Civic Intelligence
Filing

I L F L

Interactive Response Technologies • EIN 65-0420554 • Plan year 2008

Company ProfileSource Archive
Filing Insights

Participants

Up

707 → 787

80 • 11.32%

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 LCurrent787---
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 L-304---
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
84037279003539
Form Id
98783991
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030003
Ins Broker 01 Name
AXIOM INSUIANCESEIVICES
Ins Broker 01 Street Addr
18350 NWZNDAVE#302
Ins Broker 01 City
MAM1
Ins Broker 01 State
B
Ins Broker 01 ZIP Code
33769
Ins Broker Comm Pd 01 Amount
$658
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 2
Filing Id
84037279003539
Form Id
98784001
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030013
Ins Broker 01 Name
SUMMITGIOBA1 PAITNEIS, INC.
Ins Broker 01 Street Addr
ZOO W CYPIESSCIEA RD STE SOO
Ins Broker 01 City
FOIT LAUDEIDAIE
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33309
Ins Broker Comm Pd 01 Amount
$10
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 3
Filing Id
84037279003539
Form Id
98783992
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030004
Ins Broker 01 Name
AXIOMINSUIANCESEIVICES
Ins Broker 01 Street Addr
18350 NWZNDAVEH302
Ins Broker 01 City
MIAMI
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33769
Ins Broker Comm Pd 01 Amount
$2,553
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 4
Filing Id
84037279003539
Form Id
98783994
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030006
Ins Broker 01 Name
USIINSSEIVICES OEFL
Ins Broker 01 Street Addr
20121AHAMBIACIISTE1000
Ins Broker 01 City
GABMS
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33734
Ins Broker Comm Pd 01 Amount
$73,941
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SATES & SEIVICE
Ins Broker 01 Code
3
Row 5
Filing Id
84037279003539
Form Id
98783997
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030009
Ins Broker 01 Name
AXIOMINSUIANCESEIVICES
Ins Broker 01 Street Addr
18350 NWZNDME#302
Ins Broker 01 City
MIAMI
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33769
Ins Broker Comm Pd 01 Amount
$272
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 6
Filing Id
84037279003539
Form Id
98784000
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030012
Ins Broker 01 Name
WINNIE LAMBEIT
Ins Broker 01 Street Addr
GIADA11AS ST
Ins Broker 01 City
HOUSTON
Ins Broker 01 State
TX
Ins Broker 01 ZIP Code
77002
Ins Broker Comm Pd 01 Amount
$61
Ins Broker Fees Pd 01 Amount
$37
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 7
Filing Id
84037279003539
Form Id
98783990
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030002
Ins Broker 01 Name
BYRON C. STEPHENS
Ins Broker 01 Street Addr
ZOOA E BIOADWAY NN
Ins Broker 01 City
PEAIIANA
Ins Broker 01 State
TX
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SERVICE
Ins Broker 01 Code
3
Row 8
Filing Id
84037279003539
Form Id
98784002
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030014
Ins Broker 01 Name
BXIOH C STE#ENS
Ins Broker 01 Street Addr
2004 8 BIOADWAY STH^1
Ins Broker 01 City
PEAIIAND
Ins Broker 01 State
TX
Ins Broker 01 ZIP Code
0587
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIV,CE
Row 9
Filing Id
84037279003539
Form Id
98783999
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030011
Ins Broker 01 Name
2XXOM INSUIANCE SERVICES
Ins Broker 01 Street Addr
78350NW ZNA AVE #302
Ins Broker 01 City
MAMI
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33769
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAAES& SEIVICE
Ins Broker 01 Code
3
Row 10
Filing Id
84037279003539
Form Id
98783995
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030007
Ins Broker 01 Name
AXIOM INSUIANCE SERVICES
Ins Broker 01 Street Addr
18350 082NDAN SUITEBOZ
Ins Broker 01 City
MIAMI
Ins Broker 01 State
RL
Ins Broker 01 ZIP Code
337693
Ins Broker Comm Pd 01 Amount
$289
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 11
Filing Id
84037279003539
Form Id
98783998
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030010
Ins Broker 01 Name
BYTON C STEP^ENS
Ins Broker 01 Street Addr
2004 E BIOADWAYNN
Ins Broker 01 City
PEAIIANA
Ins Broker 01 State
TX
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 12
Filing Id
84037279003539
Form Id
98783993
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030005
Ins Broker 01 Name
GRANVIIIEA. LECOMDTE
Ins Broker 01 Street Addr
18350 N0 ZNDAVEH302
Ins Broker 01 City
MIAMI
Ins Broker 01 State
8L
Ins Broker 01 ZIP Code
33769
Ins Broker Comm Pd 01 Amount
$110
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES& SEIV,CE
Ins Broker 01 Code
3
Row 13
Filing Id
84037279003539
Form Id
98783996
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
8030379279003030008
Ins Broker 01 Name
AXIOMINSUIAN^ SEIVICES
Ins Broker 01 Street Addr
18350 NWZNDAVEH302
Ins Broker 01 City
MIAMI
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33769
Ins Broker Comm Pd 01 Amount
$156
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 14
Filing Id
84037279003539
Form Id
98783993
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
8030379279003030005
Ins Broker 01 Name
SUMMITGIOBA1 PAITNEIS
Ins Broker 01 Street Addr
IHS ROSSAVESUITENOO
Ins Broker 01 City
DAIIAS
Ins Broker 01 State
TX
Ins Broker 01 ZIP Code
75202
Ins Broker Comm Pd 01 Amount
$14,235
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 15
Filing Id
84037279003539
Form Id
98783991
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
8030379279003030003
Ins Broker 01 Name
USIINSUIANCESEIVICES OEFL
Ins Broker 01 Street Addr
ZOOWEST CYPIESS CIEEK RDSTESOO
Ins Broker 01 City
PT LAUDEIDAAE
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33309
Ins Broker Comm Pd 01 Amount
$26,025
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 16
Filing Id
84037279003539
Form Id
98783995
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
8030379279003030007
Ins Broker 01 Name
USIINSSEIVICES OEFL
Ins Broker 01 Street Addr
20/AIAHMBIA CII NOOO
Ins Broker 01 City
GABIES
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33734
Ins Broker Comm Pd 01 Amount
$3,158
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES& SEIVICE
Ins Broker 01 Code
3
Row 17
Filing Id
84037279003539
Form Id
98783992
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
8030379279003030004
Ins Broker 01 Name
USIINSUIANCESEIVICES OEFL
Ins Broker 01 Street Addr
ZOO W CYPIESSCIEEKRA STB SOO
Ins Broker 01 City
N LAUDEIDAIE
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33309
Ins Broker Comm Pd 01 Amount
$4,706
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 18
Filing Id
84037279003539
Form Id
98784000
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
8030379279003030012
Ins Broker 01 Name
BYION C STE#WS
Ins Broker 01 Street Addr
ZOOA E BIOADWAY
Ins Broker 01 City
PEARIAND
Ins Broker 01 State
TX
Ins Broker 01 ZIP Code
77587
Ins Broker Comm Pd 01 Amount
$98
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAMS & SEIVICE
Ins Broker 01 Code
3
Row 19
Filing Id
84037279003539
Form Id
98783999
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
8030379279003030011
Ins Broker 01 Name
USIINSUIANCESEIVICES.LLC
Ins Broker 01 Street Addr
ZOOWEST CYPIESS CIEEK RD#500
Ins Broker 01 City
PT LAUDEIDALE
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33309
Ins Broker Comm Pd 01 Amount
$3,935
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 20
Filing Id
84037279003539
Form Id
98783996
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
8030379279003030008
Ins Broker 01 Name
USIINSSEIVICES OEPL
Ins Broker 01 Street Addr
201 21^AMBIA CIX STE 1000
Ins Broker 01 City
COIAIGABIES
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33734
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 21
Filing Id
84037279003539
Form Id
98783997
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
8030379279003030009
Ins Broker 01 Name
USIINS SEIVICES OE PL
Ins Broker 01 Street Addr
ZOIAIAHAMBIACII STEIOOO
Ins Broker 01 City
COIAI GABIES
Ins Broker 01 State
FL
Ins Broker 01 ZIP Code
33134
Ins Broker Comm Pd 01 Amount
$3,175
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SALES & SEIVICE
Ins Broker 01 Code
3
Row 22
Filing Id
84037279003539
Form Id
98784000
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
8030379279003030012
Ins Broker 01 Name
KIIPATIICK COMPANIES LTD
Ins Broker 01 Street Addr
1050011CIEST DIIVE
Ins Broker 01 City
HOUSTON
Ins Broker 01 State
TX
Ins Broker 01 ZIP Code
77042
Ins Broker Comm Pd 01 Amount
$20
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES& SEIVICE
Ins Broker 01 Code
3
Row 23
Filing Id
84037279003539
Form Id
98783999
Page Id
2
Page Seq
0
Page Row Num
3
Row Num
2
Image Form Id
8030379279003030011
Ins Broker Comm Pd 01 Amount
$0
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
11
Row 24
Filing Id
84037279003539
Form Id
98784000
Page Id
2
Page Seq
1
Page Row Num
1
Row Num
3
Image Form Id
8030379279003030012
Ins Broker 01 Name
BIUCE AKEIS
Ins Broker 01 Street Addr
2383 CAWPSO LANE
Ins Broker 01 City
LEAGUECITY
Ins Broker 01 State
3X
Ins Broker 01 ZIP Code
77573
Ins Broker Comm Pd 01 Amount
$15
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
3
Row 25
Filing Id
84037279003539
Form Id
98784000
Page Id
2
Page Seq
1
Page Row Num
2
Row Num
4
Image Form Id
8030379279003030012
Ins Broker 01 Name
DOUNNB-FIKE
Ins Broker 01 Street Addr
IZB WOODIANDDIIVE
Ins Broker 01 City
N,TIO
Ins Broker 01 State
WV
Ins Broker 01 ZIP Code
25143110
Ins Broker Comm Pd 01 Amount
$10
Ins Broker Fees Pd 01 Amount
$0
Ins Broker Fees Pd 01 Text
SAIES & SEIVICE
Ins Broker 01 Code
1
Row 26
Ins Carrier Name: THELMCOMNATIONA1 SSTEINSUIANCECOMPA
Filing Id
84037279003539
Form Id
98783995
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-07-07
Schedule A Tax Period
20081231
Ins Carrier Name
THELMCOMNATIONA1 SSTEINSUIANCECOMPA
Ins Carrier EIN
35-0472300
Ins Carrier Naic Code
70254
Ins Contract Num
000010064762000
Ins Prsn Covered End of year Count
383
Ins Policy From Date
20077701
Ins Policy To Date
20087037
Ins Broker Comm Total Amount
$3,447
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
ACCIDENTA1 DEATH & DISMEMBEIMENT
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
$22,984
Wlfr Acquis Cost Amount
$0
Row 27
Ins Carrier Name: GIEAT-WEST HEAITHCAIE
Filing Id
84037279003539
Form Id
98783998
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-01-01
Schedule A Tax Period
20081231
Ins Carrier Name
GIEAT-WEST HEAITHCAIE
Ins Carrier EIN
84-0467907
Ins Carrier Naic Code
68322
Ins Contract Num
35829
Ins Prsn Covered End of year Count
226
Ins Policy From Date
08 0120
Ins Policy To Date
20081237
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
DM
Wlfr Type Bnft Oth Text
ACCIMNTA1 DEATH & DISMEMDERMENT
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
$6,262
Wlfr Acquis Cost Amount
$0
Row 28
Ins Carrier Name: COIONIAIWEE & ACCIDENTINSUIANCECOMP
Filing Id
84037279003539
Form Id
98784000
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-07-07
Schedule A Tax Period
20081231
Ins Carrier Name
COIONIAIWEE & ACCIDENTINSUIANCECOMP
Ins Carrier EIN
70-0144507
Ins Carrier Naic Code
62049
Ins Contract Num
B7880727
Ins Prsn Covered End of year Count
9
Ins Policy From Date
2008-07-01
Ins Policy To Date
2008-12-31
Ins Broker Comm Total Amount
$0
Ins Broker Fees Total Amount
$37
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
$0
Wlfr Acquis Cost Amount
$0
Row 29
Ins Carrier Name: COMPBENEEITCOIP
Filing Id
84037279003539
Form Id
98784001
Schedule A EIN
65-0420554
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2008-07-01
Schedule A Tax Period
20081231
Ins Carrier Name
COMPBENEEITCOIP
Ins Carrier EIN
59-2537815
Ins Carrier Naic Code
52015
Ins Contract Num
576001857600047
Ins Prsn Covered End of year Count
405
Ins Policy From Date
20071707
Ins Policy To Date
20087031
Ins Broker Comm Total Amount
$10
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
$114,768
Wlfr Acquis Cost Amount
$0
Row 30
Ins Carrier Name: RHELINCOLNNATIONA1 LIEEINSUIANCECOM
Filing Id
84037279003539
Form Id
98783996
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-07-01
Schedule A Tax Period
20081231
Ins Carrier Name
RHELINCOLNNATIONA1 LIEEINSUIANCECOM
Ins Carrier EIN
35-0472300
Ins Carrier Naic Code
70254
Ins Contract Num
0000006063
Ins Prsn Covered End of year Count
35
Ins Policy From Date
20077707
Ins Policy To Date
2008-10-31
Ins Broker Comm Total Amount
$1,902
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
$0
Wlfr Acquis Cost Amount
$0
Row 31
Ins Carrier Name: HUMANAMEDICAIPIANS
Filing Id
84037279003539
Form Id
98783992
Schedule A EIN
65-0420554
Schedule A Plan Num
501
Schedule A Plan Year Begin Date
2008-07-01
Schedule A Tax Period
20081231
Ins Carrier Name
HUMANAMEDICAIPIANS
Ins Carrier EIN
67-1703898
Ins Carrier Naic Code
95270
Ins Contract Num
806630
Ins Prsn Covered End of year Count
71
Ins Policy From Date
20077107
Ins Policy To Date
08 3720
Ins Broker Comm Total Amount
$7,258
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
$209,770
Wlfr Acquis Cost Amount
$0
Row 32
Ins Carrier Name: GIEATXEST HEAITHCAIE
Filing Id
84037279003539
Form Id
98783990
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-01-01
Schedule A Tax Period
20081231
Ins Carrier Name
GIEATXEST HEAITHCAIE
Ins Carrier EIN
84-0467907
Ins Carrier Naic Code
68322
Ins Contract Num
358264
Ins Prsn Covered End of year Count
237
Ins Policy From Date
2008-07-07
Ins Policy To Date
2008-12-21
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
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
$3,749,398
Wlfr Ret Admin Amount
$5,692,822
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
$0
Wlfr Acquis Cost Amount
$0
Row 33
Ins Carrier Name: SYMETIA
Filing Id
84037279003539
Form Id
98783994
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-01-01
Schedule A Tax Period
20081231
Ins Carrier Name
SYMETIA
Ins Carrier EIN
91-0742747
Ins Carrier Naic Code
68608
Ins Contract Num
70682
Ins Prsn Covered End of year Count
99
Ins Policy From Date
20071707
Ins Policy To Date
20082031
Ins Broker Comm Total Amount
$13,394
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
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
$133,914
Wlfr Acquis Cost Amount
$0
Row 34
Ins Carrier Name: HUMANA MEDICAI PIANS
Filing Id
84037279003539
Form Id
98783991
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-01-07
Schedule A Tax Period
20081231
Ins Carrier Name
HUMANA MEDICAI PIANS
Ins Carrier EIN
61-1703898
Ins Carrier Naic Code
95270
Ins Contract Num
4506
Ins Prsn Covered End of year Count
209
Ins Policy From Date
20077101
Ins Policy To Date
2008-10-31
Ins Broker Comm Total Amount
$26,684
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
$855,585
Wlfr Acquis Cost Amount
$0
Row 35
Ins Carrier Name: THELINCOINNATIONA1 UEEINSUIANCECOMP
Filing Id
84037279003539
Form Id
98783997
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-01-01
Schedule A Tax Period
20081231
Ins Carrier Name
THELINCOINNATIONA1 UEEINSUIANCECOMP
Ins Carrier EIN
35-0472300
Ins Carrier Naic Code
70254
Ins Contract Num
000000010000399
Ins Prsn Covered End of year Count
707
Ins Policy From Date
2007-11-01
Ins Policy To Date
2008-10-31
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
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
$22,990
Wlfr Acquis Cost Amount
$0
Row 36
Ins Carrier Name: COMMUNITYCAIE OT OKIAHOMA
Filing Id
84037279003539
Form Id
98783993
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-07-01
Schedule A Tax Period
20081231
Ins Carrier Name
COMMUNITYCAIE OT OKIAHOMA
Ins Carrier EIN
73-1580741
Ins Carrier Naic Code
89008
Ins Contract Num
SA1101
Ins Prsn Covered End of year Count
88
Ins Policy From Date
2007-11-01
Ins Policy To Date
20081037
Ins Broker Comm Total Amount
$15,383
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
$347,102
Wlfr Acquis Cost Amount
$0
Row 37
Ins Carrier Name: HUMANA
Filing Id
84037279003539
Form Id
98784002
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-01-01
Schedule A Tax Period
20081231
Ins Carrier Name
HUMANA
Ins Carrier EIN
39-0714280
Ins Carrier Naic Code
70580
Ins Contract Num
685865
Ins Prsn Covered End of year Count
233
Ins Policy From Date
2008-07-07
Ins Policy To Date
20081237
Ins Broker Comm Total Amount
$21,695
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
$0
Wlfr Acquis Cost Amount
$0
Row 38
Ins Carrier Name: BYEMEAVISION CAIE
Filing Id
84037279003539
Form Id
98783999
Schedule A EIN
65-0420554
Schedule A Plan Num
507
Schedule A Plan Year Begin Date
2008-01-01
Schedule A Tax Period
20081231
Ins Carrier Name
BYEMEAVISION CAIE
Ins Carrier EIN
43-0949844
Ins Carrier Naic Code
77870
Ins Contract Num
9683178
Ins Prsn Covered End of year Count
459
Ins Policy From Date
20077707
Ins Policy To Date
08 3720
Ins Broker Comm Total Amount
$4,115
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
C
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
$41,104
Wlfr Acquis Cost Amount
$0