Plan Ledger DOL Form 5500 · updated monthly

Amtex-Nms, Inc. dba Southeast Modular Manufacturingbenefits

Southeast Modular Manufacturing Welfare Benefits Plan · LEESBURG, FL · plan year 2023

Broker compensation reported · 2023
$22,136

Amtex-Nms, Inc. dba Southeast Modular Manufacturing's benefits plan covered 0 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $22,136 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage.

Insurance contracts · 20234
UNITED OF OMAHA LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 186 covered
HUMANA INSURANCE COMPANY · visionpremiums n/a · 80 covered
METLIFE · dentalpremiums n/a · 204 covered
ALLIED NATIONAL · health stop-losspremiums n/a · 83 covered
Brokers & agents paid · 20231
REFINED BENEFITS DBA SULLIVAN$22,136 · incl $4,783 fees

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 581895025 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.