANENTE (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 9735 |
| Policy instance | 1 |
| Insurance contract or identification number | 9735 | | Number of Individuals Covered | 433 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $31,367 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,887,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 ) |
| Policy contract number | 9735 |
| Policy instance | 1 |
| Insurance contract or identification number | 9735 | | Number of Individuals Covered | 567 | | Insurance policy start date | 2009-01-01 | | Insurance policy end date | 2009-12-31 | | Total amount of commissions paid to insurance broker | USD $39,285 | | Total amount of fees paid to insurance company | USD $6,061 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,960,702 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39,285 | | Amount paid for insurance broker fees | 6061 | | Additional information about fees paid to insurance broker | BONUS ($6000) $61 NON-MONETARY ENTERTAINMENT | | Insurance broker organization code? | 3 | | Insurance broker name | COLLURA C. SALVATORE |
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