Civic Intelligence
Filing

I L F L

Interactive Response Technologies • EIN 65-0420554 • Plan year 2004

Company ProfileSource Archive
Filing Insights

Participants

Up

146 → 304

158 • 108.22%

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
20092880$974,463$129,175$147iApproximate average salary by contribution assumption: employee only about $3,670 at 4% or $2,446 at 6%; with 50% employer match about $2,446 at 4% or $1,631 at 6%; with 100% employer match about $1,835 at 4% or $1,223 at 6%.
IRT 401(K) SAVINGS PLAN-880$974,463$129,175$147iApproximate average salary by contribution assumption: employee only about $3,670 at 4% or $2,446 at 6%; with 50% employer match about $2,446 at 4% or $1,631 at 6%; with 100% employer match about $1,835 at 4% or $1,223 at 6%.
I L F L-576---
20082787$718,035$151,612$193iApproximate average salary by contribution assumption: employee only about $4,816 at 4% or $3,211 at 6%; with 50% employer match about $3,211 at 4% or $2,141 at 6%; with 100% employer match about $2,408 at 4% or $1,605 at 6%.
IRT 401K SAVINGS PLAN-626$718,035$151,612$242iApproximate average salary by contribution assumption: employee only about $6,055 at 4% or $4,037 at 6%; with 50% employer match about $4,037 at 4% or $2,691 at 6%; with 100% employer match about $3,027 at 4% or $2,018 at 6%.
I L F L-787---
20072442$904,573$135,964$308iApproximate average salary by contribution assumption: employee only about $7,690 at 4% or $5,127 at 6%; with 50% employer match about $5,127 at 4% or $3,418 at 6%; with 100% employer match about $3,845 at 4% or $2,563 at 6%.
IRT 401K SAVINGS PLAN-442$904,573$135,964$308iApproximate average salary by contribution assumption: employee only about $7,690 at 4% or $5,127 at 6%; with 50% employer match about $5,127 at 4% or $3,418 at 6%; with 100% employer match about $3,845 at 4% or $2,563 at 6%.
I L F L-380---
20062403$753,439$103,543$257iApproximate average salary by contribution assumption: employee only about $6,423 at 4% or $4,282 at 6%; with 50% employer match about $4,282 at 4% or $2,855 at 6%; with 100% employer match about $3,212 at 4% or $2,141 at 6%.
IRT 401K SAVINGS PLAN-378$753,439$103,543$274iApproximate average salary by contribution assumption: employee only about $6,848 at 4% or $4,565 at 6%; with 50% employer match about $4,565 at 4% or $3,044 at 6%; with 100% employer match about $3,424 at 4% or $2,283 at 6%.
I L F L-403---
20052330$704,888$147,456$447iApproximate average salary by contribution assumption: employee only about $11,171 at 4% or $7,447 at 6%; with 50% employer match about $7,447 at 4% or $4,965 at 6%; with 100% employer match about $5,585 at 4% or $3,724 at 6%.
INTERACTIVE RESPONSE TECHNOLOGIES, INC 401K SAVINGS PLAN-266$704,888$147,456$554iApproximate average salary by contribution assumption: employee only about $13,859 at 4% or $9,239 at 6%; with 50% employer match about $9,239 at 4% or $6,159 at 6%; with 100% employer match about $6,929 at 4% or $4,620 at 6%.
I L F L-330---
20042304$551,447$121,750$400iApproximate average salary by contribution assumption: employee only about $10,012 at 4% or $6,675 at 6%; with 50% employer match about $6,675 at 4% or $4,450 at 6%; with 100% employer match about $5,006 at 4% or $3,337 at 6%.
INTERACTIVE RESPONSE TECHNOLOGIES, INC 401K SAVINGS PLAN-163$551,447$121,750$747iApproximate average salary by contribution assumption: employee only about $18,673 at 4% or $12,449 at 6%; with 50% employer match about $12,449 at 4% or $8,299 at 6%; with 100% employer match about $9,337 at 4% or $6,224 at 6%.
I L F LCurrent304---
20032144$441,415$144,190$1,001iApproximate average salary by contribution assumption: employee only about $25,033 at 4% or $16,689 at 6%; with 50% employer match about $16,689 at 4% or $11,126 at 6%; with 100% employer match about $12,516 at 4% or $8,344 at 6%.
INTERACTIVE RESPONSE TECHNOLOGIES, INC 401K SAVINGS PLAN-98$441,415$144,190$1,471iApproximate average salary by contribution assumption: employee only about $36,783 at 4% or $24,522 at 6%; with 50% employer match about $24,522 at 4% or $16,348 at 6%; with 100% employer match about $18,392 at 4% or $12,261 at 6%.
I L F L-144---
20022187$277,497$187,100$1,001iApproximate average salary by contribution assumption: employee only about $25,013 at 4% or $16,676 at 6%; with 50% employer match about $16,676 at 4% or $11,117 at 6%; with 100% employer match about $12,507 at 4% or $8,338 at 6%.
INTERACTIVE RESPONSE TECHNOLOGIES, INC 401K SAVINGS PLAN-107$277,497$187,100$1,749iApproximate average salary by contribution assumption: employee only about $43,715 at 4% or $29,143 at 6%; with 50% employer match about $29,143 at 4% or $19,429 at 6%; with 100% employer match about $21,857 at 4% or $14,572 at 6%.
I L F L-187---
20012205$0$0-
INTERACTIVE RESPONSE TECHNOLOGIES, INC 401K SAVINGS PLAN-88---
I L F L-205---
20002156$24,592$25,503$163iApproximate average salary by contribution assumption: employee only about $4,087 at 4% or $2,725 at 6%; with 50% employer match about $2,725 at 4% or $1,816 at 6%; with 100% employer match about $2,044 at 4% or $1,362 at 6%.
INTERACTIVE RESPONSE TECHNOLOGIES, INC 401K SAVINGS PLAN-64$24,592$25,503$398iApproximate average salary by contribution assumption: employee only about $9,962 at 4% or $6,641 at 6%; with 50% employer match about $6,641 at 4% or $4,428 at 6%; with 100% employer match about $4,981 at 4% or $3,321 at 6%.
I L F L-156---
1999180$0$0-
I L F L-80---
Schedule Details

Schedule A

Row 1
Filing Id
84037256230525
Form Id
61568466
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
4030375256230020006
Ins Broker 01 Name
SUMMIT GLOBAL PARTNERS
Ins Broker 01 Street Addr
PO BOX 811088
Ins Broker 01 City
BOCA RATON
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
334811088
Ins Broker Comm Pd 01 Amount
$5,491
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SALES AND SERVICE
Ins Broker 01 Code
3
Row 2
Filing Id
84037256230525
Form Id
61568467
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
4030375256230020007
Ins Broker 01 Name
SUMMIT GLOBAL PARTNERS
Ins Broker 01 Street Addr
PO BOX 811088
Ins Broker 01 City
BOCA RATON
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
334811088
Ins Broker Comm Pd 01 Amount
$159
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SALES AND SERVICE
Ins Broker 01 Code
3
Row 3
Filing Id
84037256230525
Form Id
61568465
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
4030375256230020005
Ins Broker 01 Name
SUMMIT GLOBAL PARTNERS
Ins Broker 01 Street Addr
PO BOX 811088
Ins Broker 01 City
BOCA RATON
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
334811088
Ins Broker Comm Pd 01 Amount
$2,694
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SALES AND SERVICE
Ins Broker 01 Code
3
Row 4
Filing Id
84037256230525
Form Id
61568463
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
4030375256230020003
Ins Broker 01 Name
SUMMIT GLOBAL PARTNERS
Ins Broker 01 Street Addr
PO BOX 811088
Ins Broker 01 City
BOCA RATON
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
334811088
Ins Broker Comm Pd 01 Amount
$23,276
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SALES AND SERVICE
Ins Broker 01 Code
3
Row 5
Filing Id
84037256230525
Form Id
61568464
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
4030375256230020004
Ins Broker 01 Name
SUMMIT GLOBAL PARTNERS
Ins Broker 01 Street Addr
PO BOX 811088
Ins Broker 01 City
BOCA RATON
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
334811088
Ins Broker Comm Pd 01 Amount
$2,443
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SALES AND SERVICE
Ins Broker 01 Code
3
Row 6
Filing Id
84037256230525
Form Id
61568462
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
4030375256230020002
Ins Broker 01 Name
SUMMIT GLOBAL PARTNERS
Ins Broker 01 Street Addr
PO BOX 811088
Ins Broker 01 City
BOCA RATON
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
334811088
Ins Broker Comm Pd 01 Amount
$7,166
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SALES AND SERVICE
Ins Broker 01 Code
3
Row 7
Filing Id
84037256230525
Form Id
61568467
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
4030375256230020007
Ins Broker 01 Name
STRATEGIC RESOURCE COMPANY
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$1,051
Ins Broker Fees Pd 01 Text
ADMINISTRATOR
Ins Broker 01 Code
5
Row 8
Filing Id
84037256230525
Form Id
61568466
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
4030375256230020006
Ins Broker 01 Name
STRATEGIC RESOURCE COMPANY
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$29,153
Ins Broker Fees Pd 01 Text
ADMINISTRATION
Ins Broker 01 Code
5
Row 9
Ins Carrier Name: HUMANA HEALTH INSURANCE COMPANY
Filing Id
84037256230525
Form Id
61568462
Schedule A EIN
65-0420554
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2004-01-01
Schedule A Tax Period
20041231
Ins Carrier Name
HUMANA HEALTH INSURANCE COMPANY
Ins Carrier EIN
61-1041514
Ins Carrier Naic Code
69671
Ins Contract Num
M5147
Ins Prsn Covered End of year Count
10
Ins Policy From Date
2003-11-01
Ins Policy To Date
2004-10-31
Ins Broker Comm Total Amount
$7,166
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
$119,451
Wlfr Acquis Cost Amount
$0
Row 10
Ins Carrier Name: CONTINENTAL ASSURANCE COMPANY
Filing Id
84037256230525
Form Id
61568466
Schedule A EIN
65-0420554
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2004-01-01
Schedule A Tax Period
20041231
Ins Carrier Name
CONTINENTAL ASSURANCE COMPANY
Ins Carrier EIN
36-0947200
Ins Carrier Naic Code
62413
Ins Contract Num
CMA2100082200
Ins Prsn Covered End of year Count
170
Ins Policy From Date
2003-11-01
Ins Policy To Date
2004-10-31
Ins Broker Comm Total Amount
$5,491
Ins Broker Fees Total Amount
$29,153
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
ABCDL
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
$109,827
Wlfr Acquis Cost Amount
$0
Row 11
Ins Carrier Name: CONTINENTAL CASUALTY COMPANY
Filing Id
84037256230525
Form Id
61568467
Schedule A EIN
65-0420554
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2004-01-01
Schedule A Tax Period
20041231
Ins Carrier Name
CONTINENTAL CASUALTY COMPANY
Ins Carrier EIN
36-2114545
Ins Carrier Naic Code
20443
Ins Contract Num
CSA2130048800
Ins Prsn Covered End of year Count
40
Ins Policy From Date
2003-11-01
Ins Policy To Date
2004-10-31
Ins Broker Comm Total Amount
$159
Ins Broker Fees Total Amount
$1,051
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
E
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
$3,186
Wlfr Acquis Cost Amount
$0
Row 12
Ins Carrier Name: UNUM LIFE INSURANCE COMPANY
Filing Id
84037256230525
Form Id
61568464
Schedule A EIN
65-0420554
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2004-01-01
Schedule A Tax Period
20041231
Ins Carrier Name
UNUM LIFE INSURANCE COMPANY
Ins Carrier EIN
01-0278678
Ins Carrier Naic Code
62235
Ins Contract Num
562827
Ins Prsn Covered End of year Count
133
Ins Policy From Date
2004-01-01
Ins Policy To Date
2004-10-31
Ins Broker Comm Total Amount
$2,443
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
DF
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
$18,022
Wlfr Acquis Cost Amount
$0
Row 13
Ins Carrier Name: HUMANA HEALTH INSURANCE COMPANY
Filing Id
84037256230525
Form Id
61568463
Schedule A EIN
65-0420554
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2004-01-01
Schedule A Tax Period
20041231
Ins Carrier Name
HUMANA HEALTH INSURANCE COMPANY
Ins Carrier EIN
61-1103898
Ins Carrier Naic Code
95270
Ins Contract Num
M5146
Ins Prsn Covered End of year Count
124
Ins Policy From Date
2003-11-01
Ins Policy To Date
2004-10-31
Ins Broker Comm Total Amount
$23,276
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
$388,399
Wlfr Acquis Cost Amount
$0
Row 14
Ins Carrier Name: COMPBENEFITS
Filing Id
84037256230525
Form Id
61568465
Schedule A EIN
65-0420554
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2004-01-01
Schedule A Tax Period
20041231
Ins Carrier Name
COMPBENEFITS
Ins Carrier EIN
59-2531815
Ins Carrier Naic Code
52015
Ins Contract Num
57600
Ins Prsn Covered End of year Count
265
Ins Policy From Date
2003-11-01
Ins Policy To Date
2004-10-31
Ins Broker Comm Total Amount
$2,694
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
$32,371
Wlfr Acquis Cost Amount
$0