Civic Intelligence
Filing

C.S.T. Flexible Benefits Plan

Computer Systems Technology Inc. • EIN 63-1004214 • Plan year 2000

Company ProfileSource Archive
Filing Insights

Participants

Up

461 → 759

298 • 64.64%

Assets

No comparison

- → -

No earlier value available.

Investment Management Fee

-

Admin expenses - • Total expenses -

Filing Details

Context

No event flags were generated for this filing.

Status Flags

Fidelity bond in place

Not reported

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

Not reported

Leases in default

Not reported

Reportable party-in-interest issues

Not reported

Loss discovered during year

Not reported

Assets with undetermined value

Not reported

Non-cash contributions

Not reported

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

Not reported

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

Not reported

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
200410$0$0-
Computer Systems Technology Inc. 401K Plan-0---
200320$0$0-
Computer Systems Technology Inc. 401K Plan-0---
C.S.T. Welfare Benefit Plan-0---
20022801$1,436,594$1,741,108$2,174iApproximate average salary by contribution assumption: employee only about $54,342 at 4% or $36,228 at 6%; with 50% employer match about $36,228 at 4% or $24,152 at 6%; with 100% employer match about $27,171 at 4% or $18,114 at 6%.
Computer Systems Technology Inc. 401K Plan-0$1,436,594$1,741,108-
C.S.T. Welfare Benefit Plan-801---
200121,075$7,917,022$3,467,928$3,226iApproximate average salary by contribution assumption: employee only about $80,649 at 4% or $53,766 at 6%; with 50% employer match about $53,766 at 4% or $35,844 at 6%; with 100% employer match about $40,325 at 4% or $26,883 at 6%.
Computer Systems Technology Inc. 401K Plan-855$7,917,022$3,467,928$4,056iApproximate average salary by contribution assumption: employee only about $101,401 at 4% or $67,601 at 6%; with 50% employer match about $67,601 at 4% or $45,067 at 6%; with 100% employer match about $50,701 at 4% or $33,800 at 6%.
C.S.T. Welfare Benefit Plan-1,075---
20002835$0$0-
C.S.T. Flexible Benefits PlanCurrent759---
Computer Systems Technology Inc. 401K Plan-835---
19992576$6,748,916$1,957,083$3,398iApproximate average salary by contribution assumption: employee only about $84,943 at 4% or $56,629 at 6%; with 50% employer match about $56,629 at 4% or $37,752 at 6%; with 100% employer match about $42,471 at 4% or $28,314 at 6%.
Computer Systems Technology Inc. 401K Plan-576$6,748,916$1,957,083$3,398iApproximate average salary by contribution assumption: employee only about $84,943 at 4% or $56,629 at 6%; with 50% employer match about $56,629 at 4% or $37,752 at 6%; with 100% employer match about $42,471 at 4% or $28,314 at 6%.
C.S.T. Flexible Benefits Plan-461---
Schedule Details

Schedule A

Row 1
Filing Id
84037017459052
Form Id
11665342
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
10372017459050005
Ins Broker 01 Name
GAYLE TANLEY MILTON
Ins Broker 01 Street Addr
200 WEST COURT SQUARE, SUITE 5
Ins Broker 01 City
HUNTSVILLE
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35801
Ins Broker Comm Pd 01 Amount
$2,308
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 2
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
10372017459050006
Ins Broker 01 Name
WILLIAM FULLER
Ins Broker 01 Street Addr
P.O. BOX 4071
Ins Broker 01 City
HUNTSVILLE
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35802
Ins Broker Comm Pd 01 Amount
$51
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 3
Filing Id
84037017459052
Form Id
11665344
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
10372017459050007
Ins Broker 01 Name
JOSEPH LAWRENCE
Ins Broker 01 Street Addr
285 KELLY SPRINGS ROAD
Ins Broker 01 City
HARVEST
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35749
Ins Broker Comm Pd 01 Amount
$9,338
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 4
Filing Id
84037017459052
Form Id
11665339
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
10372017459050002
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Row 5
Filing Id
84037017459052
Form Id
11665340
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
10372017459050003
Ins Broker 01 Name
GAYLE T. MILTON
Ins Broker 01 Street Addr
200 WEST COURT SQUARE, STE. 2
Ins Broker 01 City
HUNTSVILLE
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35801
Ins Broker Comm Pd 01 Amount
$1,432
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 6
Filing Id
84037017459052
Form Id
11665341
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
10372017459050004
Ins Broker 01 Name
GAYLE TANLEY MILTON
Ins Broker 01 Street Addr
200 WEST COURT SQUARE, SUITE 5
Ins Broker 01 City
HUNTSVILLE
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35801
Ins Broker Comm Pd 01 Amount
$3,970
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 7
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
10372017459050006
Ins Broker 01 Name
PEGGY EGAN
Ins Broker 01 Street Addr
P.O. BOX 4544
Ins Broker 01 City
SAVANNAH
Ins Broker 01 State
GA
Ins Broker 01 ZIP Code
31402
Ins Broker Comm Pd 01 Amount
$137
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 8
Filing Id
84037017459052
Form Id
11665340
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
10372017459050003
Ins Broker 01 Name
JOSEPH S. LAWRENCE
Ins Broker 01 Street Addr
285 KELLY SPRING RD.
Ins Broker 01 City
HARVEST
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
357498663
Ins Broker Comm Pd 01 Amount
$1,432
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 9
Filing Id
84037017459052
Form Id
11665342
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
10372017459050005
Ins Broker 01 Name
JOSEPH S. LAWRENCE
Ins Broker 01 Street Addr
285 KELLY SPRING ROAD
Ins Broker 01 City
HARVEST
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35749
Ins Broker Comm Pd 01 Amount
$2,308
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 10
Filing Id
84037017459052
Form Id
11665344
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
10372017459050007
Ins Broker 01 Name
GAYLE MILTON
Ins Broker 01 Street Addr
200 WEST COURT SQUARE, STE. 2
Ins Broker 01 City
HUNTSVILLE
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35801
Ins Broker Comm Pd 01 Amount
$9,338
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 11
Filing Id
84037017459052
Form Id
11665341
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
10372017459050004
Ins Broker 01 Name
JOSEPH S. LAWRENCE
Ins Broker 01 Street Addr
285 KELLY SPRING ROAD
Ins Broker 01 City
HARVEST
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35749
Ins Broker Comm Pd 01 Amount
$3,970
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 12
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
3
Page Row Num
2
Row Num
10
Image Form Id
10372017459050006
Ins Broker 01 Name
CHRIS WILSON
Ins Broker 01 Street Addr
7886 HUNTER'S CROSSING
Ins Broker 01 City
CORDOVA
Ins Broker 01 State
TN
Ins Broker 01 ZIP Code
38018
Ins Broker Comm Pd 01 Amount
$11,968
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 13
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
3
Page Row Num
3
Row Num
11
Image Form Id
10372017459050006
Ins Broker 01 Name
RANDALL BLEVINS
Ins Broker 01 Street Addr
814 LONGBOW DR.
Ins Broker 01 City
DECATUR
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35603
Ins Broker Comm Pd 01 Amount
$46
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 14
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
4
Page Row Num
1
Row Num
12
Image Form Id
10372017459050006
Ins Broker 01 Name
MARY HILL
Ins Broker 01 Street Addr
2721 SEA LARK LN.
Ins Broker 01 City
MILTAN
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
32583
Ins Broker Comm Pd 01 Amount
$124
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 15
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
4
Page Row Num
2
Row Num
13
Image Form Id
10372017459050006
Ins Broker 01 Name
GINGER REEVES
Ins Broker 01 Street Addr
320 WALNUT BEND
Ins Broker 01 City
CORDOVA
Ins Broker 01 State
TN
Ins Broker 01 ZIP Code
38018
Ins Broker Comm Pd 01 Amount
$14
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 16
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
4
Page Row Num
3
Row Num
14
Image Form Id
10372017459050006
Ins Broker 01 Name
LANDA ALLEN
Ins Broker 01 Street Addr
494 SHERIDAN BLVD
Ins Broker 01 City
DENVER
Ins Broker 01 State
CO
Ins Broker 01 ZIP Code
80226
Ins Broker Comm Pd 01 Amount
$447
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 17
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
5
Page Row Num
1
Row Num
15
Image Form Id
10372017459050006
Ins Broker 01 Name
WILLIAM CODY
Ins Broker 01 Street Addr
2617 TRAMARA PL.
Ins Broker 01 City
ORANGE PARK
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
32065
Ins Broker Comm Pd 01 Amount
$212
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 18
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
5
Page Row Num
2
Row Num
16
Image Form Id
10372017459050006
Ins Broker 01 Name
MICHEAL MCDONALD
Ins Broker 01 Street Addr
9715 BOXFORD WAY
Ins Broker 01 City
LOUISVILLE
Ins Broker 01 State
KY
Ins Broker 01 ZIP Code
40242
Ins Broker Comm Pd 01 Amount
$121
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 19
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
6
Page Row Num
1
Row Num
17
Image Form Id
10372017459050006
Ins Broker 01 Name
LISA DAY
Ins Broker 01 Street Addr
8463 THOUSANDS OAKS DR.
Ins Broker 01 City
NRICHLAND HILLS
Ins Broker 01 State
TX
Ins Broker 01 ZIP Code
76180
Ins Broker Comm Pd 01 Amount
$136
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 20
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
6
Page Row Num
2
Row Num
18
Image Form Id
10372017459050006
Ins Broker 01 Name
DONALD GINGLES
Ins Broker 01 Street Addr
4400 FAIRLAKES CT.
Ins Broker 01 City
FAIRFAX
Ins Broker 01 State
VA
Ins Broker 01 ZIP Code
22033
Ins Broker Comm Pd 01 Amount
$123
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 21
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
6
Page Row Num
3
Row Num
19
Image Form Id
10372017459050006
Ins Broker 01 Name
AUGRE GLISSEN
Ins Broker 01 Street Addr
320 WALNUT BEND
Ins Broker 01 City
CORDOVA
Ins Broker 01 State
TN
Ins Broker 01 ZIP Code
38018
Ins Broker Comm Pd 01 Amount
$856
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 22
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
10372017459050006
Ins Broker 01 Name
CARLTON REID, JR.
Ins Broker 01 Street Addr
P.O. BOX 1674
Ins Broker 01 City
BRUNSWICK
Ins Broker 01 State
GA
Ins Broker 01 ZIP Code
31521
Ins Broker Comm Pd 01 Amount
$8
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 23
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
7
Page Row Num
1
Row Num
20
Image Form Id
10372017459050006
Ins Broker 01 Name
DAVID XRAY
Ins Broker 01 Street Addr
3707 BUNKER HILL DR.
Ins Broker 01 City
METARIE
Ins Broker 01 State
LA
Ins Broker 01 ZIP Code
70002
Ins Broker Comm Pd 01 Amount
$18
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 24
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
7
Page Row Num
2
Row Num
21
Image Form Id
10372017459050006
Ins Broker 01 Name
HENRY KLAGE
Ins Broker 01 Street Addr
137 EXECUTIVE DR.
Ins Broker 01 City
MADISON
Ins Broker 01 State
MS
Ins Broker 01 ZIP Code
39110
Ins Broker Comm Pd 01 Amount
$311
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 25
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
1
Page Row Num
1
Row Num
3
Image Form Id
10372017459050006
Ins Broker 01 Name
SHIRLEE BLEVINS
Ins Broker 01 Street Addr
814 LONGBOW DRIVE
Ins Broker 01 City
DECATUR
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35603
Ins Broker Comm Pd 01 Amount
$6,885
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 26
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
1
Page Row Num
2
Row Num
4
Image Form Id
10372017459050006
Ins Broker 01 Name
ANNA REID
Ins Broker 01 Street Addr
ROUTE 1, BOX 326
Ins Broker 01 City
REIDSVILLE
Ins Broker 01 State
GA
Ins Broker 01 ZIP Code
30453
Ins Broker Comm Pd 01 Amount
$19
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 27
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
1
Page Row Num
3
Row Num
5
Image Form Id
10372017459050006
Ins Broker 01 Name
BILLY GLIBERT
Ins Broker 01 Street Addr
P.O. BOX 246
Ins Broker 01 City
HUNTSVILLE
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35804
Ins Broker Comm Pd 01 Amount
$1,543
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 28
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
2
Page Row Num
1
Row Num
6
Image Form Id
10372017459050006
Ins Broker 01 Name
CATHERINE EDWARDS
Ins Broker 01 Street Addr
P.O. BOX 17392
Ins Broker 01 City
MEMPHIS
Ins Broker 01 State
TN
Ins Broker 01 ZIP Code
38167
Ins Broker Comm Pd 01 Amount
$191
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 29
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
2
Page Row Num
2
Row Num
7
Image Form Id
10372017459050006
Ins Broker 01 Name
THOMAS SIDLEY
Ins Broker 01 Street Addr
814 LONGBOW DRIVE
Ins Broker 01 City
DECATUR
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35603
Ins Broker Comm Pd 01 Amount
$332
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 30
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
2
Page Row Num
3
Row Num
8
Image Form Id
10372017459050006
Ins Broker 01 Name
SUZANNE MATTOX
Ins Broker 01 Street Addr
2102 SUNSET DR.
Ins Broker 01 City
HARTSELLE
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35640
Ins Broker Comm Pd 01 Amount
$2,727
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 31
Filing Id
84037017459052
Form Id
11665343
Page Id
2
Page Seq
3
Page Row Num
1
Row Num
9
Image Form Id
10372017459050006
Ins Broker 01 Name
ERROL MCCLADDLE
Ins Broker 01 Street Addr
2010 FLAGSTONE DRIVE
Ins Broker 01 City
MADISON
Ins Broker 01 State
AL
Ins Broker 01 ZIP Code
35758
Ins Broker Comm Pd 01 Amount
$1,761
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 32
Ins Carrier Name: UNITED HEALTH CARE OF TENNESSEE
Filing Id
84037017459052
Form Id
11665344
Schedule A EIN
63-1004214
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2000-01-01
Schedule A Tax Period
20001231
Ins Carrier Name
UNITED HEALTH CARE OF TENNESSEE
Ins Carrier EIN
63-1036814
Ins Contract Num
104996/65555
Ins Prsn Covered End of year Count
122
Ins Policy From Date
2000-01-01
Ins Policy To Date
2000-12-31
Ins Broker Comm Total Amount
$18,676
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
A
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$373,532
Wlfr Acquis Cost Amount
$0
Row 33
Ins Carrier Name: RELIANCE STANDARD LIFE INSURANCE COMPANY
Filing Id
84037017459052
Form Id
11665342
Schedule A EIN
63-1004214
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2000-01-01
Schedule A Tax Period
20001231
Ins Carrier Name
RELIANCE STANDARD LIFE INSURANCE COMPANY
Ins Carrier EIN
36-0883760
Ins Carrier Naic Code
68381
Ins Contract Num
LTD099059
Ins Prsn Covered End of year Count
799
Ins Policy From Date
2000-01-01
Ins Policy To Date
2000-12-31
Ins Broker Comm Total Amount
$4,616
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
No
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$65,852
Wlfr Acquis Cost Amount
$0
Row 34
Ins Carrier Name: RELIANCE STANDARD LIFE INSURANCE COMPANY
Filing Id
84037017459052
Form Id
11665341
Schedule A EIN
63-1004214
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2000-01-01
Schedule A Tax Period
20001231
Ins Carrier Name
RELIANCE STANDARD LIFE INSURANCE COMPANY
Ins Carrier EIN
36-0883760
Ins Carrier Naic Code
68381
Ins Contract Num
GL028499
Ins Prsn Covered End of year Count
799
Ins Policy From Date
2000-01-01
Ins Policy To Date
2000-12-31
Ins Broker Comm Total Amount
$7,940
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
DM
Wlfr Type Bnft Oth Text
AD&D
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$79,326
Wlfr Acquis Cost Amount
$0
Row 35
Ins Carrier Name: RELIANCE STANDARD LIFE INSURANCE COMPANY
Filing Id
84037017459052
Form Id
11665340
Schedule A EIN
63-1004214
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2000-01-01
Schedule A Tax Period
20001231
Ins Carrier Name
RELIANCE STANDARD LIFE INSURANCE COMPANY
Ins Carrier EIN
36-0883760
Ins Carrier Naic Code
68381
Ins Contract Num
136-1572
Ins Prsn Covered End of year Count
580
Ins Policy From Date
2000-01-01
Ins Policy To Date
2000-12-31
Ins Broker Comm Total Amount
$2,864
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
B
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$172,019
Wlfr Acquis Cost Amount
$0
Row 36
Ins Carrier Name: BLUE CROSS BLUE SHIELD OF ALABAMA
Filing Id
84037017459052
Form Id
11665339
Schedule A EIN
63-1004214
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2000-01-01
Schedule A Tax Period
20001231
Ins Carrier Name
BLUE CROSS BLUE SHIELD OF ALABAMA
Ins Carrier EIN
63-0103830
Ins Carrier Naic Code
55433
Ins Contract Num
28544
Ins Prsn Covered End of year Count
708
Ins Policy From Date
2000-01-01
Ins Policy To Date
2000-12-31
Ins Broker Comm Total Amount
$0
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
AHM
Wlfr Type Bnft Oth Text
PPO CONTRACT
Wlfr Premium Rcvd Amount
$890,731
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$890,731
Wlfr Claims Paid Amount
$686,380
Wlfr Incr Reserve Amount
$-17,000
Wlfr Incurred Claim Amount
$669,380
Wlfr Claims Chrgd Amount
$669,380
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$64,311
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$14,252
Wlfr Ret Charges Amount
$40,083
Wlfr Ret Oth Chrgs Amount
$-13,361
Wlfr Ret Total Amount
$105,285
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$86,300
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$20,039
Wlfr Acquis Cost Amount
$0
Row 37
Ins Carrier Name: AFLAC
Filing Id
84037017459052
Form Id
11665343
Schedule A EIN
63-1004214
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2000-01-01
Schedule A Tax Period
20001231
Ins Carrier Name
AFLAC
Ins Carrier EIN
58-0663085
Ins Carrier Naic Code
60380
Ins Contract Num
C7557
Ins Prsn Covered End of year Count
213
Ins Policy From Date
2000-01-01
Ins Policy To Date
2000-12-31
Ins Broker Comm Total Amount
$28,030
Ins Broker Fees Total Amount
$0
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
M
Wlfr Type Bnft Oth Text
CANCER
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$101,446
Wlfr Acquis Cost Amount
$0