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SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 401k Plan overview

Plan NameSOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN
Plan identification number 501

SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision

401k Sponsoring company profile

SOUTHERN NEW HAMPSHIRE UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN NEW HAMPSHIRE UNIVERSITY
Employer identification number (EIN):020274509
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01LISA HEFFERNAN LISA HEFFERNAN2019-07-24
5012017-01-01LISA HEFFERNAN LISA HEFFERNAN2018-07-17
5012016-01-01LISA HEFFERNAN LISA HEFFERNAN2017-07-25
5012015-01-01LISA HEFFERNAN LISA HEFFERNAN2016-07-28
5012014-01-01LISA HEFFERNAN LISA HEFFERNAN2015-07-23
5012013-01-01LISA HEFFERNAN LISA HEFFERNAN2014-07-25
5012012-01-01LISA HEFFERNAN LISA HEFFERNAN2014-02-19
5012011-01-01LISA HEFFERNAN LISA HEFFERNAN2014-02-25
5012010-01-01LISA HEFFERNAN LISA HEFFERNAN2014-02-25
5012009-01-01 MARIA ASHTON2010-06-25
5012009-01-01MARIA ASHTON

Plan Statistics for SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN

401k plan membership statisitcs for SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN

Measure Date Value
2022: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,707
Total number of active participants reported on line 7a of the Form 55002022-01-014,624
Number of retired or separated participants receiving benefits2022-01-0132
Total of all active and inactive participants2022-01-014,656
2021: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-013,237
Total number of active participants reported on line 7a of the Form 55002021-01-013,684
Number of retired or separated participants receiving benefits2021-01-0123
Total of all active and inactive participants2021-01-013,707
2020: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,844
Total number of active participants reported on line 7a of the Form 55002020-01-013,217
Number of retired or separated participants receiving benefits2020-01-0120
Total of all active and inactive participants2020-01-013,237
2019: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,623
Total number of active participants reported on line 7a of the Form 55002019-01-012,809
Number of retired or separated participants receiving benefits2019-01-0135
Total of all active and inactive participants2019-01-012,844
2018: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,398
Total number of active participants reported on line 7a of the Form 55002018-01-012,596
Number of retired or separated participants receiving benefits2018-01-0127
Total of all active and inactive participants2018-01-012,623
2017: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,352
Total number of active participants reported on line 7a of the Form 55002017-01-012,365
Number of retired or separated participants receiving benefits2017-01-0133
Total of all active and inactive participants2017-01-012,398
2016: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,852
Total number of active participants reported on line 7a of the Form 55002016-01-012,329
Number of retired or separated participants receiving benefits2016-01-0123
Total of all active and inactive participants2016-01-012,352
2015: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,558
Total number of active participants reported on line 7a of the Form 55002015-01-011,835
Number of retired or separated participants receiving benefits2015-01-0117
Total of all active and inactive participants2015-01-011,852
2014: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,103
Total number of active participants reported on line 7a of the Form 55002014-01-011,533
Number of retired or separated participants receiving benefits2014-01-0125
Total of all active and inactive participants2014-01-011,558
2013: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01725
Total number of active participants reported on line 7a of the Form 55002013-01-011,076
Number of retired or separated participants receiving benefits2013-01-0127
Total of all active and inactive participants2013-01-011,103
2012: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01589
Total number of active participants reported on line 7a of the Form 55002012-01-01706
Number of retired or separated participants receiving benefits2012-01-0119
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01725
2011: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01505
Total number of active participants reported on line 7a of the Form 55002011-01-01555
Number of retired or separated participants receiving benefits2011-01-0134
Total of all active and inactive participants2011-01-01589
2010: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01488
Total number of active participants reported on line 7a of the Form 55002010-01-01471
Number of retired or separated participants receiving benefits2010-01-0134
Total of all active and inactive participants2010-01-01505
2009: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01476
Total number of active participants reported on line 7a of the Form 55002009-01-01458
Number of retired or separated participants receiving benefits2009-01-0130
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01488
Total participants2009-01-01488

Form 5500 Responses for SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN

2022: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: SOUTHERN NEW HAMPSHIRE UNIVERSITY GROUP BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )
Policy contract number476197
Policy instance 5
Insurance contract or identification number476197
Number of Individuals Covered611
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $10,088
Total amount of fees paid to insurance companyUSD $1,673
Other welfare benefits providedGROUP ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $84,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,088
Amount paid for insurance broker fees1673
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATIONS AND TRAINING.
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 4
Insurance contract or identification number348632
Number of Individuals Covered9028
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $114,000
Total amount of fees paid to insurance companyUSD $265,510
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,438,889
Commission paid to Insurance BrokerUSD $114,000
Amount paid for insurance broker fees265510
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATIONS AND TRAINING.
Insurance broker organization code?3
PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )
Policy contract number476198
Policy instance 3
Insurance contract or identification number476198
Number of Individuals Covered428
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $14,940
Total amount of fees paid to insurance companyUSD $1,992
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $99,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,940
Amount paid for insurance broker fees1992
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATIONS AND TRAINING.
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number983872
Policy instance 2
Insurance contract or identification number983872
Number of Individuals Covered4624
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $131,246
Total amount of fees paid to insurance companyUSD $8,435
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,124,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $131,246
Amount paid for insurance broker fees8435
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATIONS AND TRAINING.
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number476196
Policy instance 1
Insurance contract or identification number476196
Number of Individuals Covered787
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $34,905
Total amount of fees paid to insurance companyUSD $4,654
Other welfare benefits providedSUPPLEMENTAL LIFE AND AD&D
Welfare Benefit Premiums Paid to CarrierUSD $232,702
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,905
Amount paid for insurance broker fees4654
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATIONS AND TRAINING.
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered15574
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $228,090
Total amount of fees paid to insurance companyUSD $223,015
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,935,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $190,090
Amount paid for insurance broker fees223015
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION AND TRAINING.
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered7179
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $228,778
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,207,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $228,778
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered6369
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $228,000
Total amount of fees paid to insurance companyUSD $92,960
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,248,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $228,000
Amount paid for insurance broker fees92960
Additional information about fees paid to insurance brokerBONUS, OVERRIDE AND NON MONETARY COMPENSATION FOR INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered5844
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $228,000
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,814,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $228,000
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered5321
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $228,000
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,849,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $228,000
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGRANITE GROUP BENEFITS, LLC
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered4067
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $235,361
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,769,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $235,361
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGRANITE GROUP BENEFITS, LLC
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered3418
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $140,837
Total amount of fees paid to insurance companyUSD $9,030
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,016,776
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $140,837
Amount paid for insurance broker fees9030
Additional information about fees paid to insurance brokerBONUS, OVERRIDE AND NON-MONETARY COMPENSATION FOR INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING.
Insurance broker organization code?3
Insurance broker nameGRANITE GROUP BENEFITS, LLC
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered2484
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $176,259
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,653,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $176,259
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGRANITE GROUP BENEFITS, LLC
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632
Policy instance 1
Insurance contract or identification number348632
Number of Individuals Covered1658
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $157,183
Total amount of fees paid to insurance companyUSD $43,291
Welfare Benefit Premiums Paid to CarrierUSD $10,820,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $157,183
Amount paid for insurance broker fees43291
Additional information about fees paid to insurance brokerBONUS AND AWARDS FOR SALES ACTIVITY
Insurance broker organization code?3
Insurance broker nameGRANITE GROUP BENEFITS, LLC
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632000
Policy instance 1
Insurance contract or identification number348632000
Number of Individuals Covered589
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $258,358
Total amount of fees paid to insurance companyUSD $34,813
Health Insurance Welfare BenefitYes
Other welfare benefits providedPOS CONTRACT
Welfare Benefit Premiums Paid to CarrierUSD $9,030,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 )
Policy contract number348632000
Policy instance 1
Insurance contract or identification number348632000
Number of Individuals Covered505
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $225,318
Total amount of fees paid to insurance companyUSD $24,315
Health Insurance Welfare BenefitYes
Other welfare benefits providedPOS CONTRACT
Welfare Benefit Premiums Paid to CarrierUSD $7,306,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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