401k Plan data: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN plan

HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 401k Plan overview

Plan Name	HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN
Plan identification number	001

HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

HARVARD PILGRIM HEALTH CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: HARVARD PILGRIM HEALTH CARE, INC.

Employer identification number (EIN): 042452600

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 JACK LANE
001 2012-01-01 JACK LANE
001 2011-01-01 JACK LANE
001 2010-01-01 JACK LANE JACK LANE 2011-10-07
001 2009-01-01 JACK LANE JACK LANE 2011-11-02
001 2009-01-01 JACK LANE JACK LANE 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	JACK LANE
001	2012-01-01	JACK LANE
001	2011-01-01	JACK LANE
001	2010-01-01	JACK LANE	JACK LANE	2011-10-07
001	2009-01-01	JACK LANE	JACK LANE	2011-11-02
001	2009-01-01	JACK LANE	JACK LANE	2010-10-14

Plan Statistics for HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN

401k plan membership statisitcs for HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN

Measure Date Value
2013: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,872
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,171
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 972
Number of retired or separated participants receiving benefits 2012-01-01 898
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1,870
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 2
Total participants 2012-01-01 1,872
Number of participants with account balances 2012-01-01 1,830
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,308
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,052
Number of retired or separated participants receiving benefits 2011-01-01 1,110
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 2,162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 9
Total participants 2011-01-01 2,171
Number of participants with account balances 2011-01-01 2,048
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,198
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,066
Number of retired or separated participants receiving benefits 2010-01-01 1,238
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 2,304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 4
Total participants 2010-01-01 2,308
Number of participants with account balances 2010-01-01 2,308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,120
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,016
Number of retired or separated participants receiving benefits 2009-01-01 1,178
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 2,195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 3
Total participants 2009-01-01 2,198
Number of participants with account balances 2009-01-01 2,198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,872
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,171
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	972
Number of retired or separated participants receiving benefits	2012-01-01	898
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1,870
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	2
Total participants	2012-01-01	1,872
Number of participants with account balances	2012-01-01	1,830
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,308
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,052
Number of retired or separated participants receiving benefits	2011-01-01	1,110
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	2,162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	9
Total participants	2011-01-01	2,171
Number of participants with account balances	2011-01-01	2,048
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,198
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,066
Number of retired or separated participants receiving benefits	2010-01-01	1,238
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	2,304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	4
Total participants	2010-01-01	2,308
Number of participants with account balances	2010-01-01	2,308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,120
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,016
Number of retired or separated participants receiving benefits	2009-01-01	1,178
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	2,195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	3
Total participants	2009-01-01	2,198
Number of participants with account balances	2009-01-01	2,198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN

Measure	Date	Value
2013 : HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-10-31	$0
Total income from all sources (including contributions)	2013-10-31	$10,638,138
Total loss/gain on sale of assets	2013-10-31	$0
Total of all expenses incurred	2013-10-31	$125,807,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-10-31	$125,794,775
Expenses. Certain deemed distributions of participant loans	2013-10-31	$11,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-10-31	$0
Value of total assets at end of year	2013-10-31	$0
Value of total assets at beginning of year	2013-10-31	$115,169,110
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-10-31	$841
Total interest from all sources	2013-10-31	$1,277,364
Total dividends received (eg from common stock, registered investment company shares)	2013-10-31	$325,394
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-10-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-10-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-10-31	$325,394
Was this plan covered by a fidelity bond	2013-10-31	Yes
Value of fidelity bond cover	2013-10-31	$15,000,000
If this is an individual account plan, was there a blackout period	2013-10-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-10-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-10-31	No
Participant contributions at end of year	2013-10-31	$0
Participant contributions at beginning of year	2013-10-31	$113,751
Administrative expenses (other) incurred	2013-10-31	$841
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-10-31	No
Value of net income/loss	2013-10-31	$-115,169,110
Value of net assets at end of year (total assets less liabilities)	2013-10-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-10-31	$115,169,110
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-10-31	No
Were any leases to which the plan was party in default or uncollectible	2013-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-10-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-10-31	$63,510,471
Value of interest in pooled separate accounts at end of year	2013-10-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-10-31	$1,648,457
Interest on participant loans	2013-10-31	$3,849
Interest earned on other investments	2013-10-31	$1,273,515
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-10-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-10-31	$49,896,431
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-10-31	$8,898,592
Net investment gain/loss from pooled separate accounts	2013-10-31	$136,788
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-10-31	No
Was there a failure to transmit to the plan any participant contributions	2013-10-31	No
Has the plan failed to provide any benefit when due under the plan	2013-10-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-10-31	$125,794,775
Did the plan have assets held for investment	2013-10-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-10-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-10-31	Disclaimer
Accountancy firm name	2013-10-31	DELOITTE & TOUCHE LLP
Accountancy firm EIN	2013-10-31	133891517
2012 : HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$11,118,470
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$11,533,756
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$11,532,526
Expenses. Certain deemed distributions of participant loans	2012-12-31	$496
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$567,586
Value of total assets at end of year	2012-12-31	$115,169,110
Value of total assets at beginning of year	2012-12-31	$115,584,396
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$734
Total interest from all sources	2012-12-31	$1,873,444
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$803,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$803,682
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Participant contributions at end of year	2012-12-31	$113,751
Participant contributions at beginning of year	2012-12-31	$126,244
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$567,586
Administrative expenses (other) incurred	2012-12-31	$734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-415,286
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$115,169,110
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$115,584,396
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$63,510,471
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$63,432,364
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,648,457
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,381,464
Interest on participant loans	2012-12-31	$5,898
Interest earned on other investments	2012-12-31	$1,867,546
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$49,896,431
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$50,644,324
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$7,729,619
Net investment gain/loss from pooled separate accounts	2012-12-31	$144,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$11,532,526
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	DELOITTE & TOUCHE LLP
Accountancy firm EIN	2012-12-31	133891517
2011 : HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$138,199
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$8,552,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$8,546,227
Expenses. Certain deemed distributions of participant loans	2011-12-31	$5,055
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$52,171
Value of total assets at end of year	2011-12-31	$115,584,396
Value of total assets at beginning of year	2011-12-31	$123,998,276
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$797
Total interest from all sources	2011-12-31	$1,875,524
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$621,169
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$621,169
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Participant contributions at end of year	2011-12-31	$126,244
Participant contributions at beginning of year	2011-12-31	$90,211
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$52,171
Administrative expenses (other) incurred	2011-12-31	$797
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-8,413,880
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$115,584,396
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$123,998,276
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$63,432,364
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$71,461,140
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,381,464
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,107,548
Interest on participant loans	2011-12-31	$6,021
Interest earned on other investments	2011-12-31	$1,869,503
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$50,644,324
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$51,339,377
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-2,563,466
Net investment gain/loss from pooled separate accounts	2011-12-31	$152,801
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$8,546,227
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	DELOITTE & TOUCHE LLP
Accountancy firm EIN	2011-12-31	133891517
2010 : HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$10,829,569
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$9,851,204
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$9,847,840
Expenses. Certain deemed distributions of participant loans	2010-12-31	$2,591
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$61,885
Value of total assets at end of year	2010-12-31	$123,998,276
Value of total assets at beginning of year	2010-12-31	$123,019,911
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$773
Total interest from all sources	2010-12-31	$1,808,667
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$450,604
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$450,604
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Participant contributions at end of year	2010-12-31	$90,211
Participant contributions at beginning of year	2010-12-31	$67,867
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$61,885
Administrative expenses (other) incurred	2010-12-31	$773
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$978,365
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$123,998,276
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$123,019,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$71,461,140
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$70,427,531
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,107,548
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$726,329
Interest on participant loans	2010-12-31	$5,209
Interest earned on other investments	2010-12-31	$1,803,458
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$51,339,377
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$51,798,184
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$58,149
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$8,391,835
Net investment gain/loss from pooled separate accounts	2010-12-31	$116,578
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$9,789,691
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	DELOITTE & TOUCHE LLP
Accountancy firm EIN	2010-12-31	133891517
2009 : HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN

2013: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HARVARD PILGRIM HEALTH CARE, INC. PRISM SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HARVARD PILGRIM HEALTH CARE, INC.
Employer identification number (EIN):	042452600
NAIC Classification:	524140