401k Plan data: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN plan

SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN
Plan identification number	501

SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

SOUTH JERSEY RADIOLOGY ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name: SOUTH JERSEY RADIOLOGY ASSOCIATES, P.A.

Employer identification number (EIN): 221899118

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-06-01 WILLIAM MUHR JR, MD 2022-10-24
501 2020-06-01 WILLIAM F. MUHR JR. MD 2021-12-20
501 2019-06-01
501 2017-04-01 WILLIAM MUHR
501 2016-04-01 WILLIAM MUHR
501 2015-04-01 WILLIAM MUHR
501 2014-06-01 WILLIAM MUHR
501 2013-06-01 WILLIAM MUHR
501 2012-06-01 WILLIAM MUHR
501 2011-06-01 WILLIAM MUHR
501 2010-06-01 WILLIAM MUHR
501 2009-06-01 WILLIAM MUHR

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2021-06-01	WILLIAM MUHR JR, MD	2022-10-24
501	2020-06-01	WILLIAM F. MUHR JR. MD	2021-12-20
501	2019-06-01
501	2017-04-01	WILLIAM MUHR
501	2016-04-01	WILLIAM MUHR
501	2015-04-01	WILLIAM MUHR
501	2014-06-01	WILLIAM MUHR
501	2013-06-01	WILLIAM MUHR
501	2012-06-01	WILLIAM MUHR
501	2011-06-01	WILLIAM MUHR
501	2010-06-01	WILLIAM MUHR
501	2009-06-01	WILLIAM MUHR

Plan Statistics for SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN

Measure Date Value
2021: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-06-01 341
Total number of active participants reported on line 7a of the Form 5500 2021-06-01 340
Number of retired or separated participants receiving benefits 2021-06-01 3
Number of other retired or separated participants entitled to future benefits 2021-06-01 0
Total of all active and inactive participants 2021-06-01 343
Total participants 2021-06-01 343
2020: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-06-01 406
Total number of active participants reported on line 7a of the Form 5500 2020-06-01 401
Number of retired or separated participants receiving benefits 2020-06-01 4
Total of all active and inactive participants 2020-06-01 405
Total participants 2020-06-01 405
2019: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 510
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 510
Number of retired or separated participants receiving benefits 2019-06-01 5
Number of other retired or separated participants entitled to future benefits 2019-06-01 0
Total of all active and inactive participants 2019-06-01 515
Total participants 2019-06-01 515
2017: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-04-01 311
Total number of active participants reported on line 7a of the Form 5500 2017-04-01 302
Number of retired or separated participants receiving benefits 2017-04-01 2
Total of all active and inactive participants 2017-04-01 304
Total participants 2017-04-01 304
2016: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-04-01 325
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 311
Number of retired or separated participants receiving benefits 2016-04-01 3
Total of all active and inactive participants 2016-04-01 314
Total participants 2016-04-01 314
2015: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-01 327
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 316
Number of retired or separated participants receiving benefits 2015-04-01 0
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 316
Total participants 2015-04-01 316
Number of participants with account balances 2015-04-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-04-01 0
2014: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 252
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 473
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 473
2013: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 257
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 252
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 252
2012: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 265
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 326
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 326
2011: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 498
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 579
Number of other retired or separated participants entitled to future benefits 2011-06-01 8
Total of all active and inactive participants 2011-06-01 587
Total participants 2011-06-01 587
2010: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-06-01 288
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 482
Number of other retired or separated participants entitled to future benefits 2010-06-01 16
Total of all active and inactive participants 2010-06-01 498
Total participants 2010-06-01 498
2009: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 345
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 272
Number of other retired or separated participants entitled to future benefits 2009-06-01 16
Total of all active and inactive participants 2009-06-01 288
Total participants 2009-06-01 288

Measure	Date	Value
2021: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-06-01	341
Total number of active participants reported on line 7a of the Form 5500	2021-06-01	340
Number of retired or separated participants receiving benefits	2021-06-01	3
Number of other retired or separated participants entitled to future benefits	2021-06-01	0
Total of all active and inactive participants	2021-06-01	343
Total participants	2021-06-01	343
2020: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-06-01	406
Total number of active participants reported on line 7a of the Form 5500	2020-06-01	401
Number of retired or separated participants receiving benefits	2020-06-01	4
Total of all active and inactive participants	2020-06-01	405
Total participants	2020-06-01	405
2019: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	510
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	510
Number of retired or separated participants receiving benefits	2019-06-01	5
Number of other retired or separated participants entitled to future benefits	2019-06-01	0
Total of all active and inactive participants	2019-06-01	515
Total participants	2019-06-01	515
2017: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-04-01	311
Total number of active participants reported on line 7a of the Form 5500	2017-04-01	302
Number of retired or separated participants receiving benefits	2017-04-01	2
Total of all active and inactive participants	2017-04-01	304
Total participants	2017-04-01	304
2016: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-04-01	325
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	311
Number of retired or separated participants receiving benefits	2016-04-01	3
Total of all active and inactive participants	2016-04-01	314
Total participants	2016-04-01	314
2015: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-01	327
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	316
Number of retired or separated participants receiving benefits	2015-04-01	0
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	316
Total participants	2015-04-01	316
Number of participants with account balances	2015-04-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-04-01	0
2014: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	252
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	473
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	473
2013: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	257
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	252
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	252
2012: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	265
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	326
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	326
2011: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	498
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	579
Number of other retired or separated participants entitled to future benefits	2011-06-01	8
Total of all active and inactive participants	2011-06-01	587
Total participants	2011-06-01	587
2010: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-06-01	288
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	482
Number of other retired or separated participants entitled to future benefits	2010-06-01	16
Total of all active and inactive participants	2010-06-01	498
Total participants	2010-06-01	498
2009: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	345
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	272
Number of other retired or separated participants entitled to future benefits	2009-06-01	16
Total of all active and inactive participants	2009-06-01	288
Total participants	2009-06-01	288

Form 5500 Responses for SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN

2021: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-06-01	Type of plan entity	Single employer plan
2021-06-01	Submission has been amended	No
2021-06-01	This submission is the final filing	No
2021-06-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-06-01	Plan is a collectively bargained plan	No
2021-06-01	Plan funding arrangement – Insurance	Yes
2021-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-06-01	Plan benefit arrangement – Insurance	Yes
2021-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-06-01	Type of plan entity	Single employer plan
2020-06-01	Submission has been amended	No
2020-06-01	This submission is the final filing	No
2020-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-06-01	Plan is a collectively bargained plan	No
2020-06-01	Plan funding arrangement – Insurance	Yes
2020-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-06-01	Plan benefit arrangement – Insurance	Yes
2020-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Submission has been amended	No
2019-06-01	This submission is the final filing	No
2019-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-06-01	Plan is a collectively bargained plan	No
2019-06-01	Plan funding arrangement – Insurance	Yes
2019-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-06-01	Plan benefit arrangement – Insurance	Yes
2019-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-04-01	Type of plan entity	Single employer plan
2017-04-01	Submission has been amended	No
2017-04-01	This submission is the final filing	No
2017-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-04-01	Plan is a collectively bargained plan	No
2017-04-01	Plan funding arrangement – Insurance	Yes
2017-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-04-01	Plan benefit arrangement – Insurance	Yes
2017-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-04-01	Type of plan entity	Single employer plan
2016-04-01	Submission has been amended	No
2016-04-01	This submission is the final filing	No
2016-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-04-01	Plan is a collectively bargained plan	No
2016-04-01	Plan funding arrangement – Insurance	Yes
2016-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-04-01	Plan benefit arrangement – Insurance	Yes
2016-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	First time form 5500 has been submitted	Yes
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Submission has been amended	No
2010-06-01	This submission is the final filing	No
2010-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-06-01	Plan is a collectively bargained plan	No
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-06-01	Plan benefit arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: SOUTH JERSEY RADIOLOGY ASSOCIATES EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

QUANTUM HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	SJRA0001
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30056461
Policy instance	1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	939215
Policy instance	2
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number	09659
Policy instance	4
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E4347191
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 148871
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 122344
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 206310
Policy instance	8
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VG 182896
Policy instance	9
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VPL 302852
Policy instance	10
QUANTUM HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	SJRA0001
Policy instance	3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5720968
Policy instance	2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E4347191
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VPL302852
Policy instance	8
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL148871
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD122344
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR206310
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VG182896
Policy instance	7
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30056461
Policy instance	9
SUN LIFE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number
Policy instance	10
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL148871
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD122344
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR206310
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VG182896
Policy instance	7
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VPL302852
Policy instance	8
QUANTUM HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	SJRA0001
Policy instance	3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5720968
Policy instance	2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E4347191
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30056461
Policy instance	9
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL148871
Policy instance	2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E4347191
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05720968
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30056461
Policy instance	4
QUANTUM HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	SJRA0001
Policy instance	5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05720968
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30056461
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL148871 ET AL
Policy instance	3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E4347191
Policy instance	4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL148871 ET AL
Policy instance	2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract number	E4347191
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05720968
Policy instance	3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05720968
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL148871 ET AL
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VG 182896
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 148871
Policy instance	4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05720968
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 122344
Policy instance	2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	122344
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	GL 148871
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05720968
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VG 182896
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AACN
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000AACN
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05720968
Policy instance	1

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Company Name:	SOUTH JERSEY RADIOLOGY ASSOCIATES, P.A.
Employer identification number (EIN):	221899118
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)