401k Plan data: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN plan

NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 401k Plan overview

Plan Name	NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN
Plan identification number	503

NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

NORTH AMERICAN PARTNERS IN ANESTHESIA LLP has sponsored the creation of one or more 401k plans.

Company Name: NORTH AMERICAN PARTNERS IN ANESTHESIA LLP

Employer identification number (EIN): 112923650

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2019-01-01 DEBRA WALSH 2020-10-06
503 2018-01-01
503 2017-01-01 DEBRA WALSH
503 2016-01-01 LESLIE RUSSO
503 2015-01-01 LESLIE RUSSO
503 2014-01-01 LESLIE RUSSO
503 2013-01-01 LESLIE RUSSO
503 2012-01-01 LESLIE RUSSO
503 2011-01-01 KATHLEEN FIELDS
503 2010-01-01 KATHLEEN FIELDS
503 2009-01-01 KATHRYN FIELDS 2010-10-14
503 2009-01-01 KATHRYN FIELDS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2019-01-01	DEBRA WALSH	2020-10-06
503	2018-01-01
503	2017-01-01	DEBRA WALSH
503	2016-01-01	LESLIE RUSSO
503	2015-01-01	LESLIE RUSSO
503	2014-01-01	LESLIE RUSSO
503	2013-01-01	LESLIE RUSSO
503	2012-01-01	LESLIE RUSSO
503	2011-01-01	KATHLEEN FIELDS
503	2010-01-01	KATHLEEN FIELDS
503	2009-01-01			KATHRYN FIELDS	2010-10-14
503	2009-01-01	KATHRYN FIELDS

Plan Statistics for NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN

401k plan membership statisitcs for NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN

Measure Date Value
2019: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,848
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of employers contributing to the scheme 2019-01-01 0
2018: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,771
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,848
Total of all active and inactive participants 2018-01-01 1,848
Total participants 2018-01-01 1,848
2017: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,724
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,771
Total of all active and inactive participants 2017-01-01 1,771
Total participants 2017-01-01 1,771
2016: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,022
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,724
Total of all active and inactive participants 2016-01-01 1,724
Total participants 2016-01-01 1,724
2015: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,166
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,022
Total of all active and inactive participants 2015-01-01 2,022
Total participants 2015-01-01 0
2014: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,747
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3,166
Total of all active and inactive participants 2014-01-01 3,166
Total participants 2014-01-01 0
2013: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,055
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,747
Total of all active and inactive participants 2013-01-01 2,747
Total participants 2013-01-01 0
2012: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 825
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,055
Total of all active and inactive participants 2012-01-01 1,055
Total participants 2012-01-01 0
2011: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 780
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 825
Total of all active and inactive participants 2011-01-01 825
Total participants 2011-01-01 825
2010: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 820
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 780
Total of all active and inactive participants 2010-01-01 780
Total participants 2010-01-01 780
2009: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 620
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 820
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 820
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 820

Measure	Date	Value
2019: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,848
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of employers contributing to the scheme	2019-01-01	0
2018: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,771
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,848
Total of all active and inactive participants	2018-01-01	1,848
Total participants	2018-01-01	1,848
2017: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,724
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,771
Total of all active and inactive participants	2017-01-01	1,771
Total participants	2017-01-01	1,771
2016: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,022
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,724
Total of all active and inactive participants	2016-01-01	1,724
Total participants	2016-01-01	1,724
2015: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,166
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,022
Total of all active and inactive participants	2015-01-01	2,022
Total participants	2015-01-01	0
2014: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,747
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3,166
Total of all active and inactive participants	2014-01-01	3,166
Total participants	2014-01-01	0
2013: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,055
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,747
Total of all active and inactive participants	2013-01-01	2,747
Total participants	2013-01-01	0
2012: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	825
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,055
Total of all active and inactive participants	2012-01-01	1,055
Total participants	2012-01-01	0
2011: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	780
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	825
Total of all active and inactive participants	2011-01-01	825
Total participants	2011-01-01	825
2010: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	820
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	780
Total of all active and inactive participants	2010-01-01	780
Total participants	2010-01-01	780
2009: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	620
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	820
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	820
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	820

Form 5500 Responses for NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN

2019: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Mulitple employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Mulitple employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP LIFE AND DISABILITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL140260

Policy instance

Insurance contract or identification number	GL140260
Number of Individuals Covered	1843
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $158,252
Total amount of fees paid to insurance company	USD $11,386
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $2,379,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $134,995
Amount paid for insurance broker fees	11386
Additional information about fees paid to insurance broker	ADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?	3

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

R0766360

Policy instance

Insurance contract or identification number	R0766360
Number of Individuals Covered	20
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $13,403
Total amount of fees paid to insurance company	USD $1,372
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $22,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,403
Amount paid for insurance broker fees	1372
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

1227419

Policy instance

Insurance contract or identification number	1227419
Number of Individuals Covered	64
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $36,969
Total amount of fees paid to insurance company	USD $3,857
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $64,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,969
Amount paid for insurance broker fees	3857
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	185
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $21,036
Welfare Benefit Premiums Paid to Carrier	USD $140,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $12,508
Insurance broker organization code?	3
Insurance broker name	T&H BENEFITS, LLC

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	1814
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $201,365
Total amount of fees paid to insurance company	USD $3,353
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $3,023,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $201,365
Amount paid for insurance broker fees	3353
Additional information about fees paid to insurance broker	ADMINISTRATIVE
Insurance broker organization code?	3
Insurance broker name	AON CONSULTING, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G158083

Policy instance

Insurance contract or identification number	G158083
Number of Individuals Covered	1816
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,893
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $30,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,893
Insurance broker organization code?	3
Insurance broker name	AON CONSULTING, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

LTD14234

Policy instance

Insurance contract or identification number	LTD14234
Number of Individuals Covered	1243
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $123,778
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,938,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $123,778
Insurance broker organization code?	3
Insurance broker name	AON CONSULTING, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL140260

Policy instance

Insurance contract or identification number	GL140260
Number of Individuals Covered	1298
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $35,122
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $333,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $35,122
Insurance broker organization code?	3
Insurance broker name	AON CONSULTING, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL153593

Policy instance

Insurance contract or identification number	GL153593
Number of Individuals Covered	184
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $18,478
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $165,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,478
Insurance broker organization code?	3
Insurance broker name	AON CONSULTING, INC.

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

E7437197

Policy instance

Insurance contract or identification number	E7437197
Number of Individuals Covered	206
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $24,144
Welfare Benefit Premiums Paid to Carrier	USD $151,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $13,329
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

DBL251251

Policy instance

Insurance contract or identification number	DBL251251
Number of Individuals Covered	1716
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,046
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $44,365
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,046
Insurance broker organization code?	3
Insurance broker name	AON CONSULTING, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

LTD14234

Policy instance

Insurance contract or identification number	LTD14234
Number of Individuals Covered	1138
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $92,632
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,543,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $92,632
Insurance broker name	AON CONSULTING, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL140260

Policy instance

Insurance contract or identification number	GL140260
Number of Individuals Covered	1190
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $46,972
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $469,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,972
Insurance broker name	AON CONSULTING, INC.

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

E7437197

Policy instance

Insurance contract or identification number	E7437197
Number of Individuals Covered	206
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $25,245
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $153,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,903
Insurance broker name	GALLAGHER BENEFITS SERVICES, INC.

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00421565

Policy instance

Insurance contract or identification number	00421565
Number of Individuals Covered	253
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $16,522
Total amount of fees paid to insurance company	USD $9,135
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $487,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,984
Amount paid for insurance broker fees	9135
Additional information about fees paid to insurance broker	ADMINISTRATIVE AND OTHER
Insurance broker name	AON CONSULTING, INC.

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

205312

Policy instance

Insurance contract or identification number	205312
Number of Individuals Covered	19
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,143
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,143
Insurance broker name	ADVANCE BENEFIT STRATEGIES, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G158083

Policy instance

Insurance contract or identification number	G158083
Number of Individuals Covered	990
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,127
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $20,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,127
Insurance broker name	AON CONSULTING, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

DBL251251

Policy instance

Insurance contract or identification number	DBL251251
Number of Individuals Covered	2707
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $3,885
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $56,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,885
Insurance broker name	AON CONSULTING, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G158083

Policy instance

Insurance contract or identification number	G158083
Number of Individuals Covered	880
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,157
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $19,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,085
Insurance broker name	ALLIANT INSURANCE SERVICES, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

LTD14234

Policy instance

Insurance contract or identification number	LTD14234
Number of Individuals Covered	753
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $99,475
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,657,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $79,476
Insurance broker name	ALLIANT INSURANCE SERVICES

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL140260

Policy instance

Insurance contract or identification number	GL140260
Number of Individuals Covered	983
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $68,247
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $682,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53,589
Insurance broker name	ALLIANT INSURANCE SERVICES, INC.

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )

Policy contract number

E7437197

Policy instance

Insurance contract or identification number	E7437197
Number of Individuals Covered	177
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $24,262
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $136,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,897
Insurance broker name	GALLAGHER BENEFITS SERVICES, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

DBL251251

Policy instance

Insurance contract or identification number	DBL251251
Number of Individuals Covered	2570
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,712
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $47,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,477
Insurance broker name	ALLIANT INSURANCE SERVICES, INC.

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

LTD14234

Policy instance

Insurance contract or identification number	LTD14234
Number of Individuals Covered	1055
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $77,410
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,290,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $77,410
Insurance broker name	T&H BENEFITS, LLC

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G158083

Policy instance

Insurance contract or identification number	G158083
Number of Individuals Covered	677
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $989
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $989
Insurance broker name	T&H BENEFITS, LLC

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

DBL251251

Policy instance

Insurance contract or identification number	DBL251251
Number of Individuals Covered	799
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $3,153
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $37,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,153
Insurance broker name	T&H BENEFITS, LLC

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL140260

Policy instance

Insurance contract or identification number	GL140260
Number of Individuals Covered	1009
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $50,402
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $504,021
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $50,402
Insurance broker name	T&H BENEFITS, LLC

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL140260

Policy instance

Insurance contract or identification number	GL140260
Number of Individuals Covered	825
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $39,703
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $397,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

LTD14234

Policy instance

Insurance contract or identification number	LTD14234
Number of Individuals Covered	627
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $60,163
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $996,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G158083

Policy instance

Insurance contract or identification number	G158083
Number of Individuals Covered	486
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $826
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

DBL251251

Policy instance

Insurance contract or identification number	DBL251251
Number of Individuals Covered	700
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,963
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $34,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

DBL251251

Policy instance

Insurance contract or identification number	DBL251251
Number of Individuals Covered	668
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,910
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $31,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

G158083

Policy instance

Insurance contract or identification number	G158083
Number of Individuals Covered	41
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $400
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL140260

Policy instance

Insurance contract or identification number	GL140260
Number of Individuals Covered	739
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $43,319
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $431,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

LTD14234

Policy instance

Insurance contract or identification number	LTD14234
Number of Individuals Covered	737
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $66,094
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,101,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	NORTH AMERICAN PARTNERS IN ANESTHESIA LLP
Employer identification number (EIN):	112923650
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)